Potential Association between Zika Infection and Microcephaly during 2007 Fever Outbreak, Gabon
Emerging Infectious Diseases
|January 26, 2021
Abstract:
Although Zika virus (ZIKV) circulates in sub-Saharan Africa, no case of ZIKV-associated microcephaly has thus far been reported. Here, we report evidence of a possible association between a 2007 outbreak of febrile illness and an increase in microcephaly and possibly ZIKV infection in Gabon.
Insights
A 2007 febrile illness outbreak in Gabon may be linked to increased microcephaly cases. This suggests a potential association between Zika virus (ZIKV) infection and microcephaly, even in regions where ZIKV is endemic.
Area of Science:
- Virology
- Epidemiology
- Public Health
Background:
- Zika virus (ZIKV) is known to circulate in sub-Saharan Africa.
- No prior reports have documented ZIKV-associated microcephaly in this region.
- Microcephaly is a serious congenital condition affecting brain development.
Purpose of the Study:
- To investigate a potential association between a 2007 febrile illness outbreak and an increase in microcephaly cases in Gabon.
- To explore the possibility of Zika virus (ZIKV) infection as a contributing factor.
Main Methods:
- Retrospective analysis of febrile illness and microcephaly case data from Gabon in 2007.
- Epidemiological investigation of the outbreak.
- Possible serological or molecular testing for ZIKV (details not provided in abstract).
Main Results:
- An increase in microcephaly cases was observed following the 2007 outbreak.
- Evidence suggests a possible link between the febrile illness and the observed microcephaly cases.
- The findings raise the possibility of ZIKV infection playing a role.
Conclusions:
- The 2007 outbreak in Gabon provides preliminary evidence for a potential association between Zika virus (ZIKV) and microcephaly.
- Further research is warranted to confirm ZIKV as a cause of microcephaly in this context.
- This study highlights the importance of continued surveillance for ZIKV and related congenital abnormalities.


