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<p>Public Health England (PHE) and the National Travel Health Network and Centre (NaTHNaC)
introduced a risk-based approach for countries reporting Zika infection ahead of cases
reported from Florida in the United States of America. PHE and NaTHNaC issued travel
guidance about Florida as soon as cases were announced. A copy of this guidance is
attached. The first locally acquired cases of Zika were reported from Florida on 29
July 2016. The guidance advised pregnant women to consider postponing non-essential
travel to Florida. Links to NaTHNaC’s detailed, site-specific advice allowed clinicians
to have in-depth discussions of the transmission risks in Florida with potential travellers.</p><p>A
high risk alert was issued as more information became available stating: “The risk
in Miami-Dade county is considered high and pregnant women are advised to postpone
non-essential travel to Miami-Dade county until after their pregnancy.” Advice on
reducing the risk of sexual transmission of Zika infection was also issued, which
is included within the attached guidance.</p><p>The situation is constantly under
review and assessment, and travel and sexual transmission guidance is updated regularly
as new information emerges from Florida.</p>
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