AAP Project ECHO Zika

​AAP P​roject ​ECHO Zika​​​

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​The American Academy of Pedia​trics (AAP) is implem​enting a national Project ECHO® (Extension for Community Healthcare Outcomes) Zika, through a cooperative agreement with the US Department of Health and Human Services Maternal and Child Health Bureau (MCHB).

The AAP Project ECHO® Zika aims to increase pediatric clinician knowledge, comfort, and competence in providing care to children and their families affected by the Zika virus through a telementoring platform. The project will help build capacity in our country's health care system by increasing the clinical expertise of pediatric clinicians to more appropriately provide family-centered, comprehensive, coordinated, and culturally effective care in the context of a medical home for infants and families affected by the Zika virus. The AAP is partnering with Zika virus specialists, other subspecialists with expertise on care of affected children, families, state public health officials, and pediatric primary care clinicians to leverage the expertise of a multidisciplinary expert group to provide guidance on how to conduct a comprehensive evaluation, establish a diagnosis, and manage the care of children and their families affected by Zika virus infection. Technical assistance will be focused initially on Puerto Rico, the US Virgin Islands and territories, and other high risk areas.Through this project, the AAP in collaboration with federal agencies, key partner organizations, and family representatives will work hand-in-hand to ensure the healthcare system is prepared for future public health emergencies, leveraging the ECHO ModelTM approach and technology to respond quickly and offer clinician education and outreach.


The Advisory Committee and Faculty have developed a standardized curriculum with the flexibility to evolve as new information becomes available. The following content/modules will be available nationally over the course of the project.

  • Congenital Zika Virus Syndrome and Seizures | Slides (English​​)
  • Zika Virus History and Incidence | Slides (English,​ Spanish) | Watch Now​!
  • Congenital Abnormalities | Slides (English) ​
  • Psychosocial Support​​​​ | Slides (English)
  • Early Interventions and Community Resources | Slides (English​) | Watch Now!​
  • CDC Updates: Testing, Guidance and Surveillance | Slides (English​)
  • Congenital Contractures and Hypertonicity | Slides (En​glish​)
  • Zika Virus Incidence: March 2018 Update | Slides (English​​)
  • Routes of Transmission and Possible Outcomes | Slides (English​​​)
  • Clues to Diagnose Clinically Dengue, Chikungunya and Zika | Slides (English​​​​)
  • Imaging the Brain of Infants and Children: Congenital Zika Syndrome| Slides (English​​​)​
  • ​Ocular Manifestations of Congenital Zika Syndrome | Slides (English​)
  • Testing and Diagnostics | Slides ​(English​​)​​​
  • Zika Virus and Pregnancy | Slides (English​)​​
  • Psychosocial Resources | Slides (English​)
  • Follow-up Care for Infants and Children Affected by Zika Virus | Slides (English​​)​
  • Updated Interim Guidance for the Diagnosis, Evaluation and Management of Infants with Possible Congenital Zika Virus Infection | Slides (English​)

Our flexible curriculum also includes presentations by guest speakers and time-sensitive topics:  

  • Zika Outcomes and Development in Infants and Children (ZODIAC) Project | Slides (English)

  • Zika in Infants and Pregnancy (ZIP) Study and Community Engagement in Puerto Rico | Slides (English)

  • APNI in Puerto Rico: Empowering Families Affected by Congenital Zika Virus Infection | Slides (English​)

  • Hearing Loss in Infants and the Puerto Rican Experience | Slides (English)

  • U.S. Virgin Islands Zika Health Brigade | Slides (English)

  • Zika Virus Vaccine Efforts, June 2018 | Slides (English)


Case-based learning is a key component of the ECHO model.  Participants are highly encouraged to present a case. The presentation is typically 5-10 minutes long and can describe any current or previous patients that may have presented with symptoms related to (or potentially related to) Zika virus. View our case form online​.  ​​

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    Advisory Committee Members
    ​​Jennifer Bolden-Pitre, MA, JD/ Family Perspective/Family to Family Networks
    Manda Hall, MD/ Title V/Maternal and Child Health
    Philip Heine, MD/ Maternal-Fetal Medicine/Obstetrics/Gynecology
    Amy Houtrow, MD, PhD, MPH, FAAP/ Physical Medicine and Rehabilitation
    Susan L Hyman, MD, FAAP/ Developmental and Behavioral Medicine
    Yvonne (Bonnie) Maldonado, MD, FAAP/ Infectious Diseases
    Scott Needle, MD, FAAP/ Primary Care/Disaster Preparedness
    Bruce Baird Struminger, MD, MA/ECHO Institute
    Edwin Trevathan, MD, MPH, FAAP/ Neurology
    Ronald Yee, MD, MBA, FAAFP/ Federally Qualified Health Centers
    Fernando Ysern, MD, FAAP/ Pediatrics in Puerto Rico​
    Faculty Members
    ​James Bale, MD, FAAP/ Neurology
    Steve Caddle, MD, FAAP/ Primary Care
    Margaret Fisher, MD, FAAP/ Infectious Disease/Disaster Preparedness
    Deliana Garcia, MA/ Migrant Clinicians Network
    Dixie Griffin, MD, FAAP/ Primary Care
    Abigail Kroening, MD, FAAP/ Developmental/Behavioral Pediatrics
    Ana Medina, MD, FAAP/ Pediatrics in Puerto Rico
    Jennifer Bolden-Pitre, MA, JD/ Family Perspective
    Perry Sheffield, MD, FAAP/ Public and Environmental Health​
    Marcia Tartarella, MD/Ophthalmology


​To Participate

All healthcare professionals who have an interest in learning more about caring for children and families affected by Zika virus are welcome to participate.

To participate in this program, please register at: https://www.surveymonkey.com/r/ZikaECHOreg. Participants are encouraged to attend the program on a regular basis.

For general questions about the program, please contact us​.​


The Zika ECHO program regularly shares news and resources related to Zika virus.  To be added to our listserv, please contact aapecho@aap.org. Some of the resources we have previously shared include those listed below. See the AAP Zika Virus webpage for additional resources for pediatricians.

AAP Resources

CDC Resources

Scholarly Resources

  • Hoen B, Schaub B, Funk A, et al. Pregnancy Outcomes after ZIKV Infection in French Territories in the Americas. N Engl J Med 2018; 378:985-994. DOI: http://dx.doi.org/10.1056/NEJMoa1709481.  

  • ​Fitzgerald B,  Boyle C, PhD, Honein M. Birth Defects Potentially Related to Zika Virus Infection During Pregnancy in the United States. JAMA. 2018;319(12):1195-1196. doi:10.1001/jama.2018.0126.

  • Satterfield-Nash A, Kotzky K, Allen J, et al. Health and Development at Age 19–24 Months of 19 Children Who Were Born with Microcephaly and Laboratory Evidence of Congenital Zika Virus Infection During the 2015 Zika Virus Outbreak — Brazil, 2017. MMWR Morb Mortal Wkly Rep 2017;66:1347–1351. DOI: http://dx.doi.org/10.15585/mmwr.mm6649a2.

  • Delaney A, Mai C, Smoots A, et al. Population-Based Surveillance of Birth Defects Potentially Related to Zika Virus Infection — 15 States and U.S. Territories, 2016. MMWR Morb Mortal Wkly Rep 2018;67:91–96. DOI: http://dx.doi.org/10.15585/mmwr.mm6703a2.

Other Resources

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