Outcomes up to age 36 months after congenital Zika virus infection—U.S. states

Abstract

To characterize neurodevelopmental abnormalities in children up to 36 months of age with congenital Zika virus exposure. Methods:From the U.S. Zika Pregnancy and Infant Registry, a national surveillance system to monitor pregnancies with laboratory evidence of Zika virus infection, pregnancy outcomes and presence of Zika associated birth defects (ZBD) were reported among infants with available information. Neurologic sequelae and developmental delay were reported among children with ≥ 1 follow-up exam after 14 days of age or with ≥ 1 visit with development reported, respectively. Results:Among 2,248 infants, 10.1% were born preterm, and 10.5% were small-for-gestational age. Overall, 122 (5.4%) had any ZBD; 91.8% of infants had brain abnormalities or microcephaly, 23.0% had eye abnormalities, and 14.8% had both. Of 1,881 children ≥ 1 follow-up exam reported, neurologic sequelae were more common among children with ZBD (44.6%) vs. without ZBD (1.5%). Of children with ≥ 1 visit with development reported, 46.8% (51/109) of children with ZBD and 7.4% (129/1739) of children without ZBD had con rmed or possible developmental delay. Conclusion:Understanding the prevalence of developmental delays and healthcare needs of children with congenital Zika virus exposure can inform health systems and planning to ensure services are available for affected families.c The case de nition for Zika-associated birth defects (ZBDs) has been previously described 3,16

The Susceptibility of Chickens to Zika Virus: A Comprehensive Study on Age-Dependent Infection Dynamics and Host Responses

“…Clinical features of CZS can include microcephaly, ocular and aural abnormalities, and musculoskeletal dysfunction. CZS is associated with delayed neurodevelopment and reduced life expectancy in affected children [ 43 , 44 , 45 , 46 , 47 , 48 ].…”