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K Swaby

Trends of Microcephaly and Severe Arthrogryposis in Three Urban Hospitals following the Zika, Chikungunya and Dengue Fever Epidemics of 2016 in Jamaica

Issue: 
DOI: 
10.7727/wimj.2017.124
Pages: 
10–9
Synopsis: 
Newborns with the characteristics of congenital syndrome associated with Zika virus (CSAZ) are being born in urban hospitals after the 2016 Zika virus epidemic in Jamaica. Phenotypic features include microcephaly, craniofacial disproportion, neuro-imaging and neuro-pathological findings and arthrogryposis. A trend towards babies being delivered with small head circumferences, but not yet in the range of microcephaly and others with normal head sizes who were born to women who were symptomatic in pregnancy is also being observed. While, most babies with probable CSAZ are being born to asymptomatic women who did not report any symptoms related to arbovirus illness in pregnancy. Diagnosis is challenged by serological cross-reactivity between circulating flaviviruses. Team management is multidisciplinary to maximize the neuro-developmental potential of this vulnerable patient population.
ABSTRACT
 
Introduction: Jamaica experienced its maiden Zika virus (ZIKV) epidemic in 2016, while dengue (serotypes 3 and 4) and chikungunya were also circulating.
 
Aim: We describe initial trends in microcephaly and arthrogryposis observed by the clinicians from three urban birthing facilities during late 2016 to early 2017.
Accepted: 
12 Jun, 2017
PDF Attachment: 
Journal Sections: 
e-Published: 12 Jun, 2017

Burden of Paediatric Sepsis in a Tertiary Centre from a Developing Country

Issue: 
DOI: 
10.7727/wimj.2017.040
Pages: 
137-42
Synopsis: 
This study estimated the case fatality rate of doctor diagnosed pediatric sepsis using administrative data. There was a high (13%) overall case fatality rate from doctor diagnosed pediatric sepsis during the five-year period studied.

ABSTRACT

Background: Sepsis causes significant pediatric morbidity and mortality in developing countries. This audit describes the outcome of pediatric sepsis in the University Hospital of the West Indies (UHWI), Jamaica using administrative data from hospital records during 2010 to 2014.

Revised: 
04 Jun, 2018
Accepted: 
21 Mar, 2017
PDF Attachment: 
Journal Sections: 
e-Published: 22 Mar, 2017
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