Two cases of suspected microcephaly monitored

Two cases of suspected microcephaly monitored

A city worker fumigates the area to control the spread of mosquitoes at a university in Bangkok on Sept 13, 2016. (Reuters photo)
A city worker fumigates the area to control the spread of mosquitoes at a university in Bangkok on Sept 13, 2016. (Reuters photo)

Tests have confirmed two of four babies suspected of having microcephaly are immune to Zika infection and their birth deformity was not caused by the virus, a doctor claimed on Tuesday.

On Monday, a team of experts conducted tests on four babies to determine whether their unusually small heads were associated with infection by the Zika virus.

Public health permanent secretary Sophon Mekthon said tests showed the two infants were immune.

The other two cases are a newborn and a 37-week-old foetus. It is unclear if the newborn is infected, he said, adding further tests are needed.

The three babies were born with unusually small heads in non-Zika watch areas. The unusually small head of the foetus, carried by one of the 33 pregnant women in Zika-watch areas, was detected during an ultrasound.

Dr Sophon said it was too early to determine if it is a case of microcephaly.

Doctors need more time to conduct further tests, he said, with some test results expected in two days.

Aphichai Mongkol, director-general of the Department of Medical Science, said probes into the suspected cases are being sped up to ensure results are submitted to an academic committee on Friday.


EARLIER REPORT

The Public Health Ministry is investigating four suspected cases of Zika-related microcephaly in three babies and a 36-week-old unborn baby, the public health minister said on Tuesday, in what could be the first cases of Zika-linked microcephaly in Southeast Asia.

Several countries in Southeast Asia have reported increasing cases of infection from the mosquito-borne Zika virus but Thailand has one of the highest numbers in the region, with 349 confirmed since January, including 25 pregnant women.

Public Health Minister Piyasakon Sakolsatayadorn said authorities needed to be thorough in their investigation of the cases as confirmation would be "sensitive".

"The lab results will take at least two days because we have to be thorough with this as it is a big deal and a link hasn't been detected before," Dr Piyasakon told Reuters.

"This is a sensitive matter for Thailand," he said.

US health officials have concluded that Zika infections in pregnant women can cause microcephaly, a birth defect marked by small head size that can lead to severe developmental problems in babies.

Dr Piyasakon said the three babies were born with small heads and an ultrasound appeared to indicate the unborn baby had a small head.

Of the four mothers, two were diagnosed with Zika when they were pregnant but two were not confirmed to have had Zika, said Apichai Mongkol, director-general of the ministry's Department of Medical Sciences.

If a Thai case were confirmed, it would be the first in Southeast Asia, the World Health Organization (WHO) said in a statement emailed to Reuters.

The connection between Zika and microcephaly first came to light last year in Brazil, which has confirmed more than 1,600 cases of microcephaly that it considers to be related to Zika infections in the mothers.

Monitoring

Some health experts have accused Thailand, which has a thriving tourist industry, of playing down the risk from Zika.

But officials dismiss that, saying the response has been adequate and another mosquito-born disease, dengue, which can be deadly, is a bigger threat.

The director-general of the Disease Control Department, Amnuay Gajeena, said the four cases were being monitored but he declined to say exactly where they were suspected of contracting the virus.

"It is not in Bangkok," Dr Amnuay told Reuters. "Both the mothers and babies are being tested and we have sent the tests to several labs."

There are no specific tests to determine if a baby will be born with microcephaly, but ultrasound scans in the third trimester of pregnancy can identify the problem, according to the WHO.

The World Health Organization lists Singapore, the Philippines, Malaysia, Thailand and Vietnam as countries reporting new cases of Zika.

Singapore has recorded 393 cases since diagnosing its first in August. It has confirmed 16 pregnant women with the virus.

The WHO has also said there is strong scientific consensus that Zika can also cause Guillain-Barre, a rare neurological syndrome that causes temporary paralysis in adults.

According to the WHO, there are two major lineages of Zika -- an African lineage, which has only been reported in Africa, where the virus was first discovered in 1947, and an Asian lineage of strains.

There is no vaccine or treatment for Zika, which is a close cousin of dengue and chikungunya and causes mild fever, rash and red eyes. An estimated 80% of people infected have no symptoms, making it difficult for pregnant women to know whether they have been infected.

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