Zika and Pregnancy

Zika Virus: Information for Providers


Updates


Clinical Guidance

Zika in Pregnancy and Preconception+

Infants and Children+

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Testing for Zika

When to Test for Zika+

Common symptoms of Zika virus include red eyes, fever, joint pain or rash. If your adult patient (pregnant or not) is experiencing or has recently experienced these symptoms, ask the following questions:

  1. Does the patient live in, or has the patient recently traveled to an area with Zika?
    1. If Yes: Test for Zika
    2. If No: Has the patient had unprotected sex with a partner who has lived in or traveled to an area with Zika?
      1. If Yes: Test for Zika
      2. If No: Do Not Test for Zika

For pregnant women with ongoing Zika virus exposure (e.g., living in or recurrent travel to an area with ongoing transmission), please see CDC Update: Interim Guidance for Health Care Providers Caring for Pregnant Women with Possible Zika Virus Exposure — United States (Including U.S. Territories), July 2017 for more information.

Testing of adults may also be recommended in other special cases, like if the patient has an unusual clinical presentation associated with Zika (e.g., Guillain-Barré Syndrome or other neurologic manifestation).

Testing is also recommended of all infants born to mothers with laboratory evidence of Zika virus infection, and for infants with findings concerning for possible congenital Zika virus infection, regardless of maternal test results.

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Which Tests to Order+

Where to Obtain Testing+

Providers caring for NYC residents should now use commercial laboratories for routine Zika virus testing, including testing of pregnant women. See below for information on when testing at the DOHMH Public Health Laboratory might still be indicated. Also, the Health Department will continue to provide testing if the provider cannot use a commercial clinical laboratory or the patient is uninsured.

Commercial Laboratories

Providers caring for NYC residents should now use commercial laboratories for routine Zika virus testing, including testing of pregnant women. However, specimens should be sent to the Health Department Public Health Laboratory for infant testing and other certain situations (see "NYC DOHMH Public Health Laboratory" below).

To report Zika-positive cases diagnosed by a commercial laboratory, call (866) 692-3641, or log into Reporting Central via NYCMED.

Commercial Laboratories Approved by New York State Department of Health to Conduct Zika Virus Testing

Note: some laboratories may offer more tests; the tests listed below are the only tests approved by New York State.

 

Zika virus RNA testing(by PCR or other nucleic acid amplification testing)

IgM
  serum urine plasma serum
ARUP Laboratories  
Bioreference  
LabCorp  
Quest Diagnostics  
ViraCor
Mayo Medical Laboratories

NYC DOHMH Public Health Laboratory

Providers should send specimens to the NYC DOHMH Public Health Laboratory, and not to a commercial lab, in the following situations:

  • Infants born to mothers with laboratory evidence of Zika virus infection during pregnancy.
  • Infants with findings concerning for possible congenital Zika virus infections, even if maternal Zika virus testing results were negative.
  • Possible Guillain-Barré syndrome or any unusual neurologic manifestation.
  • Possible unusual modes of transmission (e.g., transfusion, organ transplantation).

The NYC Health Department will continue to provide testing for patients whose insurance does not cover the cost of testing at a commercial laboratory.

Instructions for testing through NYC DOHMH

Pre-approval is required for testing of Zika lab specimens through NYC DOHMH.

Call (866) 692-3641, Monday to Friday, 9 AM to 5 PM to request Zika testing for NYC residents and to arrange transport of specimens to the DOHMH Public Health Laboratory.

For urgent matters, such as abnormal fetus/infant of an exposed woman, or Guillain-Barré syndrome in an exposed person, call (866) 692-3641 at any time.

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Specimen Collection Instructions+

How to Interpret Tests+

For assistance with interpreting test results, call (866) 692-3641, Monday to Friday, 9 AM to 5 PM

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Educational Materials

For Clinical Providers

  • Zika Awareness Kits containing insect repellent, condoms and a travel warning flyer are available for providers to distribute to patients — call 311

For the Public

For Patients


More Information