Assessment of State, Local, and Territorial Zika Planning and Preparedness Activities — United States, June 2016–July 2017

Murthy, Bhavini Patel; Vagi, Sara; Desamu-Thorpe, Rodel; Avchen, Rachel Nonkin

doi:10.15585/mmwr.mm6735a2

Cited by 4 publications

(7 citation statements)

References 2 publications

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“…The plan included staff training, the development of educational materials for pregnant women, community outreach strategies, guidance for travellers on and off the islands, and Puerto Rico developed a vector control and laboratory testing action plan. Additional strategies focused on preventing sexual transmission (media communications and community education) and surveillance and monitoring of pregnant women for follow-up of positive Zika tests, including for blood donations (16). In a multisectoral effort, the CDC Foundation, the Department of Health, Puerto Rico Obstetrics & Gynecology, the Primary Health Association of PR, the University of Puerto Rico, and other community, private, and public organizations carried out the Zika Contraceptive Access Network to provide women in Puerto Rico with free long-term contraceptive alternatives in a single medical appointment.…”

Section: Discussionmentioning

confidence: 99%

“…Analysis of this multisectoral initiative demonstrated that access to effective contraceptive methods and other reproductive health services, which were and continue to be very limited in Puerto Rico, reduced costs of care, increased access to a full range of contraceptives, training of health care providers on counseling, patient-centered contraceptive practice, and implementation of a robust public education campaign (17). Evaluations of the plan’s implementation, conducted with CDC leadership, demonstrated the importance of collaboration between CDC and US state and territorial government offices in strengthening capacity to respond to this emerging public health threat (16).…”

Section: Discussionmentioning

confidence: 99%

“…Evaluations of the plan's implementation, conducted with CDC leadership, demonstrated the importance of collaboration between CDC and US state and territorial government offices in strengthening capacity to respond to this emerging public health threat (16).…”

Section: Country-level Responses To the 2015 Zikv Epidemicmentioning

confidence: 99%

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“I found out about Zika virus after she was born.” Women’s experiences of risk communication during the Zika virus epidemic in Brazil, Colombia, and Puerto Rico

Miranda,

Sánchez,

Souto

et al. 2023

Preprint

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IntroductionProviding accurate, evidence-based information to women with Zika infection during pregnancy was problematic because of the high degree of uncertainty in the diagnosis of the infection and the associated risk. The 2015-17 Zika virus epidemic overwhelmingly affected women in countries with limited access to safe abortion. Understanding women’s perspectives on risk communication during pregnancy in the context of an emerging pathogen can help inform risk communication in response to future outbreaks that affect fetal or child development.MethodsWe conducted a cross-sectional qualitative interview study with 73 women from 7 locations in Brazil, Colombia, and Puerto Rico to understand women’s experiences of ZIKV test and outcome-related communication during the ZIKV pandemic. We used thematic analysis to analyze the in-depth interviews.FindingsParticipants in Brazil and Colombia reported that the healthcare system’s lack of preparation and organization in communicating ZIKV test results and associated adverse outcomes led to their feeling abandoned and alone in confronting the challenges of a ZIKV-affected pregnancy. In contrast, participants in Puerto Rico reported that the regular testing schedules and clear, well-planned communication between the care team and between providers and pregnant women helped them to feel they could prepare for a ZIKV-affected pregnancy.ConclusionCommunication of the risk associated with an emerging pathogen suspected to affect pregnancy and developmental outcomes is a fraught issue. Public health authorities and healthcare providers should work together in the interpandemic period to understand families’ preferences for risk communication during pregnancy in the presence of uncertainty and develop a community-informed plan for risk communication.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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“I found out about Zika virus after she was born.” Women’s experiences of risk communication during the Zika virus epidemic in Brazil, Colombia, and Puerto Rico

Miranda,

Sánchez,

Souto

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…In 2015 to 2017, communities throughout the Americas, including the United States (US), launched public health responses to combat the spread of the Zika virus (Kroelinger et al, 2017;Madad et al, 2016;Murthy et al, 2018;Oussayef et al, 2017). Features of the Zika virus disease and its control complicated the outbreak response; these included multiple modes of viral transmission (mosquito bite, sexual contact, mother-to-fetus); absence of an effective vaccine; prevention via individual behavior modifications and environmental interventions; and uncertain health impacts for affected infants (Oussayef et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Vector control in Zika-affected communities: Local views on community engagement and public health ethics during outbreaks

Schoch-Spana¹,

Watson²,

Ravi³

et al. 2020

Preventive Medicine Reports

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A B S T R A C TAerial spraying of products to kill larvae or adult mosquitoes is a public health measure used to control vectorborne diseases. In some outbreaks, the intervention has evoked controversy and community resistance. This study evaluated how local opinion leaders in US localities affected by Zika think about community engagement in public health policies for outbreak response. In December 2017 through March 2018, 4 focus groups were convened in Houston, TX, New Orleans, LA, Miami, FL, and Brooklyn, NY. They discussed a hypothetical scenario that featured vector control by aerial spraying. Participants (N = 20) more readily accepted this vector control method under 4 conditions: They were informed of alternatives, benefits, and risks for human health and the environment. Public health claims were backed by objective evidence and an authority figure genuinely working in the community's interests. They received timely notice about how to mitigate toxin exposure. And, aerial spraying helped to protect vulnerable individuals. The community engagement requirements of the local opinion leaders resonate with core principles of recent public health ethics frameworks: namely, personal autonomy, transparency, reasonableness, and solidarity. Participants foresaw problems with community consent in an era of growing social media use and mistrust in governmental and scientific authority. They also debated whether health authorities should use moral-based arguments, in addition to science-based ones, to communicate aerial spraying's risks and benefits.

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“…Through pandemic planning, CDC works to protect the nation from seasonal and pandemic influenza, and through partnerships, CDC plays a pivotal role in state and local readiness. CDC’s Emergency Operations Center and the Division of State and Local Readiness bring together experts and state-of-the-art technology to detect and respond to public health emergencies, such as the recent Zika virus outbreak featured in this issue of MMWR ( 4 ). Additional resources are available at https://www.cdc.gov/phpr/index.htm .…”

mentioning

confidence: 99%

National Preparedness Month — September 2018

2018

MMWR Morb. Mortal. Wkly. Rep.

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Assessment of State, Local, and Territorial Zika Planning and Preparedness Activities — United States, June 2016–July 2017

Cited by 4 publications

References 2 publications

“I found out about Zika virus after she was born.” Women’s experiences of risk communication during the Zika virus epidemic in Brazil, Colombia, and Puerto Rico

“I found out about Zika virus after she was born.” Women’s experiences of risk communication during the Zika virus epidemic in Brazil, Colombia, and Puerto Rico

Vector control in Zika-affected communities: Local views on community engagement and public health ethics during outbreaks

National Preparedness Month — September 2018

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