Zika Referral Guidelines

Referral Guidelines

If you have concerns that your patient may have been exposed to the Zika virus, please consult the guidelines below to assess when to refer to the Congenital Zika Virus Program. (download these referral guidelines as a PDF)

Pregnant women who:

• have traveled to a Zika-affected area¹ (with or without symptoms²)
• have had a sexual encounter with a partner (with or without symptoms) with confirmed Zika infection or who traveled to a Zika-affected area
• have not traveled to a Zika-affected area nor had a sexual encounter with a partner who traveled but who have a history of mosquito bite(s) and have symptoms consistent with Zika infection
• have fetal ultrasound studies that show a falling head circumference, microcephaly, or intracranial calcifications

Infants who:

• were born to a mother who had a positive or inconclusive test result for Zika
• were born to a mother who traveled to or resided in an area¹ with Zika virus transmission during pregnancy.
• have microcephaly or intracranial calcifications (diagnosed pre- or postnatally)
• have symptoms of Zika² in the first two weeks of life not explained by another etiology

_{1 an updated list of Zika-affected areas can be found here: http://cdc.gov/zika/geo/index.html
2 symptoms of Zika include: fever, rash, joint pain, redness of the eyes, or headache and muscle pain.}