Surveillance of congenital Zika syndrome in England and Wales: methods and results of laboratory, obstetric and paediatric surveillance.

The spread of the Zika virus (ZIKV) in the Americas led to large outbreaks across the region and most of the Southern hemisphere. Of greatest concern were complications following acute infection during pregnancy. At the beginning of the outbreak, the risk to unborn babies and their clinical presenta...

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Main Authors: Oeser, C, Aarons, E, Heath, P, Johnson, K, Khalil, A, Knight, M, Lynn, R, Morgan, D, Pebody, R
Format: Journal article
Jezik:English
Izdano: Cambridge University Press 2019
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author Oeser, C
Aarons, E
Heath, P
Johnson, K
Khalil, A
Knight, M
Lynn, R
Morgan, D
Pebody, R
author_facet Oeser, C
Aarons, E
Heath, P
Johnson, K
Khalil, A
Knight, M
Lynn, R
Morgan, D
Pebody, R
author_sort Oeser, C
collection OXFORD
description The spread of the Zika virus (ZIKV) in the Americas led to large outbreaks across the region and most of the Southern hemisphere. Of greatest concern were complications following acute infection during pregnancy. At the beginning of the outbreak, the risk to unborn babies and their clinical presentation was unclear. This report describes the methods and results of the UK surveillance response to assess the risk of ZIKV to children born to returning travellers. Established surveillance systems operating within the UK – the paediatric and obstetric surveillance units for rare diseases, and national laboratory monitoring – enabled rapid assessment of this emerging public health threat. A combined total of 11 women experiencing adverse pregnancy outcomes after possible ZIKV exposure were reported by the three surveillance systems; five miscarriages, two intrauterine deaths and four children with clinical presentations potentially associated with ZIKV infection. Sixteen women were diagnosed with ZIKV during pregnancy in the UK. Amongst the offspring of these women, there was unequivocal laboratory evidence of infection in only one child. In the UK, the number and risk of congenital ZIKV infection for travellers returning from ZIKV-affected countries is very small.
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spelling oxford-uuid:6344bb66-6187-4d39-a7b1-e482b4a8d6d42022-03-26T18:11:51ZSurveillance of congenital Zika syndrome in England and Wales: methods and results of laboratory, obstetric and paediatric surveillance.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:6344bb66-6187-4d39-a7b1-e482b4a8d6d4EnglishSymplectic Elements at OxfordCambridge University Press2019Oeser, CAarons, EHeath, PJohnson, KKhalil, AKnight, MLynn, RMorgan, DPebody, RThe spread of the Zika virus (ZIKV) in the Americas led to large outbreaks across the region and most of the Southern hemisphere. Of greatest concern were complications following acute infection during pregnancy. At the beginning of the outbreak, the risk to unborn babies and their clinical presentation was unclear. This report describes the methods and results of the UK surveillance response to assess the risk of ZIKV to children born to returning travellers. Established surveillance systems operating within the UK – the paediatric and obstetric surveillance units for rare diseases, and national laboratory monitoring – enabled rapid assessment of this emerging public health threat. A combined total of 11 women experiencing adverse pregnancy outcomes after possible ZIKV exposure were reported by the three surveillance systems; five miscarriages, two intrauterine deaths and four children with clinical presentations potentially associated with ZIKV infection. Sixteen women were diagnosed with ZIKV during pregnancy in the UK. Amongst the offspring of these women, there was unequivocal laboratory evidence of infection in only one child. In the UK, the number and risk of congenital ZIKV infection for travellers returning from ZIKV-affected countries is very small.
spellingShingle Oeser, C
Aarons, E
Heath, P
Johnson, K
Khalil, A
Knight, M
Lynn, R
Morgan, D
Pebody, R
Surveillance of congenital Zika syndrome in England and Wales: methods and results of laboratory, obstetric and paediatric surveillance.
title Surveillance of congenital Zika syndrome in England and Wales: methods and results of laboratory, obstetric and paediatric surveillance.
title_full Surveillance of congenital Zika syndrome in England and Wales: methods and results of laboratory, obstetric and paediatric surveillance.
title_fullStr Surveillance of congenital Zika syndrome in England and Wales: methods and results of laboratory, obstetric and paediatric surveillance.
title_full_unstemmed Surveillance of congenital Zika syndrome in England and Wales: methods and results of laboratory, obstetric and paediatric surveillance.
title_short Surveillance of congenital Zika syndrome in England and Wales: methods and results of laboratory, obstetric and paediatric surveillance.
title_sort surveillance of congenital zika syndrome in england and wales methods and results of laboratory obstetric and paediatric surveillance
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