Zika virus infection prevention: Difference between revisions

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===Travel Advisory===
===Travel Advisory===
Following the Zika virus outbreak in late 2015, the CDC released travel advisories (Alert - '''Level 2''', Practice enhanced precautions to protect from mosquito bites) for several countries. These are summarized below:
To learn more about Zika Travel information, see [[Zika virus infection travel notice|Travel Notice]]
*Cape Verde
==Protection Against Mosquito Bites==
*Caribbean (Barbados, Guadeloupe, Haiti, Martinique, Saint Martin)
===What type of insect repellent should I use?===
*Central America (El Salvador, Guatemala, Honduras, and Panama)
'''For Protection Against Ticks and Mosquitoes'''  
*Mexico
*Use a repellent that contains 20% or more DEET for protection that lasts up to several hours. Products containing DEET include Off!, Cutter, Sawyer, and Ultrathon
*Puerto Rico
'''For Protection Against Mosquitoes Only'''
*Samoa
*Products with one of the following active ingredients can also help prevent mosquito bites. Higher percentages of active ingredient provide longer protection
*South America (Bolivia, Brazil, Colombia, Ecuador, French Guiana, Guyana, Paraguay, Suriname, Venezuela)
:*DEET
:*Picaridin (also known as KBR 3023, Bayrepel, and icaridin. Products containing picaridin include Cutter Advanced, Skin So Soft Bug Guard Plus, and Autan [outside the US])
:*Oil of lemon eucalyptus (OLE) or PMD (Products containing OLE include Repel and Off! Botanicals)
:*IR3535 (Products containing IR3535 include Skin So Soft Bug Guard Plus Expedition and SkinSmart)
*Always follow product directions and reapply as directed
:*If you are also using sunscreen, apply sunscreen first and insect repellent second
:*Follow package directions when applying repellent on children. Avoid applying repellent to their hands, eyes, and mouth
*Consider using permethrin-treated clothing and gear (such as boots, pants, socks, and tents). You can buy pre-treated clothing and gear or treat them yourself
:*Treated clothing remains protective after multiple washings. See the product information to find out how long the protection will last
:*If treating items yourself, follow the product instructions carefully
:*Do not use permethrin directly on skin


====Interim Recommendations in Pregnancy====
===What other steps should I take to prevent bug bites?===
*'''Women who are pregnant (in any trimester):'''
'''Prevent Mosquito Bites'''
**Consider postponing travel to any area where Zika virus transmission is ongoing.
*Cover exposed skin by wearing long-sleeved shirts, long pants, and hats
**If you must travel to one of these areas, talk to your doctor first and strictly follow steps to prevent mosquito bites during your trip.
*Stay and sleep in screened or air-conditioned rooms
*'''Women who are trying to become pregnant:'''
*Use a bed net if the area where you are sleeping is exposed to the outdoors
**Before you travel, talk to your doctor about your plans to become pregnant and the risk of Zika virus infection.
 
**Strictly follow steps to prevent mosquito bites during your trip.
===What Should I Do If I Am Bitten By Bugs?===
'''If You are Bitten By a Mosquito:'''
*Avoid scratching mosquito bites
*Apply hydrocortisone cream or calamine lotion to reduce itching


==References==
==References==

Revision as of 15:17, 27 January 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yazan Daaboul, M.D.; Nate Michalak, B.A.; Serge Korjian M.D.

Overview

There are no vaccines available to prevent Zika virus infection. Since the virus is usually transmitted through mosquitoes, effective measures to avoid mosquito bites include using insect repellent, installing mosquito bed nets and window/door screens, wearing long sleeves and long pants, and removing potential breeding sites from indoor/outdoor premises. Once infected, individuals may be re-infected in the future.

Prevention

  • There are no vaccines against Zika virus.
  • The only effective way to prevent Zika virus infection is to avoid mosquito bites.[1]

Enhanced Precautions

  • Use insect repellent.
    • Products containing DEET, picaridin, IR3535, and some oil of lemon eucalyptus and para-menthane-diol provide the longest lasting protection.
    • If using sunscreen and insect repellent, apply sunscreen first.
    • Treat clothes with permethrin.
  • Wear long sleeves and long pants.
  • Use permethrin-treated clothing and gear (such as boots, pants, socks, and tents). You can buy pre-treated clothing and gear or treat them yourself.
  • Use air conditioning or window/door screens to keep mosquitoes from entering inside. If this is not possible, sleep under a mosquito bed net.
  • Empty standing water containers (e.g. flowerpots or buckets) to reduce potential for mosquito breeding sites around home.

Travel Advisory

To learn more about Zika Travel information, see Travel Notice

Protection Against Mosquito Bites

What type of insect repellent should I use?

For Protection Against Ticks and Mosquitoes

  • Use a repellent that contains 20% or more DEET for protection that lasts up to several hours. Products containing DEET include Off!, Cutter, Sawyer, and Ultrathon

For Protection Against Mosquitoes Only

  • Products with one of the following active ingredients can also help prevent mosquito bites. Higher percentages of active ingredient provide longer protection
  • DEET
  • Picaridin (also known as KBR 3023, Bayrepel, and icaridin. Products containing picaridin include Cutter Advanced, Skin So Soft Bug Guard Plus, and Autan [outside the US])
  • Oil of lemon eucalyptus (OLE) or PMD (Products containing OLE include Repel and Off! Botanicals)
  • IR3535 (Products containing IR3535 include Skin So Soft Bug Guard Plus Expedition and SkinSmart)
  • Always follow product directions and reapply as directed
  • If you are also using sunscreen, apply sunscreen first and insect repellent second
  • Follow package directions when applying repellent on children. Avoid applying repellent to their hands, eyes, and mouth
  • Consider using permethrin-treated clothing and gear (such as boots, pants, socks, and tents). You can buy pre-treated clothing and gear or treat them yourself
  • Treated clothing remains protective after multiple washings. See the product information to find out how long the protection will last
  • If treating items yourself, follow the product instructions carefully
  • Do not use permethrin directly on skin

What other steps should I take to prevent bug bites?

Prevent Mosquito Bites

  • Cover exposed skin by wearing long-sleeved shirts, long pants, and hats
  • Stay and sleep in screened or air-conditioned rooms
  • Use a bed net if the area where you are sleeping is exposed to the outdoors

What Should I Do If I Am Bitten By Bugs?

If You are Bitten By a Mosquito:

  • Avoid scratching mosquito bites
  • Apply hydrocortisone cream or calamine lotion to reduce itching

References

  1. Prevention. Center for Disease Control and Prevention (June 1, 2015). http://www.cdc.gov/zika/prevention/index.html Accessed on December 14, 2015