The Challenge of Assessing Microcephaly in the Context of the Zika Virus Epidemic.
The present article examines the impact of the current limitations of the microcephaly definition in the context of the Zika virus outbreak. It highlights its dependence on the method used for determining gestational age and other anthropometric parameters, and includes original results of prevalence of microcephaly in four countries from two different continents (Mozambique, Brazil, Guatemala and Colombia). Alternative definitions of microcephaly are proposed to allow the identification of true cases of microcephaly in a more accurate manner.
ISGlobal, Barcelona Centre for International Health Research (CRESIB), Hospital Clínic-Universitat de Barcelona, Barcelona, Spain.|CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.
Llorenç
L
Quintó
ISGlobal, Barcelona Centre for International Health Research (CRESIB), Hospital Clínic-Universitat de Barcelona, Barcelona, Spain.|Centro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.|Amsterdam Institute for Global Health and Development (AIGHD), Amsterdam, The Netherlands.
Alberto L
AL
García-Basteiro
ISGlobal, Barcelona Centre for International Health Research (CRESIB), Hospital Clínic-Universitat de Barcelona, Barcelona, Spain.|CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.|Centro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
Azucena
A
Bardají
ISGlobal, Barcelona Centre for International Health Research (CRESIB), Hospital Clínic-Universitat de Barcelona, Barcelona, Spain.|CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.|Centro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
Raquel
R
González
Centro de Estudios en Salud, Universidad del Valle da Guatemala (CES-UVG), Guatemala, Guatemala.
Norma
N
Padilla
Gerência de Malária, Fundação de Medicina Tropical Dr. Heitor Vieira Dourado (FMT-HVD), Manaus, Brazil.|Instituto Leônidas e Maria Deane, FIOCRUZ, Amazônia, Brazil.
Flor E
FE
Martinez-Espinosa
Centro Internacional de Vacunas (CIV)/Facultad de Salud, Universidad del Valle, Cali, Colombia.
Myriam
M
Arévalo-Herrera
Centro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.|National Directare of Health, Ministry of Health, Maputo, Mozambique.
Eusébio
E
Macete
ISGlobal, Barcelona Centre for International Health Research (CRESIB), Hospital Clínic-Universitat de Barcelona, Barcelona, Spain.|CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.|Centro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
Clara
C
Menéndez