Emerg Infect Dis. 2018 May;24(5):827-834. doi: 10.3201/eid2405.170764.
A large number of imported cases of Zika virus infection and the potential for transmission by Aedes albopictus mosquitoes prompted the New York City Department of Health and Mental Hygiene to conduct sentinel, enhanced passive, and syndromic surveillance for locally acquired mosquitoborne Zika virus infections in New York City, NY, USA, during June-October 2016. Suspected case-patients were those >5 years of age without a travel history or sexual exposure who had >3 compatible signs/symptoms (arthralgia, fever, conjunctivitis, or rash). We identified 15 suspected cases and tested urine samples for Zika virus by using real-time reverse transcription PCR; all results were negative. We identified 308 emergency department visits for Zika-like illness, 40,073 visits for fever, and 17 unique spatiotemporal clusters of visits for fever. We identified no evidence of local transmission. Our experience offers possible surveillance tools for jurisdictions concerned about local mosquitoborne Zika virus or other arboviral transmission.
大量输入性寨卡病毒感染病例以及白纹伊蚊可能传播寨卡病毒，促使美国纽约市卫生与心理卫生局于 2016 年 6 月至 10 月在美国纽约市开展哨点、强化被动和综合征监测，以发现当地感染的蚊媒寨卡病毒。疑似病例为年龄 >5 岁、无旅行史或性暴露史且有 >3 个相符体征/症状（关节炎、发热、结膜炎或皮疹）的患者。我们共发现 15 例疑似病例，并使用实时逆转录聚合酶链反应检测尿液样本中的寨卡病毒；所有结果均为阴性。我们共发现 308 例寨卡样疾病急诊就诊，40073 例发热就诊，以及 17 例独特的发热就诊时空聚集。我们未发现本地传播的证据。我们的经验为关注当地蚊媒寨卡病毒或其他虫媒病毒传播的司法管辖区提供了可能的监测工具。
