Zika Virus Update Florida Department of Health (DOH) Mark Lander June 16, 2016 Florida Department of Health in Columbia County 1
Zika Virus Originally identified in Africa and Southeast Asia First identified in Uganda s Zika Forest in 1947 Outbreaks since 2007 14 cases reported prior, possibly under reported due to similarities in symptoms to other diseases May 2015, Pan American Health Organization issued alert on first confirmed Zika virus in the Americas February 1, 2016, World Health Organization declared Zika virus a Public Health Emergency of International Concern 2
Transmission Zika Virus Transmission Mosquito Aedes aegypti, possibly Aedes albopictus Sexual Transmission Transmission in the womb and at the time of birth Blood Transfusions (Outside the US) Lab exposures Detected in breast milk, saliva, and urine but no documented transmission 3
Zika Fever Distribution Countries & Territories with Active Zika Virus Transmission as of May 26, 2016 4 Courtesy of CDC.
General Aedes aegypti and Aedes albopictus Distribution 5 Courtesy of FDACS
General Aedes aegypti and Aedes albopictus Characteristics All day feeders (not just dusk and dawn) Limited travel perimeter Common in urban areas Lay eggs in and near standing water, such as in buckets, bowls, animal dishes, flower pots and vases Lay eggs on large leaf plants Can live indoors/outdoors 6
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Mosquito Bite Prevention (Drain and Cover ) DRAIN water from any containers where water has collected. COVER: If you must be outside when mosquitoes are active, cover up. Wear shoes, socks, long pants, and long sleeves. Make sure doors and windows are secured to reduce entry into the home. REPELLENT: Apply mosquito repellent to bare skin and clothing. Always use repellents according to the label. Repellents with DEET, picaridin, oil of lemon eucalyptus, para-menthane-diol, and IR3535 are effective. Use netting to protect children younger than 2 months. 8 See: Mosquito Bite Protection in Florida www.floridahealth.gov/zika
Zika Fever Symptoms Incubation period: 2-14 days 1 in 5 people infected will become symptomatic Few hospitalizations Most common signs and symptoms Fever (often low-grade) Muscle ache Rash Headache Joint pain Pain behind the eyes Red eyes Vomiting 9
Zika Fever (continued) Presentation similar (but milder) to other illnesses like dengue and chikungunya Symptomatic treatment Avoid aspirin and similar drugs (Non Steroidal Anti Inflammatory Drugs) No vaccine but research underway Possible link to Guillain-Barré Syndrome (GBS) and Microcephaly 10
CDC Travel Alert/HAN Travel Alert Level 2-Practice Enhanced Precautions Verify if region of travel is under a Zika virus infection alert Pregnant women in any trimester should postpone travel to affected regions Women trying to become pregnant should consult healthcare provider before travel Avoid mosquito bites 11
FDOH Response Activities Targeting health care providers (Information Release) Hospitals American Congress of Obstetricians and Gynecologists Midwives/nurses Working with internal partners Birth Defects Registry Maternal and Child Health Community surveillance Hospital / Physician reporting 12
Local Zika Response Activities Held meeting with community partners on 3/30/2016 Emergency Management Mosquito Control Health Care Providers Current County Assessment Spraying to address adult mosquito population Trapping to identify presence of Aedes species Media article on drain and cover campaign to address larval population Provide weekly updates to County Manager and Emergency Management Develop action plan in the event we were to have a suspect/confirmed case 13
Local Zika Response Action Plan Suspect Case Notify Emergency Management and Mosquito Control of suspect case vicinity (no address or names given) DOH staff will educate potential case on personal healthcare measures (avoiding mosquito bites post symptom onset, sexual contact measures) DOH staff will conduct an onsite assessment for potential mosquito breeding locations and potential issues with structures such as screens, doors, etc.. 14
Local Zika Response Action Plan Confirmed Case Notify Emergency Management and Mosquito Control of confirmed case vicinity (no address or names given) Notify County Leadership of confirmed case Develop press release with dissemination of drain and cover message Provide increased education on drain and cover in vicinity through door hangers and other distribution sources 15
Vital Response Activities Key partnership with local mosquito control districts Appropriate mosquito control measures are implemented Appropriate personal protection messaging applied Successful partnership demonstrated previously Chikungunya 2014 510 imported cases identified 12 sporadic local cases Coordinated DOH Local mosquito control activities No sustained local transmission 16
Status as of 6/15/16 No cases of locally acquired Zika have been reported in Florida Travel Related: 185 Zika fever cases (travel-associated)acquired outside the US reported in several different counties in Florida. (6/15/16 FDOH) 1 sexually transmitted 691 Zika fever cases (travel-associated) acquired outside continental US (6/8/16 CDC), 11 sexually transmitted 1301 locally acquired cases US Territories (6/8/16 CDC), 4 travel related 17
Maintain Awareness and Preparedness Levels Table top exercise (July 2016) Continue public awareness on personal protection (drain and cover) Monitor surveillance sites with health care systems Provide latest information to medical community with regards to virus 18
Questions? Florida Department of Health (DOH) Mark Lander Mark.lander@flhealth.gov 386-758-1058 Florida Department of Health in Columbia County 19