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Intensified monitoring of microcephaly and other Congenital defects of the Central Nervous System Revision as of November 25, 2016 Between the epidemiological weeks 01 to 46 of 2016, Confirmed (60) sixty cases of microcephaly associated with the virus Zika, 227 cases were discarded and 445 cases are under study. http://www.ins.gov.co/boletin-epidemiologico/Boletn Epidemiolgico/2016 Boletín epidemiológico semana 46.pdf

Pregnancy Outcomes in the United States and the District of Columbia Liveborn infants with birth defects* 28 Includes aggregated data reported to the US Zika Pregnancy Registry as of November 17, 2016 Pregnancy losses with birth defects** 5 Includes aggregated data reported to the US Zika Pregnancy Registry as of November 17, 2016 http://www.cdc.gov/zika/geo/pregnancy-outcomes.html

Pregnant Women with Any Laboratory Evidence of Possible Zika Virus Infection US States and the District of Columbia* 1,114 *Includes aggregated data reported to the US Zika Pregnancy Registry as of November 17, 2016 US Territories** 2,561 **Includes aggregated data from the US territories reported to the US Zika Pregnancy Registry and data from Puerto Rico reported to the Zika Active Pregnancy Surveillance System as of November 17, 2016

As of November 23, 2016 (5 am EST) Zika virus disease and Zika virus congenital infection are nationally notifiable conditions. This update from the CDC Arboviral Disease Branch includes provisional data reported to ArboNET for January 01, 2015 – November 23, 2016. US States Locally acquired mosquito-borne cases reported: 182 Travel-associated cases reported: 4,261 Laboratory acquired cases reported: 1 Total: 4,444 Sexually transmitted: 36 Guillain-Barré syndrome: 13 MAPS OF ZIKA IN THE US More US Territories Locally acquired cases reported: 32,601 Travel-associated cases reported: 123 Total: 32,724* Guillain-Barré syndrome: 46 *Sexually transmitted cases are not reported for US territories because with local transmission of Zika virus it is not possible to determine whether infection occurred due to mosquito-borne or sexual transmission. Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of November 23, 2016)§ States Travel-associated cases* No. (% of cases in states) (N=4,262) Locally acquired cases† No. (% of cases in states) (N=182) Alabama 30 (1) 0 (0) Arizona 49 (1) 0 (0) Arkansas 13 (<1) 0 (0) California 354 (8) 0 (0) Colorado 49 (1) 0 (0) Connecticut 58 (1) 0 (0) Delaware 17 (<1) 0 (0) District of Columbia 27 (1) 0 (0) Florida 785 (18) 182 (100) Georgia 102 (2) 0 (0) Hawaii 14 (<1) 0 (0) Idaho 4 (<1) 0 (0) Illinois 83 (2) 0 (0) Indiana 47 (1) 0 (0) Iowa 17 (<1) 0 (0) Kansas 17 (<1) 0 (0) Kentucky 24 (1) 0 (0) Louisiana 35 (1) 0 (0) Maine 12 (<1) 0 (0) Maryland 109 (3) 0 (0) Massachusetts 101 (2) 0 (0) Michigan 63 (1) 0 (0) Minnesota 53 (1) 0 (0) Mississippi 23 (1) 0 (0) Missouri 35 (1) 0 (0) Montana 7 (<1) 0 (0) Nebraska 13 (<1) 0 (0) Nevada 16 (<1) 0 (0) New Hampshire 11 (<1) 0 (0) New Jersey 157 (4) 0 (0) New Mexico 9 (<1) 0 (0) New York 917 (22) 0 (0) North Carolina 78 (2) 0 (0) North Dakota 2 (<1) 0 (0) Ohio 73 (2) 0 (0) Oklahoma 29 (1) 0 (0) Oregon 37 (1) 0 (0) Pennsylvania†† 157 (4) 0 (0) Rhode Island 35 (1) 0 (0) South Carolina 53 (1) 0 (0) South Dakota 2 (<1) 0 (0) Tennessee 58 (1) 0 (0) Texas 253 (6) 0 (0) Utah 16** (<1) 0 (0) Vermont 10 (<1) 0 (0) Virginia 93 (2) 0 (0) Washington 57 (1) 0 (0) West Virginia 11 (<1) 0 (0) Wisconsin 45 (1) 0 (0) Wyoming 2 (<1) 0 (0) Territories Travel-associated cases* No. (% of cases in territories) (N=123) Locally acquired cases† No. (% of cases in territories) (N=32,601) American Samoa 0 (0) 54 (<1) Puerto Rico 121 (98) 31,944*** (98) US Virgin Islands 2 (2) 603 (2) §Only includes cases meeting the probable or confirmed CSTE case definition and does not include asymptomatic infections unless the case is a pregnant woman with a complication of pregnancy *Travelers returning from affected areas, their sexual contacts, or infants infected in utero †Presumed local mosquito-borne transmission ††One additional case acquired through laboratory transmission **Includes one case with unknown route of person-to-person transmission. ***The Puerto Rico Department of Health is retroactively reporting cases, resulting in larger than normal increases in cases in recent weeks.

ACTIVE INVESTIGATIONS Information on Active Investigations When a local case of Zika virus is confirmed through laboratory testing, the department conducts a thorough investigation around the case to determine if additional people are infected. The department interviews and tests close contacts and community members around the case. Knowing if additional people are infected helps the department determine if there is a zone where mosquitoes are transmitting the virus. Not every case results in a designation of active transmission in an area. In some instances, a case of Zika is an isolated incident with no additional people infected. For more information on the department’s testing and investigation process, click here. paragraph break Current Number of Active Investigations: 14 Miami-Dade County: 10 open investigations Unknown: 4 open investigations. paragraph break Current Number of Closed Investigations: 38 Miami-Dade County: 30 closed investigations Palm Beach County: 6 closed investigation Broward County: 1 closed investigation Pinellas: 1 closed investigation paragraph break Sampling Activities For Active Investigations Miami Beach in Miami-Dade County (Area of Active Transmission) Total # of Samples Collected Positive Negative Pending Results 1,067 75 992 0 paragraph break Little River in Miami-Dade County (Area of Active Transmission) Total # of Samples Collected Positive Negative Pending Results 118 9 109 0 paragraph break Miami-Dade Investigations Outside of Areas of Active Transmission – 8 Investigations Total # of Samples Collected Positive Negative Pending Results 45 3 42 0 paragraph break Wynwood Area in Miami-Dade County – Note: This investigation is closed, but the department is providing the sampling results below for reference. Total # of Samples Collected Positive Negative Pending Results 525 33 491 0 Data as of Nov. 29, 2016 – 3:33 p.m. ET

Map Update https://www.google.com/maps/d/edit?hl=en&hl=en&authuser=0&authuser=0&mid=1FlIB7hHnVgGD9TlbSx5HwAj-PEQ&ll=25.889717300555567%2C-80.36331222578139&z=11

November 29, 2016 Department of Health Daily Zika Update Contact: Communications [email protected] (850) 245-4111 Tallahassee, Fla.—In an effort to keep Florida residents and visitors safe and aware about the status of the Zika virus, the department will issue a Zika virus update each week day. Updates will include a Zika case count by county and information to keep Floridians informed and prepared. In order to keep the public informed, the department has posted our investigation process here. There are five new travel-related cases today with two in Miami-Dade, one in Broward, one in Monroe and one in Orange. There are two new locally acquired cases today both in Miami-Dade County residents. The department is investigating to determine where exposure occurred. The total number of Zika cases reported in Florida as of today is 1,213. Infection Type Infection Count Travel-Related Infections of Zika 958 Locally Acquired Infections of Zika 240 Undetermined 15 Pregnant Women with Lab-Evidence of Zika 173 Note, these categories are not mutually exclusive and cannot be added together. Please visit our website to see the full list of travel-related cases by county. Today, Governor Rick Scott announced that the department has not detected any additional local transmissions of Zika in the north portion of Miami Beach in more than 45 days. That portion of the zone has been lifted. The newly lifted area is about three miles, from 28th street to 63rd street. The remaining area of active Zika transmission in Miami Beach is about 1.5 square miles between 8th and 28th streets. The remaining area of active Zika transmission in Little River is about one square mile. DOH continues outreach and targeted testing in Miami-Dade County and mosquito abatement and reduction activities are also taking place around the locations that are being investigated. DOH believes ongoing transmission is only taking place within the identified area in Miami Beach and Little River in Miami-Dade County, see maps below. One case does not mean ongoing active transmission is taking place. DOH conducts a thorough investigation by sampling close contacts and community members around each case to determine if additional people are infected. If DOH finds evidence that active transmission is occurring in an area, the media and the public will be notified. The timelines below are as of Nov. 23. Note: asymptomatic cases are not reflected as they do not have symptom on-set dates. click image above to enlarge click image above to enlarge click image above to enlarge The department is currently conducting 14 active investigations. The department has closed 38 investigations. Information regarding the investigations can be found here. If investigations reveal additional areas of active transmission, the department will announce a defined area of concern. The department has conducted Zika virus testing for more than 10,585 people statewide. Florida currently has the capacity to test 5,913 people for active Zika virus and 5,114 for Zika antibodies. At Governor Scott’s direction, all county health departments now offer free Zika risk assessment and testing to pregnant women. Florida’s small case cluster is not considered widespread transmission, however, pregnant women are advised to avoid non-essential travel to the impacted area in Miami-Dade County (see map below). If you are pregnant and must travel or if you live or work in the impacted area, protect yourself from mosquito bites by wearing insect repellent, long clothing and limiting your time outdoors. According to CDC guidance, providers should test all pregnant women who lived in, traveled to or whose partner traveled to Miami-Dade County after Aug. 1, 2016. It is also recommended that all pregnant women who reside in or travel frequently to the area where active transmission is likely occurring be tested for Zika in the first and second trimester. Pregnant women in the identified area can contact their medical provider or their local county health department to be tested and receive a Zika prevention kit. CDC recommends that a pregnant woman with a history of Zika virus and her provider should consider additional ultrasounds. Additionally, the department is working closely with the Healthy Start Coalition of Miami-Dade County to identify pregnant women in the impacted areas to ensure they have access to resources and information to protect themselves. CDC recommends that a pregnant woman with a history of Zika virus and her provider should consider additional ultrasounds. Pregnant women can contact their local county health department for Zika risk assessment and testing hours and information. A Zika risk assessment will be conducted by county health department staff and blood and/or urine samples may be collected and sent to labs for testing. It may take one to two weeks to receive results. Florida has been monitoring pregnant women with evidence of Zika regardless of symptoms. The total number of pregnant women who have been or are being monitored is 173. On Feb. 12, Governor Scott directed the State Surgeon General to activate a Zika Virus Information Hotline for current Florida residents and visitors, as well as anyone planning on traveling to Florida in the near future. The hotline, managed by the Department of Health, has assisted 7,681 callers since it launched. The number for the Zika Virus Information Hotline is 1-855-622-6735. The department urges Floridians to drain standing water weekly, no matter how seemingly small. A couple drops of water in a bottle cap can be a breeding location for mosquitoes. Residents and visitors also need to use repellents when enjoying the Florida outdoors. For more information on DOH action and federal guidance, please click here. For resources and information on Zika virus, click here. click image above to enlarge click image above to enlarge About the Florida Department of Health The department, nationally accredited by the Public Health Accreditation Board, works to protect, promote, and improve the health of all people in Florida through integrated state, county and community efforts. Follow us on Twitter at @HealthyFla and on Facebook. For more information about the Florida Department of Health, please visit www.FloridaHealth.gov.

There are two new locally acquired cases today both in Miami-Dade County residents. The department is investigating to determine where exposure occurred. The total number of Zika cases reported in Florida as of today is 1,213. http://www.floridahealth.gov/newsroom/2016/11/112916-zika-update.html

Map Update https://www.google.com/maps/d/edit?hl=en&hl=en&authuser=0&authuser=0&mid=1FlIB7hHnVgGD9TlbSx5HwAj-PEQ&ll=27.27094839249986%2C-81.13510177656264&z=7

November 29, 2016 Department of Health Daily Zika Update Contact: Communications [email protected] (850) 245-4111 Tallahassee, Fla.—In an effort to keep Florida residents and visitors safe and aware about the status of the Zika virus, the department will issue a Zika virus update each week day. Updates will include a Zika case count by county and information to keep Floridians informed and prepared. In order to keep the public informed, the department has posted our investigation process here. There are five new travel-related cases today with two in Miami-Dade, one in Broward, one in Monroe and one in Orange. There are two new locally acquired cases today both in Miami-Dade County residents. The department is investigating to determine where exposure occurred. The total number of Zika cases reported in Florida as of today is 1,213. Infection Type Infection Count Travel-Related Infections of Zika 958 Locally Acquired Infections of Zika 240 Undetermined 15 Pregnant Women with Lab-Evidence of Zika 173 Note, these categories are not mutually exclusive and cannot be added together. Please visit our website to see the full list of travel-related cases by county. Today, Governor Rick Scott announced that the department has not detected any additional local transmissions of Zika in the north portion of Miami Beach in more than 45 days. That portion of the zone has been lifted. The newly lifted area is about three miles, from 28th street to 63rd street. The remaining area of active Zika transmission in Miami Beach is about 1.5 square miles between 8th and 28th streets. The remaining area of active Zika transmission in Little River is about one square mile. DOH continues outreach and targeted testing in Miami-Dade County and mosquito abatement and reduction activities are also taking place around the locations that are being investigated. DOH believes ongoing transmission is only taking place within the identified area in Miami Beach and Little River in Miami-Dade County, see maps below. One case does not mean ongoing active transmission is taking place. DOH conducts a thorough investigation by sampling close contacts and community members around each case to determine if additional people are infected. If DOH finds evidence that active transmission is occurring in an area, the media and the public will be notified. The timelines below are as of Nov. 23. Note: asymptomatic cases are not reflected as they do not have symptom on-set dates. click image above to enlarge click image above to enlarge click image above to enlarge The department is currently conducting 14 active investigations. The department has closed 38 investigations. Information regarding the investigations can be found here. If investigations reveal additional areas of active transmission, the department will announce a defined area of concern. The department has conducted Zika virus testing for more than 10,585 people statewide. Florida currently has the capacity to test 5,913 people for active Zika virus and 5,114 for Zika antibodies. At Governor Scott’s direction, all county health departments now offer free Zika risk assessment and testing to pregnant women. Florida’s small case cluster is not considered widespread transmission, however, pregnant women are advised to avoid non-essential travel to the impacted area in Miami-Dade County (see map below). If you are pregnant and must travel or if you live or work in the impacted area, protect yourself from mosquito bites by wearing insect repellent, long clothing and limiting your time outdoors. According to CDC guidance, providers should test all pregnant women who lived in, traveled to or whose partner traveled to Miami-Dade County after Aug. 1, 2016. It is also recommended that all pregnant women who reside in or travel frequently to the area where active transmission is likely occurring be tested for Zika in the first and second trimester. Pregnant women in the identified area can contact their medical provider or their local county health department to be tested and receive a Zika prevention kit. CDC recommends that a pregnant woman with a history of Zika virus and her provider should consider additional ultrasounds. Additionally, the department is working closely with the Healthy Start Coalition of Miami-Dade County to identify pregnant women in the impacted areas to ensure they have access to resources and information to protect themselves. CDC recommends that a pregnant woman with a history of Zika virus and her provider should consider additional ultrasounds. Pregnant women can contact their local county health department for Zika risk assessment and testing hours and information. A Zika risk assessment will be conducted by county health department staff and blood and/or urine samples may be collected and sent to labs for testing. It may take one to two weeks to receive results. Florida has been monitoring pregnant women with evidence of Zika regardless of symptoms. The total number of pregnant women who have been or are being monitored is 173. On Feb. 12, Governor Scott directed the State Surgeon General to activate a Zika Virus Information Hotline for current Florida residents and visitors, as well as anyone planning on traveling to Florida in the near future. The hotline, managed by the Department of Health, has assisted 7,681 callers since it launched. The number for the Zika Virus Information Hotline is 1-855-622-6735. The department urges Floridians to drain standing water weekly, no matter how seemingly small. A couple drops of water in a bottle cap can be a breeding location for mosquitoes. Residents and visitors also need to use repellents when enjoying the Florida outdoors. For more information on DOH action and federal guidance, please click here. For resources and information on Zika virus, click here. click image above to enlarge click image above to enlarge About the Florida Department of Health The department, nationally accredited by the Public Health Accreditation Board, works to protect, promote, and improve the health of all people in Florida through integrated state, county and community efforts. Follow us on Twitter at @HealthyFla and on Facebook. For more information about the Florida Department of Health, please visit www.FloridaHealth.gov.

There are five new travel-related cases today with two in Miami-Dade, one in Broward, one in Monroe and one in Orange. There are two new locally acquired cases today both in Miami-Dade County residents. The department is investigating to determine where exposure occurred. The total number of Zika cases reported in Florida as of today is 1,213. http://www.floridahealth.gov/newsroom/2016/11/112916-zika-update.html

Map Update https://www.google.com/maps/d/edit?hl=en&hl=en&authuser=0&authuser=0&mid=1FlIB7hHnVgGD9TlbSx5HwAj-PEQ&ll=41.529344750516195%2C-80.95679713957514&z=6

Confirmed Infections: 132*Probable Cases: 43**DOH adopted a new definition for Zika virus infections on 9/26/2016. The case counts have increased because the Centers for Disease Control and Prevention’s new definition includes probable Zika infections. The new infection definition has been applied to all previous Zika tests in Pennsylvania. For greater detail on this new definition, click here.Last update: 11/21/2016 http://www.health.pa.gov/My Health/Diseases and Conditions/U-Z/Zikavirus/Pages/ZikaVirusHomePage.aspx#.WD3HyvkrLNB

Pennsylvania Blood Tests Submitted for Zika TestingInformation updated Mondays at 2 p.m. Confirmed Infections: 132* Probable Cases: 43* *DOH adopted a new definition for Zika virus infections on 9/26/2016. The case counts have increased because the Centers for Disease Control and Prevention’s new definition includes probable Zika infections. The new infection definition has been applied to all previous Zika tests in Pennsylvania. For greater detail on this new definition, click here. Last update: 11/21/2016

Allegheny County Residents Approved for Zika Testing: 242 CDC Confirmed Cases: 11 Probable Cases: 1 (as of November 28, 2016)

Map Update https://www.google.com/maps/d/edit?hl=en&hl=en&authuser=0&authuser=0&mid=1FlIB7hHnVgGD9TlbSx5HwAj-PEQ&ll=26.178562086414296%2C-98.31519557707514&z=9

County Cases Angelina 2 Bastrop 1 Bell 6 Bexar 17 Brazoria 1 Brazos 3 Burnet 1 Cameron 5 Collin 5 Dallas 44 Denton 9 El Paso 3 Ellis 1 Fort Bend 9 Frio 1 Galveston 8 Gray 1 Grayson 1 Gregg 1 Hamilton 1 Harris 69 Hidalgo 2 Hockley 1 Jackson 1 Jefferson 2 Jones 1 Lee 1 Lubbock 1 Matagorda 1 Medina 1 Midland 1 Montgomery 1 Palo Pinto 1 Parker 1 Randall 1 Rusk 1 Tarrant 26 Travis 11 Upshur 1 Val Verde 1 Walker 1 Williamson 5 Webb 5 Wise 1 Total 257 Dallas Pregnant Registry 18 Texas Preg Reg excl Dallas 46 Total 321

Zika Virus – November 29, 2016 Through the week ending November 26, Texas has had 257 reported cases of illness due to Zika virus. All the cases were associated with travel to an area where Zika is being spread. This count includes 16 pregnant women, two infants infected before birth, and two people who had sexual contact with travelers. Texas Zika Cases by County: County Cases Angelina 2 Bastrop 1 Bell 6 Bexar 17 Brazoria 1 Brazos 3 Burnet 1 Cameron 5 Collin 5 Dallas 44 Denton 9 El Paso 3 Ellis 1 Fort Bend 9 Frio 1 Galveston 8 Gray 1 Grayson 1 Gregg 1 Hamilton 1 Harris 69 Hidalgo 2 Hockley 1 Jackson 1 Jefferson 2 Jones 1 Lee 1 Lubbock 1 Matagorda 1 Medina 1 Midland 1 Montgomery 1 Palo Pinto 1 Parker 1 Randall 1 Rusk 1 Tarrant 26 Travis 11 Upshur 1 Val Verde 1 Walker 1 Williamson 5 Webb 5 Wise 1 Total 257 Note: Zika case data for Texas will be updated each Tuesday no later than 11 a.m.

Map Update https://www.google.com/maps/d/edit?hl=en&hl=en&authuser=0&authuser=0&mid=1FlIB7hHnVgGD9TlbSx5HwAj-PEQ&ll=25.909871830208676%2C-97.48435451418453&z=16

Map Update https://www.google.com/maps/d/edit?hl=en&hl=en&authuser=0&authuser=0&mid=1FlIB7hHnVgGD9TlbSx5HwAj-PEQ&ll=30.97955937666255%2C-102.46691181093746&z=6

County Cases Angelina 2 Bastrop 1 Bell 6 Bexar 17 Brazoria 1 Brazos 3 Burnet 1 Cameron 3 Collin 5 Dallas 44 Denton 9 El Paso 3 Ellis 1 Fort Bend 9 Frio 1 Galveston 8 Gray 1 Grayson 1 Gregg 1 Hamilton 1 Harris 69 Hidalgo 1 Hockley 1 Jackson 1 Jefferson 2 Jones 1 Lee 1 Lubbock 1 Matagorda 1 Medina 1 Midland 1 Montgomery 1 Palo Pinto 1 Parker 1 Randall 1 Rusk 1 Tarrant 26 Travis 11 Upshur 1 Val Verde 1 Walker 1 Williamson 5 Webb 5 Wise 1 Total 254 Dallas Pregnant Registry 18 Texas Preg Reg excl Dallas 46 Total 318

Zika Virus – November 22, 2016 Through the week ending November 18, Texas has had 254 reported cases of illness due to Zika virus. All the cases were associated with travel to an area where Zika is being spread. This count includes 16 pregnant women, two infants infected before birth, and two people who had sexual contact with travelers. Texas Zika Cases by County: County Cases Angelina 2 Bastrop 1 Bell 6 Bexar 17 Brazoria 1 Brazos 3 Burnet 1 Cameron 3 Collin 5 Dallas 44 Denton 9 El Paso 3 Ellis 1 Fort Bend 9 Frio 1 Galveston 8 Gray 1 Grayson 1 Gregg 1 Hamilton 1 Harris 69 Hidalgo 1 Hockley 1 Jackson 1 Jefferson 2 Jones 1 Lee 1 Lubbock 1 Matagorda 1 Medina 1 Midland 1 Montgomery 1 Palo Pinto 1 Parker 1 Randall 1 Rusk 1 Tarrant 26 Travis 11 Upshur 1 Val Verde 1 Walker 1 Williamson 5 Webb 5 Wise 1 Total 254 Note: Zika case data for Texas will be updated each Tuesday no later than 11 a.m.

Map Update https://www.google.com/maps/d/edit?hl=en&hl=en&authuser=0&authuser=0&mid=1FlIB7hHnVgGD9TlbSx5HwAj-PEQ&ll=25.97778054819217%2C-80.5739431400388&z=10

November 28, 2016 Department of Health Daily Zika Update Contact: Communications [email protected] (850) 245-4111 Tallahassee, Fla.—In an effort to keep Florida residents and visitors safe and aware about the status of the Zika virus, the department will issue a Zika virus update each week day. Updates will include a Zika case count by county and information to keep Floridians informed and prepared. In order to keep the public informed, the department has posted our investigation process here. There is one new travel-related case today in Miami-Dade. There are no new locally acquired cases today. The total number of Zika cases reported in Florida as of today is 1,206. Infection Type Infection Count Travel-Related Infections of Zika 953 Locally Acquired Infections of Zika 238 Undetermined 15 Pregnant Women with Lab-Evidence of Zika 170 Note, these categories are not mutually exclusive and cannot be added together. Please visit our website to see the full list of travel-related cases by county. Governor Rick Scott recently announced that the department has not detected any additional local transmissions of Zika in the north portion of Miami Beach in more than 45 days. That portion of the zone has been lifted. The newly lifted area is about three miles, from 28th street to 63rd street. The remaining area of active Zika transmission in Miami Beach is about 1.5 square miles between 8th and 28th streets. The remaining area of active Zika transmission in Little River is about one square mile. DOH continues outreach and targeted testing in Miami-Dade County and mosquito abatement and reduction activities are also taking place around the locations that are being investigated. DOH believes ongoing transmission is only taking place within the identified area in Miami Beach and Little River in Miami-Dade County, see maps below. One case does not mean ongoing active transmission is taking place. DOH conducts a thorough investigation by sampling close contacts and community members around each case to determine if additional people are infected. If DOH finds evidence that active transmission is occurring in an area, the media and the public will be notified. The timelines below are as of Nov. 23. Note: asymptomatic cases are not reflected as they do not have symptom on-set dates. click image above to enlarge click image above to enlarge click image above to enlarge The department is currently conducting 14 active investigations. The department has closed 38 investigations. Information regarding the investigations can be found here. If investigations reveal additional areas of active transmission, the department will announce a defined area of concern. The department has conducted Zika virus testing for more than 10,570 people statewide. Florida currently has the capacity to test 5,979 people for active Zika virus and 5,209 for Zika antibodies. At Governor Scott’s direction, all county health departments now offer free Zika risk assessment and testing to pregnant women. Florida’s small case cluster is not considered widespread transmission, however, pregnant women are advised to avoid non-essential travel to the impacted area in Miami-Dade County (see map below). If you are pregnant and must travel or if you live or work in the impacted area, protect yourself from mosquito bites by wearing insect repellent, long clothing and limiting your time outdoors. According to CDC guidance, providers should test all pregnant women who lived in, traveled to or whose partner traveled to Miami-Dade County after Aug. 1, 2016. It is also recommended that all pregnant women who reside in or travel frequently to the area where active transmission is likely occurring be tested for Zika in the first and second trimester. Pregnant women in the identified area can contact their medical provider or their local county health department to be tested and receive a Zika prevention kit. CDC recommends that a pregnant woman with a history of Zika virus and her provider should consider additional ultrasounds. Additionally, the department is working closely with the Healthy Start Coalition of Miami-Dade County to identify pregnant women in the impacted areas to ensure they have access to resources and information to protect themselves. CDC recommends that a pregnant woman with a history of Zika virus and her provider should consider additional ultrasounds. Pregnant women can contact their local county health department for Zika risk assessment and testing hours and information. A Zika risk assessment will be conducted by county health department staff and blood and/or urine samples may be collected and sent to labs for testing. It may take one to two weeks to receive results. Florida has been monitoring pregnant women with evidence of Zika regardless of symptoms. The total number of pregnant women who have been or are being monitored is 170. On Feb. 12, Governor Scott directed the State Surgeon General to activate a Zika Virus Information Hotline for current Florida residents and visitors, as well as anyone planning on traveling to Florida in the near future. The hotline, managed by the Department of Health, has assisted 7,634 callers since it launched. The number for the Zika Virus Information Hotline is 1-855-622-6735. The department urges Floridians to drain standing water weekly, no matter how seemingly small. A couple drops of water in a bottle cap can be a breeding location for mosquitoes. Residents and visitors also need to use repellents when enjoying the Florida outdoors. For more information on DOH action and federal guidance, please click here. For resources and information on Zika virus, click here. click image above to enlarge click image above to enlarge About the Florida Department of Health The department, nationally accredited by the Public Health Accreditation Board, works to protect, promote, and improve the health of all people in Florida through integrated state, county and community efforts. Follow us on Twitter at @HealthyFla and on Facebook. For more information about the Florida Department of Health, please visit www.FloridaHealth.gov.

There is one new travel-related case today in Miami-Dade. There are no new locally acquired cases today. The total number of Zika cases reported in Florida as of today is 1,206. Infection Type Infection Count Travel-Related Infections of Zika 953 Locally Acquired Infections of Zika 238 Undetermined 15 Pregnant Women with Lab-Evidence of Zika 170 http://www.floridahealth.gov/newsroom/2016/11/112816-zika-update.html