niman

The State Department of Public Health (DPH) today announced that the first case of Zika virus in Connecticut acquired in the continental United States. The patient had recently traveled to Miami-Dade County, Florida. http://www.ct.gov/dph/cwp/view.asp?Q=586108&A=4820

Current as of September 28, 2016 Table: Travel History of Patients with Positive Test Results by Zika Affected Country or Territory Visited - Connecticut, February 15 - September 28, 2016 Countries/Territories Visited Zika Positive Flavivirus Positive* Total Aruba 1 1 Belize 2 2 Brazil 1 1 British Virgin Islands 1 1 Colombia 2 1 3 Dominican Republic 24 5 29 El Salvador 1 1 Ecuador 1 1 Guatemala 1 4 5 Haiti 1 6 7 Honduras 2 2 4 Jamaica 11 1 12 Mexico 4 1 5 Nicaragua 2 2 Puerto Rico 27 4 31 St. Lucia 3 3 Trinidad and Tobago 2 2 United States of America 1 1 U.S. Virgin Islands 1 1 Venezuela 1 3 4 Total 85 31 116 http://www.ct.gov/dph/cwp/view.asp?a=3136&pm=1&Q=580282

Current as of September 28, 2016 Table: Travel History of Patients with Positive Test Results by Zika Affected Country or Territory Visited - Connecticut, February 15 - September 28, 2016 Countries/Territories Visited Zika Positive Flavivirus Positive* Total Aruba 1 1 Belize 2 2 Brazil 1 1 British Virgin Islands 1 1 Colombia 2 1 3 Dominican Republic 24 5 29 El Salvador 1 1 Ecuador 1 1 Guatemala 1 4 5 Haiti 1 6 7 Honduras 2 2 4 Jamaica 11 1 12 Mexico 4 1 5 Nicaragua 2 2 Puerto Rico 27 4 31 St. Lucia 3 3 Trinidad and Tobago 2 2 United States of America 1 1 U.S. Virgin Islands 1 1 Venezuela 1 3 4 Total 85 31 116

Updated discussion http://recombinomics.co/thedrnimanshow/2016/09/092916.mp3

Updated discussion http://recombinomics.co/thedrnimanshow/2016/09/092916.mp3

Despair among Venezuelan moms whose Zika-stricken babies have nowhere to turn By María Emilia Jorge Published September 29, 2016 Fox News Latino Gilibeth Rodríguez's baby was born on July 15 in Maracay, Venezuela, near Caracas. Gilibeth Rodríguez's baby was born on July 15 in Maracay, Venezuela, near Caracas. Next SlidePrevious Slide CARACAS, VENEZUELA – The worst possible Zika-related fear became true for Gilibeth Rodriguez, one of 65 women in Venezuela who have given birth to brain-damaged children since April 2016 due to the virus. The 65-count comes from information provided to Fox News Latino by the Venezuelan Society of Infectious Diseases, since the Ministry of Health has yet to release official data on the spread of Zika in the country. Rodriguez is 31 years old and lives in Maracay, some 70 miles west of Caracas. Approximately a month after finding out she was pregnant, she came down with a fever, rash, joint pain and conjunctivitis — all symptoms of the dreaded Zika, which first hit the crisis-stricken country in mid-2015. “The doctor told me to stay calm because ultrasound scans showed nothing,” Rodriguez said, but in May – seven months into the pregnancy- everything changed. “They began to notice a delay in the baby's growth; my doctor told me not to worry because it could be stress-related, but I kept thinking about Zika.” After 15 days of bed rest, however, the head of the baby was still not growing. They ordered a TORCH screen for a variety of infections (toxoplasmosis, syphilis, varicella-zoster, etc.) and it came back negative. “Then a perinatologist made me a genetic ultrasound and it diagnosed my child with microcephaly and ventriculomegaly,” she recalled. “It was devastating, very difficult.” The Institute of Tropical Medicine at the Central University of Venezuela predicts that by the end of the year between 563 and 1,400 Venezuelan babies will be born with Zika-related microcephaly, a condition that disrupts the normal processes of brain growth and results in a small head and brain. Zika is hitting Venezuela particularly hard. In February, Fox News Latino reported that 118,000 people who had been infected with Zika, and 11 people have died from the illness. But hundreds perhaps thousands more have been infected since then. In Venezuela, where hospitals and doctors operate under extremely limited conditions due to the financial crisis, children born with complications by Zika do not have many options for a safe birth. More than 60 percent of the services provided by the emergency pediatric intensive care are offered only intermittently and more than 15 percent of those services are simply not available, according to a recent National Survey of Hospitals conducted by the Venezuelan Observatory of Health. The study also showed that 29.3 percent of ultrasound services, 80 percent of CT scan machines and 95 percent of laboratories are out of service in public hospitals. Zika diagnoses are only confirmed by the state-run National Institute of Hygiene, which neurologist Marco Gudiño, who has seen 12 cases of microcephaly by Zika so far, called a “black box” — he said he has not received the result of any of the samples sent since April. Rodriguez’s baby boy – her first child - was born on July 15 with a head circumference of 11.6 inches, more than an inch smaller than the World Health Organization standard to diagnose microcephaly. The baby doesn’t seem to hear or see well, so she must take him to occupational and speech therapy, as well as a physiotherapist. But the kind of multidisciplinary treatment these babies require is not available in most public hospitals here, so poor families are left with no options but to beg for help in the private health system. “Financially it has been very difficult, there are so many expenses,” said Leandra Sánchez, a 17- year-old mother of a baby born with Zika-related microcephaly and bilateral ventriculomegaly. Sanchez said her husband is unemployed and she is a part-time student. “The situation is very difficult because in addition to medical expenses we have to buy diapers, milk and food in the black market, because I cannot leave the baby alone to be standing in line all day to buy on the market at prices regulated by the government,” she said. Local neuroscientist Eva Maria Perez told FNL that while there are cases of smaller brains developing normally, in most cases there will be difficulties such as a developmental delays or cognitive disabilities or motor problems. The Venezuelan Society of Infectious Diseases has asked the Ministry of Health to design a treatment protocol for the hundreds of microcephaly cases that will continue to arise — but those guidelines have not yet been made available. "If someone is born without a finger, that does not mean he or she cannot move the hand,” Dr. Perez urged. “Early intervention programs give plasticity to children and help improve the quality of the existing organ." María Emilia Jorge M. is a freelancer journalist living in Caracas, Venezuela.

The worst possible Zika-related fear became true for Gilibeth Rodriguez, one of 65 women in Venezuela who have given birth to brain-damaged children since April 2016 due to the virus. The 65-count comes from information provided to Fox News Latino by the Venezuelan Society of Infectious Diseases, since the Ministry of Health has yet to release official data on the spread of Zika in the country. http://latino.foxnews.com/latino/health/2016/09/29/despair-among-venezuelan-moms-whose-zika-stricken-babies-have-nowhere-to-turn/

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

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

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. 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. Current Number of Closed Investigations: 23 Miami-Dade County: 17 closed investigations Palm Beach County: 4 closed investigation Broward County: 1 closed investigation Pinellas: 1 closed investigation Sampling Activities For Active Investigations Miami Beach in Miami-Dade County Total # of Samples Collected Positive Negative Pending Results 1,042 48 992 2 Palm Beach County – 3 Investigations Total # of Samples Collected Positive Negative Pending Results 3 0 3 0 Miami-Dade Investigations Outside of Wynwood and Miami Beach – 9 Investigations Total # of Samples Collected Positive Negative Pending Results 1 0 0 1 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 Sep. 29, 2016 - 2:12pm ET

September 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 in Miami-Dade County. Please visit our website to see the full list of travel-related cases. There are four new non-travel related cases today in Miami-Dade County. One case is a Miami-Dade County resident that had exposure in Miami Beach. Three cases are Miami-Dade County residents and the department is investigating where exposure occurred. There are also two non-Florida residents who had tested positive for Zika and had exposure in Miami-Dade County. 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 705 Non-Travel Related Infections of Zika 119 Infections Involving Pregnant Women 92 Out of State Cases (not Florida Residents) 15 Undetermined 1 Total 932 The department is currently conducting 15 active investigations. The department has closed 23 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 8,515 people statewide. Florida currently has the capacity to test 6,395 people for active Zika virus and 7,539 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 92. 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 6,648 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 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. http://www.floridahealth.gov/newsroom/2016/09/092916-zika-update.html

September 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 in Miami-Dade County. Please visit our website to see the full list of travel-related cases. There are four new non-travel related cases today in Miami-Dade County. One case is a Miami-Dade County resident that had exposure in Miami Beach. Three cases are Miami-Dade County residents and the department is investigating where exposure occurred. There are also two non-Florida residents who had tested positive for Zika and had exposure in Miami-Dade County. 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 705 Non-Travel Related Infections of Zika 119 Infections Involving Pregnant Women 92 Out of State Cases (not Florida Residents) 15 Undetermined 1 Total 932 The department is currently conducting 15 active investigations. The department has closed 23 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 8,515 people statewide. Florida currently has the capacity to test 6,395 people for active Zika virus and 7,539 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 92. 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 6,648 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 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. http://www.floridahealth.gov/newsroom/2016/09/092916-zika-update.html

September 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 in Miami-Dade County. Please visit our website to see the full list of travel-related cases. There are four new non-travel related cases today in Miami-Dade County. One case is a Miami-Dade County resident that had exposure in Miami Beach. Three cases are Miami-Dade County residents and the department is investigating where exposure occurred. There are also two non-Florida residents who had tested positive for Zika and had exposure in Miami-Dade County. 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 705 Non-Travel Related Infections of Zika 119 Infections Involving Pregnant Women 92 Out of State Cases (not Florida Residents) 15 Undetermined 1 Total 932 The department is currently conducting 15 active investigations. The department has closed 23 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 8,515 people statewide. Florida currently has the capacity to test 6,395 people for active Zika virus and 7,539 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 92. 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 6,648 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 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. http://www.floridahealth.gov/newsroom/2016/09/092916-zika-update.html

There are five new travel related cases today in Miami-Dade County. Please visit our website to see the full list of travel-related cases. There are four new non-travel related cases today in Miami-Dade County. One case is a Miami-Dade County resident that had exposure in Miami Beach. Three cases are Miami-Dade County residents and the department is investigating where exposure occurred. There are also two non-Florida residents who had tested positive for Zika and had exposure in Miami-Dade County.

There are four new non-travel related cases today in Miami-Dade County. One case is a Miami-Dade County resident that had exposure in Miami Beach. Three cases are Miami-Dade County residents and the department is investigating where exposure occurred. There are also two non-Florida residents who had tested positive for Zika and had exposure in Miami-Dade County.

There are also two non-Florida residents who had tested positive for Zika and had exposure in Miami-Dade County.

Infection Type Infection Count Travel-Related Infections of Zika 705 Non-Travel Related Infections of Zika 119 Infections Involving Pregnant Women 92 Out of State Cases (not Florida Residents) 15 Undetermined 1 Total 932

Infection Type Infection Count Travel-Related Infections of Zika 705 Non-Travel Related Infections of Zika 119 Infections Involving Pregnant Women 92 Out of State Cases (not Florida Residents) 15 Undetermined 1 Total 932

Infection Type Infection Count Travel-Related Infections of Zika 705 Non-Travel Related Infections of Zika 119 Infections Involving Pregnant Women 92 Out of State Cases (not Florida Residents) 15 Undetermined 1 Total 932

As of September 28, 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 – September 28, 2016. US States Locally acquired mosquito-borne cases reported: 59 Travel-associated cases reported: 3,565 Laboratory acquired cases reported: 1 Total: 3,625 Sexually transmitted: 30 Guillain-Barré syndrome: 12 MAPS OF ZIKA IN THE US More US Territories Locally acquired cases reported: 21,988 Travel-associated cases reported: 81 Total: 22,069* Guillain-Barré syndrome: 39 *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 September 28, 2016)§ States Travel-associated cases* No. (% of cases in states) (N=3,566) Locally acquired cases† No. (% of cases in states) (N=59) Alabama 27 (1) 0 (0) Arizona 31 (1) 0 (0) Arkansas 10 (<1) 0 (0) California 267 (7) 0 (0) Colorado 36 (1) 0 (0) Connecticut 58 (2) 0 (0) Delaware 13 (<1) 0 (0) District of Columbia 23 (1) 0 (0) Florida 672 (19) 59 (100) Georgia 81 (2) 0 (0) Hawaii 12 (<1) 0 (0) Idaho 3 (<1) 0 (0) Illinois 70 (2) 0 (0) Indiana 34 (1) 0 (0) Iowa 16 (<1) 0 (0) Kansas 15 (<1) 0 (0) Kentucky 24 (1) 0 (0) Louisiana 31 (1) 0 (0) Maine 11 (<1) 0 (0) Maryland 101 (3) 0 (0) Massachusetts 76 (2) 0 (0) Michigan 57 (2) 0 (0) Minnesota 47 (1) 0 (0) Mississippi 23 (1) 0 (0) Missouri 27 (1) 0 (0) Montana 7 (<1) 0 (0) Nebraska 11 (<1) 0 (0) Nevada 14 (<1) 0 (0) New Hampshire 9 (<1) 0 (0) New Jersey 133 (4) 0 (0) New Mexico 6 (<1) 0 (0) New York 811 (23) 0 (0) North Carolina 66 (2) 0 (0) North Dakota 1 (<1) 0 (0) Ohio 52 (1) 0 (0) Oklahoma 26 (1) 0 (0) Oregon 27 (1) 0 (0) Pennsylvania†† 129 (4) 0 (0) Rhode Island 32 (1) 0 (0) South Carolina 31 (1) 0 (0) South Dakota 1 (<1) 0 (0) Tennessee 51 (1) 0 (0) Texas 204 (6) 0 (0) Utah 13** (<1) 0 (0) Vermont 7 (<1) 0 (0) Virginia 85 (2) 0 (0) Washington 34 (1) 0 (0) West Virginia 11 (<1) 0 (0) Wisconsin 38 (1) 0 (0) Wyoming 2 (<1) 0 (0) Territories Travel-associated cases* No. (% of cases in territories) (N=81) Locally acquired cases† No. (% of cases in territories) (N=21,988) American Samoa 6 (7) 47 (<1) Puerto Rico 74 (91) 21,535*** (98) US Virgin Islands 1 (1) 406 (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. Page last reviewed: September 29, 2016

Celeste Philip Dr. Philip was a participant for the Forum’s discussion on Zika in the U.S., Puerto Rico, and Beyond. Celeste Philip, MD, MPH, was appointed by Governor Rick Scott as Surgeon General and Secretary on May 18, 2016. Most recently, she served as the Interim Surgeon General and prior to that as the Deputy Secretary for Health and Deputy State Health Officer for Children’s Medical Services. Dr. Philip, who is board certified in Family Medicine as well as Preventive Medicine and Public Health, brings a wealth of academic excellence and professional experience with her. Dr. Philip has served as interim director for three county health departments, and as interim bureau chief for the Department’s Bureau of Communicable Diseases. In addition, she was medical director for the Department in Polk County. While in Lakeland, she chaired the Polk Health Care Alliance Infrastructure Committee and served on the board of the Lakeland Volunteers in Medicine, through which she provided primary care to uninsured patients. Dr. Philip is a board member of the Florida Healthy Kids Corporation and on the Health Initiatives Committee Advisory Group to the Florida Board of Governors. Dr. Philip is board certified in family medicine as well as preventive medicine and public health. Dr. Philip’s contributions to public health are not limited to Florida. She is president-elect of the American Heart Association’s six-state Greater Southeast Affiliate. Dr. Philip served at the Centers for Disease Control and Prevention (CDC) as an Epidemic Intelligence Service officer. Dr. Philip graduated from Howard University in Washington DC magna cum laude, with a Bachelor’s Degree in English and Spanish. She later received a Master of Public Health in maternal and child health and a Doctor of Medicine from Loma Linda University in California. She completed her residency at Florida Hospital in Orlando and has remained committed to improving health in Florida throughout her career.

Cindy Pellegrini Ms. Pellegrini was a participant for the Forum’s discussion on Zika in the U.S., Puerto Rico, and Beyond. Cynthia Pellegrini is Senior Vice President for Public Policy and Government Affairs at the March of Dimes. In this capacity, Ms. Pellegrini oversees all March of Dimes advocacy efforts at the federal level and in all 50 States, the District of Columbia and Puerto Rico. She also guides the organization’s research on maternal and child health policy issues. Key March of Dimes policy priorities include access to health care for all women of childbearing age and children; research into prematurity, birth defects, and other aspects of reproductive and child health and development; prevention and health promotion issues, such as tobacco cessation and nutrition; and issues of concern to the operation of not-for-profit organizations. Prior to joining March of Dimes, Ms. Pellegrini served as Associate Director for Federal Affairs at the American Academy of Pediatrics, where she covered a range of issues including genetics, bioethics, child abuse and neglect, environmental health, nutrition, obesity, and injury and violence. In this capacity, Ms. Pellegrini worked with AAP leadership to develop and execute strategies to advance AAP priorities through both Congress and the Administration. Ms. Pellegrini worked on Capitol Hill for over eleven years. From 1996 to 2004, she served as Chief of Staff and health aide to Rep. Louise Slaughter (NY). Her tenure on Capitol Hill also included stints with Reps. Gerald Kleczka (WI) and Jay Inslee (WA). She has published on trends in federal public health and preparedness spending and served on the National Commission on Children and Disasters’ Pediatric Medical Care Subcommittee. Ms. Pellegrini has an extensive background in public policy issues as well as politics and administration. Share this:

Anthony Fauci Dr. Fauci was a panelist for the Forum’s discussions on Ebola, The Zika Crisis, and Zika in the U.S., Puerto Rico, and Beyond. Anthony Fauci was appointed Director of NIAID in 1984. He oversees an extensive research portfolio of basic and applied research to prevent, diagnose, and treat infectious diseases such as HIV/AIDS and other sexually transmitted infections, influenza, tuberculosis, malaria and illness from potential agents of bioterrorism. NIAID also supports research on transplantation and immune-related illnesses, including autoimmune disorders, asthma and allergies. The NIAID budget for fiscal year 2013 was approximately $4.5 billion. Dr. Fauci serves as one of the key advisors to the White House and Department of Health and Human Services on global AIDS issues, and on initiatives to bolster medical and public health preparedness against emerging infectious disease threats such as pandemic influenza. He was one of the principal architects of the President’s Emergency Plan for AIDS Relief (PEPFAR), which has already been responsible for saving millions of lives throughout the developing world. Dr. Fauci also is the long-time chief of the NIAID Laboratory of Immunoregulation. He has made many contributions to basic and clinical research on the pathogenesis and treatment of immune-mediated and infectious diseases. He helped pioneer the field of human immunoregulation by making important basic scientific observations that underpin the current understanding of the regulation of the human immune response. In addition, Dr. Fauci is widely recognized for delineating the precise mechanisms whereby immunosuppressive agents modulate the human immune response. He developed effective therapies for formerly fatal inflammatory and immune-mediated diseases such as polyarteritis nodosa, granulomatosis with polyangiitis (formerly Wegener’s granulomatosis), and lymphomatoid granulomatosis. A 1985 Stanford University Arthritis Center Survey of the American Rheumatism Association membership ranked the work of Dr. Fauci on the treatment of polyarteritis nodosa and granulomatosis with polyangiitis as one of the most important advances in patient management in rheumatology over the previous 20 years. Dr. Fauci has made seminal contributions to the understanding of how HIV destroys the body’s defenses leading to its susceptibility to deadly infections. Further, he has been instrumental in developing highly effective strategies for the therapy of patients living with HIV/AIDS, as well as for a vaccine to prevent HIV infection. He continues to devote much of his research time to identifying the nature of the immunopathogenic mechanisms of HIV infection and the scope of the body’s immune responses to HIV. In 2003, an Institute for Scientific Information study indicated that in the 20-year period from 1983 to 2002, Dr. Fauci was the 13th most-cited scientist among the 2.5 to 3 million authors in all disciplines throughout the world who published articles in scientific journals during that time frame. Dr. Fauci was the world’s 10th most-cited HIV/AIDS researcher in the period from 1996 through 2006. Dr. Fauci has delivered major lectures all over the world and is the recipient of numerous prestigious awards, including the Presidential Medal of Freedom, the National Medal of Science, the George M. Kober Medal of the Association of American Physicians, the Mary Woodard Lasker Award for Public Service, the Albany Medical Center Prize in Medicine and Biomedical Research, the Robert Koch Gold Medal, the Prince Mahidol Award, and 38 honorary doctoral degrees from universities in the United States and abroad. Dr. Fauci is a member of the National Academy of Sciences, the American Academy of Arts and Sciences, the Institute of Medicine, and the American Philosophical Society, as well as other professional societies including the American College of Physicians, The American Society for Clinical Investigation, the Association of American Physicians, the Infectious Diseases Society of America, The American Association of Immunologists, and the American Academy of Allergy, Asthma & Immunology. He serves on the editorial boards of many scientific journals; as an editor of Harrison’s Principles of Internal Medicine; and as author, coauthor, or editor of more than 1,200 scientific publications, including several textbooks.

Marcia Castro Dr. Castro was a panelist for the Forum’s discussion on the The Zika Crisis and Zika in the U.S., Puerto Rico, and Beyond. Marcia Castro is a founding member of the Wittgenstein Centre for Demography and Global Human Capital’s Scientific Advisory Board. At Harvard, Castro serves as a member of the Faculty Advisory Committee of the Brazil Studies Program, a member of the Brazil Studies Program Steering Group of the David Rockefeller Center for Latin American Studies (DRCLAS), and a member of the Center for Geographic Analysis (CGA) Steering Committee. Her research focuses on: the identification of social, biological, and environmental risks associated with vector-borne diseases in the tropics modeling determinants of malaria transmission, with particular emphasis on generating evidence for better control strategies expansion of the Brazilian Amazon frontier and the social and environmental impacts of large-scale development projects implemented in the region urbanization and health use of spatial analysis in the Social Sciences population dynamics and mortality models Castro has applied geographical information systems, remote sensing, and spatial statistics to her research, as well as proposed novel methods in spatial analysis. She has done extensive work in the Brazilian Amazon, and has experience working in Africa. Since 2004, she has been working on the Dar es Salaam Urban Malaria Control Program, promoting the use of environmental management approaches to improve urban health. She is currently working on a project that is measuring health, poverty and place by modeling inequalities in Accra, Ghana using RS and GIS. She is also investigating the use of remotely sensed imagery to predict urban malaria in Dar es Salaam, Tanzania. Castro is leading a project to assess the malaria poverty vicious cycle, and she started a project to propose a new methodology to assess spatio-temporal trends in a scenario of multiple control interventions. She is also working on the issues of human mobility and asymptomatic malaria infections in the Brazilian Amazon, as well as on the potential impacts of extreme climatic events on malaria transmission in the Amazon.