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Zika virus circulating in Kenya for decades - studies

There is no evidence of ill effects, babies with small heads and brains, though took a toll in Latin America.

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by john muchangi

News24 August 2020 - 13:10
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In Summary


• Researchers tested blood samples from 745 people and found five samples were infected with the virus. 

• One to two per cent of Kilifi babies have microcephaly, which can reflect serious brain problems, but it is not linked to Zika. In comparison, the overall microcephaly prevalence in Brazil during the 2016 outbreak was estimated at far less, 0.15 per cent

 

A baby with microcephaly, in Recife, Brazil March 26, 2016.

The Zika virus has been circulating in Kenya for decades, without causing the devastating birth defects seen in Latin America South America and the United States, researchers say.

The virus can cause babies to be born with under-developed brains and abnormally small heads, the most feared outcome of infection during pregnancy.

Children can develop epilepsy, cerebral palsy, learning disabilities, hearing loss and vision problems. In some cases, they develop normally.

 
 

The virus does not appear to have caused the same problems in Kenya. 

The disease is transmitted by mosquitoes and can be passed from a pregnant woman to her foetus. The pregnant woman herself and most adults are not seriously affected. 

Kenya was untouched by the 2016 global outbreak, but some samples of stored blood from Kisumu, Eldoret, Nairobi, Kilifi and Mombasa contain the virus antibodies.

In the latest study published two weeks ago, researchers screened 327 stored plasma samples collected in Western and coastal Kenya between 1993 and 2016
 
 
 
Four cases had Zika virus antibodies, confirming a past infection.
 
"This suggests low-level Zika circulation in Kenya over two decades," the researchers say. Their findings were published on August 4 by Oxford University Press for the Infections Diseases Society of America.
 
A separate study published last month by the US Centers for Disease Control and Prevention also confirms the Zika virus at the Kenyan Coast. 
 
Researchers tested blood samples from 745 people and found five samples were infected.
 
Elizabeth Hunsperger, a CDC scientists who led the study, said they used blood specimens collected in 2013 for a dengue fever survey in Mombasa during the disease outbreak that year.
 
Only samples without dengue antibodies were tested for Zika. 
 
"We identified five persons sampled in 2013 who were positive for Zika virus," she said the study published in the Emerging Infectious Diseases journal.
 
The virus is transmitted primarily by Aedes mosquitoes, which bite during the day and are largely found in urban areas, especially in Western Kenya and the Coast. 
 
According to the World Health Organization, most people with Zika virus infection do not develop symptoms, which may include fever, rash, muscle and joint pain, or headache.

 

 

In 2016, the WHO declared the Zika virus a global public health emergency after an outbreak largely in South America and the US.

The infection caused thousands of babies to be born with microcephaly or an abnormally small head, because their brains did not developed properly.

 
 

Microcephaly is common at the Coast but the Kenya Medical Research Institute scientists say it is not linked to Zika. 

Last year, the scientists assessed data from 11,061 live births at Kilifi County Hospital between January 2012 and October 2016, and found one to two per cent of the babies had microcephaly. 

In comparison, the overall microcephaly prevalence in Brazil during the 2016 outbreak was estimated at 0.15 per cent, almost 10 times lower than Kilifi.

 

The Kemri scientists said they carried out all tests on the Kenyan babies, and are confident their microcephaly was not caused by Zika.

"We undertook detailed serological testing in cases and controls and did not find any Zika virus or flavivirus RNA," they said, in the study published by Wellcome Research in November last year.

(Edited by V. Graham)

 

 

 

 

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