Update on Zika virus transmission in the Pacific islands, 2007 to February 2016 and failure of acute flaccid paralysis surveillance to signal Zika emergence in this setting
The evidence suggested that there was no acute flaccid paralysis surveillance data and reported Zika infections observed in the Pacific Island. The review recommends that the utility of such a surveillance strategy should further tested in countries, have large populations under the age of 15 years, and are vulnerable to zika virus outbreak.
Global efforts to contain the Zika virus outbreak worldwide have been implemented by various public heath bodies, including the World Health Organization. Various Zika virus infections have been suggested to be associated with congenital malformations and autoimmuneneurological presentations, including microcephaly, cranial nerve dysfunction, and Guillain-Barré Syndrome (GBS). In April 2007, the first human outbreak of the Zika virus was documented in the Pacific – in Yap State, Federal States of Micronesia (FSM). Since then, about ten other Pacific Islands have documented the outbreak of the Zika virus disease. The main aim of the review was to describe the distribution and magnitude of the Zika virus infections reported in the Pacific islands from 2007 to February 2016; and explore the utility of routine acute flaccid paralysis (AFP) surveillance to detect ZIKV emergence.