A new reportable disease is born: Taiwan Centers for Disease Control's response to emerging Zika virus infection

Angela Song-En Huang1, Pei-Yun Shu2, Chin-Hui Yang1

  • 1Division of Acute Infectious Diseases, Taiwan Centers for Disease Control, Taipei, Taiwan.

Insights

Taiwan reported its first imported Zika virus case in 2016. Public health measures prevented local spread, with no further cases or associated neurological complications observed.

Area of Science:

  • Virology
  • Epidemiology
  • Public Health

Background:

  • Zika virus infection, typically mild, is transmitted by Aedes mosquitoes and has been linked to microcephaly and neurological issues.
  • Taiwan identified its first imported Zika virus case in January 2016 via airport screening.

Observation:

  • The imported case's blood sample did not yield an isolated virus, but PCR analysis confirmed an Asian lineage related to Cambodian strains.
  • Rigorous public health interventions were implemented, including enhanced quarantine, surveillance, diagnostics, healthcare preparedness, and community-based vector control.

Findings:

  • No additional Zika virus infections were detected in Taiwan following the initial imported case.
  • No significant increase in microcephaly or Guillain-Barré Syndrome cases was observed.
  • There have been no instances of autochthonous (locally transmitted) Zika virus infections in Taiwan to date.

Implications:

  • Taiwan's public health strategies were effective in preventing the local transmission and spread of Zika virus.
  • The findings underscore the importance of robust surveillance and control measures for imported infectious diseases.
  • Continued vigilance is necessary to monitor for potential future introductions and manage arboviral threats.