Study Findings: Five percent of pregnant women with a confirmed Zika infection.. went on to have a baby with a related birth defect

DOCTOR tracked ZIKA last year and proposed the designation of REGIONAL EMERGING VIRUSES REFERRAL CENTERS. It seems that when it was an isolated mainland event in south Florida, public concern disappeared and public health authorities breathed a sigh of relief. Even though we now know that more ZIKA outbreaks are likely and that the consequences

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EBOLA is back in Africa. Is ZIKA next? Are we prepared?

Lesson Learned from recent EBOLA and ZIKA episodes. We need to designate REGIONAL EMERGING VIRUSES REFERRAL CENTERS (REVRCs). 1. There should not be an automatic default to just designating Ebola Centers as REVRCs although there is likely to be significant overlap. 2. REVRCs should be academic medical centers with respected, comprehensive infectious disease diagnostic/ treatment

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All pregnant women with Zika diagnosed at community hospitals must be referred to academic medical centers for prenatal care!

Most pregnant women with Zika will eventually wind up at academic medical centers for prenatal care and delivery by a perinatologist, with newborn care provided by a comprehensive team of pediatrician sub-specialists including neonatologists and pediatric neurologists. The earlier during the pregnancy the better! Here’s why…..  Highlights from August’s Emergency Preparedness Coordinating Council Kevin Chason,

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Hospitals are developing their own Zika preparedness models. Compare the Central Florida and Johns Hopkins approaches! Which template makes more sense?

  To fight Zika, Central Florida hospitals and doctors ramp up patient education, surveillance  In the fight against the spread of Zika, local doctors and hospitals are ramping up education and surveillance in Central Florida to contain the spread of the virus. There is a heavy emphasis on patient education, while providers are on high

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With little gudiance about caring for Zika patients, hospitals are planning on their own

As many of you know I have been advocating (unsuccessfully) for the designation of Zika Regional Referral Centers (ZRRFs). Perhaps this article from STAT will convince policy makers that it is time to stage Zika hospital preparedness. With little known about Zika virus, hospitals scramble to stay ahead By Andrew Joseph  https://www.statnews.com/2016/08/17/hospitals-zika-virus-disease-birth-defects/ “The threat of

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The ER clerk asked me “How do you spell Zika?

CDC’s revised Zika Interim Response Plan (July) states:  ”Neither vaccines nor proven clinical treatments are expected to be available to treat or prevent virus infections before local transmission begins within CONUS or Hawaii.”; “Scientific understanding of Zika virus continues to evolve, and new characteristics of the virus and how it is spread may arise.” (A)

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