Prevalence of individual brain and eye defects potentially related to Zika virus in pregnancy in 22 U.S. states and territories, January 2016 to June 2017

During the Centers for Disease Control and Prevention's Zika Virus Response, birth defects surveillance programs adapted to monitor birth defects potentially related to Zika virus (ZIKV) infection during pregnancy. Pregnancy outcomes occurring during January 2016 to June 2017 in 22 U.S. states...

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Veröffentlicht in:Birth defects research 2022-08, Vol.114 (14), p.805-811
Hauptverfasser: Delaney, Augustina, Olson, Samantha M., Roth, Nicole M., Cragan, Janet D., Godfred‐Cato, Shana, Smoots, Ashley N., Fornoff, Jane, Nestoridi, Eirini, Eckert, Valorie, Forkner, Allison, Stolz, Amanda, Crawford, Katherine, Cho, Sook Ja, Elmore, Amanda, Langlois, Peter, Nance, Amy, Denson, Lindsay, Forestieri, Nina, Leedom, Vinita O., Tran, Tri, Valencia‐Prado, Miguel, Romitti, Paul, Barton, Jerusha E., St. John, Kristen, Mann, Sylvia, Orantes, Lucia, DeWilde, Leah, Tong, Van T., Gilboa, Suzanne M., Moore, Cynthia A., Honein, Margaret A.
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container_end_page 811
container_issue 14
container_start_page 805
container_title Birth defects research
container_volume 114
creator Delaney, Augustina
Olson, Samantha M.
Roth, Nicole M.
Cragan, Janet D.
Godfred‐Cato, Shana
Smoots, Ashley N.
Fornoff, Jane
Nestoridi, Eirini
Eckert, Valorie
Forkner, Allison
Stolz, Amanda
Crawford, Katherine
Cho, Sook Ja
Elmore, Amanda
Langlois, Peter
Nance, Amy
Denson, Lindsay
Forestieri, Nina
Leedom, Vinita O.
Tran, Tri
Valencia‐Prado, Miguel
Romitti, Paul
Barton, Jerusha E.
St. John, Kristen
Mann, Sylvia
Orantes, Lucia
DeWilde, Leah
Tong, Van T.
Gilboa, Suzanne M.
Moore, Cynthia A.
Honein, Margaret A.
description During the Centers for Disease Control and Prevention's Zika Virus Response, birth defects surveillance programs adapted to monitor birth defects potentially related to Zika virus (ZIKV) infection during pregnancy. Pregnancy outcomes occurring during January 2016 to June 2017 in 22 U.S. states and territories were used to estimate the prevalence of those brain and eye defects potentially related to ZIKV. Jurisdictions were divided into three groups: areas with widespread ZIKV transmission, areas with limited local ZIKV transmission, and areas without local ZIKV transmission. Prevalence estimates for selected brain and eye defects and microcephaly per 10,000 live births were estimated. Prevalence ratios (PRs) and 95% confidence intervals (CIs) were estimated using Poisson regression for areas with widespread and limited ZIKV transmission compared with areas without local ZIKV transmission. Defects with significantly higher prevalence in areas of widespread transmission were pooled, and PRs were calculated by quarter, comparing subsequent quarters to the first quarter (January–March 2016). Nine defects had significantly higher prevalence in areas of widespread transmission. The highest PRs were seen in intracranial calcifications (PR = 12.6, 95% CI [7.4, 21.3]), chorioretinal abnormalities (12.5 [7.1, 22.3]), brainstem abnormalities (9.3 [4.7, 18.4]), and cerebral/cortical atrophy (6.7 [4.2, 10.8]). The PR of the nine pooled defects was significantly higher in three quarters in areas with widespread transmission. The largest difference in prevalence was observed for defects consistently reported in infants with congenital ZIKV infection. Birth defects surveillance programs could consider monitoring a subset of birth defects potentially related to ZIKV in pregnancy.
doi_str_mv 10.1002/bdr2.2067
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Pregnancy outcomes occurring during January 2016 to June 2017 in 22 U.S. states and territories were used to estimate the prevalence of those brain and eye defects potentially related to ZIKV. Jurisdictions were divided into three groups: areas with widespread ZIKV transmission, areas with limited local ZIKV transmission, and areas without local ZIKV transmission. Prevalence estimates for selected brain and eye defects and microcephaly per 10,000 live births were estimated. Prevalence ratios (PRs) and 95% confidence intervals (CIs) were estimated using Poisson regression for areas with widespread and limited ZIKV transmission compared with areas without local ZIKV transmission. Defects with significantly higher prevalence in areas of widespread transmission were pooled, and PRs were calculated by quarter, comparing subsequent quarters to the first quarter (January–March 2016). Nine defects had significantly higher prevalence in areas of widespread transmission. The highest PRs were seen in intracranial calcifications (PR = 12.6, 95% CI [7.4, 21.3]), chorioretinal abnormalities (12.5 [7.1, 22.3]), brainstem abnormalities (9.3 [4.7, 18.4]), and cerebral/cortical atrophy (6.7 [4.2, 10.8]). The PR of the nine pooled defects was significantly higher in three quarters in areas with widespread transmission. The largest difference in prevalence was observed for defects consistently reported in infants with congenital ZIKV infection. 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Pregnancy outcomes occurring during January 2016 to June 2017 in 22 U.S. states and territories were used to estimate the prevalence of those brain and eye defects potentially related to ZIKV. Jurisdictions were divided into three groups: areas with widespread ZIKV transmission, areas with limited local ZIKV transmission, and areas without local ZIKV transmission. Prevalence estimates for selected brain and eye defects and microcephaly per 10,000 live births were estimated. Prevalence ratios (PRs) and 95% confidence intervals (CIs) were estimated using Poisson regression for areas with widespread and limited ZIKV transmission compared with areas without local ZIKV transmission. Defects with significantly higher prevalence in areas of widespread transmission were pooled, and PRs were calculated by quarter, comparing subsequent quarters to the first quarter (January–March 2016). Nine defects had significantly higher prevalence in areas of widespread transmission. The highest PRs were seen in intracranial calcifications (PR = 12.6, 95% CI [7.4, 21.3]), chorioretinal abnormalities (12.5 [7.1, 22.3]), brainstem abnormalities (9.3 [4.7, 18.4]), and cerebral/cortical atrophy (6.7 [4.2, 10.8]). The PR of the nine pooled defects was significantly higher in three quarters in areas with widespread transmission. The largest difference in prevalence was observed for defects consistently reported in infants with congenital ZIKV infection. Birth defects surveillance programs could consider monitoring a subset of birth defects potentially related to ZIKV in pregnancy.</description><subject>birth defects</subject><subject>Brain - abnormalities</subject><subject>Brain - virology</subject><subject>Congenital Abnormalities - epidemiology</subject><subject>Congenital Abnormalities - virology</subject><subject>congenital Zika syndrome</subject><subject>Eye Abnormalities - epidemiology</subject><subject>Eye Abnormalities - virology</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Microcephaly</subject><subject>population surveillance</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Infectious - epidemiology</subject><subject>Prevalence</subject><subject>Zika Virus</subject><subject>Zika virus infection</subject><subject>Zika Virus Infection - complications</subject><subject>Zika Virus Infection - congenital</subject><subject>Zika Virus Infection - epidemiology</subject><issn>2472-1727</issn><issn>2472-1727</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc9O3DAQhy3UChDlwAsgX5G6iz3exJtTxb_SIiSqFi5crIk9oW6Ds7KTRbn1yjvwdDxJE7YgOFQ-jEfz-bOtH2M7UkylELBfughTELleY5sw0zCRGvS7V_sNtp3SLyGEnIPUar7ONlRWiLwo5pvs4VukJdYULPGm4j44v_Suw5qXEX3gGBynnrijimyb-KJpKbQe67rnkWpsyfG24df-N_Klj10aFHwR6SZgsP3YADz-ub-a_pjy1A54elK2FKNvm-gpfeRnGDqMPQch81F21gUaG_2Bva-wTrT9r26xq88nl0dfJucXp1-PDs4ndiZzPUGHiqyTlbZK55nFClShK8w0gCqdLSsgcLlCrUsYlsizbJZRNoNCSgdObbFPK--iK2_J2eGHEWuziP52eJdp0Ju3k-B_mptmaaRQhZxrNRj2VgYbm5QiVS-HpTBjTGaMyYwxDezu69teyOdQBmB_Bdz5mvr_m8zh8Xd4Uv4Fe06e6A</recordid><startdate>20220815</startdate><enddate>20220815</enddate><creator>Delaney, Augustina</creator><creator>Olson, Samantha M.</creator><creator>Roth, Nicole M.</creator><creator>Cragan, Janet D.</creator><creator>Godfred‐Cato, Shana</creator><creator>Smoots, Ashley N.</creator><creator>Fornoff, Jane</creator><creator>Nestoridi, Eirini</creator><creator>Eckert, Valorie</creator><creator>Forkner, Allison</creator><creator>Stolz, Amanda</creator><creator>Crawford, Katherine</creator><creator>Cho, Sook Ja</creator><creator>Elmore, Amanda</creator><creator>Langlois, Peter</creator><creator>Nance, Amy</creator><creator>Denson, Lindsay</creator><creator>Forestieri, Nina</creator><creator>Leedom, Vinita O.</creator><creator>Tran, Tri</creator><creator>Valencia‐Prado, Miguel</creator><creator>Romitti, Paul</creator><creator>Barton, Jerusha E.</creator><creator>St. John, Kristen</creator><creator>Mann, Sylvia</creator><creator>Orantes, Lucia</creator><creator>DeWilde, Leah</creator><creator>Tong, Van T.</creator><creator>Gilboa, Suzanne M.</creator><creator>Moore, Cynthia A.</creator><creator>Honein, Margaret A.</creator><general>John Wiley &amp; Sons, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-6765-4963</orcidid><orcidid>https://orcid.org/0000-0003-4224-2692</orcidid><orcidid>https://orcid.org/0000-0002-4106-0953</orcidid><orcidid>https://orcid.org/0000-0002-6279-5561</orcidid><orcidid>https://orcid.org/0000-0001-5393-9984</orcidid><orcidid>https://orcid.org/0000-0003-2627-7756</orcidid><orcidid>https://orcid.org/0000-0003-0589-5766</orcidid><orcidid>https://orcid.org/0000-0002-4326-890X</orcidid><orcidid>https://orcid.org/0000-0001-7894-0279</orcidid></search><sort><creationdate>20220815</creationdate><title>Prevalence of individual brain and eye defects potentially related to Zika virus in pregnancy in 22 U.S. states and territories, January 2016 to June 2017</title><author>Delaney, Augustina ; Olson, Samantha M. ; Roth, Nicole M. ; Cragan, Janet D. ; Godfred‐Cato, Shana ; Smoots, Ashley N. ; Fornoff, Jane ; Nestoridi, Eirini ; Eckert, Valorie ; Forkner, Allison ; Stolz, Amanda ; Crawford, Katherine ; Cho, Sook Ja ; Elmore, Amanda ; Langlois, Peter ; Nance, Amy ; Denson, Lindsay ; Forestieri, Nina ; Leedom, Vinita O. ; Tran, Tri ; Valencia‐Prado, Miguel ; Romitti, Paul ; Barton, Jerusha E. ; St. John, Kristen ; Mann, Sylvia ; Orantes, Lucia ; DeWilde, Leah ; Tong, Van T. ; Gilboa, Suzanne M. ; Moore, Cynthia A. ; Honein, Margaret A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4167-ada3ecd1f7c3765caf2397fa57223bdcbf2e2d63a77b2b2b065545e542911d2d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>birth defects</topic><topic>Brain - 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Pregnancy outcomes occurring during January 2016 to June 2017 in 22 U.S. states and territories were used to estimate the prevalence of those brain and eye defects potentially related to ZIKV. Jurisdictions were divided into three groups: areas with widespread ZIKV transmission, areas with limited local ZIKV transmission, and areas without local ZIKV transmission. Prevalence estimates for selected brain and eye defects and microcephaly per 10,000 live births were estimated. Prevalence ratios (PRs) and 95% confidence intervals (CIs) were estimated using Poisson regression for areas with widespread and limited ZIKV transmission compared with areas without local ZIKV transmission. Defects with significantly higher prevalence in areas of widespread transmission were pooled, and PRs were calculated by quarter, comparing subsequent quarters to the first quarter (January–March 2016). Nine defects had significantly higher prevalence in areas of widespread transmission. 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ispartof Birth defects research, 2022-08, Vol.114 (14), p.805-811
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects birth defects
Brain - abnormalities
Brain - virology
Congenital Abnormalities - epidemiology
Congenital Abnormalities - virology
congenital Zika syndrome
Eye Abnormalities - epidemiology
Eye Abnormalities - virology
Female
Humans
Infant
Microcephaly
population surveillance
Pregnancy
Pregnancy Complications, Infectious - epidemiology
Prevalence
Zika Virus
Zika virus infection
Zika Virus Infection - complications
Zika Virus Infection - congenital
Zika Virus Infection - epidemiology
title Prevalence of individual brain and eye defects potentially related to Zika virus in pregnancy in 22 U.S. states and territories, January 2016 to June 2017
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