HEALTH ADVISORY # 339

 COUNTY OF ERIE

MARK POLONCARZ

COUNTY EXECUTIVE

GALE R. BURSTEIN, MD, MPH, FAAP                                                          DEPARTMENT OF HEALTH

COMMISSIONER OF HEALTH

                          

HEALTH ADVISORY # 339                                                                        March 15, 2016 

Expansion of Zika Virus Testing to Pregnant Women Who Had Unprotected Sex with a Partner Who Traveled to an Area with Active Mosquito-Borne Transmission of Zika Virus 

Please distribute to Healthcare Providers, Infection Control Department, Emergency Department, Infectious Disease Department, OB/GYN, Family Medicine, Pediatrics, Director of Nursing, Medical Director, Laboratory Service, Pharmacy, and all patient care areas.

SUMMARY

  • On February 23, the Centers for Disease Control and Prevention (CDC) issued a Health Advisory that announced 14 reports of possible sexual transmission of Zika virus, including several involving pregnant women.  Information about sexual transmission of Zika virus and actions that can be taken to prevent transmission are available at: http://www.cdc.gov/zika/hc-providers/index.html
  • The New York State Department of Health (NYSDOH) is expanding Zika virus testing availability to all pregnant women who, during pregnancy, had unprotected vaginal, anal or oral sex with a sex partner who traveled to an area with active mosquito-borne transmission of Zika virus.
    • Previously, NYSDOH offered testing only to pregnant women who themselves traveled to an area with active mosquito-borne transmission of Zika virus during their pregnancy.
    • Testing is available regardless of whether the sex partner had symptoms consistent with Zika virus infection.
    • Infants with microcephaly or intracranial calcifications born to these non-traveling, pregnant women are also eligible for testing.
  • NYSDOH is investigating one possible case of sexual transmission of Zika virus to a pregnant woman whose only known risk factor was sexual contact with a symptomatic male partner who had recently traveled to an area with local Zika virus transmission.
    • To date, 40 cases of Zika virus have been reported in NYS. The other 39 cases were diagnosed in travelers from areas with ongoing Zika virus transmission. No cases of local transmission from a mosquito bite have occurred in the State.
  • Preauthorization of testing by the Local Health Department (LHD) where the patient resides continues to be required. Erie County residents can be reported to the Erie County Department of Health (ECDOH) at (716) 858-7697, Monday thru Friday, 8:00 a.m. to 4:00 p.m.
  • Hospitals and providers must report suspected cases of Zika virus to the LHD where the patient resides. 
  • There is no cost for Zika virus testing at the NYSDOH Wadsworth Center. 

ALL PERSONS WHO ZIKA TESTING IS BEING OFFERED 

  • Pregnant women who, during pregnancy, had unprotected vaginal, anal or oral sex with a sex partner who traveled to an area with active mosquito-borne transmission of Zika virus.  http://wwwnc.cdc.gov/travel/page/zika-information
  • Pregnant woman who traveled to an area with active mosquito-borne transmission of Zika while pregnant.
  • Non-pregnant women, men or children who develop (or developed) compatible symptoms during or within 4 weeks of travel to an area with active mosquito-borne transmission of Zika virus.
  • Persons who traveled to an area with active mosquito-borne transmission of Zika virus and who present with Guillain-Barré syndrome.
  • Infants with microcephaly or intracranial calcifications born to women who:
    1. Traveled to an area with active mosquito-borne transmission of Zika virus while pregnant OR
    2. During pregnancy, had unprotected vaginal, anal or oral sex with a sex partner who traveled to an area with active mosquito-borne transmission of Zika virus. 

REPORTING 

Providers are required to report suspected cases of Zika virus and all other arboviral diseases to the LHD where the patient resides. Preauthorization for Zika testing by the LHD continues to be required. Erie County residents can be reported to and preauthorization given for testing by the ECDOH at (716) 858-7697, Monday thru Friday, 8:00 a.m. to 4:00 p.m. 

ADDITIONAL INFORMATION 

Health Category Definitions:

Health Alert FLASH: conveys the highest level of importance due to a large-scale, catastrophic public health emergency; warrants immediate action or attention

Health Alert Priority: conveys the highest level of importance; warrants immediate action or attention to a health problem or situation

Health Advisory: provides important information for a specific incident or situation; may not require immediate action

Health Update: provides updated information regarding an incident or situation; no immediate action necessary 

You can sign up to receive Health Alerts & Advisories at www.erie.gov/health/index.php?q=node/59.  The ECDOH Health Alert & Advisory System is an e-mail notification system designed to alert community partners about important health related information.   

The Erie County Department of Health does not provide medical advice. The information provided on the Erie County Department of Health website is not an attempt to practice medicine and is not intended as a substitute for professional medical advice, diagnosis, or treatment. It is for informational purposes only. Always seek the advice of your personal physician or other qualified health provider with any questions you may have regarding a medical condition or issue. Never disregard professional medical advice ordelay in seeking it because of the content found on the Erie County Department of Health website or this correspondence.