U.S. health officials on Thursday advised pregnant women to avoid nonessential travel to Southeast Asia and the Maldives because of the potential risk of Zika infection, which can cause severe birth defects.
The U.S. Centers for Disease Control (CDC) singled out 11 countries in its latest advisory: Brunei, Burma (Myanmar), Cambodia, Indonesia, Laos, Malaysia, Maldives, Philippines, Thailand, Timor-Leste (East Timor) and Vietnam.
Thursday’s advisory about potential risks in Southeast Asia so far only recommend postponing nonessential travel. The CDC said travelers have been infected with the virus in parts of Southeast Asia, where Zika is endemic and has been present for many years. Many local residents are believed to be immune, though travelers most likely are not.
Read More: Why You Should Care About Zika
“Pregnant women traveling to Southeast Asia could become infected with Zika virus,” the CDC said. “The level of this risk is unknown and likely lower than in areas where Zika virus is newly introduced and spreading widely.”
Zika is a primarily a mosquito-borne disease, but it can also be sexually transmitted. It was identified in Brazil last year and has since spread globally. Infection is not always symptomatic, but can cause a fever similar to dengue. Zika infection during pregnancy can cause serious brain abnormalities such as microcephaly and other birth defects.
Read More: See All the Places Where the Zika Virus Has Spread
The CDC has advised pregnant women to avoid almost 60 countries or regions worldwide because of Zika’s rapid spread.
More Must-Reads from TIME
- How Donald Trump Won
- The Best Inventions of 2024
- Why Sleep Is the Key to Living Longer
- Robert Zemeckis Just Wants to Move You
- How to Break 8 Toxic Communication Habits
- Nicola Coughlan Bet on Herself—And Won
- Why Vinegar Is So Good for You
- Meet TIME's Newest Class of Next Generation Leaders
Contact us at letters@time.com