USA TODAY US Edition

Zika outbreak in Puerto Rico grows

Some 570 people have been diagnosed, but real number could be much greater, CDC officials say.

- Liz Szabo @lizszabo

Nowhere in the U.S. has been hit harder by the Zika outbreak than Puerto Rico, where 570 people have been diagnosed with the virus, including 48 pregnant women.

The true number of Zika cases in Puerto Rico, where the virus is spreading among local mosquitoes, could be much greater. Only about one in five people with Zika develop symptoms, so most of those with the virus are unaware they’ve been infected, according to the Centers for Disease Control and Prevention.

Although 426 travelers in the continenta­l U.S. have been diagnosed with Zika after visiting an outbreak zone, the virus is not yet spreading among local mosquitoes on the mainland.

Doctors worry most about the dozens of pregnant women in Puerto Rico who have been infected with Zika, which causes catastroph­ic birth defects and has been linked to rare cases of paralysis.

Secretary of Health and Human Services Sylvia Mathews Burwell, who just returned from a two-day visit to Puerto Rico, said her department has awarded $5 million to 20 health centers in Puerto Rico. The money will help expand family planning services, including contracept­ion, outreach and education.

“This problem demands our attention and our continued action,” Burwell said Thursday at a news conference.

Puerto Rico is ill-equipped to fight the Zika outbreak or care for any babies born with microcepha­ly, a Zika-linked birth defect in which babies are born with small heads and incomplete brain developmen­t. The island faces a $72 billion debt. The Obama administra­tion has proposed changing Medicaid rules for Puerto Rico to cover more people there.

“We are obviously very concerned about the economy in Puerto Rico,” Burwell said.

Obama asked Congress in Feb- ruary for nearly $1.9 billion in emergency Zika funding. Congress has not approved that request, and some Republican leaders criticized it as a “blank check” or “slush fund.” Obama transferre­d other funds that had been earmarked for Ebola to the Zika fight.

But Burwell said additional funds are urgently needed. Some of the money would go toward controllin­g the mosquitoes that spread the virus, developing a vaccine and caring for pregnant women and their children.

Doctors will need to follow the children of women with Zika infections, even if they are not born with microcepha­ly, because it’s possible they may suffer from less obvious types of brain damage or other neurologic­al problems. In addition to microcepha­ly, some children with Zika have been born with eye problems that could impair their vision or even leave them blind.

Secretary of Health and Human Services Sylvia Mathews Burwell, who just returned from a two-day visit to Puerto Rico, said her department has awarded $5 million to 20 health centers on the island.

 ?? DANICA COTO, AP ?? Puerto Rico health department workers in February monitored social media for Zika-related issues at the department’s San Juan headquarte­rs. The virus has spread to 474 people, including 48 pregnant women.
DANICA COTO, AP Puerto Rico health department workers in February monitored social media for Zika-related issues at the department’s San Juan headquarte­rs. The virus has spread to 474 people, including 48 pregnant women.
 ?? STEVE HELBER, AP ?? HHS Secretary Sylvia Mathews Burwell says more funding to fight Zika is urgently needed.
STEVE HELBER, AP HHS Secretary Sylvia Mathews Burwell says more funding to fight Zika is urgently needed.

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