Outbreak came to the attention of RMI Ministry of Health in late January, with report of a traveler who was ill in November after a 3 week stay in Majuro and later testing in Australia. 34 met case definition since expanded surveillance for Zika begun Jan 29. Two new possible cases in past 25 days and none in past week. Out of the 34 suspect cases:6 pregnant ladies, 1 pos PCR (index case), 1 neg PCR but positive Igm. 2 delivered (babies did not meet the microencephaly criteria). And 2 pregnant mothers are still waiting for Igm testing. There may or may not be ongoing lowlevel transmission of Zika virus on Majuro. One infant born with microcephaly to a woman with + Zika IgM test via US.
Case Definition:
Possible: Rash OR Fever AND any two: Pain behind eyes, conjunctivitis, body aches, edema of hands or feet.
Confirmed: Meets Possible case definition plus positive lab test (Zika PCR, IgM or serial IgG) test O