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pane-node-title" id="bmj-resources-disclaimer-pane" > <div class="pane-content"> <h1>Zika virus – All BMJ resources are freely available</h1> </div> </div> <div class="panel-separator"></div><div class="panel-pane pane-node-body" > <div class="pane-content"> <div class="field field-name-body field-type-text-with-summary field-label-hidden"><div class="field-items"><div class="field-item even"><p>This page is a collection of free resources from across BMJ and elsewhere. It aims to inform clinicians about the global threat posed by the virus, and will be continuously updated as new information comes to light. It includes content in Chinese, Spanish, and <a href="#changepage">Brazilian Portugese</a>. </p> <h2>Most recent content</h2> <ul> <li><a href="https://www.bmj.com/content/363/bmj.k4766"> Assessment and initial management of acute undifferentiated fever in tropical and subtropical regions</a></li> <li><a href="https://www.bmj.com/content/363/bmj.k4431"> Maternal-fetal transmission and adverse perinatal outcomes in pregnant women infected with Zika virus: prospective cohort study in French Guiana</a></li> <li><a href="https://gh.bmj.com/content/3/5/e000862">What explains the lacklustre response to Zika in Brazil? Exploring institutional, economic and health system context</a></li> <li><a href="https://www.bmj.com/content/362/bmj.k4037">Mothers of Zika babies make a splash</a></li> <li><a href="https://www.bmj.com/content/362/bmj.k3477">One in seven children born to mothers who had Zika infection has health problems</a></li> <li><a href="https://bmjopen.bmj.com/content/8/7/e021304">Neurodevelopment of 24 children born in Brazil with congenital Zika syndrome in 2015: a case series study</a></li> <li><a href="https://pn.bmj.com/content/18/4/271">Zika virus infection in the returning traveller: what every neurologist should know</a></li> <li><a href="https://jech.bmj.com/content/72/4/269">Panic in a (Zika) hot zone</a></li> <li><a href="https://jnnp.bmj.com/content/89/10/1118">Acute-onset chronic inflammatory demyelinating polyneuropathy after Zika virus infection</a></li> <li><a href="http://www.bmj.com/content/359/bmj.j5018">Prevalence and clinical profile of microcephaly in South America pre-Zika, 2005-14</a></li> <li><a href="http://jme.bmj.com/content/early/2017/11/16/medethics-2017-104389">Ethics, health policy, and Zika: From emergency to global epidemic?</a></li> <li><a href="http://www.bmj.com/content/359/bmj.j4522">New cerebral findings in infants with congenital Zika syndrome</a></li> <li><a href="http://www.bmj.com/content/359/bmj.j4188">Follow-up brain imaging of 37 children with congenital Zika syndrome: case series study</a></li> <li><a href="http://bestpractice.bmj.com/best-practice/monograph/774.html">Assessment of maculopapular rash</a></li> <li><a href="http://dx.doi.org/10.1136/bmjgh-2017-000309">Assessing the population at risk of Zika virus in Asia – is the emergency really over?</a></li> <li><a href="http://dx.doi.org/10.1136/bmjgh-2017-000296">Zika pandemic online trends, incidence and health risk communication: a time trend study</a></li> <li><a href="http://jfprhc.bmj.com/content/43/1/80.2">Brazilian women avoiding pregnancy during Zika epidemic</a></li> <li><a href="http://bestpractice.bmj.com/best-practice/monograph/1302.html">Updated: BMJ Best Practice standard topic on Zika virus infection</a></li> <li><a href="http://sti.bmj.com/content/93/Suppl_2/A9.2"> A psychosocial evaluation of the zika virus: u.s. pregnant women’s knowledge and attitudes about prevention</a></li> <li><a href="http://www.bmj.com/content/357/bmj.j1447">Emerging and re-emerging infectious disease threats in South Asia: status, vulnerability, preparedness, and outlook</a></li> </ul> <h2>Zika virus research from BMJ</h2> <ul> <li><a href="https://www.bmj.com/content/363/bmj.k4431"> Maternal-fetal transmission and adverse perinatal outcomes in pregnant women infected with Zika virus: prospective cohort study in French Guiana</a></li> <li><a href="https://bmjopen.bmj.com/content/8/7/e021304">Neurodevelopment of 24 children born in Brazil with congenital Zika syndrome in 2015: a case series study</a></li> <li><a href="http://www.bmj.com/content/359/bmj.j5018">Prevalence and clinical profile of microcephaly in South America pre-Zika, 2005-14</a></li> <li><a href="http://sti.bmj.com/content/93/Suppl_2/A68.1"> Detection of zika virus and cytomegalovirus in cervical cytology samples of pregnant women from guayaquil, ecuador, using two real-time polymerase chain reaction (RT-PCR) molecular assays</a></li> <li><a href="http://gh.bmj.com/content/2/3/e000296?cpetoc">Zika pandemic online trends, incidence and health risk communication: a time trend study</a></li> <li><a href="http://www.bmj.com/content/354/bmj.i4721">Prevalence of microcephaly in Europe: population based study</a></li> <li><a href="http://www.bmj.com/content/354/bmj.i3899">Congenital Zika syndrome with arthrogryposis: retrospective case series study</a></li> <li><a href="http://www.bmj.com/content/353/bmj.i1901">Clinical features and neuroimaging (CT and MRI) findings in presumed Zika virus related congenital infection and microcephaly: retrospective case series study</a></li> </ul> <h2>Podcast from BMJ Talk Medicine</h2> <ul> <li><a href="https://soundcloud.com/bmjpodcasts/zika-virus-and-guillain-barre-syndrome-what-do-we-know?in=bmjpodcasts/sets/jnnp">Zika virus and Guillain-Barré Syndrome: what do we know?</a> <ul></p> </ul> <h2>Zika virus timeline of news and comment articles from <em>The BMJ.</em> December 2015-June 2017</h2> <iframe src='//cdn.knightlab.com/libs/timeline3/latest/embed/index.html?source=1AmklwWLXkO_XbmCqXt7Utuyxmep7ItMFMWLxuTHJ-IY&font=Default&lang=en&initial_zoom=2&height=650' width='100%' height='650' frameborder='0'></iframe><ul> <li><a href="http://www.bmj.com/specialties/zika-virus">Access all articles from <em>The BMJ</em> about Zika virus</a></li> </ul> </ul> <h2>Zika virus opinion and letters from <em>The BMJ</em></h2> <ul> <li><a href="http://www.bmj.com/content/357/bmj.j2657">Halting Zika’s resurgence with new rapid tests for the virus</a></li> <ul> <li><a href="http://blogs.bmj.com/bmj/2016/08/02/david-hughes-london-zika-and-the-rio-olympics/">London, Zika, and the Rio Olympics</a></li> <li><a href="http://blogs.bmj.com/bmj/2016/05/23/paul-hunter-zika-virus-would-be-able-to-spread-in-europe/">Zika virus would be able to spread in Europe</a></li> <li><a href="http://blogs.bmj.com/bmj/2016/05/23/paul-hunter-zika-virus-would-be-able-to-spread-in-europe/">Vector-borne diseases in Europe: far more than Zika virus</a></li> <li><a href="http://blogs.bmj.com/bmj/2016/02/24/liz-allen-how-ebola-and-zika-might-help-to-open-up-science/">How Ebola and Zika might help to open up science</a></li> <li><a href="http://blogs.bmj.com/jnnp/2016/04/21/zika-virus-and-neurological-disease-is-there-evidence-for-causality/">Zika virus and neurological disease: is there evidence for causality?</a></li> <li><a href="http://blogs.bmj.com/ebm/2016/01/29/primary-care-corner-with-geoffrey-modest-md-zika-virus/">Geoffrey Modest MD's <em>Evidence Based Medicine Journal</em> blog about Zika virus</a></li> </ul> <h2>Resources from BMJ translated into other languages</h2> <li><a href="http://www.bmj.com/content/353/bmj.i1847">Feature: Convicting Zika</a> SEE ALSO <a href="http://www.bmj.com/content/bmj/suppl/2016/05/09/bmj.i1847.DC1/bmj.i1847.pdf">Brazilian Portugese translation</a></li> <li><a href="http://www.bmj.com/content/352/bmj.i1062">Zika virus: management of infection and risk</a> SEE ALSO <a href="http://www.bmj.com/content/bmj/suppl/2016/03/22/bmj.i1062.DC1/bmj.i1062.pdf">Brazilian Portugese translation</a> AND <a href="http://learning.bmj.com/learning/module-intro/.html?moduleId=10056212&searchTerm=%E2%80%9Czika%E2%80%9D&page=1&locale=en_GB">linked BMJ Learning module</a></li> <li><a href="http://www.bmj.com/content/352/bmj.i1049">Clinical Review: Zika virus</a> SEE ALSO <a href="http://www.bmj.com/content/bmj/suppl/2016/03/22/352.feb26_5.i1049.DC1/bmj.i1049.pdf">Brazilian Portugese translation</a> AND <a href="http://learning.bmj.com/learning/module-intro/.html?moduleId=10056209&searchTerm=%E2%80%9Czika%E2%80%9D&page=1&locale=en_GB">linked BMJ Learning module</a></li> <li><a href="http://www.bmj.com/content/352/bmj.i1226">Feature: Brazil struggles to cope with Zika epidemic</a> SEE ALSO <a href="http://www.bmj.com/content/bmj/suppl/2016/03/14/bmj.i1226.DC1/henniganzika.ja.pdf">Brazilian Portugese translation</a></li> <li><a href="http://es.bestpractice.bmj.com/best-practice/monograph/1216.html">Visión general del virus del Zika/Zika virus topic in Spanish (from BMJ Best Practice)</a></li> <li><a href="http://china.bestpractice.bmj.com/best-practice/monograph/1216.html">Zika virus topic in Chinese (from BMJ Best Practice)</a></li> </ul> </div> </ul> <h2>See also:</h2> <ul> <li><a href="http://bestpractice.bmj.com/best-practice/pdf/patient-summaries/en-gb/846833.pdf">BMJ patient information leaflet about Zika virus</a></li> <li><a href="http://bestpractice.bmj.com/best-practice/monograph/1302.html">BMJ Best Practice standard topic on Zika virus infection</a></li> <li><a href="http://learning.bmj.com/learning/module-intro/add-seo-title.html?moduleId=10052729&searchTerm=%E2%80%9CMosquito%E2%80%9D&page=1&locale=en_GB">BMJ Learning therapeutics series module: Mosquito repellents for travellers</a></li> </ul> <p><a href="https://sandpit.bmj.com/graphics/2016/zika/index.html" style="color:#FFFFFF;"></p> <div style="background-color: #2A6EBB; width 200px; padding: 10px; border-radius: 5px; min-height: 90px;"> <img src="https://sandpit.bmj.com/graphics/2016/zika/img/zika-thumb.png" style="float: left; padding:5px; padding-right: 10px; height: 67px;"></p> <h2 style="color: #FFFFFF;">Zika: A clinical guide</h2> <p style="clear:both;">See a quick overview of the key facts, including countries affected, and advice on prevention, diagnosis and management of patients returning from outbreak areas.</p> </div> <p></a></p> <iframe width="100%" height="166" scrolling="no" frameborder="no" src="https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/249016722&color=ff5500&auto_play=false&hide_related=true&show_comments=false&show_user=true&show_reposts=false"></iframe><div style="background-color:#EEE; padding: 10px; border:1px solid #CCC; margin-top: 30px"> <h2>Questions your patients may have about Zika virus</h2> <div class="accordion-group"> <h2 class="pane-title"><span style="color:#0071b9;">I’m pregnant and have a holiday planned to Guadeloupe next month. Should I go?</span></h2> <div class="pane-content"> <p>Public Health England and the National Travel Health Network and Centre advise that women who are pregnant (any trimester) or who plan to become pregnant should consider avoiding travel to any area where active transmission of Zika virus is being reported (box).2 They say that if you can’t avoid travelling to one of these countries you should take great care to avoid mosquito bites.</p> </div> </div> <div class="accordion-group"> <h2 class="pane-title"><span style="color:#0071b9;">What anti-mosquito measures should I use?</span></h2> <div class="pane-content"> <p>The US Centers for Disease Control advises pregnant women to wear clothing that covers up as much of their body as possible (long sleeves, trousers, hat).3 It also advises travellers to use a good repellent on exposed skin during the day as well as at night and particularly during mid-morning and late afternoon to dusk, when the mosquito that transmits Zika is most active. Repellents that contain N, N-diethylmetatoluamide (DEET), picaridin, and IR3535 are all safe for pregnant women, provided that they follow the instructions, says the CDC.3 It says that if you need sunscreen you should apply repellent after sunscreen and should stay or sleep in a screened or air conditioned room or use a bed net.</p> </div> </div> <div class="accordion-group"> <h2 class="pane-title"><span style="color:#0071b9;">What are the symptoms of Zika virus infection?</span></h2> <div class="pane-content"> <p>Most people infected with the Zika virus will not get symptoms, and if they do these are usually mild. Symptoms can include fever, rash, itching, joint pain, headache, muscle pain, eye pain, and conjunctivitis.2 There is no specific treatment, but you can take paracetamol for a fever and to ease any joint pain. However, if you’re pregnant avoid aspirin and other non-steroidal anti-inflammatory drugs.3 If you’re pregnant and think you have been infected with the Zika virus you can be tested.</p> </div> </div> <div class="accordion-group"> <h2 class="pane-title"><span style="color:#0071b9;">I’m a man and have just returned from a business trip to Mexico. My wife is pregnant. Is it safe to have sex?</span></h2> <div class="pane-content"> <p>Most cases of Zika are acquired by mosquito bites, but the virus has been shown to be present in semen. The risk of sexual transmission of Zika is thought to be very low, but Public Health England advises men who have been in a country with Zika virus transmission to use a condom for 28 days.4 Men who have had an unexplained fever and rash that could have been caused by the Zika virus or have been told that they have Zika infection are advised to use a condom for six months.</p> </div> </div> <div class="accordion-group"> <h2 class="pane-title"><span style="color:#0071b9;">I’m pregnant and have recently returned from the Caribbean and I’m worried my baby could have microcephaly</span></h2> <div class="pane-content"> <p>The Royal College of Obstetricians and Gynaecologists advises that women who’ve had no symptoms or whose symptoms have resolved should be referred for ultrasonography, which can be repeated every four weeks.5 Women with symptoms indicating Zika virus infection should have samples sent to the Rare and Imported Pathogens Laboratory (clotted blood, an EDTA “purple top” blood, and a small volume of urine without preservative). Women who test negative should be referred for ultrasonography, which can be repeated every four weeks. Women who test positive should be referred for ultrasonography and to fetal medicine for follow-up.</p> </div> </div> <div class="accordion-group"> <h2 class="pane-title"><span style="color:#0071b9;">Is it true that you can get the Zika virus by kissing someone?</span></h2> <div class="pane-content"> <p>There have been reports of the Zika virus being detected in the urine and saliva of two patients in Brazil. But experts in the UK have emphasised that the Zika virus is spread by mosquitoes and that it is found mainly in the blood. This means that avoiding mosquito bites is the most important way of preventing infection with the Zika virus. Although some of the virus may find its way into other body fluids, such as urine and saliva, this will be in such small amounts that the chance of any of the virus finding its way into the bloodstream of another person is extremely low, said the experts.</p> </div> </div> <div class="accordion-group"> <h2 class="pane-title"><span style="color:#0071b9;">Does Zika virus infection cause Guillain-Barré syndrome (GBS)?</span></h2> <div class="pane-content"> <p>On 1 March 2016 a study in <em>The Lancet</em> of patients who developed Guillain-Barré syndrome during an outbreak of Zika virus in French Polynesia provided the first compelling evidence of a causative link between the virus and the syndrome.<br /> The researchers said that Zika virus should be added to the list of infectious pathogens that can cause Guillain-Barré syndrome. They warned that countries in Latin America affected by the current Zika epidemic should be prepared for an increase in the incidence of Guillain-Barré syndrome and ensure that they have enough intensive care beds. Find out more <a href="http://www.bmj.com/content/352/bmj.i1242">at this link.</a></p> </div> </div> </div> <p><a id="changepage"></p> <div style="background-color:#EEE; padding: 10px; border:1px solid #CCC; margin-top: 30px"> <h2>Dúvidas que seus pacientes podem ter sobre o vírus da Zika</h2> <div class="accordion-group"> <h2 class="pane-title"><span style="color:#0071b9;"><a id="changepage">Change page</a>Estou grávida e já tinha marcado para passar férias em Guadalupe no mês que vem. Devo manter os planos?</span></h2> <div class="pane-content"> <p>Segundo orientações da Public Health England e da National Travel Health Network and Centre, gestantes (em qualquer trimestre) e mulheres que planejam engravidar devem evitar viagens para qualquer área onde existam relatos de transmissão ativa da Zika. E, se não for possível evitar a viagem para um desses países, é necessário tomar um cuidado maior para evitar picadas de mosquito.</p> </div> </div> <div class="accordion-group"> <h2 class="pane-title"><span style="color:#0071b9;">Como posso me proteger do mosquito?</span></h2> <div class="pane-content"> <p>Os Centros de Controle e Prevenção de Doenças dos EUA orientam as gestantes a usarem roupas que cubram a maior parte possível do corpo (mangas longas, calça, chapéu). Outro conselho aos viajantes é usar um bom repelente na pele exposta tanto durante o dia quanto à noite – e especialmente no meio da manhã e do fim da tarde até o anoitecer, quando o mosquito que transmite a Zika está mais ativo. Segundo a agência, repelentes que contêm N, N-dimetil-meta-toluamida (DEET), picaridina e IR3535 são seguros para gestantes, desde que as instruções sejam seguidas. Além disso, se você precisar de proteção solar, aplique o repelente após o protetor. Permaneça ou durma em um quarto telado ou com ar condicionado ou, ainda, use um mosquiteiro.</p> </div> </div> <div class="accordion-group"> <h2 class="pane-title"><span style="color:#0071b9;">Quais são os sintomas da infecção pelo vírus da Zika?</span></h2> <div class="pane-content"> <p>A maioria das pessoas infectadas com o vírus da Zika é assintomática. Quando os sintomas aparecem, eles costumam ser muito leves. Entre os sintomas estão febre, erupção cutânea, coceira, dor nas articulações (artralgia), dor de cabeça, dores musculares, dores nos olhos e conjuntivite. Não existe tratamento específico, mas você pode tomar paracetamol para febre e para aliviar a dor nas articulações. Gestantes devem evitar aspirina e outros anti-inflamatórios não esteroidais. Se você estiver grávida e achar que foi infectada pelo vírus da Zika, poderá fazer um teste. </p> </div> </div> <div class="accordion-group"> <h2 class="pane-title"><span style="color:#0071b9;">Sou homem e acabei de voltar de uma viagem de negócios ao México. Minha esposa está grávida. É seguro ter relações sexuais? </span></h2> <div class="pane-content"> <p>A maioria dos casos de Zika é adquirida por picada de mosquito, mas já se observou presença do vírus no sêmen. Acredita-se que o risco de transmissão sexual da doença seja muito baixo, mas a Public Health England aconselha os homens que estiveram nos países onde a Zika está ativa a usar preservativos por 28 dias. Para homens que tiverem febre e erupção cutânea sem explicação (que poderiam ter sido causados pelo vírus da Zika) ou que tiverem recebido diagnóstico de vírus da Zika, a orientação é usar preservativo por seis meses.</p> </div> </div> <div class="accordion-group"> <h2 class="pane-title"><span style="color:#0071b9;">Estou grávida e acabei de voltar do Caribe. Estou com medo de o meu bebê ter microcefalia.</span></h2> <div class="pane-content"> <p>O Royal College of Obstetrics and Gynaecology, do Reino Unido, orienta que mulheres que não tiveram sintomas ou cujos sintomas tenham sido resolvidos façam uma ultrassonografia, repetida a cada quatro semanas. As amostras coletadas de mulheres com sintomas que sugiram infecção por Zika devem ser enviadas ao laboratório de patógenos raros e importados (sangue coagulado, tubo [de tampa roxa] com EDTA e um pequeno volume de urina sem conservantes). Caso o resultado do teste seja negativo, as mulheres deverão ser encaminhadas para uma ultrassonografia, que pode ser repetida a cada quatro semanas. Caso o resultado do teste seja positivo, as mulheres deverão ser encaminhadas para uma ultrassonografia e para acompanhamento pela medicina fetal.</p> </div> </div> <div class="accordion-group"> <h2 class="pane-title"><span style="color:#0071b9;">É verdade que o vírus da Zika é transmissível pelo beijo?</span></h2> <div class="pane-content"> <p>Houve relatos de detecção do vírus da Zika na urina e na saliva de dois pacientes no Brasil. Mas especialistas do Reino Unido enfatizaram que o vírus da Zika é transmitido por mosquitos e é encontrado principalmente no sangue. Isso significa que evitar picadas de mosquito é a principal forma de evitar infecção pelo vírus da Zika. Segundo os especialistas, embora alguns vírus possam ser transmitidos por outros fluidos corporais, como urina e saliva, a quantidade deles é tão pequena que a chance de algum vírus conseguir entrar na corrente sanguínea de outra pessoa é extremamente baixa.</p> </div> </div> <div class="accordion-group"> <h2 class="pane-title"><span style="color:#0071b9;">A infecção pelo vírus da Zika causa a síndrome de Guillain-Barré (SGB)?</span></h2> <div class="pane-content"> <p>No dia 1º de março, um estudo no <em>Lancet</em> com pacientes que desenvolveram a síndrome de Guillain-Barré durante um surto de vírus da Zika na Polinésia Francesa apresentou a primeira evidência convincente de uma relação causal entre o vírus e a síndrome.<br /> Os pesquisadores afirmaram que o vírus da Zika devia ser adicionado à lista de patógenos infecciosos que causam a síndrome de Guillain-Barré. Eles alertaram que os países da América Latina afetados pela atual epidemia de Zika devem estar preparados para um aumento na incidência da síndrome de Guillain-Barré, garantindo leitos suficientes na unidade de tratamento intensivo. <a href="http://www.bmj.com/content/352/bmj.i1242">http://www.bmj.com/content/352/bmj.i1242</a></a></p> </div> </div> </div> <h2>Free publication for all Zika virus research in BMJ Journals</h2> <p>BMJ wants to support the fast development of research around the Zika virus by enabling researchers to share their findings as quickly as possible. Until the end of July 2016, all of our specialty journals will waive the article processing charge on open access articles investigating the Zika virus. If you wish to submit a manuscript about the Zika virus, please quote <strong>ZIKA2016</strong>. For full information on our author submission policies, visit our <a href="http://journals.bmj.com/site/authors/how-to-submit.xhtml">How to submit your paper</a> section.</p> <h2>External links to resources in English</h2> <ul> <li><a href="http://www.who.int/csr/disease/zika/en/">World Health Organization factsheets, FAQs, media statements, and information for health authorities and and the general public</a></li> <li><a href="https://www.gov.uk/guidance/zika-virus">Public Health England guidance about Zika virus</a></li> <li><a href="https://www.gov.uk/guidance/zika-virus">Centers for Disease Control and Prevention (CDC) guidance</a></li> <li><a href="https://www.gov.uk/guidance/zika-virus">List of countries with local Zika transmission from the European Centre for Disease Prevention and Control</a></li> <li><a href="http://directorsblog.nih.gov/2016/01/26/zika-virus-an-emerging-health-threat/">National Institutes of Health director's blog about Zika virus</a></li> </ul> <h2>External links to resources in Spanish/Enlaces externos a recursos en Español</h2> <ul> <li><a href="http://www.paho.org/hq/index.php?option=com_content&view=article&id=11585&Itemid=41688&lang=es">Organización Mundial de la Salud</a></li> </ul> <h2>External links to resources in Portugese/Ligações externas para recursos em Português</h2> <ul> <li><a href="http://portalsaude.saude.gov.br/index.php/o-ministerio/principal/leia-mais-o-ministerio/197-secretaria-svs/20799-microcefalia">Perguntas e respostas – Microcefalia</a></li> <li><a href="http://www.who.int/mediacentre/factsheets/zika/pt/">Organização Mundial da Saúde: Doença do vírus Zika</a></li> </ul> <h2>Zika virus articles from other medical journals</h2> <ul> <li><a href="http://www.thelancet.com/journals/laninf/article/PIIS1473-3099(17)30251-7/fulltext">Zika virus in Singapore: unanswered questions (DOI: 10.1016/S1473-3099(17)30251-7)</a></li> <li><a href="http://www.thelancet.com/journals/laninf/article/PIIS1473-3099(17)30249-9/fulltext">Outbreak of Zika virus infection in Singapore: an epidemiological, entomological, virological, and clinical analysis (DOI: 10.1016/S1473-3099(17)30249-9)</a></li> <li><a href="http://www.nejm.org/doi/full/10.1056/NEJMp1602278">Partnerships, Not Parachutists, for Zika Research (DOI: 10.1056/NEJMp1602278)</a></li> <li><a href="http://www.nejm.org/doi/full/10.1056/NEJMp1600297">Zika virus in the Americas — yet another arbovirus threat (DOI: 10.1056/NEJMp1600297)</a></li> <li><a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(16)00562-6/abstract">Guillain-Barré Syndrome outbreak associated with Zika virus infection in French Polynesia: a case-control study (DOI: 10.1016/S0140-6736(16)00562-6)</a></li> <li><a href="http://www.nejm.org/doi/full/10.1056/NEJMp1600297">Association between Zika virus and microcephaly in French Polynesia, 2013–15: a retrospective study (DOI: 10.1016/S0140-6736(16)00651-6)</a></li> </ul> <div> </div></div></div> </div> </div> </div> <div class="panel-panel col-right col-xs-12 col-sm-4 col-md-4 col-lg-4"> <div class="panel-pane pane-bmj-book-nav" id="book-page-body" > <div class="pane-content"> <h4 class="resource-menu-header"><a href="/node/"></a></h4> </div> </div> <div class="panel-separator"></div><div class="panel-pane pane-panels-ajax-tab-tabs" > <div class="pane-content"> <ul class="tabs inline panels-ajax-tab"><li class="first"><a title="BMJ Feeds UK Jobs" href="/freezikaresources" class="panels-ajax-tab-tab" data-panel-name="jnl_bmj_feeds_uk_jobs" data-target-id="panel_jobsaboutus" data-entity-context="none" data-trigger="" data-url-enabled="1">UK jobs</a><a title="BMJ Feeds UK Jobs" href="/panels_ajax_tab/jnl_bmj_feeds_uk_jobs/none/1" rel="nofollow" style="display:none" class="js-crawler-link"></a></li> <li class="last"><a title="BMJ Feeds International Jobs" 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