Epidemiologic and spatiotemporal trends of Zika Virus disease during the 2016 epidemic in Puerto Rico.
Tyler M SharpTalia M QuandelacyLaura E AdamsJomil Torres AponteMatthew J LozierKyle RyffMitchelle FloresAidsa RiveraGilberto A SantiagoJorge L Muñoz-JordánLuisa I AlvaradoVanessa Rivera-AmillMyriam Garcia-NegrónStephen H WatermanGabriela Paz-BaileyMichael A JohanssonBrenda Rivera-GarciaPublished in: PLoS neglected tropical diseases (2020)
During the ZIKV epidemic in Puerto Rico, 1% of residents were reported to public health authorities and had laboratory evidence of ZIKV disease. Transmission was first detected in urban areas of eastern Puerto Rico, where transmission also peaked earlier. These trends suggest that ZIKV was first introduced to Puerto Rico in the east before disseminating throughout the island.