A Slow and Steady Spread

Microcephaly has slowly crept up on Angola, concentrated in the same lower-income suburbs that were hotspots during the country’s yellow fever outbreak, according to a WHO roundup.

A link to congenital Zika syndrome is not air-tight, but 7 microcephaly cases uncovered in September 2017 were likely to have been contracted as early as May and June 2017; by November 29, reported cases were up to 42.

Angola’s health ministry is quickly updating its Zika response plan to ramp up detection and research, but with lab confirmation lacking and active surveillance relatively recent: “The true magnitude of this event is not well understood.”

WHO

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