What to do if you're a member of the public:

• If you are pregnant, you should reconsider non-essential travel to Cuba. If travel is unavoidable, strictly follow the CDC’s Oropouche prevention recommendations.
• Protect yourself from mosquito bites, especially if you are visiting areas with dengue transmission or areas in South America with Oropouche virus transmission and Cuba, as well as avoiding mosquito bites upon your return for two to three weeks.
• Contact your doctor if you have symptoms of dengue and of Oropouche virus infection and mention your travels.

What to do if you're a health care provider:

• Have increased suspicion of dengue and Oropouche virus infection for people with fever who have been in areas with dengue or Oropouche virus transmission within 14 days before illness onset.
• If Oropouche virus infection is suspected, contact your local health department to consider testing at the Centers for Disease Control (specific criteria for testing are here and include a negative dengue test result).
• If dengue is suspected, order the following diagnostic tests based on the timing of sample collection:
• For zero to seven days from onset, test serum using PCR and IgM, or NS1 antigen and IgM.
• For more than seven days from onset, test serum using IgM.

Advise pregnant women to reconsider non-essential travel to Cuba.