1 in 10 moms passed Zika to offspring — CDC

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"Birth defects were reported in 15% (95% CI = 8%-26%) of fetuses/infants of completed pregnancies with confirmed Zika virus infection in the first trimester", wrote the researchers. Singapore reported the first case of pregnant woman with Zika virus infection, among 24 newly reported cases of locally transmitted Zika virus, the country's Health Ministry said on Wednesday. "With warmer weather, a new mosquito season and summer travel, prevention is crucial to protect the health of mothers and babies".

Identification and follow-up care of infants born to mothers with laboratory evidence of possible recent Zika virus infection during pregnancy and infants with possible congenital Zika virus infection can help ensure that appropriate intervention services are available to affected infants, the MMWR report concluded. "Don't let this outbreak become your family's heartbreak", she said.

The CDC found many infants who may have contracted Zika from their mothers did not undergo recommended testing after birth.

The CDC reports past year, almost 1,000 pregnant women from 44 states had some evidence of recent Zika infection. Most were infected through travel to a region where the virus was actively spreading.

And pregnant women with any chance of Zika infection need regular scans to see if their baby is affected - and any babies born need an ultrasound or CT scan to check for birth defects.

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Zika can cause brain defects such as microcephaly, an irreversible condition in which the child's brain and skull are unusually small and misshapen.

Zika is known to cause a range of birth defects. Officials at the media briefing said the reasons are complex and not fully understood.

State, territorial, and local health departments play an active role in determining the risk of ongoing local transmission through enhanced surveillance and vector control activities.

"We're still seeing about 30 to 40 Zika cases in pregnant women each week in the U.S.", Schuchat says. The report, which is the most comprehensive analysis of Zika-infected American pregnancies, answers many worrisome questions the public posed during the height of the crisis but leaves many issues open.

Schuchat emphasized that the Zika outbreak "is not going away", so raising awareness about prevention is more important than ever. Some babies are not reaching their typical developmental milestones, like sitting up.

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"Some babies cry constantly and are inconsolable no matter what their caregiver does", she added.

"It does answer that the first trimester is the worst", she said. For those who survive into adulthood, the costs could be up to $10 million. In general, 80 percent of Zika infections do not produce symptoms. "Because we do not have brain imaging reports for most of the infants, our current data might significantly underestimate the impact of Zika", CDC's Peggy Honein told a news briefing. The Zika pregnancy registry collected data from all the states in the USA and from Washington DC., except the territory of Puerto Rico, which has its own surveillance system to monitor Zika pregnancies in their area.

"They're anxious, they're nervous", Evans said. It's not clear whether those cuts would be applied across the board.

The CDC said it received 1,300 reports from 44 states of women with possible Zika infections.

Some 5,182 cases of Zika virus have been confirmed in the continental USA and another 38,303 in US territories, according to the CDC most recent Zika update. The vast majority - about 84 percent - of these birth defects involved brain anomalies, according to the CDC. For instance, some babies that look fine at birth, i.e. with a normally sized head, might later be diagnosed with some congential Zika syndrome.

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