While South Africans are urged not to panic, people, especially travellers to countries where there is a Zika outbreak, are advised to familiarise themselves with the symptoms and possible effects of the virus. An outbreak of the virus (spread to people through an infected mosquito from the Aedes genus, mainly Aedes aegypti in tropical regions) has been reported in several parts of Latin America and the Caribbean. This weekend’s news reports state that a businessman visiting South Africa, has apparently been diagnosed with the Zika virus. Doctor Robyn Holgate, the Chief Medical Officer for ER24, urges South Africans not to panic. “Bear in mind that illness is relatively mild. However, the concern for an unborn child’s wellbeing cannot be ignored. If any traveller is concerned, they

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Zika virus

With the first case of the Zika

virus being confirmed in South Africa,

ER24 urges the public to familiarise

themselves with the signs and

symptoms of this virus.

Chitra Bodasing

should consult their GP or contact their Emergency Centre,” she said. Effects of the virus on an infected person are said to be usually relatively mild. Symptoms people may experience include skin rashes, fever, muscle and joint pain, conjunctivitis, malaise and headache. Symptoms last between two and seven days. It is not common for people infected with the Zika virus to need hospitalisation. There is no treatment or vaccine available at this stage. According to the National Institute for Communicable Diseases (NICD), no definite causality can be attributed to Zika virus infection, but investigations are ongoing. However, concerns have been raised about potential neurological and auto-immune complications. According to the World Health

Organisation (WHO), health authorities in Brazil observed an increase in Zika virus infections among the public as well as an increase in babies born with microcephaly, a congenital condition associated with incomplete brain development. Microcephaly results in an affected infant’s head being significantly smaller than expected. However, more investigations are being conducted to determine a possible link between the Zika virus and microcephaly in babies as well as other potential causes. As a precaution, the NICD has advised that pregnant women delay travel to areas with current outbreaks of the Zika virus. The NICD also stated that personal protection to avoid mosquito bites is essential for travellers visiting areas where the Zika virus is

circulating.Protection includes the use of insect repellent, wearing clothes that cover as much of the body as possible, using mosquito screens or nets and closing doors and windows.The NICD stated that even though the possibility of an infected traveller introducing the Zika virus to South Africa does exist, the short viraemic period (virus present in blood) would lessen the chance of the virus being transferred to a susceptible mosquito, particularly because local Aedes aegypti mosquitoes have limited flight ranges. The population is not at risk of contracting the virus from an infected person returning to South Africa as the virus is not contagious and usually requires the assistance of a mosquito vector between hosts.