Objective: to describe the temporal and geographical expansion of Zika virus (ZIKV) circulation in countries and territories, from the time it was first isolated until 2018. Methods: This was a non-systematic literature review covering the period from 1947 to 2018 using the MEDLINE database and World Health Organization estimates. Results: Since its isolation in 1947, ZIKV circulation spread through Africa, Asia and the Pacific before reaching the Americas in 2013, causing serious clinical manifestations; the highest seroprevalence rates were recorded in Yap (74%) and in Brazil (63%); genetic mutations, absence of immunity and high vector susceptibility may have influenced ZIKV transmissibility and help to explain the magnitude of its expansion. Conclusion: The spread of ZIKV circulation in the Americas was the most extensive recorded thus far, possibly as a result of population and geographical characteristics of the sites where the virus circulated.
CITATION STYLE
de Souza Sampaio, G., Brites, C., Drexler, J. F., Moreira-Soto, A., Miranda, F., & Netto, E. M. (2019). Expansion of Zika virus circulation from Africa to the Americas, 1947-2018: A literature review. Epidemiologia e Servicos de Saude. Ministry of Health. https://doi.org/10.5123/S1679-49742019000200022
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