COCA Zika Update On Reproductive Guidance

[niman]

COCA News and Announcements Upcoming COCA Call NEW: Updated Interim Zika Clinical Guidance for Reproductive Age Women and Men, Sexual Transmission of Zika, and the U.S. Zika Pregnancy Registry Date: Tuesday, April 12, 2016 Time: 2:00 - 3:00 pm (Eastern Time) Dial In Number: 888-769-8519 (U.S. Callers); 1-517-308-9276 (International Callers) Passcode: 1002827 Webinar: https://www.mymeetings.com/nc/join.php?i=PW7730540&p=1002827&t=c During this COCA Call, clinicians will learn about the updated CDC interim guidance for caring for reproductive age women and men with possible Zika exposure, CDC interim guidance for prevention of sexual transmission of Zika, preventing transmission of Zika virus in labor and delivery settings, interpreting pediatric testing guidance, and the US Zika pregnancy registry. http://emergency.cdc.gov/coca/calls/2016/callinfo_041216.asp Recent COCA Calls Synthetic Cannabinoids: Information and Guidance for Clinicians Date: Thursday, March 31, 2016 During this COCA Call, clinicians learned about synthetic cannabinoids, their clinical effects, and the role clinicians can play in the public health response. http://emergency.cdc.gov/coca/calls/2016/callinfo_033116.asp Archived COCA conference calls are available at emergency.cdc.gov/coca/calls/index.asp.  Free continuing education credits (CME, CNE, ACPE, CEU, CECH, and AAVSB/RACE) are available for most calls. For more information about free CE, visit emergency.cdc.gov/coca/continuingeducation.asp   CDC Emergency Response 2016 Zika Virus Clinicians Caring for Pregnant Women and Women of Reproductive Age    UPDATED: Tools for Healthcare Providers View printable and easy to use CDC fact sheets, guidance documents, and testing algorithms for Zika virus infection. http://www.cdc.gov/zika/hc-providers/tools.html UPDATED: Clinical Consultation Service for Healthcare Providers Caring for Pregnant Women with Possible Zika Virus Infection CDC maintains a 24/7 consultation service for healthcare providers caring for pregnant women with possible Zika virus infection. This consultation service is NOT for patients or the general public. To contact the service, email [email protected] or call 770-488-7100.   NEW: Doctor’s Visit Checklist: For Pregnant Women Who Traveled to an Area with Zika  http://www.cdc.gov/zika/pdfs/docvisit-checklist-travelpreg.pdf NEW: Doctor’s Visit Checklist: For Pregnant Women Living in an Area with Zika  http://www.cdc.gov/zika/pdfs/zika-clinicvisit-checklist.pdf US Zika Pregnancy Registry To understand more about Zika virus infection during pregnancy and congenital Zika virus infection, CDC established the US Zika Pregnancy Registry and is collaborating with state, tribal, local, and territorial health departments. The data collected through this registry will be used to update recommendations for clinical care, to plan for services for pregnant women and families affected by Zika virus, and to improve prevention of Zika virus infection during pregnancy.  http://www.cdc.gov/zika/hc-providers/registry.html MMWR: Interim Guidance for Healthcare Providers Caring for Women of Reproductive Age with Possible Zika Virus Exposure — United States, 2016 CDC has updated its interim guidance for U.S. healthcare providers caring for women of reproductive age with possible Zika virus exposure  to include recommendations for counseling women and men with possible Zika virus exposure who are interested in conceiving. The updated guidelines also include recommendations for Zika virus testing and guidance for women residing along the US-Mexico Border http://www.cdc.gov/mmwr/volumes/65/wr/mm6512e2er.htm?s_cid=mm6512e2er_w   MMWR: Preventing Transmission of Zika Virus in Labor and Delivery Settings Through Implementation of Standard Precautions — United States, 2016 CDC recommends Standard Precautions in all healthcare settings to protect both healthcare personnel and patients from infection with Zika virus as well as from blood-borne pathogens (e.g., human immunodeficiency virus [HIV] and hepatitis C virus [HCV]). http://www.cdc.gov/mmwr/volumes/65/wr/mm6511e3.htm?s_cid=mm6511e3_w MMWR: Estimating Contraceptive Needs and Increasing Access to Contraception in Response to the Zika Virus Disease Outbreak — Puerto Rico, 2016 http://www.cdc.gov/mmwr/volumes/65/wr/mm6512e1er.htm?s_cid=mm6512e1er_w   Questions and Answers For Healthcare Providers Caring for Pregnant Women and Women of Reproductive Age with Possible Zika Virus Exposure http://www.cdc.gov/zika/hc-providers/qa-pregnant-women.html   Interim Guidelines for Healthcare Providers Caring for Pregnant Women and Women of Reproductive Age with Possible Zika Virus Exposure — United States, 2016 Updated guidelines include a new recommendation to offer serologic testing to asymptomatic pregnant women (women who do not report clinical illness consistent with Zika virus disease) who have traveled to areas with ongoing Zika virus transmission. This update also expands guidance to women who reside in areas with ongoing Zika virus transmission. Local health officials should determine when to implement testing of asymptomatic pregnant women on the basis of information about levels of Zika virus transmission and laboratory capacity. http://www.cdc.gov/mmwr/volumes/65/wr/mm6505e2er.htm?s_cid=mm6505e2er.htm_w       Clinicians Caring for Infants and Children   NEW: Congenital Microcephaly Case Definitions http://www.cdc.gov/zika/public-health-partners/microcephaly-case-definitions.html Questions and Answers For Healthcare Providers Caring for Infants and Children with Possible Zika Virus Infection http://www.cdc.gov/zika/hc-providers/qa-pediatrician.html MMWR: 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 http://www.cdc.gov/mmwr/volumes/65/wr/mm6509e2er.htm?s_cid=mm6509e2er_w Interim Guidelines for Healthcare Providers Caring for Infants and Children with Possible Zika Virus Infection — United States, February 2016 CDC has updated its interim guidelines for U.S. healthcare providers caring for infants born to mothers who traveled to or resided in areas with Zika virus transmission during pregnancy and expanded guidelines to include infants and children with possible acute Zika virus disease.  http://www.cdc.gov/mmwr/volumes/65/wr/mm6507e1.htm Sexual Transmission   MMWR: Interim Guidance for Prevention of Sexual Transmission of Zika Virus — United States, 2016 The following recommendations apply to men who have traveled to or reside in areas with active Zika virus transmission and their female or male sex partners. These recommendations replace the previously issued recommendations and are updated to include time intervals after travel to areas with active Zika virus transmission or after Zika virus infection for taking precautions to reduce the risk for sexual transmission. http://www.cdc.gov/mmwr/volumes/65/wr/mm6512e3er.htm?s_cid=mm6512e3er.htm_w Zika and Sexual Transmission http://www.cdc.gov/zika/transmission/sexual-transmission.html MMWR: Transmission of Zika Virus Through Sexual Contact with Travelers to Areas of Ongoing Transmission — Continental United States, 2016 http://www.cdc.gov/mmwr/volumes/65/wr/mm6508e2er.htm?s_cid=mm6508e2er_e Zika Travel Information MMWR: Travel-Associated Zika Virus Disease Cases Among U.S. Residents — United States, January 2015–February 2016 During January 1, 2015–February 26, 2016, a total of 116 residents of U.S. states and the District of Columbia had laboratory evidence of recent Zika virus infection based on testing performed at CDC, including one congenital infection and 115 persons who reported recent travel to areas with active Zika virus transmission (n = 110) or sexual contact with such a traveler (n = 5). http://www.cdc.gov/mmwr/volumes/65/wr/mm6511e1.htm?s_cid=mm6511e1_e MMWR: Revision to CDC’s Zika Travel Notices: Minimal Likelihood for Mosquito-Borne Zika Virus Transmission at Elevations Above 2,000 Meters http://www.cdc.gov/mmwr/volumes/65/wr/mm6510e1er.htm?s_cid=mm6510e1er_w Zika Virus Infection Among U.S. Pregnant Travelers — August 2015–February 2016 http://www.cdc.gov/mmwr/volumes/65/wr/mm6508e1er.htm?s_cid=mm6508e1er_e CDC Issues Advice for Travel to the 2016 Summer Olympic Games http://wwwnc.cdc.gov/travel/notices/alert/2016-summer-olympics-rio Zika Travel Notices http://wwwnc.cdc.gov/travel/page/zika-travel-information  Conferences and Meetings Zika Action Plan Summit CDC hosted a one-day Zika Action Plan Summit as the nation faces likely local mosquito-borne transmission of Zika virus in some places in the continental United States. http://www.cdc.gov/zap/index.html Clinical Evaluation and Testing     Biosafety Guidance for Transportation of Specimens and for Work with Zika Virus in the Laboratory http://www.cdc.gov/zika/state-labs/biosafety-guidance.html Clinical Evaluation & Disease Zika virus is transmitted to humans primarily through the bite of an infected Aedes species mosquito. Most people infected with Zika virus are asymptomatic. Characteristic clinical findings are acute onset of fever with maculopapular rash, arthralgia, or conjunctivitis. Other commonly reported symptoms include myalgia and headache. http://www.cdc.gov/zika/hc-providers/clinicalevaluation.html Diagnostic Testing Contact your state or local health department to facilitate testing. http://www.cdc.gov/zika/hc-providers/diagnostic.html Collection and Submission of Body Fluids for Zika Virus Testing http://www.cdc.gov/zika/hc-providers/body-fluids-collection-sumbission.html State, Local, Tribal, and Territorial Health Department Resources   Top 10 Zika Response Planning Tips: Brief Information for State, Tribal, Local, and Territorial Health Officials http://www.cdc.gov/zika/public-health-partners/tips.html Zika Virus Risk-Based Preparedness and Response Guidance for States  http://www.cdc.gov/zika/public-health-partners/risk-based-prep.html Zika Virus Microsite CDC has developed an easily embeddable collection of Zika virus information for partner and stakeholder websites. This collection, called a microsite, can supplement partner web sites with CDC’s up-to-date, evidence-based content. . The content is automatically updated when CDC’s website is updated.  https://tools.cdc.gov/medialibrary/index.aspx#/microsite/id/234558

Edited April 12, 2016 by niman

[niman]

Washington DC ex-Guatemala case (patient B in MMWR). also cited on COCA call.