RT Journal Article SR Electronic T1 Zika Virus Outbreak, Barbados, 2015 – 2016 JF bioRxiv FD Cold Spring Harbor Laboratory SP 279182 DO 10.1101/279182 A1 Sadie J. Ryan A1 Catherine A. Lippi A1 Colin J. Carlson A1 Anna M. Stewart-Ibarra A1 Mercy J. Borbor-Cordova A1 Moory M. Romero A1 Shelly-Ann Cox A1 Roché Mahon A1 Adrian Trotman A1 Leslie Rollock A1 Marquita Gittens-St. Hilaire A1 Desmond King A1 Stephen Daniel YR 2018 UL http://biorxiv.org/content/early/2018/03/09/279182.abstract AB Barbados is a Caribbean island country of approximately 285,000 people, with a thriving tourism industry. In 2015, Zika spread rapidly throughout the Americas, and its proliferation through the Caribbean islands followed suit. Barbados reported its first confirmed autochthonous Zika transmission to the Pan American Health Organization (PAHO) in January 2016, a month before the global public health emergency was declared. Following detection of suspected Zika cases on Barbados in 2015, 926 individuals were described as suspected cases, and 147 lab confirmed cases were reported through December 2016, the end of the most recent epidemiological year. In this short report, we describe the epidemiological characteristics of 926 clinical case records which were originally suspected as cases of Zika, and which were subsequently sent for testing and confirmation; 147 were found positive for Zika, using RT-PCR methods, another 276 tested negative, and the remaining 503 were either pending results or still in the suspected category. Women were represented at about twice the rate of men in case records where sex was reported (71.9%), and confirmed cases (78.2%), and 19 of the confirmed positive cases were children under the age of 10.