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https://www.cdc.gov/zika/about/index.html

https://www.cdc.gov/zika/prevention/index.html

Steps to prevent mosquito bites

When in areas with Zika and other diseases spread by mosquitoes, take the following steps[PDF - 2 pages]:

Wear long-sleeved shirts and long pants.
Stay in places with air conditioning and window and door screens to keep mosquitoes outside.
Take steps to control mosquitoes inside and outside your home.
Sleep under a mosquito bed net if you are overseas or outside and are not able to protect yourself from mosquito bites.
Use Environmental Protection Agency (EPA)-registered insect repellents with one of the following active ingredients: DEET, picaridin, IR3535, oil of lemon eucalyptus, or para-menthane-diol. Choosing an EPA-registered repellent ensures the EPA has evaluated the product for effectiveness. When used as directed, EPA-registered insect repellents are proven safe and effective, even for pregnant and breast-feeding women.
Always follow the product label instructions.
Reapply insect repellent as directed.
Do not spray repellent on the skin under clothing.
If you are also using sunscreen, apply sunscreen before applying insect repellent.
To protect your child from mosquito bites:
Do not use insect repellent on babies younger than 2 months old.
Do not use products containing oil of lemon eucalyptus or para-menthane-diol on children younger than 3 years old.
Dress your child in clothing that covers arms and legs.
Cover crib, stroller, and baby carrier with mosquito netting.
Do not apply insect repellent onto a child’s hands, eyes, mouth, and cut or irritated skin.
Adults: Spray insect repellent onto your hands and then apply to a child’s face.
Treat clothing and gear with permethrin or purchase permethrin-treated items.
Treated clothing remains protective after multiple washings. See product information to learn how long the protection will last.
If treating items yourself, follow the product instructions carefully.
Do NOT use permethrin products directly on skin. They are intended to treat clothing.

Even if they do not feel sick, travelers returning to the United States from an area with Zika should take steps to prevent mosquito bites for 3 weeks. These steps will prevent them from passing Zika to mosquitoes that could spread the virus to other people.

Sick with Chikungunya, Dengue, or Zika? Protect yourself and others from mosquito bites during the first week of illness.

Sick with Chikungunya, Dengue, or Zika?

English[PDF - 1 page]
Spanish[PDF - 1 page]

If you have Zika, protect others from getting sick

During the first week of infection, Zika virus can be found in the blood and passed from an infected person to another mosquito through mosquito bites. An infected mosquito can then spread the virus to other people.
To help prevent others from getting sick, strictly follow steps to prevent mosquito bites[PDF - 2 pages] during the first week of illness.
A man with Zika virus can pass it to his female or male sex partners.
Zika virus can stay in semen longer than in blood, but we don’t know exactly how long Zika stays in semen.
To help prevent spreading Zika from sex, you can use condoms, correctly from start to finish, every time you have sex. This includes vaginal, anal, and oral (mouth-to-penis) sex. Not having sex is the only way to be sure that someone does not get sexually transmitted Zika virus.

If you are a man who lives in or has traveled to an area with Zika

If your partner is pregnant, either use condoms correctly (warning: this link contains sexually graphic images) from start to finish, every time you have vaginal, anal, and oral (mouth-to-penis) sex, or do not have sex during the pregnancy.
Even if they do not feel sick, travelers returning to the United States from an area with Zika should take steps to prevent mosquito bites[PDF - 2 pages] for 3 weeks so they do not spread Zika to mosquitoes that could spread the virus to other people.

If you are concerned about getting Zika from a male sex partner

You can use condoms correctly from start to finish, every time you have vaginal, anal, and oral (mouth-to-penis) sex. Condoms also prevent HIV and other STDs. Not having sex is the only way to be sure that you do not get sexually transmitted Zika virus.
Pregnant women should talk to a doctor or other healthcare provider if they or their male sex partners recently traveled to an area with Zika, even if they don’t feel sick.

Information for travelers

Traveling? Visit CDC's Travelers Health website to see if the country you plan to visit has any travel health notices.
Even if they do not feel sick, travelers returning to the United States from an area with Zika should take steps to prevent mosquito bites for 3 weeks so they do not spread Zika to mosquitoes that could spread the virus to other people.
CDC has posted maps that show elevation levels in countries with Zika.
Mosquito Bite Prevention for Travelers [PDF - 2 pages]
Read the Traveler's Health Yellow Book for more information on Protection against Mosquitoes, Ticks, Fleas & Other Insects and Arthropods.

Additional Resources

Guidelines for Travelers Visiting Friends and Family in Areas with Chikungunya, Dengue, or Zika
Guidelines for US Citizens and Residents Living in Areas with Ongoing Zika Virus Transmission
Update: Interim Guidance for Prevention of Sexual Transmission of Zika Virus — United States, 2016
Interim Guidelines for Prevention of Sexual Transmission of Zika Virus – United States, 2016
Zika and Sexual Transmission

https://www.cdc.gov/zika/transmission/index.html

https://www.cdc.gov/zika/geo/index.html

https://www.cdc.gov/zika/pregnancy/index.html

Zika and microcephaly

Since May 2015, Brazil has experienced a significant outbreak of Zika virus. In recent months, Brazilian officials reported an increase in the number of babies born with microcephaly.

Since these initial reports of a link between Zika and microcephaly, researchers across the world began working to study the link between Zika during pregnancy and microcephaly. In a recent article, CDC scientists announced that there is now enough evidence to conclude that Zika virus infection during pregnancy is a cause of microcephaly and other severe fetal brain defects and has been linked to problems in infants, including eye defects, hearing loss, and impaired growth. Scientists are studying the full range of other potential health problems that Zika virus infection during pregnancy may cause.

Other possible causes of microcephaly

Microcephaly can happen for many reasons. Some babies have microcephaly because of

Changes in their genes
Certain infections during pregnancy
A woman being close to or touching toxins during pregnancy

Recent media reports have suggested that a pesticide called pyriproxyfen might be linked with microcephaly. Pyriproxyfen has been approved for the control of disease-carrying mosquitoes by the World Health Organization. Pyriproxyfen is a registered pesticide in Brazil and other countries, it has been used for decades, and it has not been linked with microcephaly. In addition, exposure to pyriproxyfen would not explain recent study results showing the presence of Zika virus in the brains of babies born with microcephaly.
Zika and Other Birth Outcomes

In addition to microcephaly, other problems have been detected among fetuses and infants infected with Zika virus before birth, such as eye defects, hearing loss, and impaired growth. Although Zika virus is a cause of microcephaly and other severe fetal brain defects and has been linked with these other problems in infants, there is more to learn. Researchers are collecting data to better understand the extent Zika virus’ impact on mothers and their children.

Future Pregnancies

Based on the available evidence, we think that Zika virus infection in a woman who is not pregnant would not pose a risk for birth defects in future pregnancies after the virus has cleared from her blood. From what we know about similar infections, once a person has been infected with Zika virus, he or she is likely to be protected from a future Zika infection.

https://www.cdc.gov/zika/vector/index.html

https://www.cdc.gov/zika/hc-providers/clinical-guidance.html

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https://www.cdc.gov/zika/hc-providers/diagnostic.html

https://www.cdc.gov/zika/hc-providers/registry.html

https://www.cdc.gov/zika/hc-providers/tools.html

http://emergency.cdc.gov/han/han00385.asp

http://www.cdc.gov/zika/geo/

https://www.whitehouse.gov/blog/2016/01/27/zika-virus-what-you-need-know

https://www.gov.uk/guidance/zika-virus

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OR

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OR

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OR

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OR

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Resources for the Public
What you need to know about Zika virus
Information from the Centers for Disease Control and Prevention

Frequently asked questions about Zika virus
Videos, fact sheets and other information from the World Health Organization (WHO) that explain what the virus is, which symptoms to look for and how to protect your family

Zika virus infection, prevention and recommendations for pregnant women
Infographics, frequently asked questions, interactive games and more from the Pan American Health Organization (PAHO) and WHO

Zika and pregnancy
Latest information from the CDC for pregnant women

Information for parents about Zika virus
Latest information from the CDC for parents

Zika virus disease
Journal of the American Medical Association (JAMA) patient page from April 13

How to protect against mosquito bites
Latest information from the CDC

Zika-infected areas
World map and list of countries and territories with active Zika transmission, provided by the CDC

CDC issues advice for travel to the 2016 Summer Olympic Games
Press release from Feb. 26

Resources for Physicians
Understanding Zika Virus

Zika virus information for health care professionals
Includes clinical evaluation and diagnostic testing information from the CDC

Interim CDC Zika response plan
Initial response to Zika virus Infections in continental U.S. and Hawaii

CDC Zika Action Plan Summit
Presentations and Resources from April 1

Zika and pregnancy
CDC Vital Signs from April 1

Possible Zika virus infection among pregnant women — United States and territories, May 2016
MMWR from May 20

CDC changes reporting of numbers of pregnant women affected by Zika virus
CDC media statement from May 20

Male-to-male sexual transmission of Zika virus — Texas, January 2016
CDC Morbidity and Mortality Weekly Report (MMWR) from April 15

Survey of blood collection centers and implementation of guidance for prevention of transfusion-transmitted Zika virus infection — Puerto Rico, 2016
MMWR from April 15

Estimating contraceptive needs and increasing access to contraception in response to the Zika virus disease outbreak — Puerto Rico, 2016
MMWR from March 25

Travel-associated Zika virus disease cases among U.S. residents — United States, January 2015–February 2016
MMWR from March 18

Zika virus infection among U.S. pregnant travelers — August 2015–February 2016
MMWR from March 4

Transmission of Zika virus through sexual contact with travelers to areas of ongoing transmission — continental United States, 2016
MMWR from March 4

Notes from the field: Evidence of Zika virus infection in brain and placental tissues from 2 congenitally infected newborns and 2 fetal losses—Brazil, 2015
MMWR from Feb. 10

Increase in reported prevalence of microcephaly in infants born to women living in areas with confirmed Zika virus transmission during the first trimester of pregnancy — Brazil, 2015
MMWR from March 8

Zika virus emergency preparedness and response
Latest information from the WHO

Zika virus infection
Information and resources from the PAHO and WHO

Zika virus spreads to new areas: Region of the Americas
MMWR from Jan. 22

Clinical Guidance

Zika virus—what clinicians need to know
CDC webinar from Jan. 26

CPT codes for Zika-related imaging and lab test procedures
Last updated April 15

Diagnostic testing of urine specimens for suspected Zika virus infection
CDC Health Advisory from May 25

Updated interim guidance for prevention of sexual transmission of Zika virus — United States, 2016 MMWR from April 1

Updated interim guidance for health care providers caring for women of reproductive age with possible Zika virus exposure — United States, 2016
MMWR from March 25

Preventing transmission of Zika virus in labor and delivery settings through implementation of standard precautions — United States, 2016
MMWR from March 22

Updated interim guidelines for prevention of sexual transmission of Zika virus — United States, 2016
CDC Health Advisory from Feb. 23

Interim guidelines for health care providers caring for infants and children with possible Zika virus infection
MMWR from Feb. 19

Recommendations for donor screening, deferral, and product management to reduce the risk of transfusion-transmission of Zika virus
FDA guidance Feb. 2016

Updated interim guidelines for health care providers caring for pregnant women and women of reproductive age with possible Zika virus exposure
MMWR from Feb. 12

Updated interim guidelines for the evaluation and testing of infants with possible congenital Zika virus infection
MMWR from Feb. 26

Interim guidelines for pregnant women during a Zika virus outbreak
MMWR from Jan. 22

Possible association between Zika virus infection and microcephaly
MMWR from Jan. 22

Questions and answers for health care providers caring for pregnant women and women of reproductive age with possible Zika virus exposure
CDC resource updated Feb. 9

Recognizing, managing and reporting Zika virus infections in travelers returning from Central America, South America, the Caribbean and Mexico
CDC Health Advisory from Jan. 15

Medical Journal Articles

On the seasonal occurrence and abundance of the Zika Virus vector mosquito Aedes Aegypti in the contiguous United States
PLOS Current Outbreaks published March 16

Is the United States prepared for a major Zika virus outbreak?
JAMA Viewpoint published April 13

Zika virus
New England Journal of Medicine (NEJM) from March 30

Pregnancy in the time of Zika: addressing barriers for developing vaccines and other measures for pregnant women
JAMA Viewpoint published March 22

Zika virus infection in pregnant women in Rio de Janeiro — preliminary report
NEJM from March 4

Infectious Zika viral particles in breast milk
Lancet Correspondence from March 1

Guillain-Barre syndrome outbreak associated with Zika virus infection in French Polynesia: a case-control study
Lancet from Feb. 26

Detection and sequencing of Zika virus from amniotic fluid of fetuses with microcephaly in Brazil: a case study
Lancet Infectious Disease from Feb. 17

"Pregnancy in the time of Zika: addressing barriers for developing vaccines and other measures for pregnant women"
JAMA Viewpoint published Feb. 24

"Researchers focus on solving the Zika riddles"
Commentary on establishing causality, vaccine research, and containment published in JAMA Feb. 24

"What pediatricians and other clinicians should know about Zika virus"
JAMA Pediatrics Viewpoint published Feb. 18

"Ocular findings in infants with microcephaly associated with presumed Zika virus congenital infection in Salvador, Brazil"
Significant new clinical data on the Zika virus and infants, published online in JAMA Ophthalmology, Feb. 9

"Zika virus infection and the eye"
Commentary on ocular findings in infants, published online in JAMA Ophthalmology, Feb. 9

"The emerging Zika pandemic: Enhancing preparedness"
JAMA Viewpoint published Jan. 27

"Anticipating the international spread of Zika virus from Brazil"
Published in The Lancet, Jan. 23

"Zika virus in the Americas—yet another arbovirus threat"
Commentary published in The New England Journal of Medicine, Jan. 13 (e-publication ahead of print)

Potential sexual transmission of Zika virus
CDC Emerging Infectious Diseases dispatch from Feb. 2015

Medical Products

Zika virus response updates
Latest from FDA
FDA allows use of investigational test to screen blood donations for Zika virus
FDA press release from March 30

Occupational Exposure

Interim guidance for protecting workers from occupational exposure to Zika Virus
OSHA and NIOSH guidance from April 22

Research

Potential research priorities to inform public health and medical practice for domestic Zika virus: workshop in brief
Institute of Medicine Workshop Summary from Feb. 16

Notice of NIAID’s interest to highlight high-priority Zika virus research areas
Research notice by the National Institutes of Health from Jan. 22

Vector Control

Interim recommendations for Zika vector control in the continental United States
CDC from March 18

FDA announces comment period for draft environmental assessment for genetically engineered mosquito
FDA from March 11

Advocacy Letters

AMA Letter to the House, May 26, 2016

AMA Letter to the Senate, May 26, 2016

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