Zika Virus Concerns for Pregnant Women Traveling to Brazil - Family Medicine

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Zika virus


Hello Doctor, I have found that there is currently no vaccine available for the Zika virus.
I received the yellow fever vaccine two years ago.
However, I am currently 8 weeks pregnant and may travel to Brazil around 12 to 15 weeks.
I would like to know if you have any recommendations, as the information I found online indicates that if a pregnant woman contracts the virus, there is a risk of giving birth to a baby with congenital abnormalities.
What should I do? I would like to understand if traveling after 12 weeks would reduce this risk.
Thank you.

Mini, 30~39 year old female. Ask Date: 2016/01/21

Dr. Hou Angting reply Family Medicine


Hello: Currently, there is no Zika virus vaccine available.
It is recommended to consult at a hospital outpatient clinic.

Reply Date: 2016/01/21

More Info


Traveling during pregnancy, especially to areas where Zika virus is prevalent, requires careful consideration and planning. The Zika virus is primarily transmitted through mosquito bites, and while it can affect anyone, the risks are particularly concerning for pregnant women. Infection during pregnancy has been associated with serious birth defects, including microcephaly and other neurological issues in the baby.

As of now, there is no vaccine available for Zika virus, which adds to the concern for pregnant travelers. Given that you are currently 8 weeks pregnant and considering travel to Brazil around 12 to 15 weeks, it is crucial to weigh the risks and take preventive measures.

1. Understanding the Risks: The risk of Zika virus transmission is highest during the first trimester of pregnancy. However, infections can occur at any stage of pregnancy and still pose risks to the fetus. The Centers for Disease Control and Prevention (CDC) advises that pregnant women should avoid travel to areas with Zika virus transmission if possible.

2. Timing of Travel: While some studies suggest that the risk of severe outcomes may decrease as pregnancy progresses, it is not entirely eliminated. The first trimester is a critical period for fetal development, and exposure to Zika during this time is particularly concerning. If travel is unavoidable, it is essential to take stringent precautions.

3. Preventive Measures: If you decide to travel, consider the following precautions:
- Mosquito Protection: Use insect repellent containing DEET, wear long sleeves and pants, and stay in places with air conditioning or screens on windows and doors to minimize mosquito exposure.

- Avoiding High-Risk Areas: Stay informed about the specific regions in Brazil that are known to have Zika virus transmission. Avoiding these areas can significantly reduce your risk.

- Consulting Healthcare Providers: Before traveling, consult with your obstetrician or a travel medicine specialist. They can provide personalized advice based on your health history and the current situation in Brazil.

4. Post-Travel Monitoring: If you travel to Brazil, monitor for any symptoms of Zika virus infection, such as fever, rash, joint pain, or conjunctivitis. If you experience any of these symptoms, seek medical attention immediately. Additionally, discuss with your healthcare provider about Zika virus testing after your return, especially if you have been in an area with known transmission.

5. Emotional Support: It’s understandable to feel anxious about the potential risks associated with travel during pregnancy. Consider discussing your concerns with your partner, family, or a counselor to help manage any stress or anxiety you may be experiencing.

In summary, while traveling to Brazil during pregnancy poses risks related to Zika virus, careful planning and preventive measures can help mitigate these risks. It is essential to consult with your healthcare provider to make an informed decision based on your specific circumstances and to ensure the health and safety of both you and your baby.

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