{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T05:58:39Z","timestamp":1720159119572},"reference-count":34,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2018,8,24]],"date-time":"2018-08-24T00:00:00Z","timestamp":1535068800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec id=\"S1935789318000770_abs1\" sec-type=\"general\"><jats:title>Objective<\/jats:title><jats:p>The study\u2019s purpose was to investigate readiness for an increase in the congenital Zika infection (CZI) by describing the distribution of pediatric subspecialists needed for the care of children with CZI.<\/jats:p><\/jats:sec><jats:sec id=\"S1935789318000770_abs2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>We applied county-level subspecialist counts to US maps, overlaying the geocoded locations of children\u2019s hospitals to assess the correlation of hospital and subspecialist locations. We calculated travel distance from census tract centroids to the nearest in-state children\u2019s hospital by state (with\/without &gt; 100 reported adult Zika virus cases) and by regions corresponding to the likely local Zika virus transmission area and to the full range of the mosquito vector. Travel distance percentiles reflect the population of children &lt; 5 years old.<\/jats:p><\/jats:sec><jats:sec id=\"S1935789318000770_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Overall, 95% of pediatric subspecialists across the United States are located in the same county or neighboring county as a children\u2019s hospital. In the states where Zika virus transmission is likely, 25% of children must travel more than 50 miles for subspecialty care; in one state, 50% of children must travel &gt; 100 miles.<\/jats:p><\/jats:sec><jats:sec id=\"S1935789318000770_abs4\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>The travel distance to pediatric subspecialty care varies widely by state and is likely to be an access barrier in some areas, particularly states bordering the Gulf of Mexico, which may have increasing numbers of CZI cases. (<jats:italic>Disaster Med Public Health Preparedness<\/jats:italic>. 2019;13:476-486)<\/jats:p><\/jats:sec>","DOI":"10.1017\/dmp.2018.77","type":"journal-article","created":{"date-parts":[[2018,8,24]],"date-time":"2018-08-24T07:00:23Z","timestamp":1535094023000},"page":"476-486","source":"Crossref","is-referenced-by-count":1,"title":["Readiness for an Increase in Congenital Zika Virus Infections in the United States: Geographic Distance to Pediatric Subspecialist Care"],"prefix":"10.1017","volume":"13","author":[{"given":"Jeanne","family":"Bertolli","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Holbrook","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nina 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