Pregnancy, travel, and mosquito-borne diseases

Mosquitoes as vectors of fetal diseases

Certain diseases can be transmitted by mosquitoes. Most of these illnesses are contracted during travel to tropical or subtropical regions.If you are planning a trip to a tropical or subtropical area, consult your healthcare provider.

Important to know: Due to climate change, diseases previously considered non-existent in Europe (e.g., dengue) are now being reported there. Although these cases remain rare, they highlight the importance of protecting yourself from mosquito bites.

Zika

The Zika virus belongs to the genus of flaviviruses. It is transmitted to humans through bites from the Aedes genus of mosquitoes. This mosquito bites people in the morning and at the end of the day. Although the disease is often asymptomatic, it may have serious consequences for the fetus during pregnancy (e.g., microcephaly). In infected individuals, the virus can be found in urine, tears, sexual secretions (vaginal fluids, semen), and breast milk. Sexual transmission is therefore possible, up to 9 weeks after the acute phase of the disease.
Vertical transmission (from mother to fetus) can occur throughout pregnancy. There is currently no treatment or specific vaccination for Zika. 

Zika Prevention

• Pregnant women: Avoid travelling to regions where Zika virus is endemic. If travel is unavoidable, the best form of prevention is to protect yourself against mosquito bites (see below).
• Male partner of a pregnant woman: Use protection during sexual intercourse (condoms) until the end of the pregnancy.
•  Women planning to become pregnant: Use effective contraception during the trip and for two months after returning. Inform your healthcare provider about the travel.
• Male partner of a woman planning a pregnancy: Wait at least six months after returning from an endemic area before attempting conception. 

Other mosquito-borne diseases 

Dengue

A viral illness caused by a Flavivirus, transmitted by Aedes mosquitoes. It is endemic in many countries, with case numbers increasing in recent years. 

Chikungunya 

A viral illness caused by an Alphavirus, also transmitted by Aedes mosquitoes. 

Malaria 

A parasitic disease caused by Plasmodium parasites, transmitted by Anopheles mosquitoes, which mainly bite at night.
Several Plasmodium species exist, with Plasmodium falciparum causing the most severe cases.
If you are planning travel to an endemic area, follow mosquito protection measures. Chemoprophylaxis may be recommended depending on the destination (whether Plasmodium falciparum is present) and the nature of the trip (risk of parasite exposure). 

Avoid travel to endemic regions. If travel is necessary, follow mosquito protection measures. 

Mosquito bite prevention in tropical areas (day and night): 

• Wear long, loose and light-colored clothing impregnated with mosquito repellent.
• Apply mosquito repellent to exposed areas of your body.
• Use insect nets impregnated with mosquito repellent.
• Make sure you only use mosquito repellents that are safe during pregnancy. 

Suitable clothing

Opt for long sleeves, long trousers or shirts and apply mosquito repellent on the exposed parts of your body and your clothes.

Protection on doors and windows

Use anti-insect screens on windows and doors.

Mosquito nets

Sleep under mosquito nets, particularly during the daytime.