Antenatal exposure to Zika virus (ZIKV) is related to severe neurological manifestations. A previous study in Brazil reported an increased incidence of non-severe congenital heart defects in infants with diagnosis of congenital Zika syndrome but without laboratory confirmation of ZIKV infection in the mother or infant. The objective of this study is to report echocardiographic (ECHO) findings in infants with laboratory confirmed antenatal exposure to ZIKV.

Approaches used to early and accurately characterize epidemiologic patterns of disease incidence in a temporal and spatial series are becoming increasingly important. Cluster tests are generally designed for retrospective detection of epidemiologic anomalies in a temporal or space-time series. Timely identification of anomalies of disease or poisoning incidence during ongoing surveillance or an outbreak requires the use of sensitive statistical methods that recognize an incidence pattern at the time of occurrence.

Zika spread in urban environments is characterized by complicated spatio-temporal patterns, likely linked not only to mosquito density but also to human activity patterns. We conducted a survey on Miami-Dade County residents on time spent outdoors. We then analyzed the Miami-Dade survey data and previously published activity data on the entire U.S. population. Our findings indicate high variability in the amount of time spent outdoors by individual residents.