HIV and Zika in Pregnancy: Past and Present Challenges

Carmen D. Zorrilla, MD
Professor of Obstetrics and Gynecology
Principal Investigator: Maternal-Infant Studies Center
University of Puerto Rico (UPR) School of Medicine, San Juan, PR



CME VIDEOTop of page

About the Presenter: Top of page

Dr Zorrilla is certified by the American Board of Obstetrics and Gynecology and the American Academy of HIV Medicine. Dr Zorrilla has played a leading role in the UPR Ob-Gyn Department service and research response to the emerging Zika epidemic among pregnant women in Puerto Rico, where she helped establish a multidisciplinary clinic for pregnant women with Zika, and is the Principal Investigator from San Juan for the NIH sponsored Zika International Pregnancy Study (ZIP). She has served as the PI for a Longitudinal Women’s HIV Clinic and for several other clinical trials including Empowerment interventions. Under Dr Zorrilla’s supervision, the transmission rate of HIV infection among the more than 500 infants born to pregnant women living with HIV during the past 12 years at the UPR clinic has been zero, and she has also contributed to Puerto Rico’s success in eliminating the perinatal HIV transmission. She is currently the PI of the UPR Clinical Trials Unit (UPR-CTU) sponsored by NIAID, and the UPR Mentoring Institute for HIV and Mental Health (sponsored by NIMH). She has been a consultant for the National Institutes of Health (NIH), the Maternal and Child Health Bureau (MCHB), the Centers for Disease Control (CDC), the Agency for Health Research Quality (AHRQ), and is a former member of the Office of Women’s Health Advisory Committee and the CDC/HRSA AIDS and STD Advisory Committee (CHAC).

Learning Objectives: Top of page

At the completion of this educational session, learners will:
  • Appreciate the epidemiologic pattern of reduction and virtual elimination of mother-to-child HIV transmission in Puerto Rico, and the use of antiretroviral therapy that guided such management.
  • Understand the problems associated with Zika infection in pregnancy.
  • Know the risk factors for Zika infection.
  • Be aware of the different vector control strategies for the Aedes mosquito and Zika epidemics.

CME Information: Top of page


This CME activity was approved for AMA PRA Category 1 Credit™ on September 13, 2016 and will terminate September 12, 2019.

The target audience is all physicians, NPs and PAs involved or interested in HIV education.

This online video and post-activity evaluation are one hour in length.
  • After you complete the video portion of this educational activity there will be a post-activity evaluation and quiz.
  • You must achieve at least 70% correct to receive your CME certificate.
  • If successful, you will be provided instructions to print your CME certificate at the completion of this activity.
  • Accreditation Statement: Top of page


    This activity has been planned and implemented in accordance with the accreditation requirements and policies of the of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Medical Society of the State of New York (MSSNY) and the Physicians’ Research Network (PRN). MSSNY is accredited by the ACCME to provide continuing medical education for physicians.

    The Medical Society of the State of New York designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with extent of their participation in the activity.

    Disclosure Statement: Top of page


    Policies and standards of MSSNY require that speakers and planners for CME activities disclose any relevant financial relationships they may have with commercial interests whose products, devices or services may be discussed in the content of a CME activity.
  • Dr. James Braun (Planner/Course Director) had no relevant financial relationships to disclose.
  • Dr. Zorrilla (Presenter) had the following personal financial relationships in the previous 12 months with manufactures of the products or services that may be presented in this CME activity: Research Support from Gilead, and Pfizer. Dr. Zorilla submitted her slides in advance for adequate peer review, and will support her presentation and clinical recommendations with the best available evidence from the medical literature.
  • Financial Support: Top of page

    This PRN CME activity is funded in part by unrestricted educational grants from: Bristol-Myers Squibb, Gilead Sciences, Merck & Co, and ViiV Healthcare.

    How to Obtain CME Credit: Top of page

    To obtain CME credit for this PRN program, please visit the PRN Video Channel at the Clinical Education Initiative (CEI) web site. PRN and the Medical Society of the State of New York (MSSNY) jointly sponsor PRN enduring materials for CME, and provide them at no cost to the AIDS Institute of the New York State Department of Health (NYSDOH) for broadcast through the CEI. We thank the NYSDOH for making our CME programs available to a wider audience, and hope you will also browse the many other educational opportunities offered by the CEI.

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