On Tuesday, health officials in Dallas announced that a local resident had contracted the Zika virus.
It wasn’t the first case in the country. At least 30 people in the United States have tested positive for the virus, which now has been found in more than two dozen nations around the globe and linked to shrunken, damaged brains in hundreds, perhaps thousands, of newborns worldwide.
The Dallas infection was unique, however, because the virus had been transmitted via sex.
“This is a game changer,” Zachary Thompson, director of the Dallas County Health and Human Services, told local television station WFAA.
Although two previous cases, one in 2008 and another in 2013, had suggested that Zika could be sexually transmitted, the Dallas diagnosis comes as the clearest evidence yet that Zika can be sexually transmitted.
The news arrives just as the virus is exploding. Almost unheard of a few months ago, Zika is suddenly scaring scientists and dominating headlines across the planet. On Monday, the World Health Organization designated the virus and its suspected complications in newborns as a public health emergency of international concern, a rare designation that officials hope will rally a global response.
Tuesday’s announcement complicates those efforts, which so far have focused on the mosquitoes responsible for the vast majority of transmissions.
But the news is also a psychologically terrifying twist to the already frightening outbreak.
The revelation — or confirmation — that Zika can be sexually transmitted comes on the heels of an October announcement that the deadly Ebola virus could live in a man’s sperm for up to nine months, enabling sexual transmission long after a male patient’s apparent recovery.
Although very distinct, the two viruses have injected fear back into sex just as worries over the sexual transmission of HIV appear to be ebbing slightly.
Four months ago, health officials were urging male Ebola survivors in West Africa to use condoms until the virus vanished from their semen. Now, those same officials are asking people in the Americas and elsewhere to practice safe sex lest they — and their unborn children — contract the disease.
The Centers for Disease Control and Prevention says it will release new guidelines on preventing the sexual transmission of Zika in the coming days, focusing on male sexual partners of women who are or who may be pregnant.
“There have been isolated cases of spread through blood transfusion or sexual contact and that’s not very surprising,” CDC Director Tom Frieden told CNN. “The virus is in the blood for about a week. How long it would remain in the semen is something that needs to be studied and we’re working on that now.”
Frieden stressed, however, that “the vast majority of spread is going to be from mosquitoes” and that “the bottom line is mosquitoes are the real culprit here.”
The news that Zika is now an STD swept across social media Tuesday.
what???!!!!! That is scary…STD…HIV….HPV…now Zika? Sex is way too dangerous… https://t.co/Cy1c8oBJcN
— Eva Allen (@evabrightideas) February 3, 2016
— Bianca Jagger (@BiancaJagger) February 2, 2016
Zika now an STD. Anyone get the feeling we're the virus & Mother Earth's antibodies are seriously kicking in? https://t.co/RwskoQOixz
— Jerome Taylor (@JeromeTaylor) February 3, 2016
Some, however, cautioned that the Dallas case required more study.
Is #Zika an STD, too?
We already knew it's in semen; tough to prove sex is route if other routes of transmission
— Tim Lahey (@TimLaheyMD) February 3, 2016
Either way, Zika has quickly joined Ebola, HIV and syphilis as serious STDs shaping popular attitudes toward sex.
When syphilis emerged in Europe in the late 15th century — probably carried by conquistadors returning from the New World — the bacteria became a persistent plague until the discovery of penicillin in 1928. Along the way, the scourge helped mold social mores.
And when Ebola ravaged West Africa in 2014, the virus also affected how people saw sex. Officials initially ordered survivors to abstain for 90 days after recovery, only to later up that to 9 months. The shifting warnings played havoc with some locals’ love lives.
“There is no more trust between me and my girlfriend,” Sierre Leone resident Augustine Mansaray told Salon. “We always quarrel because she is even afraid to come close to me, not to talk of making love.”
Many male Ebola survivors faced lasting stigmatization.
“We’ve got people being treated horrendously,” Margaret Harris, a spokeswoman on Ebola for the WHO, told Fox News last year. “In Sierra Leone particularly male survivors have been put in a form of concentration camp.”
The HIV/AIDS epidemic had much broader and longer lasting effects on societal attitudes towards sex. In the United States, the crisis coincided with an increase in disapproval for extramarital sex, researchers say, and spurred a rise in abstinence-only education.
Ironically, the news that Zika can be sexually transmitted comes just as pharmaceutical advancements are reducing sexual anxiety surrounding HIV. A blue pill known as pre-exposure prophylaxis, or PrEP, has proven so effective in preventing the transmission of HIV that it has become popular in the Bay Area’s gay community, The Washington Post’s Ariana Eunjung Cha reports. Many gay men now openly mention that they take PrEP on social media and dating websites. Sex is beginning to emerge from underneath the shadow of HIV.
The revelation that Ebola and now Zika can also be sexually transmitted, however, clouds that picture somewhat.
Officials have been keen to point out that Zika is no Ebola, let alone another HIV. Unlike the other two viruses, Zika is not deadly. Healthy, non-pregnant adults who contract Zika usually encounter symptoms such as fever, pain and itching, although microcephaly linked to Zika can cause debilitating, lifelong brain damage.