Guidance for Areas with a Previous Zika Cautionary (Yellow) Designation in the Continental United States and Hawaii
Notice: On July 24, 2017, CDC released updated interim guidance for the care of pregnant women with possible Zika virus exposure. CDC no longer recommends routine Zika virus testing for asymptomatic pregnant women without ongoing exposure to Zika virus. CDC will be updating this webpage in the near future. In the meantime, please see updated interim guidance for updated testing recommendations.
These recommendations provide guidance for health departments and healthcare providers caring for people with exposure1 to areas where the Zika cautionary (yellow) designation has been lifted. Although the level of risk of Zika virus transmission after a yellow area designation is lifted is unknown, it is likely to be low; sporadic cases may still occur. Healthcare providers should continue to evaluate pregnant women for potential exposure to Zika virus and symptoms of Zika virus disease.
All women and men who live in or travel to an area that had a yellow area designation lifted should check the CDC website frequently for updates about Zika virus transmission.
|Recommendations for areas where the Zika cautionary (yellow) designation has been lifted|
|Because we do not know the level of risk for local transmission in areas where a yellow designation has been lifted, CDC recommends
In addition, all women including pregnant women and men who live in or travel to these areas should be advised to remain aware of any new reports of Zika virus transmission and should follow steps to prevent mosquito bites to reduce their risk for mosquito- borne illnesses, including Zika virus.
|Testing and Diagnosis|
|CDC recommends Zika virus laboratory testing for the following groups
|If the person has Zika symptoms and/or diagnosis||Women and men who are planning to conceive in the near future should be advised to wait at least 8 weeks after symptom onset if a woman had Zika symptoms and/or diagnosis, and at least 6 months after symptom onset if a man had Zika symptoms and/or diagnosis, before attempting conception.|
|If the person has no Zika symptoms and does not have ongoing exposure2||Women and men with an exposure1 to previously designated yellow areas between the earliest date that testing was recommended for the area and the date the yellow designation was lifted should consider waiting at least 8 weeks after last possible exposure if female, and at least 6 months if male, before attempting conception.|
|If the person has no Zika symptoms and has ongoing exposure2||Healthcare providers should discuss reproductive life plans with women and men who are planning to become pregnant in the near future who live in or frequently travel to previously designated yellow areas. Although the level of Zika virus transmission is likely to be low, sporadic cases may still occur. In addition, couples should consider the possible resurgence of active transmission of Zika virus during the next mosquito season in their pregnancy planning. Couples may choose not to wait or may choose to delay attempting conception depending on individual circumstances (e.g., age, fertility) and risk tolerance.|
|Please refer to the information from the Food and Drug Administration for guidance on reducing the risk for Zika virus transmission by donated human cells, tissues, and cellular and tissue-based products, including reproductive tissues.|
2 People with ongoing exposure include those who live in or frequently travel (e.g., daily, weekly) to a red or yellow area.
- Page last reviewed: August 3, 2017
- Page last updated: August 3, 2017
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