Zika Virus Flashcards

1
Q

What is another work for Zika Virus ?

A

Flavivirus

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2
Q

Is there a known incubation period?

A

no, but it is thought to be a few days

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3
Q

what are the symptoms of Zika Virus ?

A

fever, skin rashes, conjunctivitis, muscle and joint pain, malaise, and headache

mild and lasts 2-7 day

Similar to other arbovirus infections such as dengue

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4
Q

What is the vector for Zika Virus?

A

Aedes aegyptiandAedes. albopictus

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5
Q

what other virus does this mosquito transmit ?

A

Also transmits dengue, chikungunya and yellow fever.

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6
Q

what are the 2 types of transmission of zika ?

A
  1. sylvatic- bt non humans and forest dwelling mosquitoes

2. urban- bt humans and mosquitoes

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7
Q

when zika first emerged, what was the concern?

A

they thought it was dengue or chikungunya, cases were mistaken and not accurately diagnosed

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8
Q

define Emerging Infection

A

an infection whose incidence has increased from the last 2 decades or threatens to increases in the future

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9
Q

define Necessary

A

factor MUST be present to cause disease

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10
Q

define sufficient

A

Presence of factor is sufficient to cause the disease, doesn’t always have to be present for disease to occur

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11
Q

List 5 factors that likely lead to the emergence of Zika in the Americas.

A
  1. movement of zika to the americas
  2. immunologically native population
  3. competent vector present in the population
  4. poor or no mosquito control program
  5. large population that can’t afford repellant, screens or AC
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12
Q

List 3 possible reasons why microcephaly was not previously found to be associated with Zika? Indicate if likely.

A
  1. virus mutated
  2. In smaller populations rare events in pregnant women may have been seen
  3. Zika does not cause microcephaly
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13
Q

what study design would you use to determine if zika was sexually transmitted ?

A

case control study , where there is frequent travel americas and where zika has been reported

cases are lab confirmed cases of zika with those who have regular sex partner

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14
Q

what other infections cause microcephaly ?

A

rubella, toxoplasmosis, or cytomegalovirus

exposure to alcohol, drugs, toxic chemicals

severe malnutrition

interrupted blood supply to baby brain

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15
Q

describe the French Polynesia study

A

found an association between zika and microcephaly

the higher risk was the 1st trimester

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16
Q

did the zika virus meet bradford hills causation?

A

YES. 6/8.

All but experiment and biologic gradient

17
Q

name 4 Mechanisms of Emergency

A
  1. new infections result from evolution
  2. known infections spreading to NEW areas
  3. Previously unrecognized infections appearing in areas undergoing ecologic transformation
  4. Old infections reemerging as a result of antimicrobial resistance in known agents