niman Posted October 20, 2016 Report Share Posted October 20, 2016 CDC Updates Guidance for Pregnant Women and Women and Men of Reproductive Age for Zika Virus Infection Related to the Ongoing Investigation of Local Mosquito-borne Zika Virus Transmission in Miami-Dade County, Florida The U.S. Centers for Disease Control and Prevention (CDC) previously issued travel, testing, and other guidance related to areas of active Zika virus transmission in Florida. Because local transmission of Zika virus continues to be reported in Miami-Dade County, CDC is strengthening travel recommendations for pregnant women to Miami-Dade County and also reinforcing recommendations for use of protective measures to prevent exposure to Zika. CDC is updating recommendations to emphasize testing for pregnant women with an epidemiologic link to Miami-Dade County. An epidemiologic link means that they lived in, traveled to, or had unprotected sex with someone who lived in or traveled to, the designated area. In addition, CDC has made specific recommendations for areas of identified active transmission. Link to comment Share on other sites More sharing options...
niman Posted October 20, 2016 Author Report Share Posted October 20, 2016 CDC Updates Guidance for Pregnant Women and Women and Men of Reproductive Age for Zika Virus Infection Related to the Ongoing Investigation of Local Mosquito-borne Zika Virus Transmission in Miami-Dade County, Florida Recommend on FacebookTweet Distributed via the CDC Health Alert Network October 19, 2016, 1700 ET (5:00 PM ET) CDCHAN-00398 Summary The U.S. Centers for Disease Control and Prevention (CDC) previously issued travel, testing, and other guidance related to areas of active Zika virus transmission in Florida. Because local transmission of Zika virus continues to be reported in Miami-Dade County, CDC is strengthening travel recommendations for pregnant women to Miami-Dade County and also reinforcing recommendations for use of protective measures to prevent exposure to Zika. CDC is updating recommendations to emphasize testing for pregnant women with an epidemiologic link to Miami-Dade County. An epidemiologic link means that they lived in, traveled to, or had unprotected sex with someone who lived in or traveled to, the designated area. In addition, CDC has made specific recommendations for areas of identified active transmission. The Florida Department of Health (FL DOH) has identified a new area where local, state, and CDC officials have determined that the intensity of Zika virus transmission presents a significant risk to pregnant women in a designated one-square-mile area located in Miami-Dade County (NW 79th St. to the north, NW 63rd St. to the south, NW 10th Ave. to the west and N. Miami Ave. to the east). Pregnant women should consider postponing travel to all areas of Miami-Dade County. Pregnant women should specifically avoid travel to the previously identified 4.5-square-mile area of Miami Beach and one-square-mile area in Little River located in Miami-Dade County (http//www.cdc.gov/zika/intheus/florida-update.html). Pregnant women who have an epidemiologic link to any area of Miami-Dade County after August 1, 2016 should be tested for Zika virus in accordance with CDC guidance (http://www.cdc.gov/mmwr/volumes/65/wr/mm6529e1.htm?s_cid=mm6529e1_e). Pregnant women with an epidemiologic link to the 4.5-square-mile area of Miami Beach with active Zika virus transmission, after July 14, 2016, should be tested for Zika virus. Because the incubation period for Zika virus infection is up to two weeks and many people infected with Zika virus will not have symptoms or will only have mild symptoms, investigating cases may take several weeks. Data collected during the ongoing investigation indicate the period of time since August 1 represents the timeframe with the highest transmission in Miami-Dade County. FL DOH and CDC continue to work together on this ongoing investigation to learn more about active Zika virus transmission in Miami-Dade County. CDC will update these recommendations as more information becomes available. Healthcare providers should visit CDC’s Zika website (http://www.cdc.gov/zika/) frequently for the most up-to-date recommendations. Recommendations Red and Yellow Area Designation CDC has defined two types of geographic areas within the continental United States and Hawaii to implement measures to prevent Zika virus transmission: Zika active transmission areas (designated as red) and Zika cautionary areas (designated as yellow). A red area is a geographic area where local, state, and CDC officials have determined that the intensity of Zika virus transmission presents a significant risk to pregnant women. The intensity of Zika virus transmission is determined by several factors including geographic distribution of cases, number of cases identified, known or suspected links between cases and population density. A yellow area is a geographic area where local transmission has been identified, but evidence is lacking on whether the intensity of transmission is comparable to that in a red area. Although the level of risk in yellow areas is unknown, pregnant women are still at risk. Additionally, areas adjacent to or in proximity to red areas may have a greater likelihood of local transmission and, therefore, risk to pregnant women. Currently, a 4.5-square-mile area of Miami Beach and one-square-mile area in Little River located in Miami-Dade County (http//www.cdc.gov/zika/intheus/florida-update.html) are red areas and the rest of Miami-Dade County is a yellow area. Because this investigation is ongoing and the designation of areas is likely to change over time, please frequently check the website (http//www.cdc.gov/zika/intheus/florida-update.html) for the most up-to-date designation of red and yellow areas. Recommendations for Miami-Dade County Travel Recommendations for Pregnant Women Pregnant women should consider postponing travel to yellow areas of Miami-Dade County. Pregnant women should specifically avoid travel to red areas (http//www.cdc.gov/zika/intheus/florida-update.html) because the intensity of Zika virus transmission confirmed in these areas presents a significant risk to pregnant women. Testing Recommendations for Pregnant Women Pregnant women with an epidemiologic link to Miami-Dade County after August 1, 2016, should be tested for Zika virus infection in accordance with CDC guidance. Pregnant women with an epidemiologic link to the 4.5-square-mile area of Miami Beach with active Zika virus transmission after July 14, 2016, should be tested for Zika virus (http://www.cdc.gov/mmwr/volumes/65/wr/mm6529e1.htm?s_cid=mm6529e1_e). Pregnant women with symptoms of Zika virus disease should be tested according to CDC guidance, which is based on the time of evaluation relative to symptom onset. Pregnant women with ongoing exposure (who live in or frequently travel [e.g., daily, weekly]) to Miami-Dade County and who are without symptoms of Zika virus disease should consult with their healthcare provider to obtain testing for Zika virus infection in the first and second trimesters of pregnancy. Pregnant women who have had limited travel to or had sex without using a condom with a partner who lives in or has traveled to Miami-Dade County should be tested for Zika virus infection. This testing should be performed based on the time of evaluation relative to last possible exposure in accordance with CDC guidance. Healthcare providers should contact their state, local, or territorial health department to coordinate testing and interpret results. Healthcare providers should discuss the limitations of laboratory tests used to diagnose Zika virus infection with pregnant women and their partners. Protective Measures Recommendations for Pregnant Women Pregnant women and their partners living in or traveling to Miami-Dade County should be aware of active Zika virus transmission and should strictly follow steps to prevent mosquito bites. (http://www.cdc.gov/zika/prevention/prevent-mosquito-bites.html). Women and men who live in or travel to Miami-Dade County should be aware of active Zika virus transmission, and those who are pregnant or have a pregnant sex partner should consistently and correctly use condoms to prevent Zika virus infection during sex or should not have sex during the pregnancy. Women and Men Who are Planning to Conceive Women and men who are planning to conceive in the near future should consider avoiding nonessential travel to red areas. Women with an epidemiologic link to the red areas and who do not have ongoing risks for exposure should wait at least eight weeks after symptom onset (if symptomatic) or after last possible exposure (if asymptomatic) to attempt conception. Men with an epidemiologic link to the red areas who do not have ongoing risks for exposure should wait at least six months after symptom onset (if symptomatic) or last possible exposure (if asymptomatic) to attempt conception. Women with an epidemiologic link to the yellow areas who do not have ongoing risks for exposure may consider waiting at least eight weeks from symptom onset (if symptomatic) or last possible exposure (if asymptomatic) to attempt conception. Although the level of risk in yellow areas is unknown, pregnant women are still at risk. Additionally, areas adjacent to or in proximity to red areas may have a greater likelihood of local transmission, so there may be a greater risk to pregnant women. Men with an epidemiologic link to the yellow areas who do not have ongoing risks for exposure may consider waiting at least six months from symptom onset (if symptomatic) or last possible exposure (if asymptomatic) to attempt conception. Although the level of risk in yellow areas is unknown, pregnant women are still at risk. Additionally, areas adjacent to or in proximity to red areas may have a greater likelihood of local transmission, so there may be a greater risk to pregnant women. People living in an area with possible Zika virus transmission should be counseled on the possible risk for Zika virus infection during the periconception period. Women and men should discuss their reproductive life plans with their healthcare provider in the context of potential and ongoing Zika virus exposure. Women and men with ongoing risks for exposure who are diagnosed with Zika virus disease should wait at least eight weeks and at least six months respectively, after symptom onset before attempting conception. There are limited data about the persistence of Zika virus RNA in body fluids, and the risk for adverse pregnancy outcomes associated with maternal Zika virus infection around the time of conception is currently not known. Given this information, some couples in which one or both partners have had a possible Zika virus exposure might choose to wait longer or shorter than the recommended period to conceive, depending on individual circumstances (e.g., age, fertility, details of possible exposure) and risk tolerance. Women and men attempting conception living in or traveling to the Miami-Dade County should be aware of active Zika virus transmission and should strictly follow steps to prevent mosquito bites. (http://www.cdc.gov/zika/prevention/prevent-mosquito-bites.html). Additional Recommendations For the yellow area, additional Zika-related interventions (e.g., testing of symptomatic non-pregnant persons) may be implemented depending on local circumstances. Background Zika virus is spread to people primarily through the bite of an infected Aedes species mosquito (Ae. aegypti and Ae.albopictus). Zika virus can also be sexually transmitted. Zika virus infection during pregnancy is a cause of microcephaly and severe fetal brain defects and has been associated with other adverse pregnancy outcomes. Most people infected with Zika virus will not have symptoms; infants with microcephaly and other birth defects have been born to women with Zika virus infection who did not report symptoms. For pregnant women who report clinical illness consistent with Zika virus disease (symptomatic pregnant women), CDC's testing recommendations are the same for those with ongoing risk and those with limited risk for possible Zika virus exposure. Symptomatic pregnant women who are evaluated less than two weeks after symptom onset should receive serum and urine Zika virus RNA nucleic acid test (NAT) testing. Symptomatic pregnant women who are evaluated 2 to 12 weeks after symptom onset should first receive a Zika virus immunoglobulin (Ig) M antibody test; if the IgM antibody test result is positive or equivocal (unclear), serum and urine RNA NAT testing should be performed. If the RNA NAT result is negative, a positive or equivocal (unclear) Zika virus IgM antibody test result should be followed by plaque reduction neutralization testing (PRNT). Interpretation of serologic results has been described (http://www.cdc.gov/mmwr/volumes/65/wr/mm6521e1.htm). Testing recommendations for pregnant women with possible Zika virus exposure who do not report clinical illness consistent with Zika virus disease (asymptomatic pregnant women) differ based on the circumstances of possible exposure. For asymptomatic pregnant women with ongoing risk for possible exposure who are evaluated less than two weeks after last possible exposure, RNA NAT testing should be performed. If the RNA NAT result is negative, a Zika virus IgM antibody test should be performed 2 to 12 weeks after the exposure. Asymptomatic pregnant women with limited risk for possible exposure who are first evaluated 2 to 12 weeks after their last possible exposure should first receive a Zika virus IgM antibody test; if the IgM antibody test result is positive or equivocal (unclear), serum and urine RNA NAT should be performed. Asymptomatic pregnant women with ongoing risk for possible exposure to Zika virus should receive Zika virus IgM antibody testing as part of routine obstetric care during the first and second trimesters; immediate RNA NAT testing should be performed when IgM antibody test results are positive or equivocal (unclear). Further information on the interpretation of laboratory test results and clinical management of pregnant women with laboratory evidence of possible Zika virus infection are available below. For More Information Interim Guidance for Health Care Providers Caring for Pregnant Women: MMWR: http://www.cdc.gov/mmwr/volumes/65/wr/mm6529e1.htm?s_cid=mm6529e1_w Summary: http://www.cdc.gov/zika/hc-providers/pregnant-woman.html Fact Sheet with Testing Algorithms: http://www.cdc.gov/zika/pdfs/testing_algorithm.pdf Update: Interim Guidance for Preconception Counseling and Prevention of Sexual Transmission of Zika Virus for Persons with Possible Zika Virus Exposure — United States, September 2016 | MMWR Updated information on active transmission of Zika virus from the Florida Department of Health:http://www.flgov.com/2016/08/01/gov-scott-florida-calls-on-cdc-to-activate-emergency-response-team-following-confirmed-mosquito-borne-transmissions/ https://emergency.cdc.gov/han/han00398.asp Link to comment Share on other sites More sharing options...
niman Posted October 20, 2016 Author Report Share Posted October 20, 2016 HEALTH ZIKA VIRUS OUTBREAK OCT 19 2016, 8:38 PM ET CDC's New Miami Zika 'Red Zone' Means Stay Out for Pregnant Women by MAGGIE FOX SHARE Federal health officials have made a new color-coded map for Miami and say pregnant women should stay out of the "red zone" — where Zika virus is actively infecting new people daily. And they say pregnant women should consider postposing all travel to Miami-Dade county for the time being, designating the entire county a "yellow zone." Miami-Dade County, FL. Red shows areas where pregnant women should not travel. Yellow shows areas where pregnant women should consider postponing travel. CDC "Pregnant women should specifically avoid travel to red areasbecause the intensity of Zika virus transmission confirmed in these areas is a significant risk to pregnant women," the CDC said in a statement. Related: New Zika Zone Found in Miami Last week, Florida health officials declared a new Zika zone — a one square mile area where the Zika virus is actively infecting people — in Miami. It's the third zone of active transmission, although home-grown cases have been found in several parts of the state. Florida remains the only U.S. state with verified local transmission of the virus. Florida has 174 locally transmitted cases, including 19 in out-of-state visitors. The state has 1,044 total cases of Zika, most related to travel. And 110 of those infected are pregnant women. Zika normally causes mild illness at worst. But it's bad news if pregnant women get it. There's no doubt among experts that Zika causes microcephaly, other types of brain damage and other birth defects. The virus has been shown to go directly to developing brain cells; it gets through the placenta and into a developing fetus. It's been found in the brain and other organs of babies with microcephaly and other brain damage. "Zika continues to pose a threat to pregnant women living in or traveling to Miami-Dade County," said the CDC's Dr. Lyle Petersen. "Our guidance today strengthens our travel advice and testing recommendations for pregnant women, to further prevent the spread of the infection among those most vulnerable." Related: There's No Doubt Zika Causes Birth Defects The CDC also says any pregnant woman with a connection to the area should get tested for Zika, even if she doesn't have symptoms. "Pregnant women who have lived in, traveled to, or had unprotected sex with someone who lived in or traveled to Miami-Dade County since August 1, 2016, should be tested for Zika virus," the CDC advises. "Pregnant women who have lived in, traveled to, or had unprotected sex with someone who lived in or traveled to the 4.5-square-mile area of Miami Beach with active spread of Zika virus since July 14, 2016, should be tested for Zika virus." The CDC will use the new map going forward. A red area is "a geographic area where local, state, and CDC officials have determined that the intensity of Zika virus transmission presents a significant risk to pregnant women," the CDC said. "The intensity of Zika virus transmission is determined by several factors, including geographic distribution of cases, number of cases identified, known or suspected links between cases and population density." A yellow area has had local transmission, but not intense transmission. "Although the specific level of risk in yellow areas is unknown, pregnant women are still considered to be at risk," the CDC said. "Also, areas adjacent or close to red areas may have a greater likelihood of active spread of Zika virus and are considered to pose a risk to pregnant women." The Aedes mosquitoes that transmit Zika do not themselves travel far, but infected people do, and they can pass the virus to mosquitoes in new areas. "Currently, a 4.5-square-mile area of Miami Beach and one-square-mile area in Little River located in Miami-Dade County are red areas. The rest of Miami-Dade County is a yellow area," the CDC said. Related: Questions About Pregnancy and Zika CDC also has detailed guidelines for women planning to get pregnant. "Given the limited available information about how long Zika virus can stay in body fluids and the chances of harm to a pregnancy when a woman is infected with Zika virus around the time of conception, some couples in which one or both partners have had a possible Zika virus exposure may choose to wait longer or shorter than the recommended period to conceive, depending on individual circumstances like age, fertility, and the details of possible exposure, and their risk tolerance," the CDC said. http://www.nbcnews.com/storyline/zika-virus-outbreak/cdc-s-new-miami-zika-red-zone-means-stay-out-n669401 Link to comment Share on other sites More sharing options...
niman Posted October 20, 2016 Author Report Share Posted October 20, 2016 U.S. | Wed Oct 19, 2016 | 6:41pm EDT U.S. health officials create color-coded Zika zones in Florida A map showing the active Zika zone is on display at the Borinquen Health Care Center in Miami, Florida, U.S. on August 9, 2016. REUTERS/Chris Keane/File Photo By Julie Steenhuysen | CHICAGO U.S. health officials introduced a new color-coding system on Tuesday for Florida's Miami-Dade County to distinguish between areas of active transmission that present a significant risk of transmission and areas where there is a possible risk of being infected. The new system, announced by the U.S. Centers for Disease Control, casts all of Miami-Dade County as a yellow cautionary area with the exception of Miami Beach and a one square mile area of Miami known as the Little River neighborhood, which are high-risk red zones. Miami is a major tourist destination. Previously, the CDC had warned pregnant women to consider avoiding non-essential travel to Miami-Dade County to reduce their risk infection with Zika, a mosquito-borne virus that has been linked with severe birth defects. "Zika continues to pose a threat to pregnant women living in or traveling to Miami-Dade County," said Dr. Lyle Petersen, director of CDC's Division of Vector-Borne Diseases. "Our guidance today strengthens our travel advice and testing recommendations for pregnant women to further prevent the spread of the infection among those most vulnerable.” Based on the new guidelines, the CDC said it recommends pregnant women consider postponing travel to yellow areas of Miami-Dade County, and they should specifically avoid red areas because they pose "a significant risk to pregnant women." A map of the Zika warning areas can be found here ALSO IN U.S. 'Walking while trans' can be a death sentence in the U.S. Jury to begin deliberations in conspiracy trial of Oregon militants The CDC urged pregnant women who have lived in, traveled to, or had unprotected sex with someone who lived in or traveled to Miami-Dade County since August 1, 2016, to be tested for Zika. Some infectious disease experts have criticized the piecemeal approach to warning women about the risk of Zika in Florida, a state with a multibillion dollar tourism industry. (Reporting by Julie Steenhuysen) http://www.reuters.com/article/us-health-zika-florida-idUSKCN12J2R3 Link to comment Share on other sites More sharing options...
niman Posted October 20, 2016 Author Report Share Posted October 20, 2016 Advice for people living in or traveling to South Florida Language: English Español Português Recommend on FacebookTweet Miami-Dade County, FL. Red shows areas where pregnant women should not travel. Yellow shows areas where pregnant women should consider postponing travel. On August 1, 2016, CDC issued guidance for people living in or traveling to a 1-square-mile area of the Wynwood neighborhood in Miami, FL, identified by the Florida Department of Health as having mosquito-borne spread of Zika. On August 19, CDC also issued guidance for a 1.5-square-mile section of Miami Beach identified to have mosquito-borne spread of Zika; on September 17, this section was expanded to a 4.5-square-mile area. On September 19, CDC updated guidance for the Wynwood-designated area after three mosquito incubation periods passed without any new locally transmitted cases of Zika. On October 13, Florida announced a new area of mosquito-borne spread of Zika in an additional 1-square-mile area in Miami-Dade County, FL. Because local spread of Zika virus continues to be reported in Miami-Dade County, CDC updated its travel and testing guidance on October 19 to apply recommendations to all of Miami-Dade County. Red and Yellow Area Designation CDC designates areas for Zika virus transmission prevention in the continental United States and Hawaii as red or yellow. Zika active transmission area (red area): A geographic area where local, state, and CDC officials have determined that the intensity of Zika virus transmission presents a significant risk to pregnant women. The intensity of Zika virus transmission is determined by several factors including geographic distribution of cases, number of cases identified, known or suspected links between cases and population density. Zika cautionary area (yellow area): A geographic area where local transmission has been identified, but evidence is lacking that the intensity of transmission is comparable to that in a red area. Although the specific level of risk in yellow areas is unknown, there is still a risk to pregnant women. Additionally, areas adjacent or close to red areas may have a greater likelihood of local Zika virus transmission and are considered to pose a risk to pregnant women. Currently, red areas include a 4.5-square-mile area of Miami Beach and a 1-square-mile area of Little River in Miami-Dade County, FL. The rest of Miami-Dade County is a yellow area. Guidance for Zika cautionary areas (Yellow areas) Travel Pregnant women should consider postponing travel to all parts of Miami-Dade County. Testing and Diagnosis Pregnant women who lived in, traveled to, or had sex without a condom with someone who lived in or traveled to Miami-Dade County after August 1, 2016, should be tested for Zika virus. Pregnant women with symptoms of Zika should be tested for Zika virus. Pregnant women without symptoms who live in or frequently travel (daily, weekly) to Miami-Dade County should talk to their healthcare provider about getting tested in the first and second trimesters of pregnancy. Pregnant women who traveled (limited travel) to Miami-Dade County or who had sex without a condom with a partner who lived in or traveled to Miami-Dade County should be tested for Zika virus, regardless of symptoms. Pregnancy Planning Women who traveled (limited travel) to Miami-Dade County or had sex without a condom with a person who lives in or traveled to Miami-Dade County may consider waiting at least 8 weeks after symptoms started or last possible exposure before trying to get pregnant. Although the level of risk in yellow areas is unknown, pregnant women are still at risk. Men who traveled (limited travel) to Miami-Dade County or had sex without a condom with a person who lives in or traveled to Miami-Dade County may consider waiting at least 6 months after symptoms started or last possible exposure before trying to get their partner pregnant. People living in Miami-Dade County who do not have symptoms and are interested in trying to become pregnant should talk to their healthcare provider about pregnancy plans. Women who live in or frequently travel to Miami-Dade County who are diagnosed with Zika should wait at least 8 weeks after symptoms started before trying to get pregnant. Men who live in or frequently travel to Miami-Dade County who are diagnosed with Zika should wait at least 6 months after symptoms started before trying to get their partner pregnant. Given the limited data available about the persistence of Zika in body fluids and the chances of harm to a pregnancy when the woman is infected with Zika around the time of conception, some couples with a partner with possible Zika virus exposure may choose to wait longer or shorter than the recommended period to try to get pregnant. Prevention Pregnant couples and couples trying to get pregnant who live in or travel to Miami-Dade County should be aware of active Zika virus transmission and should strictly follow steps to prevent mosquito bites. Women and men who live in or traveled to Miami-Dade County should be aware of active Zika virus transmission, and those who are pregnant or who have a pregnant sex partner should use condoms during sex or not have sex during the pregnancy. Guidance for Zika active transmission areas (Red areas) Currently, red areas include a 4.5-square-mile area of Miami Beach and a 1-square-mile area of Little River in Miami-Dade County, FL. Travel Pregnant women should not travel to these areas. Women and men who are planning to get pregnant in the near future should consider avoiding nonessential travel to these areas. Testing and Diagnosis Pregnant women with symptoms of Zika should be tested for Zika. Pregnant women who lived in, traveled to, or had sex without a condom with a person who lived in or traveled to the 4.5-square-mile area of Miami Beach after July 14, 2016, should be tested for Zika. Pregnant women who lived in, traveled to, or had sex without a condom with a person who lived in or traveled to the 1-square-mile area of Little River after August 1, 2016, should be tested for Zika. Pregnancy Planning Women who traveled to these areas or had sex without a condom with a person who lives in or traveled to these areas should wait at least 8 weeks after symptoms started or last possible exposure to try to get pregnant. Although the level of risk in yellow areas is unknown, pregnant women are still at risk. Men who traveled (limited travel) to these areas or had sex without a condom with a person who lives in or traveled to these areas should wait at least 6 months after symptoms started or last possible exposure before trying to get their partner pregnant. People living in these areas who do not have symptoms and are interested in trying to become pregnant should talk to their healthcare provider about pregnancy plans. Women who live in or frequently travel to these areas who are diagnosed with Zika should wait at least 8 weeks after symptoms started before trying to get pregnant. Men who live in or frequently travel to these areas who are diagnosed with Zika should wait at least 6 months after symptoms started before trying to get their partner pregnant. Given the limited data available about the persistence of Zika virus in body fluids and the chances of harm to a pregnancy when the woman is infected with Zika around the time of conception some couples with a partner with possible Zika virus exposure may choose to wait longer or shorter than the recommended period. Prevention Pregnant couples and couples attempting pregnancy who live in or travel to these areas should be aware of active Zika virus transmission and should strictly follow steps to prevent mosquito bites. Women and men who live in or traveled to these areas should be aware of active Zika virus transmission, and those who are pregnant or who have a pregnant sex partner should use condoms during sex or not have sex during the pregnancy. Guidance for areas of previous active transmission The guidance for yellow areas applies to the identified area in Wynwood, FL, with previous active Zika transmission. However, women and men living in or who traveled to the area should be aware that the location was considered to have active Zika virus transmission from June 15 to September 18, 2016. Pregnant women should talk to their doctor or other healthcare provider about getting tested for Zika. Partners of pregnant women should use condoms consistently and correctly to prevent passing Zika during sex, or they should not have sex during the pregnancy. Women who traveled to the area from June 15 to September 18, regardless of whether they had symptoms, should wait at least 8 weeks before trying to get pregnant. Men who traveled to the area from June 15 to September 18, regardless of whether they had symptoms, should wait at least 6 months before trying to get their partner pregnant. For questions on mosquito control in Florida Florida health officials can answer specific questions on their mosquito control program. Aerial treatment of areas with products that rapidly reduce both young and adult mosquitoes can help to limit the number of mosquitoes that carry the Zika virus. Repeated aerial applications of insecticide has reduced mosquito populations as a part of an integrated mosquito management program. ZIKA IS IN YOUR AREA: WHAT TO DO Learn how to protect yourself from Zika infection. WHAT CDC IS DOING TO HELP FLORIDA Page last reviewed: October 19, 2016 Page last updated: October 19, 2016 http://www.cdc.gov/zika/intheus/florida-update.html Link to comment Share on other sites More sharing options...
niman Posted October 20, 2016 Author Report Share Posted October 20, 2016 Zika tests for ALL pregnant women who have been to Miami-Dade County since July, officials insist as the virus continues to spread Previously CDC said people had to be tested after visiting outbreak zones Now, with a new outbreak zone, the CDC has expanded its advice All pregnant women need a Zika test if they visited Miami-Dade since Aug 1 By MIA DE GRAAF FOR DAILYMAIL.COM and ASSOCIATED PRESS PUBLISHED: 08:34 EST, 20 October 2016 | UPDATED: 09:41 EST, 20 October 2016 e-mail View comments All pregnant women who have lived in, visited, or traveled through Miami since August 1 need to be tested for Zika, Florida officials warn. The county is the only area in the continental U.S. where mosquitoes have been spreading the virus since the summer. Last week officials announced a new outbreak zone, also in Miami-Dade County. Two of the new infected patients are pregnant women. +1 Last week officials announced a new outbreak zone, also in Miami-Dade County. Two of the new infected patients are pregnant women Now officials are calling for widespread testing for anyone who has been anywhere near the county - not just the outbreak zones - to prevent further spread and potentially devastating consequences for the health of unborn babies. The Centers for Disease Control and Prevention had previously urged testing for pregnant women who had been in one of the county's Zika 'hot zones.' On Wednesday, it extended the advice to the entire county. New cases continue to come in from the Miami area 'and we want to be cautious,' said the CDC's Dr. Denise Jamieson. Zika infected mosquitoes trapped in Miami area Loaded: 0% Progress: 0% 0:00 Previous Play Skip Mute Current Time0:00 / Duration Time1:20 Fullscreen Need Text RELATED ARTICLES Previous 1 Next 'Some mothers want to hide their children. I'm showing mine...Two pregnant women catch Zika in Miami's new outbreak zone... SHARE THIS ARTICLE Share There have been more than 150 Zika cases in the county blamed on local mosquitoes. Zika is mainly spread by mosquitoes, but can be spread through sex. Most infected people don't get sick. It can cause a mild illness, with fever, rash and joint pain. But infection during pregnancy can lead to severe brain-related birth defects. The new testing advice also extends to pregnant women who weren't in Miami-Dade themselves, but had unprotected sex with someone who had been in the county recently. The advice for travel to Miami-Dade has not changed: Pregnant women should postpone travel to the county if possible and stay out of the two remaining 'red zones' - Miami Beach and an area just north of the Little Haiti neighborhood. Until this summer, the only cases of Zika in the continental U.S. were connected to travel to areas with Zika epidemics, mostly the Caribbean and Latin America. Of the more than 3,900 cases to date, nearly 900 were pregnant women. Dr. Neil Silverman, a UCLA professor of obstetrics, said doctors are probably already taking precautions with their patients who traveled to the Florida county. Beginning in July, 'I started treating Miami-Dade County like Brazil,' said Silverman, who's been advising California health officials on Zika issues. 'If a patient had been anywhere in the Miami area, I offered testing.' Read more: http://www.dailymail.co.uk/health/article-3855710/Zika-tests-pregnant-women-Miami-Dade-County-July-officials-insist-virus-continues-spread.html#ixzz4Ne7A6dP3 Follow us: @MailOnline on Twitter | DailyMail on Facebook Link to comment Share on other sites More sharing options...
niman Posted October 21, 2016 Author Report Share Posted October 21, 2016 (edited) Comments from 10/13 http://recombinomics.co/thedrnimanshow/2016/10/101316.mp3 Edited October 21, 2016 by niman Link to comment Share on other sites More sharing options...
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