Stakeholder insights from Zika virus infections in Houston, Texas, USA, 2016–2017

Stephanie R. Morain, Catherine S. Eppes, Joslyn W. Fisher, Courtenay Bruce, Martha Rac, Kjersti M. Aagaard, Rebecca Lunstroth, Savitri Fedson, Pallavi Dinesh, Jean L. Raphael

Research output: Contribution to journalReview articlepeer-review

2 Scopus citations


Responding to Zika virus infections in Houston, Texas, USA, presented numerous challenges across the health system. As the nation’s fourth-largest city, in a subtropical region with high travel volume to Latin America and the Caribbean, Houston was an ideal location for studying experiences encountered by clinicians and public health officials as they responded to the Zika virus crisis. To identify the challenges encountered in the response and to explore strategies to improve future responses to emerging infectious diseases, we interviewed 38 key stakeholders who were clinical, scientific, operational, and public health leaders. From the responses, we identified 4 key challenges: testing, travel screening, patient demographics and immigration status, and insufficient collaboration (between public health officials and clinicians and among clinical providers). We also identified 5 strategic areas as potential solutions: improved electronic health record support, specialty centers and referral systems, standardized forms, centralized testing databases, and joint academic/public health task forces.

Original languageEnglish (US)
Pages (from-to)2049-2055
Number of pages7
JournalEmerging Infectious Diseases
Issue number11
StatePublished - Nov 2018

ASJC Scopus subject areas

  • Epidemiology
  • Microbiology (medical)
  • Infectious Diseases


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