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Posted: 2016-09-07 12:47:08

Geneva: The World Health Organisation said on Tuesday that men and women returning from where the Zika virus is actively spreading should practise safer sex or abstinence for six months, regardless of whether they are trying to conceive or showing symptoms.

The warning comes after the Australian government warned pregnant women to defer non-essential travel to Singapore as the number of confirmed cases of Zika virus there rose.

Zika: WHO urges safe sex

The World Health Organisation urges that people returning from Zika zones should practise safer sex or abstinence for at least six months, regardless of whether or not they are trying to conceive.

The guidance is a change from the WHO's interim recommendation on June 7, which referred only to men and had a shorter timeframe of at least eight weeks.

The WHO said the update was based on new evidence on Zika transmission from asymptomatic males to their female partners and a symptomatic female to her male partner, as well as evidence that Zika is present in semen for longer than thought.

Zika infections in pregnant women have been shown to cause microcephaly - a severe birth defect in which the head and brain are undersized - as well as other brain abnormalities. The connection between Zika and microcephaly first came to light last autumn in Brazil, which has since confirmed more than 1800 cases of microcephaly.

In adults, Zika infections have also been linked to a rare neurological syndrome known as Guillain-Barre, as well as other neurological disorders.

Sexual transmission of Zika had been reported in 11 countries by August 26, mainly through vaginal intercourse. There was a first documented case of a man catching the virus through anal sex in February 2016 and a suspicion of Zika transmission through oral sex in April.

Although one man had Zika found in his semen 188 days after the onset of symptoms, the longest period that the virus has so far been found to remain infectious was 24 days, and WHO said its latest six-month advice was conservative.

A man stands next to the Sims Urban Oasis condominium worksite in Singapore.
A man stands next to the Sims Urban Oasis condominium worksite in Singapore.  Photo: Getty Images

In another Zika sufferer, the concentration of the virus in his semen was 100,000 times more than that in his blood 14 days after he was diagnosed.

Evidence on persistence of the virus in semen and its infectiousness and impact on sexual transmission remains limited and the guidance will be updated again when there is more information, WHO said.

Singapore raised the number of Zika cases as government agencies stepped up efforts to control the mosquito-borne virus.
Singapore raised the number of Zika cases as government agencies stepped up efforts to control the mosquito-borne virus. Photo: Getty Images

WHO advises that pregnant women should not travel to areas with ongoing Zika virus transmission, and it warned people travelling to the Paralympic Games, which starts on Wednesday in Rio de Janeiro, to take precautions against mosquito bites.

"We think that the risk for travellers and athletes is low, but it's not zero," said WHO spokesman Tarik Jasarevic.

The Zika virus is spread by both mosquitoes and sexual intercourse.
The Zika virus is spread by both mosquitoes and sexual intercourse. Photo: AP

Reuters

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