Through the bite of an infected mosquito. West Nile and Zika virus may also be spread by blood transfusion and organ donation. Zika virus can also be transmitted from a pregnant mother to a fetus and through sexual contact with an infected individual.

No, unless

Yes, when all the following criteria have been met:

When exclusion criteria are resolved, the child is able to participate, and staff members determine they can care for the child without compromising their ability to care for the health and safety of the other children in the group

Adapted from Managing Infectious Diseases in Child Care and Schools: A Quick Reference Guide.

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