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A consortium, including the Harvard/MIT Broad Institute are releasing 33 Zika sequences, including a subset from Santo Domingo Dominican Republic which match the Florida sub-clade (the Florida sequences from Broad are from same cases as the Andersen lab at Scripps Clinic.

Map Update https://www.google.com/maps/d/edit?hl=en&hl=en&authuser=0&authuser=0&mid=1FlIB7hHnVgGD9TlbSx5HwAj-PEQ

Map Update https://www.google.com/maps/d/edit?hl=en&hl=en&authuser=0&authuser=0&mid=1FlIB7hHnVgGD9TlbSx5HwAj-PEQ

October 4, 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 six new travel related cases today with one in Hillsborough, one in Sarasota and four involving pregnant women. Please visit our website to see the full list of travel-related cases. There are six new non-travel related cases today in Miami-Dade County. Two cases had exposure in Miami Beach. Four cases are Miami-Dade County residents and the department is investigating where exposure occurred. DOH continues door-to-door outreach and targeted testing in Palm Beach and Miami-Dade counties 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 in Miami-Dade County, see map 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. For a complete breakdown of non-travel and travel-related Zika infections to-date, please see below. Infection Type Infection Count Travel-Related Infections of Zika 718 Non-Travel Related Infections of Zika 139 Infections Involving Pregnant Women 103 Out of State Cases (not Florida Residents) 16 Undetermined 4 Total 980 The department is currently conducting 14 active investigations. The department has closed 26 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 8,681 people statewide. Florida currently has the capacity to test 6,265 people for active Zika virus and 7,371 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 consider testing all pregnant women with a history of travel to a Zika affected area for the virus. 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 103. 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 6,819 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. Miami Beach Map 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.

Map Update https://www.google.com/maps/d/edit?hl=en&hl=en&authuser=0&authuser=0&mid=1FlIB7hHnVgGD9TlbSx5HwAj-PEQ

Media Contact: Mike Hernandez [email protected] 305-375-1545305-798-2554 Gayle Love [email protected] 305-375-3508305-297-1857 Frank Calderon [email protected] 305-375-4815786-516-1001 James Richards [email protected] 305-375-2741305-632-6376 New pool of mosquitoes preliminarily test positive for Zika on Miami Beach Test results are preliminary and must be confirmed by the CDC MIAMI (October 04, 2016) — The Miami-Dade County Mosquito Control Division learned today that a pool of mosquitoes taken from Miami Beach has preliminarily tested positive for Zika. Testing was conducted by the Florida Department of Agriculture and Consumer Services (FDACS). The pool of mosquitoes was retrieved on September 23, 2016 from a trap located at 1810 Jefferson Avenue on Miami Beach, which is within the zone of transmission as designated by the State. This information has been provided to the resident at the location of the trap, and inspection and treatment in the 1/8-mile area surrounding the property has taken place. It is extremely important to note that the results are preliminary and must be confirmed by the U.S. Centers for Disease Control and Prevention, as Miami-Dade has seen false positives on tested traps in the past. If confirmed, this would be the seventh pool, or batch, of mosquitoes testing positive for Zika on Miami Beach. Miami-Dade Mosquito Control continues to conduct an aggressive program to reduce and eliminate mosquito breeding and adult mosquitoes in the entire zone of transmission on Miami Beach. Residents are reminded to do their part to help reduce mosquitoes and the spread of mosquito-borne diseases by draining standing water on their properties and wearing repellent when they go outdoors. Miami-Dade residents who wish to report a mosquito nuisance should call 311 or download the 311 app athttp://www.miamidade.gov/mobile-applications/. Information on the County’s Mosquito Control program is available atwww.miamidade.gov/mosquito.

The pool of mosquitoes was retrieved on September 23, 2016 from a trap located at 1810 Jefferson Avenue on Miami Beach, which is within the zone of transmission as designated by the State. http://www.miamidade.gov/releases/2016-10-04-solid-waste-zika-mosquito-trap.asp?utm_source=media&utm_medium=email&utm_campaign=release-distribution&utm_term=solid-waste

Map Update https://www.google.com/maps/d/edit?hl=en&hl=en&authuser=0&authuser=0&mid=1FlIB7hHnVgGD9TlbSx5HwAj-PEQ

Wisconsin Annual Summary Data - 2016 Updated September 28, 2016 Confirmed Zika virus cases 47 Probable* Zika virus cases 2 Completed testing - Total 759 * Probable cases have presumptive positive laboratory results without confirmatory CDC testing. https://www.dhs.wisconsin.gov/arboviral/zika.htm

Wisconsin Annual Summary Data - 2016 Updated September 28, 2016 Confirmed Zika virus cases 47 Probable* Zika virus cases 2 Completed testing - Total 759 * Probable cases have presumptive positive laboratory results without confirmatory CDC testing.

Zika Virus – October 4, 2016. Texas has had 218 reported cases of Zika virus disease. All the cases were associated with travel to an area where Zika is being spread. This count includes 13 pregnant women, two infants infected before birth, and two people who had sexual contact with travelers. Texas Zika Cases by County: County Cases Angelina 1 Bell 6 Bexar 16 Brazos 3 Burnet 1 Cameron 2 Collin 5 Dallas 37 Denton 9 El Paso 3 Ellis 1 Fort Bend 7 Frio 1 Galveston 7 Gray 1 Grayson 1 Gregg 1 Hamilton 1 Harris 58 Jackson 1 Jefferson 2 Jones 1 Lee 1 Lubbock 1 Matagorda 1 Medina 1 Midland 1 Montgomery 1 Palo Pinto 1 Randall 1 Rusk 1 Tarrant 23 Travis 9 Upshur 1 Val Verde 1 Walker 1 Williamson 5 Webb 3 Wise 1 Total 218

Zika Virus Travel Alerts If you’re pregnant or trying to become pregnant, do not travel to a Zika-affected area. Zika is affecting parts of Central and South America, Mexico, the Caribbean and other places listed by theCenters for Disease Control and Prevention (CDC). It is also affecting two areas of Miami-Dade County in Florida, where the Zika virus is being spread by mosquitoes. Please read the CDC's Advice for People Traveling to South Florida. Read the pregnancy warning and download our Zika travel warning materials for additional information. Providers looking for the latest information, including laboratory test instructions and forms, health alerts, and latest guidance, click here. Reported Cases of Zika in New York City as of 9/23/2016 [Español (PDF)] Positive NYC Residents Case Type Number of Cases Locally acquired mosquito-borne reported† 0 Travel-associated* 558 Sexually transmitted: 5 Guillain-Barre syndrome: 3 Infants with birth defects: 1 Laboratory acquired 0 Pending Verification of Travel 41 Total 599 Gender Number of Cases Female 427 Pregnant: 69 Male 172 Age Average Age (Range) 38 (1-78) Positive NYC Resident by Borough Number of Cases Bronx 208 Brooklyn 150 Manhattan 120 Queens 117 Staten Island 4 Unknown 0 Most Common Countries Visited Number of Cases Dominican Republic 292 Puerto Rico 56 Jamaica 52 Trinidad and Tobago 23 Guyana 20 Grenada 15 Saint Lucia 12 Colombia 10 Saint Vincent and the Grenadines 10 Mexico 10 Barbados 9 Honduras 7 Guatemala 6 Nicaragua 6 US Virgin Islands 6 Venezuela 6 †Presumed local mosquito-borne transmission *Travelers returning from affected areas, their sexual contacts, or infants infected in utero What the City is Doing Monitoring mosquito populations and applying pesticides when appropriate throughout the summer months. Check out the new map application that reflects the Health Department's activities to reduce the risk of mosquito-borne diseases. For a complete schedule, visit our Mosquitoes Spraying Events page.

README.md @@ -7,20 +7,20 @@ | :--- | :--- | :--- | :--- | :--- | :--- | | ZF1 | 001 | Saliva | *** | 99.71 | Martinique | | ZF8 | 008 | Urine | *** | 90.07 | Puerto Rico | -| ZF10 | 010 | Urine | **** | 97.69 | Cuba | +| ZF10 | 010 | Urine | **** | 97.69 | USA | | ZF16 | 016 | Urine | *** | 99.88 | Puerto Rico | -| ZF21 | 021 | Urine | *** | 97.45 | "Dade County Florida" | -| ZF22 | 022 | Urine | *** | 97.77 | "Dade County Florida" | -| ZF30 | 030 | Urine | *** | 99.75 | "Dade County Florida" | -| ZF32 | 032 | Urine | *** | 99.75 | "Dade County Florida" | -| ZF38 | 038 | Urine | *** | 99.76 | Dade | -| ZF39 | 039 | Urine | **** | 99.75 | "Pinellas County Florida" | -| ZL2 | Hu0015 | Saliva | *** | 99.75 | "Dade County Florida" | -| ZM1 | 7501 | Mosquito | **** | 99.75 | "Dade County Florida" | -| ZM2 | 7719 | Mosquito | **** | 99.74 | "Dade County Florida" | -| ZM3 | 7727 | Mosquito | **** | 99.83 | "Dade County Florida" | -| ZM4 | 16-10416 | Mosquito | **** | 99.72 | Dade - Miami Beach | -| ZM5 | 16-3125 | Mosquito | ** | 96.63 | Dade - Miami Beach | +| ZF21 | 021 | Urine | *** | 97.45 | USA | +| ZF22 | 022 | Urine | *** | 97.77 | USA | +| ZF30 | 030 | Urine | *** | 99.75 | USA | +| ZF32 | 032 | Urine | *** | 99.75 | USA | +| ZF38 | 038 | Urine | *** | 99.76 | USA | +| ZF39 | 039 | Urine | **** | 99.75 | USA | +| ZL2 | Hu0015 | Saliva | *** | 99.75 | USA | +| ZM1 | 7501 | Mosquito | **** | 99.75 | USA | +| ZM2 | 7719 | Mosquito | **** | 99.74 | USA | +| ZM3 | 7727 | Mosquito | **** | 99.83 | USA | +| ZM4 | 16-10416 | Mosquito | **** | 99.72 | USA | +| ZM5 | 16-3125 | Mosquito | ** | 96.63 | USA | | ZC188 | 423568715 | Serum | **** | 98.26 | Columbia | | ZC192 | 423401315 | Serum | **** | 98.36 | Columbia | | ZC204 | 424439915 | Serum | **** | 99.74 | Columbia | View 26 consensus_sequences/README.md @@ -4,20 +4,20 @@ | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | | ZF1 | 001 | Saliva | *** | 99.71 | 46616.27 | 2016.03.18 | 2016.03.22 | 4 | Travel | Martinique | 11 | 3.3E+03 | coding-complete | ZF1_01Sa_XX_2016-03-22 usa_ex_martinique | ZF1.c1.Sa.a1.l1.l3.l4.r1 | | ZF8 | 008 | Urine | *** | 90.07 | 35012.49 | 2016.06.15 | 2016.06.21 | 6 | Travel | Puerto Rico | 4 | 1.1E+03 | coding-complete | ZF8_08U_XX_2016-06-21 usa_ex_puerto_rico | ZF8.c1.UR.a1.l1.l2.r1 | -| ZF10 | 010 | Urine | **** | 97.69 | 55330.48 | 2016.06.17 | 2016.06.22 | 5 | Local? | Cuba | 213 | 6.1E+04 | coding-complete | ZF10_10U_KX842499 2016-06-22 usa_ex_cuba | ZF10.c1.UR.a1.l1.r1 | +| ZF10 | 010 | Urine | **** | 97.69 | 55330.48 | 2016.06.17 | 2016.06.22 | 5 | Local? | USA | 213 | 6.1E+04 | coding-complete | ZF10_10U_KX842499 2016-06-22 usa_ex_USA | ZF10.c1.UR.a1.l1.r1 | | ZF16 | 016 | Urine | *** | 99.88 | 75158.72 | 2016.06.28 | 2016.07.03 | 5 | Travel | Puerto Rico | 14 | 4.0E+03 | coding-complete | ZF16_16U_XX_2016-07-03 usa_ex_puerto_rico | ZF16.c1.UR.a1.l1.l2.l3.l4.l5.r1 | -| ZF21 | 021 | Urine | *** | 97.45 | 52361.36 | 2016.07.09 | 2016.07.19 | 10 | Local | "Dade County Florida" | 50 | 1.4E+04 | coding-complete | ZF21_21U_XX_2016-07-19 usa | ZF21.c1.UR.a1.l1.l2.l3.r1 | -| ZF22 | 022 | Urine | *** | 97.77 | 51135.60 | 2016.07.16 | 2016.07.16 | 6 | Local | "Dade County Florida" | 11 | 3.0E+03 | coding-complete | ZF22_22U_XX_2016-07-16 usa | ZF22.c1.UR.a1.l1.l2.l3.l4.r1 | -| ZF30 | 030 | Urine | *** | 99.75 | 57779.63 | 2016.07.31 | 2016.08.02 | 2 | Local | "Dade County Florida" | 36 | 1.0E+04 | coding-complete | ZF30_30U_XX_2016-08-02 usa | ZF30.c1.UR.a1.l1.l2.l3.r1 | -| ZF32 | 032 | Urine | *** | 99.75 | 51483.94 | 2016.07.29 | 2016.08.05 | 7 | Local | "Dade County Florida" | 75 | 2.1E+04 | coding-complete | ZF32_32U_XX_2016-08-05 usa | ZF32.c1.UR.a1.l1.l2.l3.r1 | -| ZF38 | 038 | Urine | *** | 99.76 | 81750.77 | 2016.08.04 | 2016.08.05 | 1 | Local | Dade | 38 | 1.1E+04 | coding-complete | ZF38_38U_XX_2016-08-05 usa | ZF38.c1.UR.a1.l1.l2.l3.l4.r1 | -| ZF39 | 039 | Urine | **** | 99.75 | 70253.99 | 2016.08.12 | 2016.08.17 | 5 | Local | "Pinellas County Florida" | 1276 | 3.6E+05 | coding-complete | ZF39_39U_XX_2016-08-17 usa | ZF39.c1.UR.a1.l1.l2.l3.r1 | -| ZL2 | Hu0015 | Saliva | *** | 99.75 | 89934.25 | 2016.08.19 | 2016.08.24 | 5 | Local | "Dade County Florida" | 38 | 21610.23 | coding-complete | ZL2_Hu0015_KX832731 2016-08-22 usa | ZL2.c1.SA.a1.l1.l2.r1 | -| ZM1 | 7501 | Mosquito | **** | 99.75 | 141038.31 | | 2016.08.22 | | Local | "Dade County Florida" | 4563 | 9.1E+06 | coding-complete | Ae-aegypti_ZM1_7501_KX838904_2016-08-22_usa | ZM1.c1.MO.a1.l1.l2.r1 | -| ZM2 | 7719 | Mosquito | **** | 99.74 | 137263.85 | | 2016.08.23 | | Local | "Dade County Florida" | 279 | 5.6E+05 | coding-complete | Ae-aegypti_ZM2_7719_KX838905_2016-08-23_usa | ZM2.c1.MO.a1.l1.l2.r1 | -| ZM3 | 7727 | Mosquito | **** | 99.83 | 139787.57 | | 2016.08.23 | | Local | "Dade County Florida" | 22549 | 4.5E+07 | coding-complete | Ae-aegypti_ZM3_7727_KX838906_2016-08-23_usa | ZM3.c1.MO.a1.l1.l2.r1 | -| ZM4 | 16-10416 | Mosquito | **** | 99.72 | 45505.39 | | 2016.09.04 | | Local | Dade - Miami Beach | 102 | 4.4E+04 | coding-complete | Ae-aegypti_ZM4_16-10416_XX_2016-09-04_usa | ZM4.c1.MO.a1.l1.l2.r1 | -| ZM5 | 16-3125 | Mosquito | ** | 96.63 | 5365.36 | | 2016.09.09 | | Local | Dade - Miami Beach | 447 | 1.9E+05 | missing part of 5' | Ae-aegypti_ZM5_16-3125_XX_2016-09-09_usa | ZM5.c1.MO.a1.l1.l2.r1 | +| ZF21 | 021 | Urine | *** | 97.45 | 52361.36 | 2016.07.09 | 2016.07.19 | 10 | Local | USA | 50 | 1.4E+04 | coding-complete | ZF21_21U_XX_2016-07-19 usa | ZF21.c1.UR.a1.l1.l2.l3.r1 | +| ZF22 | 022 | Urine | *** | 97.77 | 51135.60 | 2016.07.16 | 2016.07.16 | 6 | Local | USA | 11 | 3.0E+03 | coding-complete | ZF22_22U_XX_2016-07-16 usa | ZF22.c1.UR.a1.l1.l2.l3.l4.r1 | +| ZF30 | 030 | Urine | *** | 99.75 | 57779.63 | 2016.07.31 | 2016.08.02 | 2 | Local | USA | 36 | 1.0E+04 | coding-complete | ZF30_30U_XX_2016-08-02 usa | ZF30.c1.UR.a1.l1.l2.l3.r1 | +| ZF32 | 032 | Urine | *** | 99.75 | 51483.94 | 2016.07.29 | 2016.08.05 | 7 | Local | USA | 75 | 2.1E+04 | coding-complete | ZF32_32U_XX_2016-08-05 usa | ZF32.c1.UR.a1.l1.l2.l3.r1 | +| ZF38 | 038 | Urine | *** | 99.76 | 81750.77 | 2016.08.04 | 2016.08.05 | 1 | Local | USA | 38 | 1.1E+04 | coding-complete | ZF38_38U_XX_2016-08-05 usa | ZF38.c1.UR.a1.l1.l2.l3.l4.r1 | +| ZF39 | 039 | Urine | **** | 99.75 | 70253.99 | 2016.08.12 | 2016.08.17 | 5 | Local | USA | 1276 | 3.6E+05 | coding-complete | ZF39_39U_XX_2016-08-17 usa | ZF39.c1.UR.a1.l1.l2.l3.r1 | +| ZL2 | Hu0015 | Saliva | *** | 99.75 | 89934.25 | 2016.08.19 | 2016.08.24 | 5 | Local | USA | 38 | 21610.23 | coding-complete | ZL2_Hu0015_KX832731 2016-08-22 usa | ZL2.c1.SA.a1.l1.l2.r1 | +| ZM1 | 7501 | Mosquito | **** | 99.75 | 141038.31 | | 2016.08.22 | | Local | USA | 4563 | 9.1E+06 | coding-complete | Ae-aegypti_ZM1_7501_KX838904_2016-08-22_usa | ZM1.c1.MO.a1.l1.l2.r1 | +| ZM2 | 7719 | Mosquito | **** | 99.74 | 137263.85 | | 2016.08.23 | | Local | USA | 279 | 5.6E+05 | coding-complete | Ae-aegypti_ZM2_7719_KX838905_2016-08-23_usa | ZM2.c1.MO.a1.l1.l2.r1 | +| ZM3 | 7727 | Mosquito | **** | 99.83 | 139787.57 | | 2016.08.23 | | Local | USA | 22549 | 4.5E+07 | coding-complete | Ae-aegypti_ZM3_7727_KX838906_2016-08-23_usa | ZM3.c1.MO.a1.l1.l2.r1 | +| ZM4 | 16-10416 | Mosquito | **** | 99.72 | 45505.39 | | 2016.09.04 | | Local | USA | 102 | 4.4E+04 | coding-complete | Ae-aegypti_ZM4_16-10416_XX_2016-09-04_usa | ZM4.c1.MO.a1.l1.l2.r1 | +| ZM5 | 16-3125 | Mosquito | ** | 96.63 | 5365.36 | | 2016.09.09 | | Local | USA | 447 | 1.9E+05 | missing part of 5' | Ae-aegypti_ZM5_16-3125_XX_2016-09-09_usa | ZM5.c1.MO.a1.l1.l2.r1 | | ZC188 | 423568715 | Serum | **** | 98.26 | 29394.90 | | 2016.01.16 | | | Columbia | 36 | 1.5E+04 | coding-complete | ZC188_423568715_XX_2016-01-16_colombia | ZC188.c1.SR.a1.l3.l4.r1 | | ZC192 | 423401315 | Serum | **** | 98.36 | 30396.29 | | 2016.01.07 | | | Columbia | 39 | 1.7E+04 | coding-complete | ZC192_423401315_XX_2016-01-07_colombia | ZC192.c1.SR.a1.l3.l4.r1 | | ZC204 | 424439915 | Serum | **** | 99.74 | 29003.25 | | 2016.01.06 | | | Columbia | 48 | 2.1E+04 | coding-complete | ZC204_424439915_XX_2016-01-05_colombia | ZC204.c1.SR.a1.l1.l2.r1 |

week conf discard untested total weekly increase 38 42 200 296 538 55 37 41 196 246 483 32 36 40 195 216 451 12 35 40 190 209 439 13 34 38 168 220 426 25 33 34 158 209 401 16 32 29 102 254 385 18 31 24 101 242 367 23 30 22 97 225 344 24 29 21 92 207 320 23 28 21 80 196 297 41 27 21 75 160 256 62 26 18 64 112 194 13 25 13 56 112 181 17 24 11 51 102 164 27 23 6 50 81 137 19 22 6 43 69 118 23 21 6 41 48 95 7 20 5 26 57 88 7 19 5 26 50 81 9 18 5 24 43 72 14 17 5 21 32 58 8 16 4 20 26 50 6 15 4 18 22 44 11

intensified surveillance of microcephaly Review 29 September 2016 Among the epidemiological weeks 01 to 38 of 2016 have been confirmed forty-two (42) cases of microcephaly associated the Zika virus, 200 cases were discarded and 295 cases are in study. http://www.ins.gov.co/boletin-epidemiologico/Boletn Epidemiolgico/2016 Boletin epidemiologico semana 38.pdf

More Zika mosquitoes found in Miami Beach Filed Under: Zika Stephanie Soucheray | News Reporter | CIDRAP News | Oct 03, 2016 Share Tweet LinkedIn Email Print & PDF miamibeachsign.jpg Mr. Usaji/ Flickr cc More Aedes aegypti mosquitoes were found in Miami Beach traps over the weekend as Florida reported new cases of locally acquired Zika virus over the past few days, some in people whose exposure is unclear, according to the Miami Herald and the Florida Department of Health. Meanwhile, a new report from Brazil profiled microcephaly patterns and general disease trends in different parts of the country in the first half of 2016. Traps show mosquitoes still in Miami Beach Despite more than a month of ground and aerial spraying, officials in Florida reported that a trap in Miami Beach showed Aedes mosquitos harboring the Zika virus over the weekend. This was the sixth Zika-positive mosquito pool found in Miami Beach since Aug 19, and the first to show Zika-carrying bugs in the Mid-Beach neighborhood (the previous five mosquito pools were found in South Beach), according to the Miami Herald. The trap was located at 575 W. 49th street, near the La Gorce Golf Course. More than 64,000 Florida mosquitos have been tested for Zika virus since May; only the six pools in Miami Beach have tested positive for mosquitos carrying Zika virus. This was the first time health officials released the location of the traps as soon as samples tested positive, a move promoted by the Herald's Sep 28 lawsuit that demanded the state release the location of traps that tested positive for Zika. The news comes after Florida Health, the state's Department of Health, reported five more cases of locally acquired Zika virus on Sep 30 and nine more cases today. All nine cases were in Miami-Dade County; seven people had exposure in Miami Beach, and exposure in the other seven cases is currently under investigation. Also, Florida Health reported one more infection in an out-of-state resident who was exposed to Zika in Miami-Dade County and three new cases in those who traveled to both Miami-Dade County and countries where the virus is circulating, so exposure location can't be definitively pinned down. The state now has recorded 133 local cases, 16 in out-of-state people, and 4 of undetermined exposure source. Currently, Miami Beach is the only active Zika transmission zone in Florida, and the Centers for disease Control and Prevention (CDC) recommends pregnant women avoid all unnecessary travel to the 4.5 mile area in the heart of Miami. Brazil microcephaly patterns In other Zika news, a new study in the journal Travel Medicine and Infectious Disease described Zika-linked microcephaly trends in Brazil, the country that's been hit hardest by the mosquito-borne illness. Though Zika virus transmission has declined in the second half of 2016, the new study extracted data from epidemiological reports from the Secretary of Health Surveillance of the Brazilian Ministry of Health (MOH) and paints a much more volatile picture, with different regions reporting different transmission trends. Between November 2015 and July 2016, 8,301 cases of microcephaly or congenital birth defects have been reported in Brazil, mainly in the Northeast region of the country. New reports of microcephaly have declined since February of this year, except in the Southeast region. The number of microcephaly cases under investigation still accounted for 37.7% of all reported cases by July of this year. "Based on the results of the present analysis, the current incidence of new confirmed cases in Brazil from January to July 2016 is 9.7 per 10,000 live births. The true incidence is probably higher, as fully one-third of reported cases remain under investigation," the authors wrote. "Moreover, a great discrepancy is still observed between the Northeast and the Southeast, despite the similar number of reported Zika virus cases in both regions in the same period." Cases of Zika virus in the general population have decreased in the country as a whole except in the Northern region, where cases were on the decline until May saw a spike of newly confirmed cases. There have been 165,932 cases of Zika reported in Brazil between Jan 3 and Jun 11, with as many as 12,336 cases being reported each week. See also: Oct 1 Miami Herald story Sep 30 Florida Health update Oct 3 Florida Health update Oct 1 Trav Med Infect Dis study http://www.cidrap.umn.edu/news-perspective/2016/10/more-zika-mosquitoes-found-miami-beach

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: 15 Miami-Dade County: 11 open investigations Palm Beach: 2 open investigations Unknown: 2 open investigations *Note: Exposure occurred in Miami Beach and overseas in an area with widespread transmission of Zika. paragraph break Current Number of Closed Investigations: 24 Miami-Dade County: 18 closed investigations Palm Beach County: 4 closed investigation Broward County: 1 closed investigation Pinellas: 1 closed investigation paragraph break Sampling Activities For Active Investigations Miami Beach in Miami-Dade County Total # of Samples Collected Positive Negative Pending Results 1,047 55 992 0 paragraph break Palm Beach County – 2 Investigations Total # of Samples Collected Positive Negative Pending Results 3 0 3 0 paragraph break Miami-Dade Investigations Outside of Wynwood and Miami Beach – 10 Investigations Total # of Samples Collected Positive Negative Pending Results 6 1 0 5 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 524 33 491 0 Data as of Oct. 3, 2016 - 4:05 PM ET

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