Indonesia outbreak
Seven people are reported with Zika virus in Indonesia. A subsequent study indicates that 9/71 (13%) human volunteers in Lombok, Indonesia, have a neutralizing antibody to the virus. Symptoms include fever, anorexia, diarrhea, constipation, abdominal pain, and dizziness.
Yap outbreak
An outbreak of illness characterized by rash, arthralgia, and conjunctivitis is reported on Yap Island in the Federated States of Micronesia. Serum samples from patients in the acute phase of illness contained RNA of Zika virus. This is the first time Zika has spread outside its usual geographic range. Symptoms noticed are: rash, conjunctivitis, and arthralgia (joint pain).
French Polynesia outbreak
The Zika virus races through the many islands of French Polynesia, including Tahiti and Bora Bora. In early 2014, it moves to the Cook Islands, just to the west, and New Caledonia, close to Australia. It also leapt to Easter Island, home of the giant stone heads, officially arrival in the Western Hemisphere.
Virus spreads in Brazil
Shortly after the 2014 World Cup, doctors start to notice patients trickling into public hospitals in Natal, capital of the state of Rio Grande do Norte, about 200 miles up the coast from Recife. Natal had been one of the host cities of the soccer championship, which draws fans from all over the world. A second theory, proposed by French scientists, who had investigated the outbreak in Polynesia, was that it arrived a few weeks later, during the Va’a World Sprint, a canoe race in Rio that attracted teams from several Polynesian islands. Almost all victims had the same symptoms: a flat pinkish rash, bloodshot eyes, fever, joint pain and headaches. None were desperately ill, but the similarities were striking. Local epidemiologist:
That scared some patients and doctors, and my team. We knew nothing other than that it might be some kind of light dengue.
In January, 100 infected people show up at the state’s hospitals in one day. Infectious disease specialist:
We alerted the federal authorities that we were dealing with something urgent and new. But their reaction was sluggish.