Sun Sentinel Broward Edition

Dallas: Zika passed via sex

Case first infection in US in this cycle

- By Lena H. Sun, Ariana Eunjung Cha and Brady Dennis The Washington Post

Dallas health officials said Tuesday that a local was infected with the Zika virus by having sex with a person who had contracted the disease while traveling in Venezuela.

The Centers for Disease Control and Prevention said the traveler and the sexual partner tested positive for the Zika virus, which has been linked to birth defects.

This represents the first case of someone being infected while in the U.S. during this outbreak, the CDC said Tuesday.

The other Zika cases in the U.S. have all involved people who have returned from Zika-affected regions. The CDC is now urging sexual partners to wear condoms to prevent sexually transmitte­d infections.

“According to a Dallas County Health Department investigat­ion, a person who recently traveled to an area with Zika virus transmissi­on returned to the United States and developed Zika-like symptoms. The person later tested positive for Zika, along with their sexual partner, who had not traveled to the area. In this instance there was no risk to a developing fetus,” the CDC said in a statement.

Public health officials have stressed that the Zika virus, which has now spread to nearly 30 countries and regions, is transmitte­d primarily by mosquitoes. There have been isolated reports of transmissi­on through sexual activity. But if the virus is shown to be transmitte­d readily through sexual contact, it could only further complicate efforts to halt Zika’s spread.

The CDC is now saying that the best way to avoid the Zika virus infection is to prevent mosquito bites and for sexual partners to wear condoms to prevent sexually transmitte­d infections.

The CDC said it will issue guidance in the coming days on prevention of sexual transmissi­on of the Zika virus, with a focus on the male sexual partners of women who are or may be pregnant.

Until more is known, the agency said, the CDC continues to recommend that pregnant women and women trying to become pregnant postpone travel to the areas where Zika virus transmissi­on is ongoing. Pregnant women who will travel to one of those areas should talk to health care profession­als first and strictly follow steps to avoid mosquito bites during their trips.

Pregnant women should also avoid exposure to semen from someone who has been exposed to the Zika virus, the agency said. Women trying to become pregnant should consult with health care profession­als if their partners have had exposure to the Zika virus.

Health experts said the Dallas case raises new questions about how the virus is spread.

“It looks like a pretty well-documented case of sexual transmissi­on,” said Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases.

“Obviously, this adds a new dimension that needs to be addressed,” he said, noting the CDC’s plans to update its guidance on the subject.

For medical confidenti­ality and personal privacy reasons, Dallas health authoritie­s said they are not providing additional identifyin­g informatio­n.

“Now thatwe know Zika virus can be transmitte­d through sex, this increases our awareness campaign in educating the public about protecting themselves and others,” said Zachary Thompson, Dallas County Health and Human Services director. “Next to abstinence, condoms are the best prevention method against any sexually transmitte­d infections.”

Common symptoms of the Zika virus include fever, rash and joint pain, the CDC says, with cases usually ranging from several days to aweek.

The World Health Organizati­on designated the Zika virus and its suspected complicati­ons in newborns as a public health emergency of internatio­nal concern Monday.

The action, which the internatio­nal body has taken only three times before, paves theway for the mobilizati­on of more funding and manpower to fight the mosquito-borne pathogen spreading “explosivel­y” through the Americas.

 ?? MOISES CASTILLO/AP ?? A Guatemalan maternity hospital tests blood for Zika on Tuesday. The virus has been linked to birth defects.
MOISES CASTILLO/AP A Guatemalan maternity hospital tests blood for Zika on Tuesday. The virus has been linked to birth defects.

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