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    Zika: A report from the front lines


    Take-home message

    Ob/gyns who practice in areas with active mosquito-borne transmission should initiate routine screening. All other US ob/gyns should query patients at every visit about possible exposure and have a protocol in place to detect early infections. Local surveillance and control of outbreaks require considerable financial resources. The financial burden on local and state health departments that perform serologic and rRT-PCR testing will also be substantial. Thus, it is time for Congress to expeditiously act to adequately fund these initiatives as well as to fund research in optimal vector control and both active and passive vaccine development. And while the federal government should be fully accountable for such expenditures, this is no time for partisan wrangling.



    1. Florida Health. Dengue Fever. http://www.floridahealth.gov/diseases-and-conditions/dengue/index.html. Accessed August 8, 2016.

    2. The New York Times. Zika cases in Puerto Rico are skyrocketing. http://www.nytimes.com/2016/07/31/health/zika-virus-puerto-rico.html?_r=0. Accessed August 8, 2016.

    3. Johansson MA, Mier-y-Teran-Romero L, Reefhuis J, Gilboa SM, Hills SL. Zika and the Risk of Microcephaly. N Engl J Med. 2016;375(1):1-4.

    4. Sarno M, Sacramento GA, Khouri R, et al. Zika Virus Infection and Stillbirths: A Case of Hydrops Fetalis, Hydranencephaly and Fetal Demise. PLoS Negl Trop Dis. 2016;10(2):e0004517.

    5. Hazin AN, Poretti A, Turchi Martelli CM, Huisman TA; Microcephaly Epidemic Research Group, et al. Computed Tomographic Findings in Microcephaly Associated with Zika Virus. N Engl J Med. 2016;374(22):2193-5.

    6. Brasil P, Pereira JP Jr, Raja Gabaglia C, et al. Zika Virus Infection in Pregnant Women in Rio de Janeiro - Preliminary Report. N Engl J Med. 2016 Mar 4. [Epub ahead of print]

    7. Moshfeghi DM, de Miranda HA 2nd, Costa MC. Zika Virus, Microcephaly, and Ocular Findings. JAMA Ophthalmol. 2016 Jun 2. [Epub ahead of print]

    8. Morbidity and Mortality Weekly Report. Update: Interim Guidance for Health Care Providers Caring for Pregnant Women with Possible Zika Virus Exposure — United States, July 2016. http://www.cdc.gov/mmwr/volumes/65/wr/pdfs/mm6529e1.pdf Accessed August 8, 2016.

    9. The Los Angeles Times. A mysterious case of Zika raises new fears of person-to-person transmission. http://www.latimes.com/science/sciencenow/la-sci-sn-zika-mystery-utah-20... Accessed August 8, 2016.

    10. Morbidity and Mortality Weekly Report. Interim Guidance for Interpretation of Zika Virus Antibody Test Results. http://www.cdc.gov/mmwr/volumes/65/wr/mm6521e1.htm Accessed August 8, 2016.

    Charles J. Lockwood, MD, MHCM
    Dr. Lockwood, Editor-in-Chief, is Dean of the Morsani College of Medicine and Senior Vice President of USF Health, University of South ...


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