For Zika-exposed babies, health problems may emerge in first year

The Centers for Disease Control and Prevention has found that in their first year of life, 14 percent of babies exposed to Zika before birth had one or more health problems likely caused by the mosquito-borne virus. And for some of those babies, the toll of that gestational exposure was not evident at birth, the U.S. public health agency revealed.

Microcephaly — a smallerthan-usual head size — has emerged as a hallmark of Zika exposure in babies. But in many babies whose mothers were infected by the Zika virus during pregnancy, follow-up care revealed health issues that were less immediately evident, including brain and eye damage, vision and hearing abnormalities and nervous system problems such as seizures.

Many of those babies had appeared healthy at birth, and only as the babies grew older did those abnormalities become evident.

The rate of congenital abnormalities that are known to be caused by Zika virus infection (including microcephaly and eye damage) is roughly 30 times higher than would normally be seen in a population not exposed to the virus, the CDC said. That number could rise as experts establish that Zika is the clear cause of many of the less evident abnormalities seen among the babies, the authors of the new CDC report added.

“We expect to learn more as these children grow and develop and additional problems are diagnosed,” said Peggy Honein, who directs the CDC’s Division of Congenital and Developmental Disorders. “As we learn more, we are likely to identify additional children with health problems. So the Zika story is not over, and we have so much more to learn.”

Those findings emerged from an analysis of 1,450 infants born in U.S. territories and freely associated states (including American Samoa, Federated States of Micronesia, Marshall Islands, Puerto Rico and the U.S. Virgin Islands) between 2016 and early 2017, and who were tracked for at least a year after birth. Those babies were among some 4,800 children confirmed to have been exposed in utero and who are now being tracked by the CDC. All of the tracked pregnancies in the U.S. Zika Pregnancy and Infant Registry occurred between 2016 and 2018.

The CDC says that in 2018, it has found no evidence of local mosquito-borne Zika virus transmission in the continental United States. The last confirmed cases of local mosquitoborne transmission in the U.S. were in Florida and Texas, where two and five cases, respectively, were reported in 2017.