Methods: VIDOH staff called 291 mothers, connected with 148, and scheduled 114 appointments. The clinic set-up included: 2 intake, 4 neurology, 3 ophthalmology, 1 audiology, 1 developmental, child life team and 2 exit stations. Infants received comprehensive neurology, developmental, ophthalmology, and audiology exams and were connected to resources such as Infant and Toddlers: Early Intervention services, Act Early: Learn the Signs, Disability Rights of the Virgin Islands and local specialized physicians. A data abstraction team of 6 reviewed charts for accuracy and abstracted data into both the US Zika pregnancy registry forms and the local Zika database.
Results: The visiting specialists evaluated 88 infants; 65 (73.9%) in St. Thomas and 23 (26.1 %) in St. Croix, 84 (73.7%) appointments and 4 walk-ins. There were 53 (60.2%) males and 35 (39.8%) females. Seven (7.9%) infants were 0-2 months, 18 (20.5%) were 3-6 months, 38 (43.2%) were 7-12 months, 25 (28.4 %) were 13-24 months. Fifty-eight (65.9%) infants were referred for further follow-up; 35 (60.3%) to an audiologist, 20 (34.5%) to Infants and Toddlers program, 11 (19%) to a neurologist, 10 (17.2%) to an ophthalmologist, 8 (13.8%) to a developmental pediatrician, 8 (13.8%) for physical therapy, 4 (6.9%) for speech therapy, 3 (5.2%) for neuroimaging, 3 (5.2%) for occupational therapy, 2 (3.4%) to an otorhinolaryngologists.
Conclusion: Probable hearing loss was the chief finding in many of the infants screened. Further evaluation on these infants has been recommended based on clinical guidance for infants exposed to Zika virus infection. This can help to identify the types of hearing loss associated with Zika infection in utero.
A. Prosper, None
D. Petersen, None
S. Cato, None
M. Davis, None
N. Fehrenbach, None
E. Ellis, None