Although local transmission of Zika virus has not been documented in the continental United States, Zika virus infection should be considered in patients with acute onset of fever, maculopapular rash, arthralgia or conjunctivitis who traveled to areas with ongoing transmission in the two weeks prior to onset of illness. Areas with Zika virus activity include many countries in Central and South American and the Caribbean. Updates on areas with ongoing Zika virus transmission are available at: https://wwwnc.cdc.gov/travel/notices/
The Centers for Disease Control and Prevention (CDC) has posted guidelines for health care providers in the United States caring for pregnant women during a Zika virus outbreak. These guidelines include recommendations for pregnant women considering travel to an area with Zika virus transmission and recommendations for screening, testing and management of pregnant returning travelers. A link to the guidance can be found at:https://www.cdc.gov/mmwr/volumes/65/wr/mm6502e1.htm
CDC is recommending that all pregnant women consider postponing travel to areas where Zika virus transmission is ongoing.
If you suspect Zika virus exposure or infection in a patient, please contact your physician for further evaluation.