Saturday, January 30, 2016

Zika virus, which can cause small heads and brains in newborns, will get to Kentucky, but experts disagree on its likely impact

The Zika virus that has been linked to birth defects (abnormally small heads and brains in newborns) is exploding in South America and will eventually show up in Kentucky, but its impact in the state is hard to predict.

The virus, for which there is no cure or vaccine, "seems destined to reach the United States, and probably sooner rather than later," Lena H. Sun and Brady Dennis report for The Washington Post. "What is far less certain, say public health and infectious disease experts, is Zika’s potential reach and impact here. The South is seen as especially vulnerable because of its warm, humid climate and pockets of poverty where more people live without air conditioning or proper window screens. Plus, the region is already home to mosquitoes that can transmit the virus."

The mosquito of main concern, the Asian tiger mosquito, has been reported many times in Kentucky; one of potential concern, the yellow-fever mosquito, has been reported in Indiana.
Washington Post graphic emendated by Kentucky Health News
"Nearly three dozen cases have been confirmed to date in 11 states and the District of Columbia," but the federal Centers for Disease Control and Prevention "acknowledges that the number is growing rapidly," the Post notes. "In each, the person was believed to have been infected while out of the country." The CDC has extended its travel warning northward to the Caribbean.

Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, "is playing down the potential for a significant eruption of Zika here," the Post reports. "He notes that dengue and chikungunya, diseases transmitted by the same kinds of mosquitoes, are widespread in Latin America, but their foothold in the United States has been controlled, with only small clusters of cases."

However, Peter Hotez, dean of the National School of Tropical Medicine at Baylor University in Waco, Texas, told the Post, “I think we’re in for real trouble in the United States,” because Zika can spread quickly. "He focuses on conditions throughout the Gulf Coast, where stagnant water sources — in uncollected garbage, discarded tires, untended bird baths — can be ideal breeding grounds for mosquitoes much of the year."

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