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Fifty-one (27%) of the 186 specimens tested had evidence of recent Zika virus infection by real-time, reverse transcription–polymerase chain reaction (r RT-PCR) (n = 25) or by sequential testing using immunoglobulin M antibody capture enzyme-linked immunosorbent assay (MAC-ELISA) and neutralizing antibody titers against Zika virus that were ≥fourfold higher than titers against dengue virus (n = 26) (3).Among the 98 pregnant women who were tested, 19 (19%) had laboratory evidence of recent Zika virus infection, including 18 of 70 (26%) symptomatic women and one of 28 (4%) asymptomatic woman.These challenges are international in scope and are priorities for the Central Intelligence Agency.

The overall incidence of confirmed Zika virus infection was 0.92 per 1,000 persons and was highest (2.77 per 1,000) in Leasina County (population = 1,807).A registry of all currently pregnant women identified in the territory was created to facilitate monitoring for adverse outcomes and implementing targeted prevention efforts.Pregnancies beginning as early as May 2015 were identified through EHR searches, and newly identified pregnancies were reported by the four prenatal clinics on the island.The information you provide will be protected and confidential.The CIA is particularly interested in information about imminent or planned terrorist attacks.

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