This e-mail is being sent as part of a temporary series of messages to deliver Zika-related information during peak mosquito season in Indian Country. 
June 30, 2017
In This Issue
Zika Myth of the Week
Myth: If I get Zika, I will feel sick. My doctor can give me an antibiotic to help me feel better.

This is a myth and is not correct!

Truth: Many people who have Zika will not have symptoms. For people who do feel unwell, the symptoms can include fever, rash, headache, joint pain, conjunctivitis (redness of the eyes), and muscle pain. It is important to see a doctor if you have these symptoms and have visited an area with Zika, or had sexual contact with a person who visited an area with Zika. This is especially important if you are pregnant.
This is also a reason to use mosquito repellent and avoid unprotected sexual activity if you live in, or return from, an area where Zika has been found. If you have Zika, you may not know that you are sick and you may be able to spread  Zika to other people through sexual contact, or to other mosquitoes if you get bitten. Then, the mosquitoes can spread Zika to other people.
Antibiotics do not work against Zika. There is no specific treatment for Zika. If you have symptoms, treatment focuses on relieving symptoms and ensuring you get plenty of rest and fluids.
Learn more about symptoms HERE 
Learn more about treatment HERE 

NIHB Resources
Learn more about Tribal Zika Response and Planning at the NIHB Zika Hub

NIHB main website can be accessed HERE

Have questions? Need assistance? Click here to email NIHB staff 
Zika 101
Estimated range of the Aedes aegypti  mosquito and federal Indian land s

Top Five Things Everyone Needs to Know About Zika:
  • Zika usually spreads through infected mosquitoes. It can also be spread through sexual activity from an infected person to a person who is not infected, regardless of gender.
  • Preventing mosquito bites is the best way to prevent Zika for most people and communities. However, it is important to remember that Zika can be transmitted other ways (including sexually). 
  • Zika during pregnancy is linked to serious birth defects in the growing baby. This includes microcephaly, seizures, hearing and vision problems, developmental delays, and other health issues.
  • Pregnant women should avoid travelling to areas with Zika. If travel cannot be avoided, a woman should talk to her doctor and carefully follow CDC travel recommendations.
  • If a mosquito bites a person who has Zika, that mosquito can become infected with Zika and spread the disease to other people. People who are infected with Zika do not always have symptoms. If returning from an area where Zika is present, it is important to prevent mosquito bites and take protective measures during sexual activity.
Learn more from the CDC  HERE

Zika Prevention Kits
  • No vaccine exists to prevent Zika.
  • Prevent Zika by avoiding mosquito bites.
  • Mosquitoes that spread Zika virus bite during the day and night.
  • Mosquitoes that spread Zika virus also spread dengue and chikungunya viruses.
  • Zika can be passed through sexual activity from a person who has Zika to his or her sex partners. Condoms can reduce the chance of getting Zika from sexual activity. Condoms include male and female condoms.
  • Local mosquito-borne Zika virus transmission has been reported in the continental United States.
Learn more prevention techniques HERE

  Reduce standing water breeding sites around homes
Images courtesy of the CDC
Zika News
CDC surveys find substantial increase in number of U.S. counties with two types of Aedes mosquitoes. Both Aedes aegypti and Aedes albopictus can carry the Zika virus. 

Aedes aegypti

Aedes albopictus

The Southern United States shows a substantial increase in the number of counties that reported evidence of the mosquitoes that can spread chikungunya, dengue, and Zika viruses, according to new research by the Centers for Disease Control and Prevention (CDC) published in the Journal of Medical Entomology June 19.
In the spring and fall of 2016, CDC conducted surveys to record where Aedes aegypti and Aedes albopictus mosquitoes were found. The latest 2016 data add Ae. aegypti collection records from 38 new counties and Ae. albopictus collection records from 127 new counties. This is a 21 percent and 10 percent increase in the number of counties that report the presence of these mosquitoes, compared with the previous report.
These findings highlight the need for continued and improved mosquito surveillance. State and local health departments and mosquito control districts can use this information to plan for mosquito control and prevention activities in advance of possible outbreaks of mosquito-borne diseases.  For more information:

Read additional coverage by NBC HERE

Funding Opportunity
The National Indian Health Board presents Tribal Zika Response and Planning Mini Awards: Announcement of Upcoming Request for Applications
The National Indian Health Board (NIHB), with support from the Center for Disease Control and Prevention (CDC), is pleased to announce a call for applications for a Tribal Zika Response and Planning award. Designed to enhance the capacity of Tribes, this funding will provide awards up to $5,000 to ten (10) Tribes to support efforts to prepare for the possibility of Zika transmission in Tribal communities. Applicants will select one or two (1-2) activities from the list of high impact activities which includes capacity building on topics such as: Zika preparedness planning, vector control, risk communication, partnership building, and stakeholder engagement.

Zika concerns multiple stakeholders within Tribal systems - along with other public health allies from state and local health departments - including emergency management, environmental health, and public health, as well as arenas within healthcare systems such as maternal child health, behavioral health, community health, and primary providers. 

Considering the unique ways that the Zika virus is transmitted, NIHB encourages all tribes to remain vigilant in their Zika preparedness efforts, regardless of geographic proximity to vector range and local transmission. Travel-associated cases bring another avenue for possible local transmission through human to human through blood transfer and sexual transmission, human to baby in utero, and human to mosquito through the bite of a Zika infected person.

To be eligible, the Tribal applicant must:
  • Be a federally recognized Tribe.
  • Have the capacity to engage in Zika Response in topic areas such as, but not limited to, public health, environmental health, emergency management, epidemiology, entomology, community health education or related programs.
  • Include a letter of commitment demonstrating project support from an authorized Tribal official. If using a letter of commitment, the letter must be signed by an individual authorized to represent the Tribe in such matters.
  • Propose a project that is reasonable in scope, complements current activities at the Tribe, and has activities that are not duplicative of other sources of funding or support.
  • Be willing to share resources and lessons learned with NIHB, CDC, IHS, and other Tribes, Tribal organizations, and key stakeholders.
  • Dedicate staff and the resources necessary to complete all approved activities.
  • Tribes that choose to engage in consultant or contractor services must provide a letter of support from said contractor for their Zika preparedness project. 
Application for funding will be available soon. The completed application is due by 11:59 PM EDT on Wednesday July 19th, 2017. The project period will run from approximately July 21st, 2017 through February 28th, 2018. Begin thinking about areas of interest and look out for a follow-up email next week. Interested Tribes should also plan to attend an informational webinar on Tuesday, July 11 from 4-5 pm EDT. 

Register for the webinar HERE

 Webinars, Trainings, Events
Sexual Transmission of Zika Virus: What do you need to know to be prepared?
Thursday, July 6 from 4-5pm (Eastern Daylight Time)

The summer months mean both mosquito and travel season; a combination that can put communities at risk for local transmission of the Zika Virus. Not only must communities protect themselves from mosquito bites and reduce mosquito breeding sites, but they must also put in place strategies that will prevent the sexual transmission of the Zika virus. This webinar will openly and respectfully discuss the sexual risk of Zika transmission, as well as present strategies that are appropriate for clinical and community-based practitioners as well as individuals who are concerned for the health and well-being of themselves, their partners, and their families.

Topics to be covered will include:
  • The fundamentals of the sexual transmission of the Zika virus
  • Recommended and potential strategies for prevention of sexual transmission of the Zika virus
  • How to incorporate preventative measures for sexual transmission into Zika Action Plans
The intended audience for this webinar is:
  • Tribal leaders and community members
  • Those that conduct health education and promotion activities
  • Tribal health providers and officials 
  • Family planning, OB/GYN, and reproductive health service providers
Register for the webinar HERE

In the Footsteps of Zika... Approaching the Unknown (Free Online Course through Coursera)
Monday, July 10 (class begins); registration ends July 15
Coursera provides worldwide, online access to education from global universities and organizations in various subjects. Coursera will be hosting an eight week Zika course beginning July 10 and continuing through September. Schedules are flexible and additional time to complete the course is permitted.

All course materials can be accessed for free, or participants can pay $49 to earn grades and a formal certificate. However, it is not necessary to pay in order to learn. Alternately, participants who cannot afford the fee can also complete a brief, online financial aid form to request a fee waiver.

The Coursera website states: "The central idea of this course is to bring together participants around the world having a strong interest in Zika. We welcome persons from multiple fields and different backgrounds, including researchers, professors and students in related academic fields, health care professionals, policy makers and stakeholders working with Zika related issues, and also anyone who is looking forward to knowing more about this outbreak without borders."

All materials can be accessed when enrolling in the course. Each week contains a variety of activities such as videos, discussions, and readings. This course may contain more in-depth, scientific, and global information than some other Zika resources.

Week 1: Introducing Zika virus, its vectors and its hosts
Week 2: Following the tracks of Zika virus
Week 3: Prevention and control
Week 4: Symptoms, diagnosis and treatment
Week 5: Zika and neurological adverse effects
Week 6: Inequity in front of Zika exposure and outcomes
Week 7: How to deal with Zika: WHO and international health organizations' perspectives
Week 8: The Zika phenomenon through media and economic & political challenges

Learn more, enroll, or read ratings and reviews HERE

Tribal Zika Response and Planning Request For Applications Informational Webinar
Tuesday, July 11 from 4-5pm (Eastern Daylight Time)

This NIHB webinar is hosted for Tribes interested in learning more about the funding opportunity described in the Funding Opportunity section of the newsletter HERE.

Preventing the Zika Virus: Understanding and Controlling the Aedes Mosquito
(Free Online Course through FutureLearn)
Monday, July 17 (class begins)

FutureLearn is a website that provides free, online courses to all people by partnering with international universities and institutions.

FutureLearn will be hosting a Zika prevention course which addresses the science behind Zika, the Aedes mosquito, vector control, and the global Zika response.

The course is free, and completion is estimated at 4 hours per week for three (3) weeks. The formal class start date is listed as July 17, but the course period begins on registration. Participants have access to course materials for the course duration period and for two (2) additional weeks. Upgrades are available for $54 and the upgrade offers unlimited (ongoing) access to the course, a transcript, and a certificate of achievement. However, payment is not required in order to learn.

This course may contain more in-depth, scientific, and global information than some other Zika resources.

The following subjects will be covered: 
  • Week 1: What do we know about Zika?
    • Introduction, the Zika virus, the uncertainty of Zika, and Zika in context
  • Week 2: What is the Aedes mosquito and where can it be found?
    • Characteristics of the Aedes mosquito, the distribution of Aedes, observing mosquitoes
  • Week 3: What can we do to control the spread of Zika?
    • Controlling mosquitoes, challenges and new ideas, current strategies for preventing Zika, what can new research tell us? & course review
Learn more or register HERE

TRAIN Learning Network, Powered by the Public Health Foundation
Ongoing trainings

Still looking for more training opportunities? The Public Health Foundation (PFH) is a nonprofit organization working in public health quality and performance. PHF powers TRAIN, a national learning network offering thousands of training opportunities  about public health topics. They currently offer twenty-two (22) Zika training courses in forms such as on demand webcast, archived webcast, and self-study web-based training. The course content and intended audience vary by training opportunity. Some courses are sponsored by PHF and some by other agencies. 

Course titles include: 

  • The Zika Virus: What It Is and How to Protect Against It
  • Protecting the Public from Mosquito-borne Illnesses: The Zika Challenge 
  • Zika Toolkit: Expanding Access to Quality Family Planning and Zika-related Care
  • Zika Virus Response and Information Resources
  • Practical Approaches for Zika Preparedness and Response
  • Caring for Children with Congenital Zika Virus: Building Community Support
  • Facts about Zika and How to Mitigate Its Impact
  • Insect Repellants and Pregnancy in the Zika Era
  • Improving Public Health Emergency Programs...
  • Updated Interim Zika Clinical Guidance for
  • Reproductive Recognizing Microcephaly and Other Presentations of Zika Virus

View or participate in Zika training opportunities offered through TRAIN  HERE

Learn more about Public Health Foundation  HERE