What we know about the Zika virus is changing every day. This is a page of links to scholarly journals and media, updated between my work as an emergency physician and writer.
Zika is a mosquito-borne disease mostly spread by the Aedes aegypti mosquitoes. Also called the Asian Tiger mosquito because of those white markings on the legs.
Canada and Chile don’t have the Aedes aegypti mosquitoes that spread Zika. But what if the Aedes albopictus mosquitoes start spreading it widely too? (https://www.washingtonpost.com/world/the_americas/new-discovery-means-more-us-states-will-face-a-risk-from-zika/2016/04/29/497ffa98-0d59-11e6-bc53-db634ca94a2a_story.html;
Map from CDC: http://www.cdc.gov/zika/vector/range.html
So is Zika spread by mosquito in Canada? Not yet, but it could be in the future: http://www.cbc.ca/news/health/zika-mosquitoes-1.3426603
If you travel to an area with Zika, you must wear mosquito repellent for three weeks after you come home. Aedes aegypti are “sippers” who bite multiple people and can transmit infection. If you don’t take precautions, you are potentially spreading Zika. http://www.mnn.com/health/fitness-well-being/blogs/zika-mosquitoes-aedes-aegypti-aedes-albopictus
Travel advisories: for Zika, from the CDC: http://wwwnc.cdc.gov/travel/page/zika-information
http://www.cdc.gov/zika/geo/united-states.html (State by state breakdown)
Canada’s general travel advisories: https://travel.gc.ca/travelling/health-safety/travel-health-notices
CDC outline for the Dominican Republic, but has good tips on mosquito repellant that is safe in pregnancy and how to stay safe when you come home: http://wwwnc.cdc.gov/travel/notices/alert/zika-virus-dominican-republic
You already know that Zika can be sexually transmitted: http://www.cdc.gov/zika/transmission/sexual-transmission.html.
Hang on, there’s a case in Utah where it seems like a high viral load means it can also be transmitted non-sexually (http://www.aafp.org/news/health-of-the-public/20160720zikaupdate.html).
Can Zika be spread through tears, saliva, urine, or something else? We trying to figure that out. it’s spreading faster than it should for a purely mosquito-transmitted virus. Viral RNA has been found in mouse tears: http://sciencebulletin.org/archives/4952.html
Zika can also be transmitted between mother and fetus, through blood transfusions, and in the laboratory: http://www.cdc.gov/zika/transmission/
If you’re pregnant, your fetus may have neurological damage no matter what trimester you got infected. The skull may be normal-sized at birth, but you’d better monitor developmental milestones to make sure the baby’s brain is okay. Preliminary article: http://www.nejm.org/doi/full/10.1056/NEJMoa1602412
Follow-up article: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(16)30902-3/abstract
What if we’re trying to get pregnant or already pregnant? First of all, don’t travel to endemic areas. Here are more recommendations from the CDC: http://www.cdc.gov/zika/hc-providers/pregnant-woman.html
So how long should we wait before we try try to conceive? Some recommend six months. Longer is, of course, better. If the man is travelling to an endemic area, it’s safe for him to provide semen before he travels and have the woman do intrauterine insemination. http://www.cdc.gov/media/releases/2016/s0325-zika-virus-recommendations.html
If you’re in a place where it’s endemic, like El Salvador, they’re recommending two years (!): http://www.aljazeera.com/news/2016/01/zika-virus-women-told-delay-pregnancies-years-160122040824263.html
Zika also causes joint problems (arthrogryposis) http://www.ncbi.nlm.nih.gov/pubmed/27509902
Zika attacks adult brains too. It’s linked to Guillain-Barré, which can cause ascending paralysis: http://www.cdc.gov/zika/healtheffects/gbs-qa.html
Maybe Zika can affect adults’ memories or cause depression even if it doesn’t paralyze you or hurt your baby: case study only (http://wwwnc.cdc.gov/eid/article/22/12/16-1280_article. A case study means that it happened to only one person. That’s not high quality research. However, it can point out something that needs further research.
How many cases are in Canada? And other Canadian resources: http://healthycanadians.gc.ca/diseases-conditions-maladies-affections/disease-maladie/zika-virus/index-eng.php
Spraying for Zika is killing bees. http://www.iflscience.com/plants-and-animals/millions-of-honey-bees-killed-accidentally-by-zika-mosquito-spray/ As an environmentalist, I’m so sad about this. Even if you don’t care about the earth, bees account for 30 percent of pollination, and their populations were already devastated by colony collapse disorder. How would you survive a 30 percent drop in food supply?
Zika articles, free until September 30th: https://www.google.com/url?hl=en&q=http://oxfordjournals-marketing.oup.com/c/1khuQzKUINIsgdH5t9lJYzci&source=gmail&ust=1474062105972000&usg=AFQjCNELHIH21Z1FYr1tA4Q9tcbJDAOBoA
If you would like to add a link or information that is based on science, please let me know.
Melissa Yuan-Innes, M.D.
Thanks, Michaela Brunet!
Umm, you’re kind of a rock star!
Jessica Nicholls, I’d love this if I could! If only!
Hi! I saw a friend who shared this and was wondering if anybody knew the answer to this: if a local (Canadian) mosquito bites someone with the Zika virus, can it spread to another person via the mosquito? Or is it only the Aedes albopictus mosquitoes that are capable of carrying it?
Hi Susan Ould-Brahim, Zika has now been detected in the Aedes albopictus mosquito, which is not found in Canada yet, but I’m sure it’s only a matter of time with climate change. I had linked to the Washington Post article where you can see the distribution map: (https://www.washingtonpost.com/world/the_americas/new-discovery-means-more-us-states-will-face-a-risk-from-zika/2016/04/29/497ffa98-0d59-11e6-bc53-db634ca94a2a_story.html).
So happy to see Anatoly Belilovsky here. He’s the Brooklyn pediatrician and author in my SleuthSayers article: http://www.sleuthsayers.org/2016/09/viruses-and-you.html
The Zika Page https://t.co/HbpbsWCuOL Dr Yuan Innes talks Zika #amreading #amwriting
Thank you for doing this.
Shared with travellers to the region. Most helpful.
Shared with family travellers to the region. Most helpful.
Thank *you* all for liking and sharing! I just added more links, including suggestions. The latest is on RNA in mouse tears.
You are amazing! Thank youuu!
Judicious use of antibiotics hmmm…. It’s all about stopping any Virus flu is a virus, and you want to stop them all… dead in it’s tracks!!!! DOA even Stevie Wonder can see dat!!!!!! Let’s get Started
Dr Oz, aired a show today Sept 16, 2016 :Zika Takes America: Oz Weighs In on Why You Need to Act Fast Now.
it was incitful the expet Dr Ian Lipkin MD said the zika virus was similar in appearces to the Dengue Virus hmm maybe came for the same lab. Solution from Dr Oz show DX( Dr Tasneem Bhatia Frequent Guess) Flu Preventers Dr. Oz’s Winter Rescue Pack Prescription Flu Rescue Pack, Pt 3 video( Watch and Check the video out on Oz’s site . Tasneem’s uses to prevent you from getting sick in the first place:
Nac -250 MG daily, Buckweat Honey-one to two spoons a day-, Vitamin D3, (I use Ahcc which is like Vitamin D3 on steroids, but just saying), Astragus –a dropper a day-Taseem says in the video, Tumeric – 1-3 teaspoons a daily, and Reishi &Shitake medicinal mushrooms, you can use them, I use Kinoko Ahcc is just that.
Now from another show: Steve Herringer Natural Health Show (now defunct) but the archive is on 740 Zoomer Toronto Silver or “Soveign like Silver) Dr Gordan Petterson Jan 31, 2015 listen to the radio show pod, also there is also other podcasts on flu which is a virus, and a virus is a virus.
Also, about 3 months ago BBC America covered it and the approach that Nicaragua is using: basins of water that have fish a around people homes- the mosquito’s are attracted to the water, and the fish eat them on contact; Kathy Kay( BBC anchor) was sooo impressed.