Zika Virus: 270 of 4,180 Suspected Microcephaly Cases Confirmed in Brazil

Zika Virus: 270 of 4,180 Suspected Microcephaly Cases Confirmed in Brazil
A municipal worker gestures during an operation to combat the Aedes aegypti mosquitoes that transmits the Zika virus in Recife, Pernambuco State, Brazil, on Jan. 26, 2016. (AP Photo/Felipe Dana)
The Associated Press
1/27/2016
Updated:
1/28/2016

RIO DE JANEIRO—New figures released Wednesday by Brazil’s Health Ministry as part of a probe into the Zika virus have found fewer cases of a rare birth defect than first feared.

Researchers have been looking at 4,180 suspected cases of microcephaly reported since October. On Wednesday, officials said they had done a more intense analysis of more than 700 of those cases, confirming 270 cases and ruling out 462 others.

But what that means is hard to say, according to some experts. It does not answer whether the tropical Zika virus is causing the babies to have unusually small heads. Nor does it really tell us how big the problem is.

“I don’t think we should lower our alarm over the Zika outbreak,” said Paul Roepe, co-director of Georgetown University’s Center for Infectious Disease.

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In 2014, only about 150 cases were reported in Brazil in a year—a surprisingly small amount for a large country with nearly 3 million births a year. The United States, with about 4 million births a year, has an estimated 2,500 cases of microcephaly a year, said Margaret Honein, a CDC epidemiologist.

Brazilian health officials have dismissed the idea there might have been a large number of unreported cases previously. But the rate of recorded microcephaly cases was only a fraction of what some experts thought it ought to be.

In establishing a registry, the Health Ministry cast a wide net, including live births, stillborn and miscarried babies, and fetuses shown to have unusually small heads by ultrasound or other diagnostic tests, the ministry said.

In subsequent investigations, tests were done to see if the brain had been affected. The condition can cause lasting developmental problems.

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He also said that health official will have to watch for other problems, including far less obvious issues that can be caused by congenital infections—for example, deafness.

Brazilian officials said the babies with the defect and their mothers are being tested to see if they had been infected. Six of the 270 confirmed microcephaly cases were found to have the virus. Two were stillborn and four were live births, three of whom later died, the ministry said.

On Tuesday, Brazil’s health minister, Marcelo Castro, announced that 220,000 military personnel were being deployed to bolster efforts to eradicate the Aedes aegypti mosquito that transmits Zika, dengue, chikungunya and yellow fever.

Castro said the government also would distribute mosquito repellent to some 400,000 pregnant women.

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