• Medicina clinica · Jul 2019

    Zika virus disease in Spain. Surveillance results and epidemiology on reported cases, 2015-2017.

    • Beatriz Fernández Martínez, Elena V Martínez Sánchez, Oliva Díaz García, Diana Gómez Barroso, M José Sierra Moros, Rosa Cano Portero, en representación de la Red Nacional de Vigilancia Epidemiológica (RENAVE), and Componentes del grupo RENAVE por orden alfabético de CC.AA.
    • Área de Análisis en Vigilancia Epidemiológica, Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, España; Consorcio de Investigación Biomédica de Epidemiología y Salud Pública (CIBERESP), Madrid, España. Electronic address: beafmar@gmail.com.
    • Med Clin (Barc). 2019 Jul 5; 153 (1): 6-12.

    Introduction And ObjectiveZika virus disease is a challenge for public health due to its rapid spread and potential foetal complications. Although it is imported in Spain, there is a risk of autochthonous transmission due to Aedes albopictus presence. Zika disease and congenital cases have been under surveillance since 2016. The objective of this study is to explore the epidemiology of disease and pregnancies result.Material And MethodsA descriptive study was carried out into cases reported to the National Surveillance Network (RENAVE) during the 30/11/2015 to 31/12/2017 period. The case definition and the survey are included in the RENAVE protocol. The variables were: date; notifying region (Autonomous Community (AC)); pregnancy and its evolution; case classification; mode of transmission; country or region of infection; socio-demographical, clinical and microbiological data. A descriptive analysis of the cases and their distribution according to the other variables was carried out.ResultsA total of 512 cases were reported by 17 ACs. 507 were non-congenital, of which 327 (64.5%) were women (52.5% of childbearing age). 403 cases (79.5%) corresponded to 2016 and 193 (38.1%) resided in regions with A. albopictus presence between May and October. 96.1% of imported cases were infected in America (51.7% while visiting relatives). Three cases (3.9%) of congenital Zika virus infection were detected among 77 pregnant women.ConclusionsThe evolution of reported cases was in accordance with that of the epidemic in America. The largest group of travellers was young women who travelled to Latin America on family visits. Pregnancy monitoring resulted in the identification of Zika related foetal complications.Copyright © 2019 Elsevier España, S.L.U. All rights reserved.

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