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Zika Virus: Medical Countermeasure Development Challenges
Robert W Malone1,2, Jane Homan3, Michael V Callahan4
1RW Malone MD LLC, Scottsville, Virginia, United States of America.
Plos Neglected Tropical Diseases
|March 3, 2016
Summary
Zika virus poses a significant public health threat, causing microcephaly and Guillain-Barré syndrome. This review examines the outbreak, focusing on developing medical countermeasures against this emerging infectious disease.
Area of Science:
- Infectious Diseases
- Epidemiology
- Virology
- Immunology
- Public Health
Background:
- Zika virus infection is linked to high rates of microcephaly and Guillain-Barré syndrome.
- No licensed medical countermeasures (vaccines, therapies, or preventive drugs) are currently available for Zika virus.
- The Pan American Health Organization anticipates widespread transmission in the Americas.
Purpose of the Study:
- To review the current Zika virus outbreak status.
- To explore medical countermeasure options for Zika virus.
- To analyze how epidemiology, vectors, neuropathology, virology, and immunology inform countermeasure development.
Main Methods:
- Literature review, patent analysis, and review of official communications.
- Analysis of online physician surveys from the US, Mexico, and Argentina.
- Computational epitope analysis, infectious disease outbreak modeling, and field observations in Brazil.
Main Results:
- The review synthesizes information on the Zika virus outbreak and potential medical countermeasures.
- Epidemiological data, vector characteristics, neuropathology, virology, and immunology are considered.
- Physician survey responses provide insights into clinical perspectives.
Conclusions:
- Understanding the multifaceted aspects of Zika virus is crucial for effective medical countermeasure development.
- Integrated strategies leveraging epidemiological, entomological, and immunological data are needed.
- Urgent development and deployment of medical countermeasures are essential to combat the Zika threat.

