EDC-4 Pavement Preservation When/Where Peer Exchange Report

GSA314A0006This report summarizes the proceedings of the Every Day Counts (EDC) 4 When/Where Peer Exchanges hosted by the Federal Highway Administration (FHWA). The Peer Exchanges were held in Denver, Colorado on April 3-4, 2018; Atlanta, Georgia on April 11-12, 2018; and Rocky Hill, Connecticut on April 17-18, 2018. The Peer Exchange meetings consisted of presentations by agencies and discussion on pavement preservation When/Where including: experience with Pavement Preservation When/Where, strategic level selection and evaluation, pavement management system role in pavement preservation, pavement preservation from an asset management perspective, pavement preservation evaluation/decision tools, how to measure success, and using the products of the project. A total of 41 participants from 23 agencies as well as FHWA representatives and the consultant team participated in the Peer Exchanges

Two Infants with Presumed Congenital Zika Syndrome, Brownsville, Texas, USA, 2016–2017

Since 2007, Zika virus has spread through the Pacific Islands and the Americas. Beginning in 2016, women in Brownsville, Texas, USA, were identified as possibly being exposed to Zika virus during pregnancy. We identified 18 pregnant women during 2016–2017 who had supportive serologic or molecular test results indicating Zika virus or flavivirus infection. Two infants were evaluated for congenital Zika syndrome after identification of prenatal microcephaly. Despite standard of care testing of mothers and neonates, comparative results were unreliable for mothers and infants, which highlights the need for clinical and epidemiologic evidence for an accurate diagnosis. A high index of suspicion for congenital Zika syndrome for at-risk populations is useful because of current limitations of testing