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Establishing a Timeline to Discontinue Routine Testing of Asymptomatic Pregnant Women for Zika Virus Infection - American Samoa, 2016-2017.
MMWR Morb Mortal Wkly Rep 2017; 66(11):299-301MM

Abstract

The first patients with laboratory-confirmed cases of Zika virus disease in American Samoa had symptom onset in January 2016 (1). In response, the American Samoa Department of Health (ASDoH) implemented mosquito control measures (1), strategies to protect pregnant women (1), syndromic surveillance based on electronic health record (EHR) reports (1), Zika virus testing of persons with one or more signs or symptoms of Zika virus disease (fever, rash, arthralgia, or conjunctivitis) (1-3), and routine testing of all asymptomatic pregnant women in accordance with CDC guidance (2,3). All collected blood and urine specimens were shipped to the Hawaii Department of Health Laboratory for Zika virus testing and to CDC for confirmatory testing. Early in the response, collection and testing of specimens from pregnant women was prioritized over the collection from symptomatic nonpregnant patients because of limited testing and shipping capacity. The weekly numbers of suspected Zika virus disease cases declined from an average of six per week in January-February 2016 to one per week in May 2016. By August, the EHR-based syndromic surveillance (1) indicated a return to pre-outbreak levels. The last Zika virus disease case detected by real-time, reverse transcription-polymerase chain reaction (rRT-PCR) occurred in a patient who had symptom onset on June 19, 2016. In August 2016, ASDoH requested CDC support in assessing whether local transmission had been reduced or interrupted and in proposing a timeline for discontinuation of routine testing of asymptomatic pregnant women. An end date (October 15, 2016) was determined for active mosquito-borne transmission of Zika virus and a timeline was developed for discontinuation of routine screening of asymptomatic pregnant women in American Samoa (conception after December 10, 2016, with permissive testing for asymptomatic women who conceive through April 15, 2017).

Authors

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Pub Type(s)

Journal Article

Language

eng

PubMed ID

28333910

Citation

Hancock, W Thane, et al. "Establishing a Timeline to Discontinue Routine Testing of Asymptomatic Pregnant Women for Zika Virus Infection - American Samoa, 2016-2017." MMWR. Morbidity and Mortality Weekly Report, vol. 66, no. 11, 2017, pp. 299-301.
Hancock WT, Soeters HM, Hills SL, et al. Establishing a Timeline to Discontinue Routine Testing of Asymptomatic Pregnant Women for Zika Virus Infection - American Samoa, 2016-2017. MMWR Morb Mortal Wkly Rep. 2017;66(11):299-301.
Hancock, W. T., Soeters, H. M., Hills, S. L., Link-Gelles, R., Evans, M. E., Daley, W. R., ... Gould, C. V. (2017). Establishing a Timeline to Discontinue Routine Testing of Asymptomatic Pregnant Women for Zika Virus Infection - American Samoa, 2016-2017. MMWR. Morbidity and Mortality Weekly Report, 66(11), pp. 299-301. doi:10.15585/mmwr.mm6611a5.
Hancock WT, et al. Establishing a Timeline to Discontinue Routine Testing of Asymptomatic Pregnant Women for Zika Virus Infection - American Samoa, 2016-2017. MMWR Morb Mortal Wkly Rep. 2017 Mar 24;66(11):299-301. PubMed PMID: 28333910.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Establishing a Timeline to Discontinue Routine Testing of Asymptomatic Pregnant Women for Zika Virus Infection - American Samoa, 2016-2017. AU - Hancock,W Thane, AU - Soeters,Heidi M, AU - Hills,Susan L, AU - Link-Gelles,Ruth, AU - Evans,Mary E, AU - Daley,W Randolph, AU - Piercefield,Emily, AU - Anesi,Magele Scott, AU - Mataia,Mary Aseta, AU - Uso,Anaise M, AU - Sili,Benjamin, AU - Tufa,Aifili John, AU - Solaita,Jacqueline, AU - Irvin-Barnwell,Elizabeth, AU - Meaney-Delman,Dana, AU - Wilken,Jason, AU - Weidle,Paul, AU - Toews,Karrie-Ann E, AU - Walker,William, AU - Talboy,Phillip M, AU - Gallo,William K, AU - Krishna,Nevin, AU - Laws,Rebecca L, AU - Reynolds,Megan R, AU - Koneru,Alaya, AU - Gould,Carolyn V, Y1 - 2017/03/24/ PY - 2017/3/24/entrez PY - 2017/3/24/pubmed PY - 2017/3/30/medline SP - 299 EP - 301 JF - MMWR. Morbidity and mortality weekly report JO - MMWR Morb. Mortal. Wkly. Rep. VL - 66 IS - 11 N2 - The first patients with laboratory-confirmed cases of Zika virus disease in American Samoa had symptom onset in January 2016 (1). In response, the American Samoa Department of Health (ASDoH) implemented mosquito control measures (1), strategies to protect pregnant women (1), syndromic surveillance based on electronic health record (EHR) reports (1), Zika virus testing of persons with one or more signs or symptoms of Zika virus disease (fever, rash, arthralgia, or conjunctivitis) (1-3), and routine testing of all asymptomatic pregnant women in accordance with CDC guidance (2,3). All collected blood and urine specimens were shipped to the Hawaii Department of Health Laboratory for Zika virus testing and to CDC for confirmatory testing. Early in the response, collection and testing of specimens from pregnant women was prioritized over the collection from symptomatic nonpregnant patients because of limited testing and shipping capacity. The weekly numbers of suspected Zika virus disease cases declined from an average of six per week in January-February 2016 to one per week in May 2016. By August, the EHR-based syndromic surveillance (1) indicated a return to pre-outbreak levels. The last Zika virus disease case detected by real-time, reverse transcription-polymerase chain reaction (rRT-PCR) occurred in a patient who had symptom onset on June 19, 2016. In August 2016, ASDoH requested CDC support in assessing whether local transmission had been reduced or interrupted and in proposing a timeline for discontinuation of routine testing of asymptomatic pregnant women. An end date (October 15, 2016) was determined for active mosquito-borne transmission of Zika virus and a timeline was developed for discontinuation of routine screening of asymptomatic pregnant women in American Samoa (conception after December 10, 2016, with permissive testing for asymptomatic women who conceive through April 15, 2017). SN - 1545-861X UR - https://www.unboundmedicine.com/medline/citation/28333910/Establishing_a_Timeline_to_Discontinue_Routine_Testing_of_Asymptomatic_Pregnant_Women_for_Zika_Virus_Infection___American_Samoa_2016_2017_ L2 - https://dx.doi.org/10.15585/mmwr.mm6611a5 DB - PRIME DP - Unbound Medicine ER -