You can get information and resources about how to treat patients who have been exposed to the Zika virus or otherwise may be at risk. This page will feature regular updates to clinical care guidance and how to access laboratories for testing in the city.
Pregnant Women and Infants
For questions about possible Zika exposure during pregnancy, or to order testing for infants with findings concerning for possible congenital Zika virus infection (e.g., microcephaly, intracranial abnormalities, contractures), call the Provider Access Line at (866) 692-3641.
When to Test
Common symptoms of Zika virus include red eyes, fever, joint pain or rash. If an adult patient (pregnant or not) is experiencing or has recently experienced these symptoms, ask the following questions:
For pregnant women with ongoing Zika virus exposure (e.g., living in or recurrent travel to an area with ongoing transmission), read:
Testing of adults may also be recommended in other special cases, such as when a patient has an unusual clinical presentation associated with Zika (e.g., Guillain-Barré Syndrome or other neurologic manifestation).
Testing is also recommended for 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.
Which Tests to Order
Testing at Commercial Laboratories
Providers caring for NYC residents should use commercial laboratories for routine Zika virus testing, including the testing of pregnant women and normal-appearing infants. Also, the Health Department will provide testing if the provider cannot use a commercial clinical laboratory or the patient is uninsured.
To report Zika-positive cases diagnosed by a commercial laboratory, call (866) 692-3641, or log in to 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)
|Mayo Medical Laboratories||✔||✔||✔||✔|
Testing at the Public Health Laboratory
Pre-approval is required for the testing of Zika lab specimens at the Public Health Laboratory (PHL).
Providers should only send specimens to the PHL, and not to a commercial lab, in the following situations:
The NYC Health Department will also provide testing for patients whose insurance does not cover the cost of testing at a commercial laboratory.
To request Zika testing for city residents and to arrange the transport of specimens to the PHL, call (866) 692-3641, Monday to Friday, 9 a.m. to 5 p.m.
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.
How to Interpret Tests
For assistance interpreting test results, call (866) 692-3641, Monday to Friday, 9 a.m. to 5 p.m.