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Following of the emergence of Zika virus in Brazil in 2015, an epidemiological surveillance system was quickly implemented in the French overseas Territories of America (FTA) according to previous experience with dengue and chikungunya and has detected first cases of Zika. General practitioners and medical microbiologists were invited to report all clinically suspected cases of Zika, laboratory investigations were systematically conducted (RT-PCR). On 18 December, the first autochthonous case of Zika virus infection was confirmed by RT-PCR on French Guiana and Martinique, indicating introduction of Zika virus in FTA. The viral circulation of Zika virus was then also confirmed on Guadeloupe and Saint-Martin. We report here early findings on 203 confirmed cases of Zika virus infection identified by RT-PCR or seroneutralisation on Martinique Island between 24 November 2015 and 20 January 2016. All cases were investigated. Common clinical signs were observed (maculopapular rash, arthralgia, fever, myalgia and conjunctival hyperaemia) among these patients, but the rash, the foundation of our case definition, may be absent in a significant proportion of patients (16%). These results are important for the implementation of a suspected case definition, the main tool for epidemiological surveillance, in territories that may be affected by ZIKV emergence, including Europe.


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  1. Dick GW, Kitchen SF, Haddow AJ. Zika virus. I. Isolations and serological specificity. Trans R Soc Trop Med Hyg. 1952;46(5):509-20.  https://doi.org/10.1016/0035-9203(52)90042-4  PMID: 12995440 
  2. Ioos S, Mallet HP, Leparc Goffart I, Gauthier V, Cardoso T, Herida M. Current Zika virus epidemiology and recent epidemics. Med Mal Infect. 2014;44(7):302-7.  https://doi.org/10.1016/j.medmal.2014.04.008  PMID: 25001879 
  3. Zanluca C, Melo VC, Mosimann AL, Santos GI, Santos CN, Luz K. First report of autochthonous transmission of Zika virus in Brazil. Mem Inst Oswaldo Cruz. 2015;110(4):569-72.  https://doi.org/10.1590/0074-02760150192  PMID: 26061233 
  4. Garcia E, Yactayo S, Nishino K, Millot V, Perea W, Briand S. Zika virus infection: global update on epidemiology and potentially associated clinical manifestations. Wkly Epidemiol Rec. 2016;91(7):73-81. PMID: 26897760 
  5. Hennessey M, Fischer M, Staples JE. Zika Virus Spreads to New Areas - Region of the Americas, May 2015-January 2016. MMWR Morb Mortal Wkly Rep. 2016;65(3):55-8.  https://doi.org/10.15585/mmwr.mm6503e1  PMID: 26820163 
  6. European Centre for Disease Prevention and Control (ECDC). Zika virus epidemic in the Americas: potential association with microcephaly and Guillain-Barré syndrome. Rapid risk assessment 10 December 2015. Stockholm: ECDC; 2015. Available from: http://ecdc.europa.eu/en/publications/Publications/zika-virus-americas-association-with-microcephaly-rapid-risk-assessment.pdf
  7. Cao-Lormeau VM, Blake A, Mons S, Lastère S, Roche C, Vanhomwegen J, et al. Guillain-Barré Syndrome outbreak associated with Zika virus infection in French Polynesia: a case-control study. Lancet. 2016;387(10027):1531-9.  https://doi.org/10.1016/S0140-6736(16)00562-6  PMID: 26948433 
  8. Van Bortel W, Dorleans F, Rosine J, Blateau A, Rousset D, Matheus S, et al. Chikungunya outbreak in the Caribbean region, December 2013 to March 2014, and the significance for Europe. Euro Surveill. 2014;19(13):20759.  https://doi.org/10.2807/1560-7917.ES2014.19.13.20759  PMID: 24721539 
  9. Rozé B, Najioullah F, Fergé JL, Apetse K, Brouste Y, Cesaire R, et al. GBS Zika Working Group. Zika virus detection in urine from patients with Guillain-Barré syndrome on Martinique, January 2016. Euro Surveill. 2016;21(9):30154.  https://doi.org/10.2807/1560-7917.ES.2016.21.9.30154  PMID: 26967758 
  10. Duffy MR, Chen TH, Hancock WT, Powers AM, Kool JL, Lanciotti RS, et al. Zika virus outbreak on Yap Island, Federated States of Micronesia. N Engl J Med. 2009;360(24):2536-43.  https://doi.org/10.1056/NEJMoa0805715  PMID: 19516034 
  11. Mallet HP. Emergence du virus Zika en Polynésie française. [Emergence of Zika virus on French Polynesia]. 15èmes Journées Nationales d’Infectiologie, Bordeaux, 10-13 June 2014. French. Available from: http://www.infectiologie.com/UserFiles/File/medias/JNI/JNI14/2014-JNI-InVS-Zika-en-Pf.pdf
  12. Gardner LM, Chen N, Sarkar S. Global risk of Zika virus depends critically on vector status of Aedes albopictus. Lancet Infect Dis. 2016; pii: S1473-3099(16)00176-6.
  13. Rozé B, Najioullah F, Fergé J-L, Apetse K, Brouste Y, Cesaire R, et al. GBS Zika Working Group. Zika virus detection in urine from patients with Guillain-Barré syndrome on Martinique, January 2016. Euro Surveill. 2016;21(9):30154.  https://doi.org/10.2807/1560-7917.ES.2016.21.9.30154  PMID: 26967758 
  14. Focosi D, Maggi F, Pistello M. Zika Virus: Implications for Public Health. Clin Infect Dis. 2016;63(2):227-33.  https://doi.org/10.1093/cid/ciw210  PMID: 27048745 
  15. Enfissi A, Codrington J, Roosblad J, Kazanji M, Rousset D. Zika virus genome from the Americas. Lancet. 2016;387(10015):227-8.  https://doi.org/10.1016/S0140-6736(16)00003-9  PMID: 26775124 
  16. Situation épidémiologique du virus Zika aux Antilles Guyane. Point au 7 juillet 2016. [Epidemiological Zika virus situation in French Guiana. Data on 7 July 2016]. Paris: Santé publique France; July 2016. French. Available from: http://www.invs.sante.fr/fr/Publications-et-outils/Points-epidemiologiques/Tous-les-numeros/Antilles-Guyane/2016/Situation-epidemiologique-du-virus-Zika-aux-Antilles-Guyane.-Point-au-7-juillet-2016

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