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Public Health Thought Leadership Dialogue with Professor Peter Piot, 22nd Feb 2016, NUS School of Public Health, with Professor Peter Piot on Outbreak Preparedness

Professor Peter Piot is currently the Director of the London School of Hygiene and Tropical Medicine. He is also the Chair of the UK MRC Global Health Group and a member of the MRC Strategy Board. He became a medical doctor in 1974 and became the co-discover of the Ebola virus just two years later. He was also the founding Executive Director of UNAIDS and Under Secretary-General of the United Nations from 1995 until 2008.

Fig5_el_nino_hotspots1

Elevated Risk Areas for Disease Outbreaks 2014-2015

WHO Global Strategy for Dengue Prevention and Control 2012-2020

Zika Outbreak, source: http://www.channelnewsasia.com/tv/tvshows/groundzero/zika-outbreak/2547514.html

Closest evidence of child head/brain damage from zika infection in the first trimester of pregnancy

U.S. details 9 Zika pregnancies: 2 abortions, 2 miscarriages, 1 baby with ‘severe microcephaly’

Jannelissa Santana, 37 weeks pregnant, stands next to a flier explaining Zika, Dengue and Chikungunya prevention at a public hospital in San Juan on Feb. 3. (Alvin Baez/Reuters)

At least two pregnant women in the United States infected with the Zika virus have chosen to have abortions in recent months, the Centers for Disease Control and Prevention reported Friday, while two others have suffered miscarriages. One woman gave birth to an infant with serious birth defects, while two others delivered healthy infants. Two are still pregnant.

The varied outcomes of nine pregnant U.S. women the agency has identified with Zika, as well as the hundreds of U.S. women that have sought out tests for the virus, underscore the angst and uncertainty that the diseases is causing as it spreads through much of the Americas, particularly when it comes to worries over severe birth defects associated with illness.

Everything you ever wanted to know about the Zika virus and its spread across North and South America. (Daron Taylor,Claritza Jimenez/The Washington Post)

One of the women who had an abortion was in her 30s and had contracted the virus during her first trimester while traveling to a Zika-affected area, the agency said. When she was 20 weeks pregnant, she learned from an ultrasound that her fetus was suffering from severe brain abnormalities. Doctors also tested her amniotic fluid and found the presence of Zika virus. “After discussion with her health-care providers, the patient elected to terminate her pregnancy,” the CDC wrote in a case study released Friday. Officials did not offer details surrounding the second abortion, other than to say it involved another woman who had become infected with Zika during the first trimester of her pregnancy.

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