U.S. researchers have found evidence of the Zika virus replicating in fetal brains for up to seven months after the mother became infected with the virus, and they showed the virus can persist even after birth, according to a study published on Tuesday.

The findings confirm earlier observations from case studies suggesting that the mosquito-borne Zika virus can grow in fetal brains and women’s placentas. “Our findings show that Zika virus can continue to replicate in infants’ brains even after birth, and that the virus can persist in placentas for months – much longer than we expected,” Julu Bhatnagar, lead of the molecular pathology team at CDC’s Infectious Diseases Pathology Branch and the study’s lead author, said in a statement. The findings help explain how the virus causes devastating birth defects and pregnancy losses even if a woman had only a minor illness. Last month, the World Health Organization declared that Zika no longer constitutes an international emergency, but stressed the need for a long-term effort to address the virus, which has been linked to thousands of birth defects and neurological complications. For the study, CDC researchers tested tissues from 52 patients with suspected Zika virus infection, including brain tissues from eight infants who had microcephaly and later died. They also tested placental tissues from 44 women – 22 of whom delivered apparently healthy babies and 22 whose pregnancies ended in miscarriage, abortion, stillbirth or who delivered babies with microcephaly. Zika has been shown to cause microcephaly, a rare birth defect in which infants are born with undersized heads and brains, which can cause life-long disability. The researchers found Zika genetic material in fetal brain tissue and placentas more than seven months after the mothers contracted the virus. In one case, they also found evidence of the virus growing in an infant with microcephaly who died two months after birth.

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