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First Sexually Transmitted Zika Case Confirmed In Georgia ATLANTA - The Georgia Department of Public Health (DPH) is confirming the first sexually transmitted case of Zika virus in Georgia. A non-pregnant female was infected by her male partner who had traveled to Brazil earlier this year and was among Georgia’s confirmed travel-related cases. The woman who was infected had not traveled out of the country. She and her partner have fully recovered. A man infected with Zika can pass the virus to his female or male sex partner before, during and after symptoms appear. Exactly how long Zika virus remains in semen is not known, but a recent report indicated Zika remaining in semen for 62 days. Research is ongoing, but at this time there is no evidence that women can transmit Zika virus to their sexual partners. “If your partner has traveled to an area where Zika virus transmission is ongoing, protecting yourself by abstaining from sex or using condoms during sex is the best way to prevent sexual transmission of the Zika virus,” said Brenda Fitzgerald, M.D., commissioner, Georgia Department of Public Health. “Next to abstinence, condoms are the best prevention method against any sexually transmitted infection.” For women who want to get pregnant and whose male partner has been diagnosed with Zika or has (or had) symptoms, the couple should consider using condoms or not having sex for at least 6 months after symptoms begin. If the male partner does not develop symptoms, the couple should consider using condoms or not having sex for at least 8 weeks after the man returns. Couples considering pregnancy should discuss with their health care provider the potential risk of Zika virus during pregnancy. The virus can spread from a woman to her child during pregnancy and the infection is linked to microcephaly, a birth defect in which the baby is born with a smaller-than-normal head due to abnormal brain development. Most people infected with Zika virus will not develop symptoms. If symptoms do develop, they are usually mild and include fever, rash, joint pain and eye redness. If an individual returns from a Zika-affected country and has fever with rash, joint pain, and eye redness or other symptoms within two weeks, they should see a doctor and indicate where they’ve traveled. Currently, there is no vaccine to prevent or medicine to treat Zika. Travelers should check CDC travel advisories for their destinations and take precautions to protect themselves from mosquitoes: - Wear long-sleeved shirts, long pants, and socks - Use EPA-registered insect repellents containing 20%-30% DEET, picaridin, oil of lemon eucalyptus (OLE), or IR3535 (during travel and for three weeks after returning home) - Use permethrin-treated clothing and gear (such as boots, pants, socks, and tents) - Stay and sleep in screened-in or air-conditioned rooms or sleep under a mosquito net To date, there are 17 confirmed travel-related cases of Zika virus in Georgia. There are no confirmed local mosquito-borne cases of Zika virus in Georgia. Zika virus is transmitted primarily through the bite of infected Aedes aegypti and Aedes albopictus mosquitoes. Both species are found in Georgia. Help reduce the number of mosquitoes around your home and community by emptying standing water – Tip ‘n Toss - from containers, such as flowerpots, buckets or old tires. For more information about Zika virus prevention and protection, visit dph.georgia.gov or cdc.gov/zika.
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Na www.medscape.com objavljene su privremene smjernice i preporuke vezano uz Zika virus, za 2016. godinu, a koje su predložene od strane Centers for Disease Control and Prevention. Na infekciju Zika virusom mora se posumnjati u osobe koja živi ili je putovala u zahvaćeno područje (uglavnom Latinska Amerika) u posljednja 2 tjedna, a ima 2 ili više od slijedeća četiri simptoma: vrućica, osip, konjunkitivitis (crvene oči) ili artralgija (bol u zglobovima). Muškarac kojem je partnerica trudna, a živi ili je posjetio područje gdje komarci prenose Zika virus, trebao bi koristiti kondom ili apstinirati od spolnih odnosa za cijelo vrijeme trajanja trudnoće. Trudnice koje su posjetile zahvaćeno područje, trebale bi se testirati na Zika virus, čak ako i nemaju simptoma infekcije. Muškarcima i ženama kojima je dijagnosticirana Zika infekcija, ili imaju simptome Zika infekcije nakon moguće izloženosti Zika virusu, preporuča se slijedeće: - Žene ne bi smjele planirati trudnoću najmanje 8 tjedana od pojave simptoma - Muškarci ne bi smjeli imati nezaštićeni spolni odnos najmanje 6 mjeseci od pojave simptoma (taj interval je preporučen na temelju ograničenih saznanja o prisutnosti Zika virusa u ejakulatu, a dobiven je tako da se dosad najduži period u kojem je potvrđen Zika virus u sjemenu zaraženog muškarca pomnožio sa 3) - Za muškarce i žene bez znakova Zika infekcije, ali s mogućom izloženošću Zika virusu ( putovanje u zahvaćeno područje ili nezaštićeni spolni odnos sa zaraženom osobom), preporuča se da odgode planiranje trudnoće najmanje 8 tjedana iza moguće izloženosti Zika virusu - Parovima u kojima muškarac živi u zahvaćenom području, a nije razvio simptome infekcije, preporuča se da koriste kondome ili apstiniraju od spolnih odnosa, dok god postoji aktivni prijenos Zika virusa Zasad još nisu dokumentirani slučajevi prijenosa Zika virusa u postupcima medicinski potpomognute oplodnje, ali prijenos putem doniranih gameta ili zametaka je teoretski moguć. Zika virus se ne uništava prilikom procesa kriopohrane. Zbog toga, prema preporuci Food and Drug Administration, donori sjemena ili jajnih stanica ne mogu biti osobe sa bilo kojim od slijedećih rizičnih faktora: dijagnoza Zika infekcije u posljednjih 6 mjeseci; prebivalište ili putovanje u područje zahvaćeno aktivnim prijenosom Zika infekcije u posljednjih 6 mjeseci; unutar 6 mjeseci spolni odnos sa muškarcem koji je u periodu od 6 mjeseci prije spolnog odnosa bio zaražen Zika virusom ili je putovao u područje aktivnog prijenosa Zika virusa.