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Zika virus disease is caused by the Zika virus, a type of flavivirus. This virus is spread to people primarily through the bite of a mosquito that carries the Zika virus. The Zika virus is related to dengue fever, West Nile, yellow fever, and encephalitis.
The Zika virus is primarily spread by specific varieties of mosquitos (Aedes aegypti and Aedes albopictus) that live in tropical and sub-tropical regions, including Africa, Asia and the Pacific, South and Central America, the Caribbean, and the southern United States. When an infected mosquito bites a person, the virus is injected into the blood stream along with the mosquito’s saliva.
No mosquito-related outbreaks have occurred in or are likely to occur in Canada as the varieties of mosquitos that carry the virus cannot survive in colder climates. Therefore, the risk of being infected while in Canada is currently low. Climate change may increase the domestic risk of mosquito-borne diseases such as Zika, if Aedes populations become established in the future.
The virus can also be spread by:
People at greater risk of Zika virus infection include:
Many people who are infected with Zika virus will not have any symptoms. In general, only 1 in 4 people with a Zika virus infection show symptoms.
People who show symptoms may have:
The Zika virus can remain in the body and be transmitted through bodily fluids and tissues for a prolonged period of time after the onset of illness (with or without symptoms).
Although rare, Zika virus infection during pregnancy can cause birth defects in babies including incomplete brain development, abnormally small heads (microcephaly), and other malformations that when seen together are called congenital Zika syndrome (CZS). Pregnancy complications including pre-term birth and miscarriage may also occur.
Also rare, Zika virus infection has been linked to occurrences of neuropathy (damage to nerves), myelitis (inflammation of the spinal cord), and Guillain-Barré Syndrome (nervous system disorder that causes muscle weakness and possibly paralysis).
Your health care provider can determine whether you should be tested for Zika virus infection based on your symptoms, places and dates of travel, and activities. Pregnant travelers returning from Zika outbreak countries should discuss concerns with their health care provider.
Currently, there is no treatment or vaccine for the Zika virus infection. Treatment is provided to relieve symptoms of the infection, which can include rest, drinking plenty of fluids, and taking medication to reduce pain and fever. Do not take acetylsalicylic acid (ASA) until a possible infection from Dengue virus has been excluded since Dengue is also common in mosquitoes in Zika outbreak areas.
The best way to avoid infection is to avoid travel to Zika-outbreak areas. Consult the Government of Canada’s ‘Travel Advice and Advisories' website to find out if your destination has a risk of Zika virus disease, and visit a travel health clinic at least 6 weeks before you travel.
Employers that require workers to travel to Zika-outbreak areas should ensure that the workers know about the risk of Zika virus disease and how to prevent mosquito bites. The mosquitoes that carry Zika virus are especially active during daytime and early evening hours.
If travelling to a Zika-outbreak area avoid bites from mosquitoes by taking the following precautionary measures:
Health Canada also advises travel and sexual activity precautions for Zika virus.
All travellers should take precautions by using condoms or by avoiding sexual contact when in countries or areas with a risk of Zika virus.
Women who are pregnant should:
Women who wish to become pregnant should:
Males who have travelled to Zika-outbreak areas should:
Speak to your health care provider for more information.
More information is available from: