Demographic and Travel Characteristics of Travel-Associated Zika Virus Infection Case-Patients in San Diego County, California (January 1, 2016–March 31, 2017)

Escutia, Gabriela; McDonald, Eric; Rodríguez-Lainz, Alfonso; Healy, Jessica M.

doi:10.1007/s10900-017-0453-1

Cited by 4 publications

(2 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Among ZIKV-infected travelers, however, the gender ratio was 1.0-suggesting that referral bias rather than gender-based disease load may account for the increase in female over male patients seen in endemic countries. Thus, our data confirm reports from other series in travelers 17 and is contrary to studies from endemic countries that reported gender inequality. 18,19 Zika virus infection is mostly perceived to be a mild infection.…”

Section: Discussionsupporting

confidence: 90%

Zika Virus in Israeli Travelers: Emergence of Asia as a Major Source of Infection

Meltzer

Lustig

Schwartz

2019

The American Journal of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

Zika virus (ZIKV) had emerged as a global arboviral concern since late 2015. In this study, we describe the results of ZIKV testing in returning Israeli travelers from Zika-endemic countries. We conducted a nationwide prospective observational study, including all ZIKV tests during January 2016-June 2017. Zika virus infection was defined as confirmed, if diagnosed by polymerase chain reaction (PCR) or serology confirmed by neutralization, and as possible if diagnosed by serology alone. During the study period, 1,188 travelers were tested: 66.7%, 30.5%, 1.6%, and 1.2% had returned from the Americas, Asia, Africa, and Oceania, respectively. Thirty persons were diagnosed with ZIKV. Most travelers tested were women of reproductive age; the gender ratio among infected travelers however was 1.0. During 2016, 19/20 (95%) ZIKV cases were acquired in the Americas; in 2017, however, 6/10 (60%) cases were acquired in Asia. Of 248 symptomatic travelers, 28 (11.3%) were diagnosed with ZIKV infection, whereas only 2/940 (0.2%) of asymptomatic travelers were diagnosed with ZIKV infection Odds ratio = 59.7 (95% confidence interval: 14.1-252.5, P < 0.0001). Our findings suggest that although women are more likely to be referred for ZIKV testing, gender does not affect the likelihood of ZIKV infection and that asymptomatic ZIKV infection appears to be rare in travelers. Furthermore, it appears that in 2017, Southeast Asia emerges as the leading source of travel-related ZIKV infection.

show abstract

Section: Discussionsupporting

confidence: 90%

Zika Virus in Israeli Travelers: Emergence of Asia as a Major Source of Infection

Meltzer

Lustig

Schwartz

2019

The American Journal of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

show abstract

“…Human mobility has long been associated with the introduction of infectious disease pathogens, transmission, and propagation globally. Severe acute respiratory syndrome (SARS), Middle East respiratory syndrome (MERS), and Zika virus are contemporary examples of outbreaks that underscore the role of mobility, travel, and migration in the spread of infectious diseases [ 1 – 3 ]. Conflict, insecurity, fear of persecution, natural disasters, and environmental pressures have contributed to population displacement.…”

Section: Introductionmentioning

confidence: 99%

Infectious disease outbreaks among forcibly displaced persons: an analysis of ProMED reports 1996–2016

et al. 2020

View full text Add to dashboard Cite

Background: The United Nations Refugee Agency (UNHCR) estimates the number of forcibly displaced people increased from 22.7 million people in 1996 to 67.7 million people in 2016. Human mobility is associated with the introduction of infectious disease pathogens. The aim of this study was to describe the range of pathogens in forcibly displaced populations over time using an informal event monitoring system. Methods: We conducted a retrospective analysis of ProMED, a digital disease monitoring system, to identify reports of outbreak events involving forcibly displaced populations between 1996 and 2016. Number of outbreak events per year was tabulated. Each record was assessed to determine outbreak location, pathogen, origin of persons implicated in the outbreak, and suspected versus confirmed case counts. Results: One hundred twenty-eight independent outbreak events involving forcibly displaced populations were identified. Over 840,000 confirmed or suspected cases of infectious diseases such as measles, cholera, cutaneous leishmaniasis, dengue, and others were reported in 48 destination countries/territories. The average rate of outbreak events concerning forcibly displaced persons per total number of reports published on ProMED per year increased over time. The majority of outbreak events (63%) were due to acquisition of disease in the destination country. Conclusion: This study found that reports of outbreak events involving forcibly displaced populations have increased in ProMED. The events and outbreaks detected in this retrospective review underscore the importance of capturing displaced populations in surveillance systems for rapid detection and response.

show abstract

Determining the impact of the Zika pandemic on primary care providers’ contraceptive counseling of non-pregnant patients in the US: a mixed methods study

Kaiser

Galindo

Sanders

et al. 2021

BMC Health Serv Res

View full text Add to dashboard Cite

Background Global pandemics like Zika (ZIKV) factor into pregnancy planning and avoidance, yet little is known about how primary care providers (PCPs) incorporate public health guidance into contraceptive counseling. Study objectives include: 1) determining the impact of the ZIKV pandemic on contraceptive counseling changes; and 2) assessing PCP knowledge and practice regarding contraception, ZIKV, and CDC ZIKV guidelines. Methods Study components included: (1) a retrospective review of electronic health records of non-pregnant, reproductive age women presenting for preventive health visits between 2014 and 2017 assessed using interrupted time series analyses (ITSA) to identify changes in documentation of ZIKV risk assessment and contraceptive counseling; and (2) a sequential, cross-sectional study with quantitative surveys and qualitative, semi-structured interviews of PCPs providing preventive care to non-pregnant patients at eight federally qualified health centers in Utah. We performed descriptive analyses on survey data and analyzed qualitative data for dominant themes using a modified Health Belief Model. Results We conducted 6634 chart reviews yielding 9840 visits. The ITSA did not reveal changes in ZIKV risk assessment or contraceptive counseling. Twenty-two out of 40 (55%) eligible providers participated in the provider component. Participants averaged 69 and 81% correct on contraceptive and ZIKV knowledge questions, respectively. Sixty-five percent reported counseling consistent with CDC ZIKV guidelines. Qualitative analysis found providers unlikely to prioritize ZIKV risk assessment in contraceptive counseling for non-pregnant patients. Conclusions PCPs who care for non-pregnant women are knowledgeable about contraception and ZIKV; however, there was no change in ZIKV risk assessment or contraceptive counseling. This stresses the importance of developing strategies to improve guideline uptake.

show abstract

Demographic and Travel Characteristics of Travel-Associated Zika Virus Infection Case-Patients in San Diego County, California (January 1, 2016–March 31, 2017)

Cited by 4 publications

References 12 publications

Zika Virus in Israeli Travelers: Emergence of Asia as a Major Source of Infection

Zika Virus in Israeli Travelers: Emergence of Asia as a Major Source of Infection

Infectious disease outbreaks among forcibly displaced persons: an analysis of ProMED reports 1996–2016

Determining the impact of the Zika pandemic on primary care providers’ contraceptive counseling of non-pregnant patients in the US: a mixed methods study

Contact Info

Product

Resources

About