The Zika virus from the genus Flavivirus was first isolated in Africa in 1947 (Zika forest, Uganda). There are two lineages, the African lineage and the Asian lineage (Pacific region and in South and North America). Zika virus is transmitted by mosquitoes of the genus Aedes (yellow fever mosquito Aedes aegypti, Asian tiger mosquito Aedes albopictus). In 2013 and 2014, there were several outbreaks in the Pacific region. In 2015, the Zika virus spread to South America.
The incubation period is three to 12 days. The majority of infected people (60 to 80 percent) show no symptoms. An illness usually manifests itself in mild fever, headache, muscle and joint pain, skin rashes. These symptoms are usually mild and last two to seven days. There is no vaccine. Disease outbreaks in French Polynesia and Brazil showed an increase in microcephaly in fetuses and newborns. In microcephaly (literally "small head"), the circumference of the head is significantly smaller than a healthy person of the same age and sex. Microcephaly is associated with mental retardation.
Since the peak of the Zika epidemic in the Americas in 2016, most countries in the Americas and the Caribbean have seen a decline in cases. In Asia, surveys and epidemiologic surveillance suggest widespread geographic distribution of Zika virus, while information on spread in Africa is still limited. In areas where transmission has been successfully interrupted, the likelihood of large outbreaks is currently low due to herd immunity in the population. The likelihood of travellers being exposed to Zika virus in such settings is therefore also low.
Pregnant women and their partners, as well as couples planning to become pregnant, should be fully informed about the risk of Zika virus infection. Pregnant women are still advised not to travel to affected countries. If they do travel to affected countries, they should discuss the situation with their doctor before travelling.
Due to this risk, certain rules of conduct should therefore still be followed when planning to travel to endemic areas:
- Avoid insect bites, use insect repellent according to the instructions for useWear
- long-sleeved shirts and long trousers.
- The mosquitoes that transmit the Zika virus are mainly active during the day, so they also bite between sunrise and sunsetSleeping
- or resting should be done, even during the day, in screened or air-conditioned rooms or under a mosquito netUse of
- To prevent possible infection of the fetus, consistent condom use or abstinence is recommended for the entire duration of an ongoing pregnancy.
In principle, transmission within Europe is also possible, as mosquitoes such as the Asian tiger mosquito, a likely vector, have also become native to Europe (Mediterranean region). In August 2019, the first European-wide transmissions of Zika virus by Asian tiger mosquitoes living here were documented in France.
EuropeanCentre for Disease Prevention and Control (ECDC): Updated rapid risk assessment on Zika virus in the Americas and potential complications https://www.ecdc.europa.eu/en
Centers for Disease Control and Prevention (CDC): Zika virus https://www.cdc.gov/zika/index.html>https://www.cdc.gov/zika/index.html