<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2176-6223</journal-id>
<journal-title><![CDATA[Revista Pan-Amazônica de Saúde]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pan-Amaz Saude]]></abbrev-journal-title>
<issn>2176-6223</issn>
<publisher>
<publisher-name><![CDATA[Instituto Evandro Chagas. Secretaria de Vigilância em Saúde e Ambiente. Ministério da Saúde]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2176-62232016000500209</article-id>
<article-id pub-id-type="doi">10.5123/s2176-62232016000500023</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Acompanhamento de gestantes com confirmação laboratorial de infecção pelo vírus Zika na região metropolitana de Belém, Estado do Pará, Brasil: dados preliminares]]></article-title>
<article-title xml:lang="en"><![CDATA[Monitoring of pregnant women with laboratory confirmed Zika virus infection in the metropolitan region of Belém, Pará State, Brazil: preliminary data]]></article-title>
<article-title xml:lang="es"><![CDATA[Acompañamiento de gestantes con confirmación de laboratorio de infección por el virus Zika en la Región Metropolitana de Belém, Estado de Pará, Brasil: datos preliminares]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[Consuelo Silva de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Matos]]></surname>
<given-names><![CDATA[Haroldo José de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos]]></surname>
<given-names><![CDATA[Francisco Luzio de Paula]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinto]]></surname>
<given-names><![CDATA[Ana Yece das Neves]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[Maria do Perpétuo Socorro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guimarães]]></surname>
<given-names><![CDATA[Vivianne de Paula Reis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Graim]]></surname>
<given-names><![CDATA[Priscila Nathyelly dos Santos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gomes]]></surname>
<given-names><![CDATA[Luna Thais Souza]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[Alessandra da Conceição M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Anjos]]></surname>
<given-names><![CDATA[Maura Viana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lima]]></surname>
<given-names><![CDATA[Juliana Abreu]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[Ângelo Pinto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Evandro Chagas/SVS/MS Serviço de Atendimento Médico Unificado ]]></institution>
<addr-line><![CDATA[Ananindeua Pará]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Evandro Chagas/SVS/MS Seção de Arbovirologia e Febres Hemorrágicas ]]></institution>
<addr-line><![CDATA[Ananindeua Pará]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade do Estado do Pará  ]]></institution>
<addr-line><![CDATA[Belém Pará]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<volume>7</volume>
<numero>esp</numero>
<fpage>209</fpage>
<lpage>211</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_arttext&amp;pid=S2176-62232016000500209&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_abstract&amp;pid=S2176-62232016000500209&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_pdf&amp;pid=S2176-62232016000500209&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO O vírus Zika é um arbovírus emergente e, desde a sua confirmação no nordeste do Brasil, em maio de 2015, dispersou-se rapidamente para quase todos os países da América Latina e do Caribe. A maioria das pessoas infectadas com o vírus Zika são assintomáticas; no entanto, em mulheres grávidas, a infecção pode causar graves complicações para o feto. Na investigação de 60 grávidas com exantema e com média de idade gestacional de 20 semanas, houve confirmação laboratorial para o vírus Zika (biologia molecular e/ou sorologia) e, até o momento, sem coinfecção e nenhum registro de alterações ultrassonográficas ou desfechos com microcefalia ou outra malformação.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Zika virus is an emerging arbovirus and, since its occurrence in the northeast Brazil in May 2015, it has dispersed rapidly to most of the Latin American and Caribbean countries. Most people infected with Zika virus are asymptomatic; however in pregnant women the infection can cause serious complications to the fetus. A total of 60 pregnant women with exanthema, at an average gestational age of 20 weeks, were investigated for Zika virus infection (molecular biology and/or serology) with positive result. So far, no co-infection and no record of ultrasonographic changes or out comes indicating microcephaly or any other malformation have been identified.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El virus Zika es un arbovirus emergente y desde su confirmación en el nordeste de Brasil, en mayo de 2015, se diseminó rápidamente a la mayoría de los países de América Latina y del Caribe. La mayoría de las personas infectadas con el virus Zika son asintomáticas, sin embargo, en mujeres embarazadas la infección puede causar graves complicaciones al feto. En la investigación de 60 embarazadas con exantema y con media de edad gestacional de 20 semanas hubo confirmación de laboratorio para el virus Zika (biología molecular y/o serología) y hasta el momento sin coinfección y ningún registro de alteración ultrasonográfica o desenlaces con microcefalia u otra malformación.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Vírus Zika]]></kwd>
<kwd lng="pt"><![CDATA[Gestantes]]></kwd>
<kwd lng="pt"><![CDATA[Estudos de Cohort]]></kwd>
<kwd lng="pt"><![CDATA[Doenças Exantemáticas]]></kwd>
<kwd lng="en"><![CDATA[Zika virus]]></kwd>
<kwd lng="en"><![CDATA[Pregnant Women]]></kwd>
<kwd lng="en"><![CDATA[Cohort Studies]]></kwd>
<kwd lng="en"><![CDATA[Exanthematic Diseases]]></kwd>
<kwd lng="es"><![CDATA[Virus Zika]]></kwd>
<kwd lng="es"><![CDATA[Gestantes]]></kwd>
<kwd lng="es"><![CDATA[Estudios de Cohortes]]></kwd>
<kwd lng="es"><![CDATA[Enfermedades Exantemáticas]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="book">
<collab>Ministério da Saúde (BR). Secretaria de Vigilância em Saúde. Departamento de Vigilância das Doenças Transmissíveis</collab>
<source><![CDATA[Protocolo de vigilância e resposta à ocorrência de microcefalia e/ou alterações do sistema nervoso central (SNC): emergência de saúde pública e importância internacional - ESPII]]></source>
<year>2016</year>
<edition>Versão 2. rev. e atualizada</edition>
<publisher-loc><![CDATA[Brasília ]]></publisher-loc>
<publisher-name><![CDATA[Ministério da Saúde]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Zika virus infection in pregnant women in Rio de Janeiro - preliminary report]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brasil]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Pereira Jr]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Gabaglia]]></surname>
<given-names><![CDATA[CR]]></given-names>
</name>
<name>
<surname><![CDATA[Damasceno]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Wakimoto]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Nogueira]]></surname>
<given-names><![CDATA[RMR]]></given-names>
</name>
</person-group>
<source><![CDATA[N Engl J Med.]]></source>
<year>2016</year>
</nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Congenital cerebral malformations and dysfunction in fetuses and newborns following the 2013 to 2014 Zika virus epidemic in French Polynesia]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Besnard]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Eyrolle-Guignot]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Guillemette-Artur]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Lastère]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Bost-Bezeaud]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Marcelis]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<source><![CDATA[Euro Surveill]]></source>
<year>2016</year>
<volume>21</volume>
<numero>13</numero>
<issue>13</issue>
</nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[and sequencing of Zika virus from amniotic fluid of fetuses with microcephaly in Brazil: a case study]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Calvet]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Aguiar]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
<name>
<surname><![CDATA[Melo]]></surname>
<given-names><![CDATA[ASO]]></given-names>
</name>
<name>
<surname><![CDATA[Sampaio]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[Filippis]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Fabri]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Lancet Infect Dis]]></source>
<year>2016</year>
<volume>16</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>653-60</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Zika virus and birth defects - reviewing the evidence for causality]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rasmussen]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[Jamieson]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
<name>
<surname><![CDATA[Honein]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Petersen]]></surname>
<given-names><![CDATA[LR]]></given-names>
</name>
</person-group>
<source><![CDATA[N Engl J Med]]></source>
<year>2016</year>
<volume>374</volume>
<numero>20</numero>
<issue>20</issue>
<page-range>1981-7</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The Brazilian Zika virus strain causes birth defects in experimental models]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cugola]]></surname>
<given-names><![CDATA[FR]]></given-names>
</name>
<name>
<surname><![CDATA[Fernandes]]></surname>
<given-names><![CDATA[IR]]></given-names>
</name>
<name>
<surname><![CDATA[Russo]]></surname>
<given-names><![CDATA[FB]]></given-names>
</name>
<name>
<surname><![CDATA[Freitas]]></surname>
<given-names><![CDATA[BC]]></given-names>
</name>
<name>
<surname><![CDATA[Dias]]></surname>
<given-names><![CDATA[JLM]]></given-names>
</name>
<name>
<surname><![CDATA[Guimarães]]></surname>
<given-names><![CDATA[KP]]></given-names>
</name>
</person-group>
<source><![CDATA[Nature]]></source>
<year>2016</year>
<volume>534</volume>
<numero>7606</numero>
<issue>7606</issue>
<page-range>267-71</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Congenital Zika virus syndrome in Brazil: a case series of the first 1501 livebirths with complete investigation]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[França]]></surname>
<given-names><![CDATA[GVA]]></given-names>
</name>
<name>
<surname><![CDATA[Schuler-Faccini]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[WK]]></given-names>
</name>
<name>
<surname><![CDATA[Henriques]]></surname>
<given-names><![CDATA[CMP]]></given-names>
</name>
<name>
<surname><![CDATA[Carmo]]></surname>
<given-names><![CDATA[EH]]></given-names>
</name>
<name>
<surname><![CDATA[Pedi]]></surname>
<given-names><![CDATA[VD]]></given-names>
</name>
</person-group>
<source><![CDATA[Lancet]]></source>
<year>2016</year>
<volume>388</volume>
<numero>10047</numero>
<issue>10047</issue>
<page-range>891-7</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Increase in reported prevalence of microcephaly in infants born to women living in areas with confirmed Zika virus transmission during the first trimester of pregnancy - Brazil, 2015]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[WK]]></given-names>
</name>
<name>
<surname><![CDATA[Cortez-Escalante]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[WTGH]]></given-names>
</name>
<name>
<surname><![CDATA[Carmo]]></surname>
<given-names><![CDATA[GMI]]></given-names>
</name>
<name>
<surname><![CDATA[Henriques]]></surname>
<given-names><![CDATA[CMP]]></given-names>
</name>
<name>
<surname><![CDATA[Coelho]]></surname>
<given-names><![CDATA[GE]]></given-names>
</name>
</person-group>
<source><![CDATA[MMWR Morb Mortal Wkly Rep]]></source>
<year>2016</year>
<volume>65</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>242-7</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="book">
<collab>Pan American Health Organization</collab>
<source><![CDATA[Provisional remarks on Zika virus infection in pregnant women: document for health care professionals]]></source>
<year>2016</year>
<page-range>22</page-range><publisher-loc><![CDATA[Montevideo ]]></publisher-loc>
<publisher-name><![CDATA[PAHO]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
