Situation Report #11: Zika in Federated States of Micronesia (Sep. 27, 2016)
On March 15, 2016 Kosrae State was notified of its first confirmed case of Zika. Since Feb 2016 there have been 11 confirmed cases and 4 probable cases of Zika disease in Kosrae.
-Onset dates of first 3 confirmed (PCR+) cases: 02/23/2016, 03/17/2016, 3/19/2016. Ages (and sex): 49 (F), 8 (F), 37 (F). None with a travel history.
-117 other suspect cases identified since enhanced Zika surveillance began on 02/10/2016 when Marshall Islands reported a confirmed case.
Case Definition (updated)
Suspect: Rash AND/OR Fever AND any: retro-orbital pain, arthritis, non-purulent conjunctivitis, red eyes, body aches, edema, headache or malaise
Probable: Suspect case with presence of IgM antibody against Zika virus and an epidemiological link
Confirmed: Meets suspect case definition with lab confirmation:
Zika RNA/antigen or IgM+ with Zika PRNT90 titre ≥20, ratio ≥4
General Case Counts
Total Cases: 132
Confirmed Cases: 11
Probable Cases: 4
Suspect Cases: 117
Median Age: 21 Yrs
Age Range: <1-75 Yrs
Percent Female: 52%
Pregnant Cases: 6