WALKING WELL WITH…
The Missoula Urban Indian Health Center (MUIHC) serves the Native American community in Missoula, Montana and surrounding areas. MUIHC provides a variety of services:
Call Us At: (406) 829-9515
Visit Us At: 830 West Central, Missoula, MT 59801
Monday–Thursday: 7 am – 5 pm
The first Monday of each Month MUIHC is closed from 8 am – 11 am
(Click the below blue link to go to page or PDF documents)
1 (855) 372-0037
As the outbreak of Zika virus in the Americas continues to expand and evolve, I want to provide an update on key issues for your information and awareness.
On July 29, 2016, the Centers for Disease Control and Prevention (CDC) and the State of Florida announced that Zika virus infections in four people were likely caused by local mosquito-borne transmission. These cases occurred in the vicinity of Miami are likely the first known occurrences of local mosquito-borne Zika virus transmission in the continental United States. The CDC press release contains additional details.
The recent confirmation of local mosquito-borne Zika virus transmission in Florida on top of the steady flow of travelers returning to the U.S. with infection and/or disease continues to increase the potential for infection and/or illness among our patients. As a reminder, the Zika virus can be spread through the bite of an infected mosquito (called “local” transmission), from a pregnant woman to her fetus during pregnancy or around the time of birth, and also from an infected man to his sex partners.
As of late July 2016:
- 46 states and the District of Columbia have reported >1,650 travel-associated Zika cases
- 433 pregnant women in the U.S. have shown laboratory evidence of possible Zika virus infection
- 13 live births and 6 pregnancy losses have been reported with birth defects attributed to maternal Zika infection
- U.S. territories including Puerto Rico and the U.S. Virgin Islands have reported >4,700 locally acquired cases
- Active Zika virus transmission is ongoing in approximately 40 countries in the Americas
I encourage each of you to stay current with new and updated guidance materials as they become available. Please see additional information below.
New and updated clinical guidance regarding Zika virus disease
Update: Interim Guidance for Health Care Providers Caring for Pregnant Women with Possible Zika Virus Exposure — United States, July 2016
CDC has updated its interim guidance for health care providers in the United States caring for pregnant women with possible Zika virus exposure, based on emerging data indicating Zika virus RNA can be detected for prolonged periods in some pregnant women. To increase the proportion of pregnant women with Zika virus infection who receive a definitive diagnosis, this guidance includes recommendations to expand real-time reverse transcription–polymerase chain reaction testing.
Update: Interim Guidance for Prevention of Sexual Transmission of Zika Virus — United States, July 2016
CDC has updated interim guidance for the prevention of sexual transmission of Zika virus. The recommendations apply to all men and women who have traveled to or reside in areas with active Zika virus transmission and their sex partners. The recommendations in this report replace those previously issued and are now updated to reduce the risk for sexual transmission of Zika virus from both men and women to their sex partners. This guidance will be updated as more information becomes available.
Interim Guidance for Interpretation of Zika Virus Antibody Test Results
For persons with suspected Zika virus disease, a positive real-time reverse transcription–polymerase chain reaction (rRT-PCR) result confirms Zika virus infection, but a negative result does not exclude infection. In these cases, antibody testing can identify additional recent Zika virus infections. Zika virus antibody test results can be difficult to interpret because of cross-reactivity with other flaviviruses. These interim guidelines aid the interpretation of results from currently available Zika diagnostic tests.
Other Zika resources for clinical providers
Upcoming IHS/CDC Webinar – Zika Virus and Implications for Pregnancy (CME credits available)
Date: Thursday, August 4, 2016
Time: 3:00 pm – 4:00 pm Eastern
This webinar will feature CDC subject matter experts presenting to the IHS clinical community on status of the Zika outbreak and considerations for the management of pregnant women.
How to Access the Webinar:
- Go to: http://ihs.adobeconnect.com/ihsrounds
- Select the “Enter as a Guest” option.
- Input your name (first and last) in the Name box.
- The passcode is: rounds
- Press the “Enter Room Button”
NEW: Zika Virus: Information for Clinicians Slide Set
Additional CDC resources on Zika
Many other clinical resources are available on the CDC Zika for health care providers website, including current and up-to-date clinical guidance, diagnostic testing information, training tools, and many other resources relevant to clinical settings. Additional, general resources on Zika are available through CDC’s main Zika page.
Clinical consultation service for health care providers caring for pregnant women with possible Zika virus infection
CDC maintains a 24/7 consultation service for health care providers caring for pregnant women with possible Zika virus infection. This consultation service is NOT for patients or the general public. To contact the service, call 770-488-7100 or email ZikaMCH@cdc.gov.
Because we are in mosquito season, it’s important to encourage everyone, especially pregnant women and women planning to become pregnant in areas with Aedes mosquitos shown to transmit Zika, to protect themselves from mosquito bites. Remind patients to use an insect repellent registered by the Environmental Protection Agency (EPA), wear long-sleeved shirts and long pants, use or repair screens on windows and doors, use air conditioning when available, and remove standing water where mosquitoes can lay eggs.
MISSOULA URBAN INDIAN HEALTH CENTER – OUR MISSION
as a respectful gathering place, welcoming Native families from all Nations.
a strong, supportive Native community by building collaborations and promoting healthy family activities.
Native families to identify opportunities & resources to thrive & be healthy.
Tribal traditions to maintain comfort and belonging at home and in the city.
Wellness by offering opportunities for emotional, mental, physical and spiritual healing.