Epidemiological update: Outbreaks of Zika virus and complications potentially linked to the Zika virus infection, 9 June 2016

Epidemiological update

​On 28 May, the World Health Organization (WHO) issued a press release stating that cancelling or changing the location of the 2016 Olympics would not significantly alter the international spread of Zika virus.
 

​New developments since the last epidemiological update

On 28 May, the World Health Organization (WHO) issued a press release stating that cancelling or changing the location of the 2016 Olympics would not significantly alter the international spread of Zika virus.

On 30 May, WHO published an interim guidance regarding the prevention of sexual transmission of Zika virus. Men and women returning from Zika affected areas are recommended to  adopt safe sex practices or consider abstinence for at least eight weeks upon return and six months for men who have had symptoms of Zika.

Table 1. Countries and territories with reported confirmed autochthonous cases of Zika virus infection in the past three months, as of 03 June 2016

Row Labels Zika transmission in the past nine months
American Samoa Widespread transmission
Argentina Sporadic transmission
Aruba Widespread transmission
Barbados Widespread transmission
Belize Sporadic transmission
Bolivia Widespread transmission
Bonaire Sporadic transmission
Brazil Widespread transmission
Cape Verde Widespread transmission
Colombia Widespread transmission
Costa Rica Widespread transmission
Cuba Sporadic transmission
Curaçao Widespread transmission
Dominica Widespread transmission
Dominican Republic Widespread transmission
Ecuador Widespread transmission
El Salvador Widespread transmission
Fiji Widespread transmission
French Guiana Widespread transmission
Grenada Sporadic transmission
Guadeloupe Widespread transmission
Guatemala Widespread transmission
Guyana Widespread transmission
Haiti Widespread transmission
Honduras Widespread transmission
Jamaica Widespread transmission
Marshall Islands Widespread transmission
Martinique Widespread transmission
Mexico Widespread transmission
Micronesia, Federated States of Widespread transmission
Nicaragua Widespread transmission
Panama Widespread transmission
Papua New Guinea Sporadic transmission
Paraguay Widespread transmission
Peru Widespread transmission
Philippines Sporadic transmission
Puerto Rico Widespread transmission
Saint Lucia Sporadic transmission
Saint Martin Widespread transmission
Saint Vincent and the Grenadines Sporadic transmission
Saint-Barthélemy Widespread transmission
Samoa Widespread transmission
Sint Maarten Sporadic transmission
Suriname Widespread transmission
Thailand Sporadic transmission
Tonga Widespread transmission
Trinidad and Tobago Widespread transmission
US Virgin Islands Widespread transmission
Venezuela Widespread transmission
Vietnam Widespread transmission

EU/EEA and EU Outermost Regions and Territories

As of 3 June 2016, ECDC has recorded 728 imported cases in 19 EU/EEA countries. Forty-one of the imported cases are pregnant women. In addition, one confirmed case was published following the diagnosis in a Slovenian hospital. The number of imported cases reported is not based on a systematic reporting surveillance system hence cannot be considered exhaustive.

EU’s Outermost Regions and Territories:

Martinique: As of 2 June 2016, 27 800 suspected cases have been reported, an increase of 1 150 since last week. Two microcephaly cases and two additional congenital malformations have been reported with confirmed Zika virus infection. In addition, 21 cases with GBS have been detected. Among these, 19 have been confirmed with Zika virus infection.

French Guiana: As of 2 June 2016, 7 200 suspected cases have been reported, an increase of 490 since last week. Three cases with GBS have been identified since the beginning of the outbreak.

Guadeloupe: As of 2 June 2016, 7 830 suspected cases have been reported, an increase of 1 510 suspected cases since last week. Two cases with severe neurological complications have been reported.

St Martin: As of 2 June 2016, 530 suspected cases have been reported, an increase of 105 suspected cases since last week. One case with neurological complications has been reported.

St Barthélemy: As of 2 June 2016, 40 suspected cases have been reported, an increase of 15 suspected cases since last week.

Figure 1. Countries or territories with reported confirmed autochthonous cases of Zika virus infection in the past three months, as of 03 June 2016 

All ECDC maps with information on countries or territories with reported confirmed autochthonous cases of Zika virus infection can be found here http://ecdc.europa.eu/en/healthtopics/zika_virus_infection/zika-outbreak/Pages/Zika-countries-with-transmission.aspx

Update on the observed increase of congenital Zika syndrome and other neurological complications

Congenital zika syndrome and GBS: in the context of Zika virus circulation, 13 countries and territories worldwide have reported an increased incidence of Guillain-Barré syndrome (GBS) and/or laboratory confirmation of a Zika virus infection among GBS cases.
Brazil: Since October 2015 and as of 28 May 2016, Brazil has reported 7 723 suspected cases of microcephaly and other nervous system disorders suggestive of congenital infection from 27 states in the federation. Of these cases, 1 489 are confirmed cases, 223 of which are laboratory-confirmed. This is an increase of 100 suspected cases and 15 confirmed cases of microcephaly with laboratory-confirmed Zika virus infection since the last update on 21 May.