What is the current situation?

Public health officials have reported that mosquitoes in Sint Maarten are infected with Zika virus and are spreading it to people. Text PLAN to 855-255-5606 to receive Zika updates for your destination.

Because Zika virus is primarily spread by mosquitoes, CDC recommends that travelers to Sint Maarten protect themselves from mosquito bites since the Zika Virus can occur during Pregnancy

Sexual transmission of Zika virus is also possible, so you should use condoms or not have sex during your trip.

Many people infected with Zika virus do not get sick. Among those who do develop symptoms, sickness is usually mild, with symptoms that last for several days to a week. Guillain-Barré syndrome (GBS) is a rare disorder that can cause muscle weakness and paralysis for a few weeks to several months. CDC research suggests that GBS is strongly associated with Zika; however, only a small proportion of people with recent Zika virus infection get GBS. Most people fully recover from GBS, but some have permanent damage.

As more information becomes available, this travel notice will be updated. Please check back frequently for the most up-to-date recommendations.

What can travelers do to prevent Zika?

There is no vaccine or medicine for Zika. You can protect yourself by

• Cover exposed skin by wearing long-sleeved shirts and long pants.
• Use EPA-registered insect repellents containing DEET, picaridin, oil of lemon eucalyptus (OLE, also called para-menthane-diol [PMD]), IR3535, or 2-undecanone (methyl nonyl ketone). Always use as directed.
  • Pregnant and breastfeeding women can use all EPA-registered insect repellents, including DEET, according to the product label.
  • Most repellents, including DEET, can be used on children older than 2 months. (OLE should not be used on children younger than 3 years.)
• Use premetherean clothing and gear (such as boots, pants, socks, and tents). You can buy pre-treated clothing and gear or treat them yourself.
• Stay in places with air conditioning and window and door screens to keep mosquitoes outside.
• Sleep under a mosquito bed net if air conditioned or screened rooms are not available or if sleeping outdoors.
• Mosquito netting can be used to cover babies younger than 2 months old in carriers, strollers, or cribs to protect them from mosquito bites.

Because Zika can be spread by sex, if you have sex while traveling, you should use condoms.

After travel:

Many people infected with Zika virus do not feel sick. If a mosquito bites an infected person while the virus is still in that person’s blood, it can spread the virus by biting another person. If you travel to Sint Maarten, you should take steps to prevent mosquito bites for 3 weeks after your trip, even if you don’t feel sick, so that you don’t spread Zika to uninfected mosquitoes that can spread the virus to other people.

If you have visited Sint Maarten and have a pregnant partner, you should either use condoms or not have sex during the pregnancy.

If you are thinking about pregnancy, talk with your health care provider and wait to become pregnant  for how long to wait. You also should use condoms after travel to protect your sex partners from Zika even if you are not pregnant or trying to become pregnant.

If you feel sick and think you may have Zika:

• Talk to your doctor if you develop a fever with a rash, joint pain, or red eyes. Tell him or her about your travel.
• Take acetaminophen (paracetamol) to relieve fever and pain. Do not take aspirin, products containing aspirin, or other nonsteroidal anti-inflammatory drugs, such as ibuprofen.
• Get lots of rest and drink plenty of liquids.

If you are pregnant:

Talk to a doctor or other health care provider after your trip, even if you don’t feel sick. Pregnant travelers returning from Sint Maarten, or who have had possible sexual exposure, should be offered testing for Zika virus infection.

• If you develop a fever with a rash, joint pain, or red eyes, talk to your doctor immediately and tell him or her about your travel or possible sexual exposure.
• If you do not have symptoms, testing should be offered if you see a health care provider, up to 12 weeks after you return from travel or your last possible sexual exposure.

Clinician Information

All pregnant women should be assessed for Zika virus exposure at each prenatal care visit. Possible exposures to Zika virus that warrant testing include:

• Travel to or residence in an area with a current Zika outbreak.
• Sex (vaginal, anal, oral) with a partner who has traveled to or resides in an area with a current Zika outbreak.