{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:04:55Z","timestamp":1777907095025,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2016,7,1]],"date-time":"2016-07-01T00:00:00Z","timestamp":1467331200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:p>Since the first cases of Zika were identified and reported in Brazil, the magnitude and consequences of the outbreak in the Americas have increased tremendously, leading the World Health Organization to consider Zika and its link with clusters of microcephaly a Public Health Emergency of International Concern. Only a previous large outbreak in French Polynesia was known and no neurological anomalies have been reported. Differences in African and Asian lineage and differences in genetic evolution of the Zika virus may possibly provide an explanation for the development of the recent outbreaks and their variable presentation. However, the similar clinical presentation between Zika and other diseases like Dengue and Chikungunya can support that Zika has been circulating and spreading inadvertently. This hypothesis gains strength when rates of laboratory confirmation diagnosis for Dengue are observed in Brazil and Colombia, two of the most affected countries by Zika virus (ZIKV) infection.<\/jats:p>\n                  <jats:p>The lack of attention and resources on neglected diseases supposes a huge risk that new lethal pathogens camouflage themselves to spread into large areas and populations.<\/jats:p>","DOI":"10.1177\/0049475516656101","type":"journal-article","created":{"date-parts":[[2016,7,7]],"date-time":"2016-07-07T02:57:32Z","timestamp":1467860252000},"page":"159-165","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Zika virus infection and once again the risk from other neglected diseases"],"prefix":"10.1177","volume":"46","author":[{"given":"Pedro","family":"Porrino","sequence":"first","affiliation":[{"name":"Medical Doctor; specialist in Tropical Medicine; Health Coordinator and Head of Mission, Doctors of The World"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,7,6]]},"reference":[{"key":"bibr1-0049475516656101","volume-title":"WHO Director-General summarizes the outcome of the Emergency Committee regarding clusters of microcephaly and Guillain-Barr\u00e9 syndrome","author":"World Health Organization","year":"2016"},{"key":"bibr2-0049475516656101","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)00273-7"},{"key":"bibr3-0049475516656101","doi-asserted-by":"crossref","unstructured":"Kindhauser MK, Allen T, Frank V, et\u00a0al. Zika: the origin and spread of a mosquito-borne virus [Submitted].\n                      Bull World Health Organ\n                      2016. DOI: http:\/\/dx.doi.org\/10.2471\/BLT.16.171082.","DOI":"10.2471\/BLT.16.171082"},{"key":"bibr4-0049475516656101","doi-asserted-by":"crossref","unstructured":"Cauchemez S, Besnard M, Bompard P, et\u00a0al. Association between Zika virus and microcephaly in French Polynesia, 2013\u201315: a retrospective study.\n                      Lancet\n                      2016. DOI: http:\/\/dx.doi.org\/10.1016\/S0140-6736(16)00651-6.","DOI":"10.1097\/01.ogx.0000491260.72445.aa"},{"key":"bibr5-0049475516656101","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsr1604338"},{"key":"bibr6-0049475516656101","doi-asserted-by":"crossref","unstructured":"Johansson MA, Romero LM, Reefhuis J, et\u00a0al. Risk estimates for microcephaly related to Zika virus infection-from French Polynesia to Bahia, Brazil. DOI: http:\/\/dx.doi.org\/10.1101\/051060.","DOI":"10.1101\/051060"},{"key":"bibr7-0049475516656101","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1600651"},{"key":"bibr8-0049475516656101","doi-asserted-by":"publisher","DOI":"10.1016\/j.stem.2016.02.016"},{"key":"bibr9-0049475516656101","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0805715"},{"key":"bibr10-0049475516656101","doi-asserted-by":"publisher","DOI":"10.1016\/j.chom.2016.04.006"},{"key":"bibr11-0049475516656101","volume-title":"Dengue: Guidelines for Diagnosis, Treatment, Prevention and Control","author":"World Health Organization","year":"2009"},{"key":"bibr12-0049475516656101","volume-title":"Dengue virus infections 2015 Case Definition","author":"Centers for Disease Control and Prevention","year":"2015"},{"key":"bibr13-0049475516656101","volume-title":"Arboviral diseases, neuroinvansive and non-neuroinvansive 2015 Case Definition","author":"Centers for Disease Control and Prevention","year":"2015"},{"key":"bibr14-0049475516656101","volume-title":"Chikungunya Fact Sheet","author":"World Health Organization","year":"2016"},{"key":"bibr15-0049475516656101","volume-title":"Confirma\u00e7\u00e3o do Zika V\u00edrus no Brasil [Internet]","author":"Minist\u00e9rio da Sa\u00fade (Brazil)","year":"2015"},{"key":"bibr16-0049475516656101","volume-title":"Zika virus infection","author":"Pan American Health Organization, World Health Organization, Regional Office for the Americas","year":"2015"},{"key":"bibr17-0049475516656101","unstructured":"Instituto Nacional de Salud de Colombia, Direcci\u00f3n de Vigilancia y An\u00e1lisis del Riesgo en Salud P\u00fablica; Bolet\u00edn Epidemiol\u00f3gico Semanal; Semana epidemiol\u00f3gica n\u00famero 43 de 2015 (25 Oct.\u2009\u2013\u200931 Oct.)."},{"key":"bibr18-0049475516656101","unstructured":"Instituto Nacional de Salud de Colombia, Direcci\u00f3n de Vigilancia y An\u00e1lisis del Riesgo en Salud P\u00fablica; Bolet\u00edn Epidemiol\u00f3gico Semanal; Semana epidemiol\u00f3gica n\u00famero 52 de 2015 (27 dic.\u2009\u2013\u20092 ene.)."},{"key":"bibr19-0049475516656101","unstructured":"Instituto Nacional de Salud de Colombia, Direcci\u00f3n de Vigilancia y An\u00e1lisis del Riesgo en Salud P\u00fablica; Bolet\u00edn Epidemiol\u00f3gico Semanal; Semana epidemiol\u00f3gica n\u00famero 40 de 2015 (04 Oct.\u2009\u2013\u200910 Oct.)."},{"key":"bibr20-0049475516656101","first-page":"107","volume":"20","author":"Franco L","year":"2015","journal-title":"Tropical Medicine & International Health"},{"key":"bibr21-0049475516656101","first-page":"1349","volume":"17","author":"Amarasinghe A","year":"2011","journal-title":"Emerg Infect Dis"},{"key":"bibr22-0049475516656101","doi-asserted-by":"publisher","DOI":"10.3201\/eid2010.140487"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475516656101","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0049475516656101","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475516656101","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:30:05Z","timestamp":1777642205000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0049475516656101"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7]]},"references-count":22,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2016,7]]}},"alternative-id":["10.1177\/0049475516656101"],"URL":"https:\/\/doi.org\/10.1177\/0049475516656101","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,7]]}}}