Tick, mosquito-borne infections spiking in United States: CDC

FILE PHOTO - A sign is displayed as San Diego County officials hand spray a two block area to help prevent the mosquito-borne transmission of the Zika virus in San Diego, California, U.S. August 19, 2016. REUTERS/Earnie Grafton

By Gina Cherelus

NEW YORK (Reuters) – The number of Americans sickened each year by bites from infected mosquitoes, ticks or fleas tripled from 2004 through 2016, with infection rates spiking sharply in 2016 as a result of a Zika outbreak, U.S. health officials said on Tuesday.

The U.S. Centers for Disease Control and Prevention said that some 96,075 diseases caused by bites by mosquitoes, ticks and fleas were reported in 2016, up from 27,388 in 2004, in an analysis of data from the CDC’s National Notifiable Diseases Surveillance System.

Infections in 2016 went up 73 percent from 2015, reflecting the emergence of Zika, which is transmitted by mosquitoes and can cause severe birth defects. Zika was the most common disease borne by ticks, mosquitoes and fleas reported in 2016, with 41,680 cases reported, followed by Lyme disease, with 36,429 cases, almost double the number in 2004.

The increases may be a result of climate change, with increased temperatures and shorter winters boosting populations of ticks, mosquitoes and other disease-carrying creatures known as “vectors.”

“It enables these ticks to expand to new areas. Where there are ticks, there comes diseases,” said Lyle Petersen, director of the CDC’s Division of Vector-Borne Diseases.

Warmer summer temperatures also tend to bring outbreaks of mosquito-borne illnesses, Petersen said.

While Zika stood out as the latest emerging threat in the report, it also showed a long-term increase in cases of tick-borne Lyme disease, which can attack the heart and nervous system if left untreated.

Researchers warned that their numbers likely do not include every case as many infections are not reported.

These increases are due to many factors, including growing populations of the insects that transmit them and increased exposure outside of the United States by travelers who unknowingly transport diseases back home.

The CDC said more than 80 percent of vector-control organizations across the United States lack the capacity to prevent and control these fast-spreading, demanding illnesses. Petersen said that federal programs are increasing funding for those organizations.

(Reporting by Gina Cherelus; editing by Scott Malone and Grant McCool)

Tech companies wage war on disease-carrying mosquitoes

Researcher Ethan Jackson places the Project Premonition mosquito trap in the wild in this handout photo obtained by Reuters June 30, 2017. Microsoft/Handout via REUTERS

By Julie Steenhuysen

CHICAGO (Reuters) – American technology companies are bringing automation and robotics to the age-old task of battling mosquitoes in a bid to halt the spread of Zika and other mosquito-borne maladies worldwide.

Firms including Microsoft Corp and California life sciences company Verily are forming partnerships with public health officials in several U.S. states to test new high-tech tools.

In Texas, Microsoft is testing a smart trap to isolate and capture Aedes aegypti mosquitoes, known Zika carriers, for study by entomologists to give them a jump on predicting outbreaks.

Verily, Alphabet’s life sciences division based in Mountain View, California, is speeding the process for creating sterile male mosquitoes to mate with females in the wild, offering a form of birth control for the species.

While it may take years for these advances to become widely available, public health experts say new players brings fresh thinking to vector control, which still relies heavily on traditional defenses such as larvicides and insecticides. “It’s exciting when technology companies come on board,” said Anandasankar Ray, an associate professor of entomology at the University of California, Riverside. “Their approach to a biological challenge is to engineer a solution.”

SMART TRAPS

The Zika epidemic that emerged in Brazil in 2015 and left thousands of babies suffering from birth defects has added urgency to the effort.

While cases there have slowed markedly, mosquitoes capable of carrying the virus – Aedes aegypti and Aedes albopictus – are spreading in the Americas, including large swaths of the southern United States.

(For a map of U.S. mosquito territory, see http://tmsnrt.rs/2tqlJHa)

The vast majority of the 5,365 Zika cases reported in the United States so far are from travelers who contracted the virus elsewhere. Still, two states – Texas and Florida – have recorded cases transmitted by local mosquitoes, making them prime testing grounds for new technology.

In Texas, 10 mosquito traps made by Microsoft are operating in Harris County, which includes the city of Houston.

Roughly the size of large birdhouses, the devices use robotics, infrared sensors, machine learning and cloud computing to help health officials keep tabs on potential disease carriers.

Texas recorded six cases of local mosquito transmission of Zika in November and December of last year. Experts believe the actual number is likely higher because most infected people do not develop symptoms.

Pregnant women are at high risk because they can pass the virus to their fetuses, resulting in a variety of birth defects. Those include microcephaly, a condition in which infants are born with undersized skulls and brains. The World Health Organization declared Zika a global health emergency in February 2016.

Most conventional mosquito traps capture all comers – moths, flies, other mosquito varieties – leaving a pile of specimens for entomologists to sort through. The Microsoft machines differentiate insects by measuring a feature unique to each species: the shadows cast by their beating wings. When a trap detects an Aedes aegypti in one of its 64 chambers, the door slams shut.

The machine “makes a decision about whether to trap it,” said Ethan Jackson, a Microsoft engineer who is developing the device.

The Houston tests, begun last summer, showed the traps could detect Aedes aegypti and other medically important mosquitoes with 85 percent accuracy, Jackson said.

The machines also record shadows made by other insects as well as environmental conditions such as temperature and humidity. The data can be used to build models to predict where and when mosquitoes are active.

Mustapha Debboun, director of Harris County’s mosquito and vector control division, said the traps save time and give researchers more insight into mosquito behavior. “For science and research, this is a dream come true,” he said.

The traps are prototypes now. But Microsoft’s Jackson said the company eventually hopes to sell them for a few hundred dollars each, roughly the price of conventional traps. The goal is to spur wide adoption, particularly in developing countries, to detect potential epidemics before they start.

“What we hope is (the traps) will allow us to bring more precision to public health,” Jackson said.

SORTING MOSQUITOES WITH ROBOTS

Other companies, meanwhile, are developing technology to shrink mosquito populations by rendering male Aedes aegypti mosquitoes sterile. When these sterile males mate with females in the wild, their eggs don’t hatch.

The strategy offers an alternative to chemical pesticides. But it requires the release of millions of laboratory-bred mosquitoes into the outdoors. Males don’t bite, which has made this an easier sell to places now hosting tests.

Oxitec, an Oxford, England-based division of Germantown, Maryland-based Intrexon Corp, is creating male mosquitoes genetically modified to be sterile. It has already deployed them in Brazil, and is seeking regulatory approval for tests in Florida and Texas.

MosquitoMate Inc, a startup formed by researchers at the University of Kentucky, is using a naturally occurring bacterium called Wolbachia to render male mosquitoes sterile.

One of the biggest challenges is sorting the sexes.

At MosquitoMate’s labs in Lexington, immature mosquitoes are forced through a sieve-like mechanism that separates the smaller males from the females. These mosquitoes are then hand sorted to weed out any stray females that slip through.

“That’s basically done using eyeballs,” said Stephen Dobson, MosquitoMate’s chief executive.

Enter Verily. The company is automating mosquito sorting with robots to make it faster and more affordable. Company officials declined to be interviewed. But on its website, Verily says it’s combining sensors, algorithms and “novel engineering” to speed the process.

Verily and MosquitoMate have teamed up to test their technology in Fresno, California, where Aedes aegypti arrived in 2013.

Officials worry that residents who contract Zika elsewhere could spread it in Fresno if they’re bitten by local mosquitoes that could pass the virus to others.

“That is very much of a concern because it is the primary vector for diseases such as dengue, chikungunya and obviously Zika,” said Steve Mulligan, manager of the Consolidated Mosquito Abatement District in Fresno County.

The study, which still needs state and federal approval, is slated for later this summer.

(Editing by Marla Dickerson)

New pool of Zika infested mosquitoes found in Florida

By Kami Klein

According to a Miami-Dade County Mosquito Control news release and Fox news health report, officials announced a new pool of Zika infested mosquitoes were trapped.  The news release says that officials learned about the new pool on Monday from trap 5 which is in the previously designated Zika transmission zone near Little Haiti.

The insects had been collected Oct. 5th.

A large portion of Miami Beach remains an active Zika infection zone. Officials announced last week that several people had been infected with Zika in a 1-square-mile area of Miami just north of the Little Haiti neighborhood.

According to the CDC Website, Zika is spread mostly by the bite of an infected Aedes species mosquito.  These mosquitoes bite both during the day and night.  There is no known vaccine or medicine for Zika but governments around the world are dedicating millions for research and a possible vaccine.  Zika can be passed from a pregnant woman to her fetus.  So far there have been 878 reported cases of pregnant women with the Zika virus in the United States and District of Columbia with 1,806 reported in U.S. Territories.

Zika infection during pregnancy can cause a birth defect of the brain called microcephaly and other severe fetal brain defects. Other problems have been detected among fetuses and infants infected with Zika virus before birth, such as defects of the eye, hearing deficits, and impaired growth. There have also been increased reports of Guillain-Barré syndrome, an uncommon sickness of the nervous system, in areas affected by Zika.

The following are the statistics of Zika cases as of October 6th, 2016.  The top states reporting most cases being travel associated are New York with 858 cases, Florida 708, California, 298 and Texas at 228.  Virtually every state has had reports of the Zika virus.

US States

  • Locally acquired mosquito-borne cases reported: 128
  • Travel-associated cases reported: 3,807
  • Laboratory acquired cases reported:  1
  • Total: 3,936
    • Sexually transmitted: 32
    • Guillain-Barré syndrome: 13

US Territories

  • Locally acquired cases reported: 25,871
  • Travel-associated cases reported: 84
  • Total: 25,955*
    • Guillain-Barré syndrome: 40

 

Find out more facts on the Zika virus including tips for keeping your family safe at the CDC Website .

 

 

 

 

 

Amid government silence, Venezuela’s microcephaly babies struggle

Ericka Torres holds her 3-months old son Jesus, who was born with microcephaly, at their home in Guarenas, Venezuela

By Alexandra Ulmer

GUARENAS, Venezuela (Reuters) – Deep inside a hilly Venezuelan slum, Ericka Torres rocks her three-month-old son Jesus to soothe his near-constant crying.

Jesus was diagnosed with microcephaly, a birth defect marked by a small head and serious developmental problems, after his mother contracted what was probably the mosquito-borne Zika virus during pregnancy in the poor city of Guarenas.

Torres said her boyfriend left after scans showed their child had birth defects, and she now struggles to afford medicine, clothes and even diapers for Jesus in the midst of Venezuela’s brutal economic crisis.

“It’s intense. But I can’t get stressed, because this struggle is only just beginning,” said Torres, 28, a supermarket security guard who smiles easily despite barely sleeping because of Jesus’ screams and convulsions, common traits of babies born with microcephaly.

The Venezuelan government, however, has not acknowledged a single case of Zika-related microcephaly in the country.

Beyond some health warnings and a handful of televised comments about Zika at the start of the year, the leftist government of President Nicolas Maduro has largely kept quiet about the virus even as neighboring Brazil and Colombia publish weekly bulletins.

Venezuela does provide data to the World Health Organization, which shows it has had some 58,212 suspected Zika cases and 1,964 confirmed ones since the virus emerged in Brazil last year and then spread rapidly through the Americas.

But it has not, however, declared any cases of confirmed congenital syndrome associated with Zika, such as microcephaly, and has not mentioned any suspected cases either.

To be sure, inadequate Zika testing has thwarted efforts to precisely diagnose Zika-caused microcephaly. But countries like Brazil have turned to clinical diagnoses and report “confirmed and probable cases” of Zika-associated congenital syndromes to the WHO, for instance.

Some doctors accuse Venezuela’s unpopular government of hiding the Zika problem amid a deep recession that has everything from flour and rice to antibiotics and chemotherapy medicines running short and spurred fierce criticism of Maduro.

They also say government inaction means kids are missing out on targeted state-sponsored therapy programs that would help to stimulate them.

“This delays the patient’s development, because no matter how much knowledge or drive you have, if you don’t have the physical tools like materials, resources, medicines, well that delays everything,” said Maria Pereira, a doctor in Caracas.

Local media have put the number of babies born with suspected Zika-linked microcephaly so far this year at around 60. Physicians in Caracas, the western city of Maracaibo, and the coastal state of Sucre, confirmed at least 50 cases in interviews with Reuters.

Venezuela’s Institute of Tropical Medicine estimates the real number could be much higher by the end of the year – between 563 and 1,400. That estimate is based on the numbers in Brazil, which has more than 1,800 confirmed cases, and pregnancy rates in Venezuela.

Product shortages have likely aggravated the effects of Zika in Venezuela: lack of contraceptives lead to unwanted pregnancies; lack of bug spray and fumigations lead to bites; and lack of anticonvulsant drugs or state support add to the hardships of children with the birth defect.

Venezuela’s health and information ministries did not respond to multiple requests for comment.

The government says it has one of the best health care systems in the world, pointing to free Cuban-staffed clinics in slums and social programs for maternal and child wellbeing. But it has stopped releasing data as the health sector has crumbled in the last two years.

‘NO RESOURCES’

Dozens of women and babies line up in the hot, dimly lit corridors of the J.M. de los Rios children’s hospital in Caracas, often waiting hours before an overstretched doctor can finally see them.

In the last three months, doctors say some 25 babies with microcephaly have been examined at what was once one of the leading hospitals in Latin America, with the majority of their mothers reporting symptoms including rashes or fevers during pregnancy.

Physicians order exams and prescribe therapies, but the overwhelmingly poor families struggle to scrape together enough money in the face of triple-digit inflation.

That delays early intervention and the discovery of other potential syndromes that have been linked to Zika, like vision problems or joint deformities.

“You feel impotent that you can’t provide anything more because there are no resources,” said Pereira, who works at the J.M. de los Rios hospital. Her family has to send her food and money from the provinces because she only earns around $70 a month between her salary and food tickets.

Other poor Latin American countries have also been criticized for their response to Zika. Brazil was called slow to investigate the initial surge of microcephaly cases and doctors say Zika prevention was spotty in Honduras, which estimates it will have some 340 cases of microcephaly by the end of the year.

Doctors and opposition lawmakers say Venezuela is faring the worst and have called for foreign aid and a stronger stance from the WHO.

Venezuela has rebuffed requests for aid, with officials saying it is an attempt to justify a foreign intervention in the oil-rich country.

When asked about criticism it was not doing enough in Venezuela, the WHO’s regional office for the Americas told Reuters its role was to provide technical cooperation to member countries and that it was working to strengthen that cooperation with Venezuela’s Health Ministry.

In the meantime, families are feeling the squeeze.

Home-based hairdresser Isabel Jimenez, her unemployed husband, and their four kids had already stopped having breakfast before the birth of Joshua, who has microcephaly, two weeks ago.

Now the family in the isolated Caribbean peninsula of Paraguana is under further pressure and has to rely on relatives for help with diapers, milk and medical appointments.

“I cried a lot,” said Jimenez, 28, of learning about Joshua’s condition. “At first I had a lot of anger and sadness, but I have to keep going with my baby because I can’t do anything else.”

(Additional reporting by Mircely Guanipa in Punto Fijo, Liamar Ramos and Daniel Kai in Caracas, Gustavo Palencia in Tegucigalpa, Ivan Castro in Managua, Paulo Prada in Rio de Janeiro, and Julia Symmes Cobb in Bogota; Writing by Alexandra Ulmer; Editing by Kieran Murray)

Singapore says Zika infections spread to nearly 190 cases

Nurses set up a mosquito tent over a hospital bed, as part of a precautionary protocol for patients who are infected by Zika, to show the media at Farrer Park

SINGAPORE (Reuters) – Singapore said on Friday it had found 38 more people who had contracted Zika, raising to 189 the number infected with the mosquito-borne virus since authorities reported the first locally transmitted case six days ago.

Some of the new cases had been detected in areas where infections had not previously been reported, the health ministry said in a statement.

The ministry did not specify the locations, but the virus has been spreading daily beyond an initial cluster.

Singapore, a regional financial center and transit hub, is the only Asian country with active transmission of the virus.

On Thursday, it said the caseload had jumped to 151 infections, including two pregnant women.

Zika infections in pregnant women have been shown to cause microcephaly – a severe birth defect in which the head and brain are undersized – as well as other brain abnormalities.

The connection between Zika and microcephaly first came to light last year in Brazil, which has since confirmed more than 1,800 cases of microcephaly.

In adults, Zika infections have also been linked to a rare neurological syndrome known as Guillain-Barre, as well as other neurological disorders.

People shop for remaining stocks of insect repellent products at a pharmacy in Singapore

People shop for remaining stocks of insect repellent products at a pharmacy in Singapore September 2, 2016. REUTERS/Edgar Su

The United States, Australia and other countries have added Singapore to the growing list of places that pregnant women or those trying to conceive have been warned to avoid.

The first locally transmitted Zika infection in Singapore was reported on Saturday, with the initial tally including many foreigners believed to be among the hundreds of thousands of migrant workers in the island’s construction industry.

As the outbreak spreads, many of Singapore’s five million people are covering up and staying indoors to avoid mosquitoes as health experts warn that virus in the tropical city-state would be difficult to contain.

The Zika outbreak comes as Singapore prepares to host the floodlit Formula One Singapore Grand Prix motor-race on Sept. 18. Race promoters have said preparations were going according to plan.

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 percent of people infected have no symptoms, making it difficult for pregnant women to know whether they have been infected.

The virus was first identified in Uganda in 1947 and was unknown in the Americas until 2014.

(Reporting by Saeed Azhar and Lee Chyen Yee; Writing by Miral Fahmy; Editing by Robert Birsel)

U.S. fights Zika mosquitoes with limited arsenal

Zika virus kit

By Julie Steenhuysen

(Reuters) – Over Wynwood, the Miami neighborhood where Zika gained a foothold in the continental United States, low flying planes have been spraying naled, a tightly controlled pesticide often used as a last resort. It appears to be working, killing at least 90 percent of the target mosquitoes.

Across the Biscayne Bay in Miami Beach, wind and high-rise buildings make aerial spraying challenging. So, the effort in the popular tourist destination has focused on ground-sprayed pyrethroids – pesticides that are safer but don’t always work.

The arrival in Florida of Zika, a virus that can cause a crippling birth defect known as microcephaly, has drawn into focus the limitations of the U.S. mosquito control arsenal.

Larvicides reduce future populations relatively safely. But for use against the mature mosquitoes that spread disease, only two classes of pesticides are approved. Each has drawbacks.

Organophosphates, such as naled, are effective. But there are strict controls to limit risk. Pyrethroids are safer but have been used so much that mosquitoes, in many places, are immune.

“That’s really the weak link in much of the United States,” said Michael Doyle, director of the Florida Keys Mosquito Control District. “We’re kind of caught off guard.”

DENGUE PREVIEW

Doyle led a 2009 effort against a dengue outbreak in South Florida, the first in the United States in nearly a century. Authorities threw everything they had at the Aedes aegypti, the same mosquito that carries Zika: backpack fogging, door-to-door yard inspections looking for watery breeding sites and larvicide spraying.

Still, 88 people were infected before the virus was brought under control more than two years later, and there continue to be sporadic cases in Florida.

The outbreak highlighted gaps in the mosquito control arsenal that remain, according to pesticide makers, abatement officials and entomologists. Few companies make pesticides for use in public health outbreaks, a niche market that is expensive to get into, has a limited upside and varies season to season.

Safety testing a new pesticide can cost up to $250 million and take 10 years, said Karen Larson, vice president of regulatory affairs at privately held Clarke Mosquito.

As long as a product remains on the market, companies must continue testing for unforeseen side effects, an expense that some makers have blamed for decisions to abandon products.

“There’s not a lot of profit,” Larson said.

Sales of the Dibrome brand of naled have been estimated at $12 million a year. By comparison, total crop pesticide sales for some companies can exceed $500 million in a single quarter.

Bayer, Dow Chemical, BASF and other agricultural pesticide makers “are not interested in going after a $20 million or $30 million a year market,” said William A. Kuser, investor relations director at Dibrome maker American Vanguard Corp.

The U.S. Environmental Protection Agency has approved several new pesticides in recent years. But it has received few requests for using them against mosquitoes, said Jim Jones, Assistant Administrator for the agency’s Office of Chemical Safety and Pollution Prevention.

“Although it’s of critical importance, the amount one can sell is small and it’s variable, which makes it difficult for business planning,” Jones said. “You can go many years without having much of a market at all, then suddenly, whether it’s because of a nuisance outbreak of mosquitoes or something like West Nile or Zika, the market grows significantly.”

Abatement authorities have pressed for help with the cost of developing mosquito control pesticides. The 1996 U.S. Food Quality Protection Act includes a provision for subsidies to defray the expense of safety testing, but Congress has never funded it.

RISK AND RESISTANCE

At least 49 cases of locally transmitted Zika infections have been reported in Florida, most in Wynwood and Miami Beach. Most people have no symptoms or mild illness.

Because of the microcephaly link, efforts are focused on preventing infection among pregnant women.

In Wynwood, the campaign began with pyrethroids, synthetic versions of a chemical derived from chrysanthemums. Amid signs of resistance, authorities switched to naled.

Developed as nerve agents, organophosphates, at high doses, can cause nausea, convulsions and death. They can be toxic to wildlife, including bees. The EPA considers naled safe at permitted ultra-low concentrations, and it is sprayed annually over 16 million acres in the United States.

But it is banned in Europe, where the risk is seen as unacceptable. In the U.S. territory of Puerto Rico, where Zika is widespread, the governor prohibited naled amid protests over safety concerns.

Although naled killed more than 90 percent of mosquitoes in traps set in Wynwood, the Aedes aegypti’s resilience remains a concern.

“This is truly the cockroach of mosquitoes,” said Tom Frieden, director of the U.S. Centers for Disease Control and Prevention.

DROPPING PESTICIDES

CDC entomologist Janet McAllister said pyrethroid resistance typically is limited by the mosquito’s small range. When resistance to one pyrethroid develops, another often works.

Still, she said, “we would love to see additional classes of insecticides available because, even in places that may have an effective tool today, that doesn’t mean it is going to last down the road.”

The EPA can fast-track its evaluation of new pesticides and expand the use of old ones. In response to Zika, it expedited new uses for pesticide-treated bed nets and mosquito traps.

Still, development of pesticides is painstaking. Even if the EPA speeds up its evaluation, required safety data can take years to collect. And the expense of ongoing safety testing has prompted companies to drop products.

Bayer CropScience, for example, told distributors it dropped the pyrethroid resmethrin in 2012, rather than do additional testing. Clarke Mosquito gave up temephos, a larvicide, six years ago, because of costs, Larson said.

That decision led to stockpiling in southwest Florida, said Wayne Gale, director of the Lee County Mosquito Control District.

“We purchased just about every bit,” he said.

(Reporting by Julie Steenhuysen; Editing by Michele Gershberg and Lisa Girion)

Thirteen Indians among Zika infected people in Singapore

A man cycles past a construction site where locally transmitted Zika cases were first discovered in Singapore

By Raju Gopalakrishnan and Marius Zaharia

SINGAPORE (Reuters) – Thirteen Indian citizens are among those infected in an outbreak of the Zika virus in Singapore, according to a person at the Indian High Commission in the city-state.    Foreign construction workers have been hit hardest in the first days of the mosquito-borne disease’s outbreak. Singapore announced the first locally contracted case of Zika late on Saturday.

Of the first 56 cases of Zika identified by late Monday, three dozen were foreign workers on a property development site where they worked and lived with more than 450 others.    Total Zika infections had increased to 82 by late Tuesday, but the Singapore government has not disclosed whether any of the more recent cases involved foreign workers. It did not respond to Reuters questions about the nationality of those infected.    The person at the Indian High Commission did not know if the Indian citizens affected were in the construction industry.

India’s Ministry of External Affairs said it had asked the Singapore government if any of its nationals were among those diagnosed with the Zika virus, but had yet to hear back.    Many of the 360,000 or so foreign workers in Singapore’s building industry are from the Indian sub-continent, including India, Bangladesh and Sri Lanka. While many are paid as little as S$2 an hour ($1.47), work 12-14 hour days and rarely take days off, they can still potentially earn significantly more in Singapore than at home.

“MOST SUSCEPTIBLE”

Some dormitory rooms where workers live can house more than a dozen people and have no working fans, increasing their potential exposure to mosquitoes as windows are often left open, rights groups and some foreign workers told Reuters.    Government regulations already require employers and dormitory operators to take efforts to avoid mosquito breeding habitats as part of a long-standing battle with dengue, another mosquito-borne virus, but rights groups say they are concerned that these rules are not always followed.    Heena Kanwar, executive director of the Humanitarian Organisation for Migration Economics, says foreign workers are “the most susceptible group” for infections “because of their living conditions.”

Reuters was unable to gain access to workers at the construction site which was the focal point of the initial Zika infections. A spokesperson for Woh Hup, the main contractor at the site – which is under a “stop work” order – directed queries to the authorities “as the case is still under investigation.”

A spokeswoman for the site’s owner, Guocoland, said the company was unable to comment “beyond what has been released by the authorities.”

Only local media were invited to a site visit by Minister of State for Manpower Teo Ser Luck on Tuesday, reporting that those diagnosed with the Zika virus were still living on site, but were separated from other workers, in rooms with internet access and delivered meals.

Debbie Fordyce, member of the executive committee of the group Transient Workers Count Too, noted that Singapore doesn’t release a nationality breakdown of foreign workers in its construction industry, so it’s not surprising it has not disclosed where workers with the Zika virus are from.

“It could either be for the protection of the foreign workers, so that certain groups are not ostracized and identified as carriers of the virus, or to avoid drawing further attention to the poor living conditions,” she said.

Dormitory operators, who spoke to Reuters on condition of anonymity, said government agencies carry out regular site inspections, and this week sprayed insecticide and looked for potential mosquito breeding habitats.

They say the government acts quickly if conditions are sub-standard, and operators are required to have at least one sick bay available or contingency plans for infectious diseases.

One dorm operator said it was hard to monitor the spread of infectious diseases, noting there were as many as 240 workers on just one level of his premises.

Manpower Minister Teo told local media on Tuesday that action would be taken against operators who don’t take preventive measures “because this is a very serious issue.”

It’s still not known where the other foreign workers with Zika are from.

The High Commission of Bangladesh and the Thai embassy said they did not have any workers among those who tested positive. A Sri Lankan foreign ministry official said it had not been informed of any infections, and the Chinese foreign ministry said in Beijing it had no information about any of its nationals in Singapore having Zika.

(Reporting by Marius Zaharia, Fathin Ungku, Nicole Nee, Imogen Braddick, Masayuki Kitano and Aradhana Aravindan in SINGAPORE, Douglas Busvine in NEW DELHI and Ryan Woo in Beijing; Editing by Martin Howell and Ian Geoghegan)

Singapore confirms 41 cases locally transmitted ZIKA virus

Contractor fogs a condominium garden in Singapore in an effort to kill mosquitoes

By Marius Zaharia

SINGAPORE (Reuters) – Singapore has confirmed 41 cases of locally transmitted ZIKA virus, mostly among foreign construction workers, and said it expected more cases to be identified.

All but seven of those infected had fully recovered, the Health Ministry and the National Environment Agency said in a statement on Sunday. The seven remain in hospital.

On Saturday, authorities confirmed a 47-year-old Malaysian woman living in southeastern Singapore as the city-state’s first case of a local transmission of the virus.

Zika, carried by some mosquitoes, was detected in Brazil last year and has since spread across the Americas. The virus poses a risk to pregnant women because it can cause severe birth defects. It has been linked in Brazil to more than 1,600 cases of microcephaly, where babies are born with small heads.

Singaporean authorities said they tested 124 people, primarily foreign construction workers employed on a site in the same part of Singapore. That site has been ordered to halt work, and workers’ dormitories are being inspected. Seventy-eight people tested negative and five cases were pending. Thirty-four patients had fully recovered.

Four Singaporean men had developed symptoms of the virus in the past week and were hospitalized on Saturday. It was not clear where the foreign workers were from or when their cases were detected. Singapore hosts a large contingent of workers from the Asian subcontinent.

None of those infected had traveled recently to Zika-affected areas. “This confirms that local transmission of Zika virus infection has taken place,” the statement said.

The ministry “cannot rule out further community transmission since some of those tested positive also live or work in other parts of Singapore,” the statement said. “We expect to identify more positive cases.”

The World Health Organization said in a statement on Sunday that it did not know “which lineage of Zika is circulating” or “what the level of population immunity is to this lineage of Zika in Asia.”

“It is important for countries to remain vigilant through surveillance for cases, to continue vector control, to inform people about Zika and how they can protect themselves, and to have the health system ready to supply the services needed to prevent and manage Zika and its consequences,” the group told Reuters.

Singapore, a major regional financial center and busy transit hub, which maintains a constant vigil against the mosquito-borne dengue virus, reported its first case of the Zika virus in May, brought in by a middle-aged man who had been to Brazil.

CLEANUP

Singapore deployed about 200 NEA officers to clean drains and spray insecticide in the mainly residential area early on Sunday to counter mosquito breeding grounds, and volunteers and contractors handed out leaflets and insect repellent.

All medical services in Singapore had been alerted “to be extra vigilant” and immediately report any Zika-associated symptoms to the health ministry.

Singapore said there were “ongoing local transmission” cases in Indonesia, Thailand and Vietnam. Other countries in the region to have detected the Zika virus since 2013 include Bangladesh, Cambodia, Laos, Malaysia, Maldives and the Philippines, according to the WHO.

Malaysia said on Sunday it stepped up surveillance at main transit points with Singapore – handing out leaflets on Zika prevention and having paramedics ready to handle visitors with potential symptoms of the virus.

In Thailand, where close to 100 cases of Zika have been recorded across 10 provinces this year, the Department of Disease Control was screening athletes returning from the Olympic Games in Brazil, but was not otherwise changing its prevention measures.

“Every country in this region has Zika transmission cases,” said Prasert Thongcharoen, an adviser to the DDC. “Thailand has, however, managed to contain the problem through early detection.”

A Foreign Ministry spokesman said Indonesia was “following developments”. Oskar Pribadi, a Health Ministry official, said there had been no recent Zika cases in the country.

Vietnam has to date reported three cases of locally transmitted Zika infection.

The current strain of Zika sweeping through Latin America and the Caribbean originated in Asia, where people may have built up greater immunity.

(Reporting by Marius Zaharia; Additional reporting by Aradhana Aravindan in Singapore, A. Ananthalakshmi in Kuala Lumpur, Amy Lefevre in Bangkok, Agustinus Beo Da Costa in Jakarta, My Pham in Hanoi, Julie Steenhuysen in Chicago and Trevor Hunnicutt in New York; Editing by Ian Geoghegan and Peter Cooney)

Cayman Islands report second locally transmitted ZIKA infection

Aedes aegypti mosquitoes are seen inside Oxitec laboratory in Campinas, Brazil,

GEORGE TOWN (Reuters) – Two people have contracted the Zika virus locally in the Cayman Islands, the health department said on Tuesday, bringing the total number infected by the virus in the Caribbean territory to eight.

A woman living in Cayman’s capital George Town first reported her symptoms in July, and a sample sent to the Caribbean Public Health Agency for testing came back positive, the department said in a statement.

She is not believed to have traveled to any countries in which Zika is present.

Late on Monday, the health department announced the first known case of Zika contracted on the islands, by a man who had also not traveled to affected countries. Six other people have contracted the virus overseas and returned home carrying the infection.

Health authorities say that when contracted by pregnant women, Zika can cause the birth defect microcephaly and other severe brain abnormalities in babies.

The ongoing Zika outbreak was first detected last year in Brazil, where it has been linked to more than 1,700 cases of the birth defect microcephaly. Since that time the virus has spread rapidly through the Americas.

In July, Florida confirmed that the mostly mosquito borne virus had been transmitted locally on the U.S. mainland for the first time.

(Reporting by Peter Polack in George Town; Editing by John Stonestreet and Tom Brown)

Florida begins insecticide spraying to kill Zika carrying mosquitoes

Aedes aegypti mosquitoes are seen inside Oxitec laboratory in Campinas, Brazil,

By Julie Steenhuysen

CHICAGO (Reuters) – Florida will conduct an aerial insecticide spraying campaign at dawn on Wednesday in an effort to kill mosquitoes carrying the Zika virus, officials in Miami-Dade County said.

The campaign will cover a 10-mile area that includes the one-mile-square area just north of downtown Miami that health officials have identified as the hub of Zika transmission in the state, the officials said on Tuesday.

On Monday, the U.S. Centers for Disease Control and Prevention issued an unprecedented travel warning, urging pregnant women to avoid travel to the Miami neighborhood at the center of the investigation.

The Zika outbreak was first detected last year in Brazil, where it has been linked to more than 1,700 cases of microcephaly, a birth defect marked by small head size that can lead to severe developmental problems in babies. The virus has spread rapidly through the Americas and Caribbean and its arrival in the continental United States has been widely anticipated.

Florida health officials announced another non-travel related case of Zika on Tuesday, bringing the total to 15.

The aerial spraying campaign was recommended by the CDC in conjunction with the Florida Health Department to reduce adult mosquito populations that might be capable of carrying the Zika virus.

In a conference call on Tuesday, CDC Director Dr. Thomas Frieden expressed concern that vector control efforts so far have not been as effective as hoped. A CDC expert is currently conducting tests in Miami to see if mosquitoes in the area have developed insecticide resistance.

Florida had been using two products in the pyrethroid class of insecticides. In its aerial campaign, the state will use a chemical called Naled that has been approved by the U.S. Environmental Protection Agency, according to Joseph Conlon, a spokesman for the American Mosquito Control Association.

Naled is from a different class of insecticides known as organophosphates. According to the CDC, the chemical has been widely used to control mosquito populations in the United States, including in Miami, Tampa and New Orleans.

The CDC recommended the same chemical for aerial spraying in Puerto Rico, but the recommendation has been met with protests from residents concerned about its impact on health, bees, agriculture and the environment.

Miami-Dade health officials said residents do not need to take special precautions during the aerial spraying activities, but it has recommended that people with known allergies remain indoors.

(Reporting by Julie Steenhuysen; Editing by Leslie Adler)