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Diseases by . The authors state "In 2007, the first ZIKV outbreak reported outside Africa and Asia was retrospectively documented from biological samples from patients on Yap Island, Federated States of Micronesia, North Pacific, who had received an incorrect diagnosis of dengue virus (DENV)." Although the first outbreak of Zika virus (ZIKV) infection reported outside Africa or Asia was in Yap, it was not retrospectively identified from serum samples incorrectly diagnosed as positive for dengue virus. The outbreak was first identified by the Yap State Department of Health Services, and an investigation to determine the etiologic agent was initiated.
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Hancock et al. (2014) studied this question.
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