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10 Dec 2016

#US #CDC: #Advice for people #living in or #traveling to South #Florida (@CDCgov, Dec. 10 ‘16)

 

Title: #US #CDC: #Advice for people #living in or #traveling to South #Florida.

Subject: Zika Virus, current epidemiological situation in Florida; vector-borne transmission stopped in certain areas.

Source: US Centers for Disease Control and Prevention (CDC), full page: (LINK).

Code: [     ]

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Advice for people living in or traveling to South Florida

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Language: [ English | Español | Português ]

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Area in Miami, FL where Zika virus is being spread by mosquitoes

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[Source: http://www.cdc.gov/zika/intheus/florida-maps.html ]

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Miami-Dade County, FL. Red shows areas where pregnant women should not travel. Yellow shows areas where pregnant women should consider postponing travel.

 

Advice for people living in or traveling to South Florida

CDC has issued guidance for people living in or traveling to Miami-Dade County, Florida. CDC designates areas for Zika virus transmission prevention in the continental United States and Hawaii as red or yellow.

 

Guidance for Zika cautionary areas (Yellow areas)

  • 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.
    • Miami-Dade County is designated as a cautionary yellow area.
  • 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 have ongoing exposure (live in or frequently travel [daily, weekly]) to Miami-Dade County should consult with their healthcare provider to obtain testing for Zika in the first and second trimesters of pregnancy.
      • Pregnant women who have had 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 infection.
  • 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 previous Zika transmission areas (Red areas)

  • 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.
    • There are currently no red areas designated in the United States.

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The guidance for yellow areas now applies to the identified areas in Wynwood, North Miami Beach, South Miami Beach, and Little River, FL, where the risk of Zika remains but is no longer greater than that in the rest of Miami-Dade County.

Women and men living in or who traveled to these areas should be aware that these locations were considered to have intense Zika virus spread previously, but low risk of local spread may still exist.

Partners of pregnant women in these areas should use condoms consistently and correctly to prevent passing Zika during sex, or they should not have sex during the pregnancy.

  • Pregnant women who lived in, traveled to, or had sex without a condom with a person who lived in or traveled to the identified area of Little River after August 1, 2016, should be tested for Zika.
  • Women who traveled to the identified area of Little River after August 1, 2016, regardless of whether they had symptoms, should wait at least 8 weeks before trying to get pregnant.
  • Men who traveled to the Little River area after August 1, 2016, regardless of whether they had symptoms, should wait at least 6 months before trying to get their partner pregnant.
  • Pregnant women who lived in, traveled to, or had sex without a condom with a person who lived in or traveled to the identified areas of North Miami Beach or South Miami Beach after July 14, 2016, should be tested for Zika.
  • Women who traveled to the identified areas of North Miami Beach or South Miami Beach after July 14, 2016, regardless of whether they had symptoms, should wait at least 8 weeks before trying to get pregnant.
  • Men who traveled to the identified areas of North Miami Beach or South Miami Beach after July 14, 2016, regardless of whether they had symptoms, should wait at least 6 months before trying to get their partner pregnant.
  • Pregnant women who lived in, traveled to, or had sex without a condom with a person who lived in or traveled to the Wynwood area after June 15, 2016, should be tested for Zika.
  • Women who traveled to the Wynwood area after June 15, 2016, regardless of whether they had symptoms, should wait at least 8 weeks before trying to get pregnant.
  • Men who traveled to the Wynwood area after June 15, 2016, regardless of whether they had symptoms, should wait at least 6 months 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.

 

Timeline

  • On December 9, 2016, CDC removed the red area designation for the remaining 1.5-square-mile area of South Miami Beach after three mosquito incubation periods (45 days) passed without any new locally transmitted cases of Zika. Guidance for yellow areas now applies to the South Miami Beach area and all of Miami-Dade County.
  • On December 2, 2016, CDC removed the red area designation for the 1-square-mile area of Little River after more than three mosquito incubation periods (45 days) passed without any new locally transmitted cases of Zika. Guidance for yellow areas now applies to the Little River area.
  • On November 21, 2016, CDC updated guidance for the 4.5-square-mile area of Miami Beach. The North and South Miami Beach sections are being considered separately again because no new cases of local Zika virus transmission were identified in the North Miami Beach area after three mosquito incubation periods passed (45 days), suggesting that the risk of Zika virus infection in North Miami Beach is no longer greater than in the rest of Miami-Dade County. The original 1.5-square-mile area of South Miami Beach for which guidance was issued on September 17 will remain a red area until 45 days pass without new cases. The remainder of Miami-Dade County is designated as a Zika cautionary area (yellow area). Guidance for yellow areas now applies to North Miami Beach.
  • On October 19, because local spread of Zika virus continued to be reported in Miami-Dade County, CDC updated its travel and testing guidance to apply recommendations to all of Miami-Dade County.
  • On October 13, Florida announced a new area of mosquito-borne spread of Zika in an additional 1-square-mile area of Little River in Miami-Dade County, FL.
  • 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 August 19, CDC also issued guidance for a 1.5-square-mile section of South Miami Beach identified to have mosquito-borne spread of Zika; on September 17, this section was expanded to a 4.5-square-mile area that included areas of North Miami Beach.
  • 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.

 

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.

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Keywords: US CDC; USA; Updates; Zika Virus; Florida.

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