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. 2017 Jun 23;66(24):636–643. doi: 10.15585/mmwr.mm6624a3

FIGURE.

The figure above is a bar graph showing Zika virus placental tissue RT-PCR results, among live births with neither clinical laboratory evidence of confirmed recent Zika virus infection on maternal testing nor confirmed congenital Zika virus infection on infant testing, by maternal clinical Zika virus test results categories in 50 U.S. states and the District of Columbia during January–December, 2016.

Zika virus placental tissue RT-PCR results, among live births with neither clinical laboratory evidence of confirmed recent Zika virus infection on maternal testing nor confirmed congenital Zika virus infection on infant testing (n = 482),*,†,§ by maternal clinical Zika virus test results categories,** — 50 U.S. states and the District of Columbia, January–December, 2016

Abbreviations: IgM = immunoglobulin M; PRNT= plaque-reduction neutralization test; RT-PCR = reverse transcription–polymerase chain reaction.

* Excludes live births with confirmed recent maternal Zika virus infection (positive Zika virus RT-PCR, or Zika or dengue virus IgM-positive or equivocal with Zika virus PRNT titer ≥10 and dengue virus PRNT titer <10) or no evidence of Zika virus infection (Zika or dengue virus IgM positive or equivocal with Zika virus PRNT titer <10 regardless of dengue PRNT titer, or Zika virus IgM negative where all possible exposure occurred within 2–12 weeks of serum collection date), or confirmed congenital Zika virus infection based on infant testing (positive Zika virus RT-PCR or Zika virus IgM positive and Zika virus PRNT titer ≥10 with dengue virus PRNT titer <10).

Includes 41 live births where infants had laboratory evidence of probable congenital Zika virus infection; 9/41 (22%) with placental tissue RT-PCR positive; and 441 live births where infants had negative Zika virus testing or no Zika virus testing reported; 38/441 (9%) with placental tissue RT-PCR positive. Positive placental tissue RT-PCR results provide evidence of confirmed recent maternal Zika virus infection.

§ Placental tissue RT-PCR positive = at least one placental tissue specimen was positive by Zika virus RT-PCR.

Recent unspecified flavivirus infection = negative or no Zika virus RT-PCR performed, with Zika or dengue virus IgM positive, or equivocal with Zika and dengue virus PRNT titers ≥10.

** Maternal samples negative by Zika virus IgM, all or part of possible exposure occurred >12 weeks before serum collection date with negative or no Zika virus RT-PCR performed, maternal Zika virus testing not performed, or results pending or unknown.