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Zika in Texas How to Prevent the Spread of the Zika Virus 8/31/2016 1 Introduction 8/31/2016 2 Zika in Texas 8/31/2016 3 Overview of Zika • Zika spreads primarily through the bite of an infected Aedes species mosquito. • Can be spread through sexual contact and blood transfusion. • There are no confirmed cases of blood transfusion in the United States. (As of 8/25/2016) • There are no reports of pets or other kinds of animals spreading or contracting Zika. (As of 8/25/2016) 8/31/2016 4 Overview of Potential Health Risks • While many with Zika do not become ill or have no symptoms, the virus can cause: • Fever • Rash • Joint Pain • Conjunctivitis (Red or Pink Eyes) • It can be spread from mother to child and has been linked to birth defects such as microcephaly. • It may also be among the causes of GuillainBarré syndrome. 8/31/2016 5 Overview of Zika in Texas 130 Texas has had reported cases of Zika virus disease to date. This count includes: 3 pregnant women 2 infants infected before birth 1 person who had sexual contact with a traveler (As of 8/25/2016) 8/31/2016 6 Risks 8/31/2016 7 What is Driving the Risk for Zika in Texas? • Primarily spread through a type of mosquito commonly found in South Texas and the coast of Texas. • Frequently found in urban environments. • Texas has a long mosquito season and many people travel to places where Zika is active during this time. • This species of mosquito can breed in as little as a tablespoon of water. • It commonly breeds in standing water in and around homes and buildings. 8/31/2016 8 What are the Main Health Risks? Zika can be spread from mother to child if the mother is infected with the Zika virus during pregnancy. It may also be among the causes of Guillain-Barré syndrome, a condition in which your immune system attacks part of your nervous system. 8/31/2016 9 Detailing the Risks for Pregnant Women The Zika virus has been linked to birth defects such as microcephaly, a condition where a baby’s head is much smaller than expected and that can cause developmental delays. 8/31/2016 10 Protecting Yourself from Zika At this time, there is no vaccine available for the Zika virus. Your best protection to avoid infection is to eliminate mosquito breeding grounds and to protect yourself from mosquito bites. 8/31/2016 11 Tips for Prevention 8/31/2016 12 When You’re Outside • Use EPA-approved insect repellent. • Wear pants and long-sleeve shirts that cover exposed skin. • In warmer weather, wear lightweight, loose-fitting clothing to cover exposed skin. 8/31/2016 13 When You’re at Home • Use screens or close windows and doors to keep mosquitoes out of your home. • Remove standing water in and around your home. This includes water in cans, toys, tires, plant saucers and any other containers that can hold water. • Cover trash cans or containers where water can collect. 8/31/2016 14 Pregnant or Trying to Get Pregnant? • Use EPA-approved insect repellent. • Discuss your partner's potential exposures and history of Zika-like illness with your health care provider. • Call your doctor if you have any concerns. 8/31/2016 15 Pregnant or Trying to Get Pregnant? • Talk to your doctor or a healthcare provider about your travel plans. • Avoid travel to regions where the Zika virus is active. 8/31/2016 16 When You’re Traveling Before Your Trip • Check travel notices and avoid Zika affected areas, if possible. During Your Trip • Use EPA-approved insect repellent during your entire trip. • Wear pants and longsleeve shirts. • Use screens or close windows and doors at the places you’re staying. • Take precautions against sexual transmission. Consider abstaining from sex or use condoms correctly. After Your Trip • Use EPA-approved insect repellent for 21 days after you return to the United States. • Take precautions against sexual transmission for at least eight weeks. Consider abstaining from sex or use condoms correctly. • Call your doctor if you have concerns. 8/31/2016 17 If You Work Outside • Apply EPA-approved insect repellent. • Wear pants and long-sleeve shirts that cover exposed skin. • In warmer weather, wear lightweight, loose-fitting clothing that covers exposed skin. 8/31/2016 18 How to Recognize Zika 8/31/2016 19 “ 80 percent of people with Zika do not become ill or have symptoms. 8/31/2016 ” 20 Symptoms If you do show symptoms, Other symptoms include: the most common are: • Muscle pain • Fever • Headache • Rash • Joint Pain • Conjunctivitis (Red or Pink eyes) 8/31/2016 21 Helping Your Community Recognize the Symptoms 1 2 3 Know how to recognize symptoms. Strongly recommend they see a healthcare professional. Provide materials on how to prevent spreading Zika. 8/31/2016 22 Flu vs. Zika Flu Zika Symptoms Fever or feeling feverish/chills, cough, sore throat, runny or stuffy nose, muscle or body aches, headaches, fatigue and some people experience vomiting/diarrhea. Transmission Person to person. Mosquito bites, mother to child, through infected blood or sexual contact. Vaccine A Flu vaccine is created each year to assist with prevention. There is currently no vaccine available for Zika virus. A small proportion of those who contract the flu die. Researchers are currently investigating if there is a link between Zika and death. It is currently associated with Guillain-Barre and poor pregnancy outcomes. Mortality or other effects One in five people experience mild cases of fever, rash, joint pain, muscle pain, headache or conjunctivitis (red eyes). 8/31/2016 23 Treatment and Testing 8/31/2016 24 Testing for Zika • It’s important that you talk to your doctor if you have concerns or think you might have been exposed to the virus. • A diagnosis is based on: • A person’s recent travel history • Symptoms • Test results 8/31/2016 25 How Do We Test for Zika? • A blood or urine test can confirm a Zika infection. • Your doctor may order blood tests to look for Zika or other mosquitoborne diseases like dengue or chikungunya. 8/31/2016 26 Guidance for Pregnant Women 1 Begin prenatal care as soon as you know you are pregnant. Pregnant women should continue to receive routine prenatal care. 2 If you have any concerns or are experiencing symptoms, talk to your doctor or nurse. 3 Protect yourself from sexual transmission and consider abstaining from sex or using condoms. 8/31/2016 27 Guidance for Pregnant Women Review the risks for potential Zika exposure, including: • Travel to at-risk areas. • Partner’s travel to at-risk areas. 8/31/2016 28 What to Do if You Have Zika Talk to your doctor. Get plenty of rest. Drink fluids to prevent dehydration. Take medicine, such as acetaminophen to reduce fever and pain. • Do not take aspirin or other non-steroidal anti-inflammatory drugs (NSAIDs). • Talk to your doctor or healthcare provider before taking additional medication. • • • • 8/31/2016 29 What to Do if You Have Zika During the first week of infection, the Zika virus can be found in the blood and passed from an infected person to another mosquito through mosquito bites. • Use EPA-approved insect repellent to avoid bites. • Take precautions against sexual transmission for at least eight weeks. 8/31/2016 30 Protecting Your Community 8/31/2016 31 Awareness is Key • DSHS provides free informational materials at TexasZika.org. • Share information far and wide with your employees, volunteers, neighbors and community stakeholders using the Communications Toolkit available for your use. • Materials are available for download or order at TexasZika.org. PROTÉ GETE CONT RA EL ¿Qué es el ZIKA Zika? 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I Worry Should MANTE NTE A L Can What I Do DÍA C ON IN FORM ACIÓN ACTU ALIZA DA EN TexasZ ika.org ka? ent Zi to Prev TALK IF CTOR UR DO TO YO VE YOU HA HE ITH T UP W KEEP OR ERNS CONC MI K YOU THIN AT T INFO LATES g ika.or TexasZ 8/31/2016 6-24 16 05/ 26/ 32 Simple Steps to Help Protect Employees, Volunteers and Stakeholders • Recommend clothing that covers exposed areas. • Ask employees or volunteers to notify you of any areas that have a large population of mosquitoes or standing water. • Use free materials available at TexasZika.org to share information about how to protect again mosquito bites. • Conduct routine mosquito control in areas you might have outdoor activity. 8/31/2016 33 Support a Zika Task Force • Volunteer Clean-Up: Create groups responsible for monitoring areas known for standing water or mosquitoes and coordinate community clean-ups. • Host Zika Action Days: Work with DSHS or local public health officials to host a community event for your stakeholders to answer Zika questions, conduct clean-up demonstrations and provide materials to protect against Zika. • Community Outreach: Conduct neighborhood outreach about precautions people can take to protect themselves and their families from mosquito bites. • Consider creating a Zika Prevention Kits. (CDC website) 8/31/2016 34 Resources 8/31/2016 35 Resources to Remember • TexasZika.org • CDC.gov/Zika 8/31/2016 36 Thank you. Email DSHS for More Information DSHS.Communications@dshs.state.tx.us 8/31/2016 37