Toronto Star

U.S. Zika cases may be transmitte­d through sex

Reports suggest far higher risk than previously thought

- SABRINA TAVERNISE

Health authoritie­s in the United States said they were investigat­ing 14 new reports of the Zika virus possibly being transmitte­d by sex, including to pregnant women. If confirmed, the unexpected­ly high number would have major implicatio­ns for controllin­g the virus, which is usually spread by mosquito bites.

Scientists had believed sexual transmissi­on of Zika to be extremely rare. Only a few cases have ever been documented. While the U.S. health authoritie­s emphasized that the new reports were preliminar­y, with just two confirmed so far, the spectre of so many cases — all within the continenta­l United States — brings fresh complexity to the medical mystery of Zika.

The virus is suspected to cause birth defects and a rare condition of temporary paralysis.

“We were surprised that there was this number,” said Dr. Anne Schuchat, the deputy director at the Centers for Disease Control and Prevention, in an interview. “If a number of them pan out, that’s much more than I was expecting.”

Officials at the CDC reported the potential cases in an alert to health care providers on Tuesday. In addition to the two confirmed cases, in four others the preliminar­y evidence suggests Zika, but the virus has not been confirmed, the CDC said.

The eight other cases are still being investigat­ed. In all the cases, women in the continenta­l United States had sex with men who had travelled to countries where the virus is circulatin­g. The travellers reported symptoms within two weeks of the onset of their non-travelling female partner’s symptoms.

The agency did not say exactly how many of the women were pregnant, but it reiterated its recommenda­tion that people returning from Zika-infected areas use condoms or abstain from sex for the duration of their partner’s pregnancy. The alert said there was no evidence that women could transmit Zika virus to their sex partners, but added that more research was needed to be sure.

This country has become a laboratory, of sorts, to test the sexual transmissi­on of Zika, as scientists race to understand the disease.

Transmissi­on by mosquitoes is not yet happening in the continenta­l United States because it is still winter, so health officials believe that any infection of a U.S. resident who has not travelled to a place where Zika is circulatin­g has likely been contracted through sex.

“In the U.S. where most people aren’t travelling to these areas, we may be able to uncover the potential risk,” Schuchat said.

In all, the United States has around 90 cases of Zika, according to the most recent count from the CDC.

 ?? MARVIN RECINOS/AFP/GETTY IMAGES ?? Scientists believe mosquitoes are the main means of transmissi­on for the Zika virus. But a raft of new potential cases in the U.S. indicate that the risk of sexual transmissi­on may be much greater than previously thought.
MARVIN RECINOS/AFP/GETTY IMAGES Scientists believe mosquitoes are the main means of transmissi­on for the Zika virus. But a raft of new potential cases in the U.S. indicate that the risk of sexual transmissi­on may be much greater than previously thought.

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