Zika testing and viral transmission

Dear Puerto Rico Ob Gyn’s:

Please remember to discuss Zika testing and viral transmission with all your reproductive age patients and most importantly with those PREGNANT. See attached key points to remember and educational material from CDC.

Let’s PROTECT those most vulnerable: our PREGNANT WOMEN and their FETUSES.

Thank you all,



Are you pregnant? Here’s what you can do if you live in an area with Zika

1. See a doctor or other healthcare provider

  • You are at risk of getting Zika throughout your pregnancy. For this reason, doctors or other healthcare providers can offer testing at the first prenatal visit and a second test in the second trimester.
  • If you have symptoms of Zika (fever, rash, joint pain, or conjunctivitis (red eyes)) at any time during your pregnancy, you should be tested for Zika. A doctor or other healthcare provider may also test for other similar diseases, like dengue or chikungunya.
  • CDC has guidance to help doctors decide what tests are needed for pregnant women who may have been exposed to Zika.

2. There is no vaccine or medicine for Zika. The best way to prevent Zika is to prevent mosquito bites.

  • Wear long-sleeved shirts and long pants.
  • Stay in places with air conditioning and window and door screens to keep mosquitoes outside.
  • Use Environmental Protection Agency (EPA)-registered insect repellents. When used as directed, these insect repellents are proven safe and effective even for pregnant and breastfeeding women.
  • Remove or stay away from mosquito breeding sites, like containers with standing water.

3. Take steps to prevent getting Zika through sex

  • Until more is known, pregnant women with male sex partners who live in or travel to an area with Zika should use a condom(http://www.cdc.gov/condomeffectiveness/brief.html) every time they have sex or not have sex during the pregnancy. To be effective, condoms must be used correctly (warning: this link contains sexually graphic images) from start to finish, every time during sex. This includes vaginal, anal, or oral (mouth-to-penis) sex.
  • If a pregnant woman is concerned that her male partner may have or had a Zika virus infection, she should talk to her doctor or other healthcare provider

Click the following images, to download the key points in PDF:

CDC’s Response to Zika PREGNANT and living in an area with Zik Lista de control para usar en la consulta médica como respuesta CDCZikaSex NEJM_Zika_and_birth_defects_causality Zika_in_PR_MMWR_April_29_2016


Nabal Jose Bracero, M.D., F.A.C.O.G.
Reproductive Endocrinology and Infertility

Medical Director
GENES fertility institute
San Juan, Puerto Rico

Assistant Professor
Department of Obstetrics and Gynecology
University of Puerto Rico School of Medicine

President & Founder

American College of Obstetricians and Gynecologists
Puerto Rico Section