Mosquito Bite: most common. Uninfected humans + primates
Maternal-fetal: Intrauterine, perinatal
Directions for providers:
Health care providers should ask all pregnant women about recent travel. Women who traveled to an area with ongoing Zika virus transmission (see attached map) during pregnancy should be evaluated for Zika virus infection and tested in accordance with CDC Interim Guidance - (see attached figure).
If the testing is required, contact the local health department prior to sending the specimen. Consider infectious disease consult in these cases. Local microbiology lab should be also informed prior to submitting the specimen to the laboratory. We also suggest checking for Dengue and Chikungunya.