Research by scientists in Brazil indicates that a mosquito more common than the one primarily known to transmit Zika infections may possibly be able to carry the virus, a development that could further complicate efforts to limit its spread.
Aedes aegypti mosquitoes are seen inside Oxitec laboratory in Campinas, Brazil, February 2, 2016. Picture taken February 2, 2016.
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The mosquito species Aedes aegypti has been identified as the main transmitter of Zika infections, which have been linked to thousands of birth defects as the virus spreads rapidly in Brazil and other countries in Latin America and the Caribbean.
But the scientists in Brazil announced on Wednesday that they were able to infect another species, Culex quinquefasciatus, with the virus in a laboratory, raising concerns that Zika could be carried by a species more prevalent than Aedes aegypti. They said much more research is needed to learn whether the Culex mosquitoes can transmit Zika infections.
In Brazil, Culex quinquefasciatus is 20 times more common than Aedes aegypti, the researchers said.
The research, conducted by scientists at the government-funded Oswaldo Cruz Foundation in the northeastern city of Recife, is part of an ongoing trial in which researchers injected 200 of the Culex quinquefasciatus mosquitoes with rabbit blood infected by Zika.
The virus, they said, circulated through the mosquitoes' bodies and into their salivary glands, meaning they might be able to transmit a Zika infection by biting a person.
"We saw an ease of infection and an ease of dissemination of the virus to the salivary glands," Constancia Ayres, the lead scientist in the study, told Globo, Brazil's leading television network.
Public health authorities have cited Aedes aegypti as the mosquito overwhelming responsible for spreading Zika, with another species of the same genus, Aedes albopictus, also transmitting the virus in smaller numbers.
There has been evidence about other mosquitoes linked to Zika. For example, researchers have found more than 20 mosquito species carrying the virus in Africa, although it was unclear whether they all transmit the disease effectively to humans.
MOSQUITOES IN THE WILD
The Brazilian research has yet to be published in a scientific journal or reviewed by scientific peers elsewhere.
The foundation said more work was needed to determine whether Culex mosquitoes in the wild already are carrying the virus as well as whether they can transmit Zika infections.
Foundation spokeswoman Fabiola Tavares on Thursday said the researchers, who will begin capturing Culex mosquitoes in areas near Recife where the virus is known to be circulating, will now proceed toward answering those questions. The additional research could take up to eight months, Tavares added.
If a mosquito besides Aedes aegypti were found to transmit Zika infections in large numbers, it could make it more difficult to contain the current Zika outbreak that the World Health Organization last month declared a global public health emergency.
Much remains unknown about Zika, including whether the virus actually causes microcephaly in babies, a condition defined by unusually small heads that can result in developmental problems.
Brazil said it has confirmed more than 640 cases of microcephaly, and considers most of them to be related to Zika infections in the mothers. Brazil is investigating more than 4,200 additional suspected cases of microcephaly.
Traces of Zika virus have been found in the bodily fluids and tissue of mothers and babies affected by microcephaly.
Culex quinquefasciatus also exists in more temperate climes, such as the southern United States, where it is known to carry the West Nile virus, and can survive winters. Unlike Aedes aegypti, Culex quinquefasciatus could keep a virus in circulation during cold months.
Though the Culex mosquitoes prefer to feed on the blood of birds, they also commonly bite humans, especially in rural areas. That means that targeted pesticide use and other mosquito control efforts for that species, which rests in trees and other high areas, would need to be different from those for Aedes aegypti, which rests in low spots, often indoors.
"You can't spray up high the way you can around buildings," said Grayson Brown, director of the University of Kentucky's public health entomology laboratory who was not involved in the Oswaldo Cruz Foundation research.
If Culex mosquitoes were indeed proven to transmit Zika, Brown said, "it would really complicate the public health issue."
Cuba reports first case of imported Zika virus
Cuba's Public Health Ministry (Minsap) reported on Wednesday the country's first case of Zika virus detected in a visiting Venezuelan doctor who is pursuing a graduate degree in gastroenterology there.
According to the official statement, the 28-year-old doctor arrived in Cuba on Feb. 21 from Aragua, Venezuela, and is staying at a student residence in Cuba's Artemisa province, near Havana.
The woman and 37 other doctors are under epidemiological surveillance, as part of the country's health measures.
The patient began to show symptoms the day after arriving, including mild fever of 37.5 degrees Celsius. The next night, a rash broke out on her face and upper body, and she suffered from some joint pain. She was hospitalized on Feb. 24 at the Pedro Kouri Institute of Tropical Medicine, where she still remains.
However, since testing positive on Feb. 29, the doctor appears to be recovering from her symptoms, with the rash disappearing, said the ministry.
Her husband had been diagnosed with Zika two months ago, and her brother-in-law came down with the mosquito-borne disease two weeks before her trip.
Zika is not considered contagious, though there have been several suspected cases of sexual transmission. It has also been linked to brain deformities in the fetus and a form of temporary paralysis known as Guillain-Barre syndrome.
Since first being reported in Brazil in the second half of 2015, Zika has spread rapidly throughout Latin America, but Cuba had so far been spared.
Known for its world-class public health system, Cuba has traditionally taken a preventive approach to similar threats. Despite having no endemic cases of Zika, the government mobilized 9,000 soldiers and 200 police officers in its campaign to locate and destroy the potential breeding grounds of the Aedes aegypti mosquito that transmits Zika, as well as dengue and Chikunguya.
Reuters/ Xinhuanet