Q –   We have a bit of an unusual situation. We want to go to a Caribbean island in February. We trust that the Turks & Caicos will be built up again and we are looking at staying at the Aman resort, which is quite isolated. We’ve twice stayed at Aman’s in Asia and absolutely love the serenity and the spa orientation, along with great food and service. 

There is availability for a ten-night stay and the rates are fine. The issue is that my wife will be three  months pregnant if all goes according to plans. It seems that there have been some cases of Zika on the island but we’re being told the hotel sprays every day and mosquitos should not be an issue. Do you think you we will be OK to move forward with these arrangements.

A – The first thing we would suggest is that you ask whoever is telling you this to put it  in a legally binding document. Make it clear in that document that you will be entitled to a multi-million dollar settlement should there be any medical issues based on your decision to stay on the island. Then, when you get the document, tear it up in front of whoever hands it to you and explain that the health of your wife and newborn baby comes first. 

They have had Zika virus in the Turks & Caicos. There are serious warnings about travel to that, and many of the Caribbean islands, if you are pregnant. You must not even consider this vacation. The rule is quite simple – if you are pregnant or have any possibility of getting pregnant, avoid travel to those islands that have a Zika-virus bearing mosquito population. Don’t fool around with this. 

Because Zika infection during pregnancy can cause severe birth defects, pregnant women should not travel to the areas below. Partners of pregnant women and couples considering pregnancy should know the risks to pregnancy and take prevention steps. All travelers should strictly follow steps to prevent mosquito bites and prevent sexual transmission during and after the trip.

Africa: AngolaBeninBurkina-FasoBurundiCameroonCape VerdeCentral African RepublicChadCongo (Congo-Brazzaville)Côte d’IvoireDemocratic Republic of the Congo (Congo-Kinshasa)Equatorial GuineaGabonGambiaGhanaGuineaGuinea-BissauKenyaLiberiaMaliNigerNigeriaRwandaSenegalSierra LeoneSouth SudanSudanTanzaniaTogoUganda

Asia: BangladeshBurma (Myanmar)CambodiaIndiaIndonesiaLaosMalaysiaMaldivesPakistanPhilippinesSingaporeThailandTimor-Leste (East Timor)Vietnam

The Caribbean: AnguillaAntigua and BarbudaArubaThe BahamasBarbadosBonaireBritish Virgin IslandsCubaCuraçaoDominicaDominican RepublicGrenadaHaitiJamaicaMontserratthe Commonwealth of Puerto Rico, a US territorySaba;Saint Kitts and NevisSaint LuciaSaint MartinSaint Vincent and the GrenadinesSint EustatiusSint MaartenTrinidad and TobagoTurks and Caicos IslandsUS Virgin Islands

Central AmericaBelizeCosta RicaEl SalvadorGuatemalaHondurasNicaraguaPanama

North America: Mexico

The Pacific Islands: FijiMarshall IslandsMicronesiaPalauPapua New GuineaSamoaSolomon IslandsTonga

South America: ArgentinaBoliviaBrazilColombiaEcuadorFrench GuianaGuyanaParaguayPeruSurinameVenezuela

We have listed the countries where Zika is an on-going issue. Somehow, tourism promoters and travel agents rarely talk about Zika anymore. It is a serious reality for pregnant women and, as you can see above, it is a widespread medical phenomenon.