Brazil: The panic is over at Zika’s epicenter. But for many, the struggle has just begun.

The panic is over at Zika’s epicenter. But for many, the struggle has just begun.
By Marina Lopes and Nick Miroff
February 7, 2017

RECIFE, Brazil — In this city at the heart of the Zika outbreak, the gloom and dread have lifted from maternity hospitals and delivery rooms.

The scary government posters with giant mosquitoes have mostly come down. Fertility clinics are busy again. At one public hospital that has delivered 1,700 newborns over the past five months, doctors haven’t seen a single case of Zika-related birth defects.

Continued at source: Washington Post: https://www.washingtonpost.com/world/the_americas/the-panic-is-over-at-zikas-epicenter-but-for-many-the-struggle-has-just-begun/2017/02/07/a1f15178-e804-11e6-acf5-4589ba203144_story.html


Zika is driving up demand for abortion. Here’s why it shouldn’t.

Even infected women are far likelier to have healthy children than not.
By Christopher Landry November 22, Washington Post

Almost a year has passed since Brazilian health officials announced they had established a link between the mosquito-borne virus Zika and birth defects. Since the beginning of the outbreak of the Zika virus in 2015 in Brazil and other Latin American countries, researchers have raised increasing alarm over the disease’s link to birth defects. The most severe of these defects is microcephaly, a condition in which children are born with head circumferences well below normal, with effects ranging from mild developmental delay to devastating cognitive and neurological impairment. While the exact mechanism by which Zika causes microcephaly in infants in utero is not yet known, a growing body of evidence supports the link between the virus and the defect. According to a recent published review of evidence to date, “data from Brazil regarding the temporal and geographic association between Zika virus infection and the later appearance of infants with congenital microcephaly are compelling.” Given the severity of many microcephaly cases, governments and health organizations have raced to gather and distribute information that will help women facing the virus.

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Source: Washington Post


Florida: I’m an OB-GYN treating women with Zika: This is what it’s like

FILE - In this Jan. 18, 2016, file photo, a female Aedes aegypti mosquito acquires a blood meal on the arm of a researcher at the Biomedical Sciences Institute in the Sao Paulo's University in Sao Paulo, Brazil. (AP Photo/Andre Penner, File)

Thursday, Aug 11, 2016 01:58 AM PST

Salon.com

There is no percentage for how many pregnant women who are infected with Zika will have babies with brain problem

Christine Curry, The Conversation

This article was originally published on The Conversation.

As a medical student, I remember reading books about the early days of the HIV epidemic and wondering what it was like for doctors to take care of patients who had a new, unknown disease. It seemed to me like it would be frightening for both patients and doctors alike. I didn’t expect that early in my career as an OB-GYN, I would be caught in the middle of another new disease outbreak — Zika.

Most people who catch this virus feel fine. Some will end up with a fever, rash, aches and red eyes (conjuntivitis), or rarely, a serious nerve disorder called Guillain-Barre. But in pregnancy there can be very serious consequences to the baby. As of July 28, the World Health Organization reports that nearly 2,000 babies are affected with microcephaly or central nervous system malformations associated with Zika worldwide.

I teach and practice obstetrics and gynecology at the University of Miami Hospital and Jackson Memorial Hospital, and I treat pregnant women who have been infected with Zika — so far over a dozen women. We began preparing to care for infected women in January. Now, it is part of the daily care we provide. And with first known cases of local mosquito-borne transmission in the continental United States reported in Wynwood, a neighborhood in Miami, the risk has become even more real.

How am I, and other doctors who care for pregnant women, dealing with this new disease?

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Source: Salon.com


Brazil’s Zika-Related Abortion Debate Sparks Backlash

Brazil and several other Latin American nations experiencing outbreaks have urged women to put off pregnancies. (AFP Photo)

NDTV.com

 

 

 

 

 

 

 

 

 

 

 

RIO DE JANEIRO:  Before her son was born, Danielle Alves didn't know Luiz Gustavo would have microcephaly, a condition that has left the 3-year-old so disabled he can't walk, talk or eat without help.

Still, Alves says she would have gone ahead with the pregnancy even if she had known - and she thinks thousands of pregnant women caught up in Brazil's Zika virus outbreak should be required to do the same.

"I know it's very difficult to have a special needs child, but I'm absolutely against abortion," said Alves, who lives in Vitoria da Conquista, a city in the impoverished northeastern region where Brazil's tandem Zika and microcephaly outbreaks have been centered.

Alarm in recent months over the Zika virus, which many researchers believe can cause microcephaly in the fetuses of pregnant women, has prompted calls, both inside and outside Brazil, to loosen a near-ban on abortion in the world's most populous Catholic country.

But the pro-choice push is creating a backlash, particularly among the families of disabled children. Many have taken to social media apps like Facebook and Whatsapp, where more than half of Brazil's 200 million people are connected, to make their case. They argue that all babies, including those with severe forms of microcephaly, have a right to be born.

The Catholic Church and Pentecostal faiths, strong forces in this deeply religious country, have also been fighting back.

"Abortion is not the answer to the Zika virus, we need to value life in whatever situation or condition it may be," Sergio da Rocha, the president of the National Conference of Brazilian Bishops, said earlier this week.

Abortion is illegal except in cases of rape, danger to the mother's life or anencephaly, another birth defect involving the brain - although in practice wealthy women in urban areas have relatively easy access to safe abortions in private clinics, while the poor often rely on dicey back-alley procedures.

The growing national debate is also spilling out into the courts, and will likely intensify in the months to come.

A judge in the central city of Goiania has said he will authorize abortions in severe cases of microcephaly. Some of the nation's top newspapers have also weighed in, running editorials urging abortion laws to be revisited.

"The most logical solution would be to revise the penal code relating to abortion, decriminalizing the practice. The legislation is three-quarters of a century old," the daily Folha de S. Paulo said in a recent editorial.

A prominent group of attorneys and psychologists is preparing a lawsuit calling for women infected with Zika during their pregnancies to be allowed to get legal abortions. The group, which in 2012 won an eight-year legal battle that succeeded in adding anacephaly to justifications for obtaining a legal abortion, hopes to take the suit before Brazil's Supreme Court early this year.

Before the outbreak, groups that support abortion groups were on the defensive following a proposal by the powerful Pentecostal lobby that would further restrict abortion access by adding additional hurdles for rape victims, such as getting an exam and filing a police report. The proposal has been approved by a House of Representatives committee, though its prospects in the full chamber are unclear.

When the first case of Zika was discovered in Brazil in the middle of last year, health officials here weren't unduly worried. First detected in a Ugandan forest in 1947, Zika has spread to parts of Asia and Oceania and is thought to have made the leap to Brazil through one or more infected tourists visiting the South American nation for the 2014 World Cup or perhaps an international canoeing tournament in Rio de Janeiro the same year.

It's spread by the Aedes aegypti mosquito, a common household pest that also transmits dengue and chikungunya. Zika is generally much milder, with only one out of five patients developing symptoms such as red eyes, a splotchy rash and fever.

A link to microcephaly has yet to be proven, but the US Centers for Disease Control and Prevention has pointed to strong evidence of a connection and urged pregnant women to avoid travel to 22 countries with active Zika outbreaks. The World Health Organization has declared an international health emergency.

Brazil and several other Latin American nations experiencing outbreaks have urged women to put off pregnancies. But critics say the recommendation is impractical in a region where access to sex education, contraception and pre-natal care is precarious and most pregnancies remain unplanned.

Sinara Gumieri, an attorney and legal counselor with the group that's preparing the lawsuit, said the abortion ban combined with the government's failure to eradicate the mosquito violate the right to health that's enshrined in Brazil's constitution.

"If tests confirm the virus (in a pregnant woman), she should then be given the right to choose between going through a high-risk prenatal period and pregnancy and give birth to her child or abort without fear of breaking the law," said Gumieri, of the Brasilia-based ANIS Institute of Bioethics.

Andressa Cristina dos Santos Cavagna, mother of a 3-year-old boy with a severe case of microcephaly, says abortion isn't the answer.

"Just because he is different from so-called normal children doesn't mean that he shouldn't be born," she said. "People who say that don't have love in their hearts."

Source: http://www.ndtv.com