{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T23:47:05Z","timestamp":1751586425290,"version":"3.40.5"},"reference-count":8,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,12,27]],"date-time":"2022-12-27T00:00:00Z","timestamp":1672099200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth Defects Research"],"published-print":{"date-parts":[[2023,3,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The United States Virgin Islands (USVI) Department of Health (DOH) conducted a second Zika health brigade (ZHB) in 2021 to provide recommended Zika\u2010related pediatric health screenings, including vision, hearing, neurologic, and developmental screenings, for children in the USVI. This was replicated after the success of the first ZHB in 2018, which provided recommended Zika\u2010related pediatric health screenings to 88 infants and children exposed to Zika virus (ZIKV) during pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Ten specialty pediatric care providers were recruited and traveled to the USVI to conduct the screenings. USVI DOH scheduled appointments for children included in CDC's U.S. Zika Pregnancy and Infant Registry (USZPIR). During the ZHB, participants were examined by pediatric ophthalmologists, pediatric audiologists, and pediatric neurologists. We report the percentage of participants who were referred for additional follow\u2010up care or given follow\u2010up recommendations in the 2021 ZHB and compare these referrals and recommendations to those given in the 2018 ZHB.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010three children born to mothers with laboratory evidence of ZIKV infection during pregnancy completed screenings at the 2021 ZHB, of which 15 (45%) children were referred for additional follow\u2010up care. Ophthalmological screenings resulted in the highest number of new referrals for a specialty provider among ZHB participants, with 6 (18%) children receiving referrals for that specialty. Speech therapy was the most common therapy referral, with 10 (30%) children referred, of which 9 (90%) were among those who attended the 2018 ZHB.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Thirty\u2010three children in a jurisdiction with reduced access to healthcare specialists received recommended Zika\u2010related pediatric health screenings at the ZHB. New and continuing medical and developmental concerns were identified and appropriate referrals for follow\u2010up care and services were provided. The ZHB model was successful in creating connections to health services not previously received by the participants.<\/jats:p><\/jats:sec>","DOI":"10.1002\/bdr2.2143","type":"journal-article","created":{"date-parts":[[2022,12,27]],"date-time":"2022-12-27T22:48:00Z","timestamp":1672181280000},"page":"572-577","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["2021 U.S. Virgin Islands Zika health brigade: Providing recommended pediatric health screenings for children born to mothers with laboratory evidence of possible Zika virus infection during pregnancy"],"prefix":"10.1002","volume":"115","author":[{"given":"Leah H.","family":"de Wilde","sequence":"first","affiliation":[{"name":"U.S. Virgin Islands Department of Health  Christiansted and Charlotte Amalie Virgin Islands USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cosme Jeremy","family":"Harrison","sequence":"additional","affiliation":[{"name":"Chickasaw Nation Industries  Norman Oklahoma USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Binta E.","family":"Ceesay","sequence":"additional","affiliation":[{"name":"U.S. Virgin Islands Department of Health  Christiansted and Charlotte Amalie Virgin Islands USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charmaine S.","family":"Mayers","sequence":"additional","affiliation":[{"name":"U.S. Virgin Islands Department of Health  Christiansted and Charlotte Amalie Virgin Islands USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janney","family":"Ferrol\u2010Hawley","sequence":"additional","affiliation":[{"name":"U.S. Virgin Islands Department of Health  Christiansted and Charlotte Amalie Virgin Islands USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacqueline","family":"Canton","sequence":"additional","affiliation":[{"name":"U.S. Virgin Islands Department of Health  Christiansted and Charlotte Amalie Virgin Islands USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4106-0953","authenticated-orcid":false,"given":"Shana","family":"Godfred\u2010Cato","sequence":"additional","affiliation":[{"name":"Division of Birth Defects and Infant Disorders National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6362-1646","authenticated-orcid":false,"given":"Megan R.","family":"Reynolds","sequence":"additional","affiliation":[{"name":"Division of Birth Defects and Infant Disorders National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lessely","family":"Brown\u2010Shuler","sequence":"additional","affiliation":[{"name":"Chickasaw Nation Industries  Norman Oklahoma USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sukhdeep","family":"Randhawa","sequence":"additional","affiliation":[{"name":"Deloitte Consulting LLP  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7609-6799","authenticated-orcid":false,"given":"Dan","family":"Schoelles","sequence":"additional","affiliation":[{"name":"Deloitte Consulting LLP  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Braeanna","family":"Hillman","sequence":"additional","affiliation":[{"name":"U.S. Virgin Islands Department of Health  Christiansted and Charlotte Amalie Virgin Islands USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Paz","family":"Carlos","sequence":"additional","affiliation":[{"name":"Maternal Child Health Bureau (MCHB), Health Resources and Services Administration (HRSA) U.S. Department of Health and Human Services (HHS)  Washington D.C. USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tracey","family":"Ambrose","sequence":"additional","affiliation":[{"name":"Hearing and Speech Center Children's National Hospital  Washington D.C. USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Derek","family":"Bitner","sequence":"additional","affiliation":[{"name":"Wolfe Eye Clinic  West Des Moines Iowa USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Holgado","sequence":"additional","affiliation":[{"name":"Duke Eye Center  Durham North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristie","family":"Jones","sequence":"additional","affiliation":[{"name":"Austin Regional Clinic  Austin Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel J.","family":"Lattin","sequence":"additional","affiliation":[{"name":"Nemours Children's Health  Jacksonville Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah B.","family":"Mulkey","sequence":"additional","affiliation":[{"name":"Prenatal Pediatrics Institute Children's National Hospital  Washington D.C. USA"},{"name":"Department of Neurology The George Washington University School of Medicine and Health Sciences  Washington D.C. USA"},{"name":"Department of Pediatrics The George Washington School of Medicine and Health Sciences  Washington D.C. USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angeline","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Pediatric Ophthalmology and Adult Strabismus Children's Hospital Los Angeles  Los Angeles California USA"},{"name":"Keck School of Medicine University of Southern California  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Payne","sequence":"additional","affiliation":[{"name":"Marshall University School of Medicine  Huntington West Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. Grace","family":"Prakalapakorn","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Duke University  Durham North Carolina USA"},{"name":"Department of Pediatrics Duke University  Durham North Carolina USA"},{"name":"Duke Global Health Institute Duke University  Durham North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann","family":"Shue","sequence":"additional","affiliation":[{"name":"Byers Eye Institute, Department of Ophthalmology Stanford University  Palo Alto California USA"},{"name":"Stanford Children's Health  Palo Alto California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esther M.","family":"Ellis","sequence":"additional","affiliation":[{"name":"U.S. Virgin Islands Department of Health  Christiansted and Charlotte Amalie Virgin Islands USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,12,27]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6641a1"},{"volume-title":"Clinical Evaluation and Disease of ZIKV","year":"2019","author":"Centers for Disease Control and Prevention","key":"e_1_2_7_3_1"},{"volume-title":"Centers for Disease Control and Prevention","year":"2022","author":"Developmental Monitoring and Screening|CDC","key":"e_1_2_7_4_1"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/tropicalmed5040168"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/bdr2.1486"},{"key":"e_1_2_7_7_1","unstructured":"Kids in the Monitoring Zone: What to do next. 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