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On Zika Preparedness And Response, The US Gets A Failing Grade
Health Affairs Blog

There are worrying signs that the United States is unprepared to contain a likely Zika virus outbreak this summer. The critical problems are: insufficient resources for mosquito control, surveillance, and health care; highly variable capabilities and quality of service among public health and mosquito abatement authorities; and weak legal powers to implement critical interventions.

The Pan American Health Organization (PAHO) reports that 35 countries and territories in the Americas have confirmed local, vector-borne transmission of Zika since 2015. In the US, local mosquito-borne transmission has been reported in Puerto Rico, the US Virgin Islands, and American Samoa. Puerto Rico, in particular, is experiencing a frightening epidemic, and with travel to and from that island and the wider region—and with the Rio Olympics looming—the conditions are ripe for spread into the continental US.