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HEALTH SEP 28 2016, 1:44 PM ET Miami's Zika Search Turns Up Another Virus: Dengue by MAGGIE FOX SHARE Florida health officials who have been testing thousands of residents for Zika virus said Wednesday they found another infection: dengue virus. The health department said it confirmed a case of locally acquired dengue virus, the second this year in the state and the first in Miami. A female Aedes aegypti mosquito, known to be a carrier of the Zika virus and dengue. Andre Penner / AP Dengue is a close relative of Zika and it is spread by the same mosquitoes. Health experts say anywhere you find dengue, you are likely to find Zika. It's so closely related that tests often mix up the two viruses, as well as a third relative: chikungunya. The Centers for Disease Control and Prevention has designed two tests that can diagnose Zika separately: one that finds Zika alone, and another that can differentiate Zika, dengue and chikungunya. The dengue infection almost certainly turned up because officials are looking for it, says Dr. Peter Hotez, dean of tropical medicine at the Baylor College of Medicine. "There's likely dengue and Zika in multiple areas of Florida and the Gulf Coast, but we're not looking," Hotez said. "THERE'S LIKELY DENGUE AND ZIKA IN MULTIPLE AREAS OF FLORIDA AND THE GULF COAST, BUT WE'RE NOT LOOKING." The state health department has tested more than 8,300 people as it tries to stay on top of Zika. So far, 120 home-grown cases have been found, presumably transmitted by the Aedes aegypti mosquitos that thrive in Florida's warm, wet climate. The state has also been testing mosquitoes for Zika, although it is very difficult to find in the insects, which don't travel far. Related: Meet the Zika Mosquito Hunters Miami-Dade County settled a squabble with the state over the tests Wednesday by releasing the five Miami Beach addresses where Zika-infected mosquitoes have been trapped. "The Department of Health instructed the County, on multiple occasions, to withhold information related to the exact location of the Zika-positive mosquito traps," Miami-Dade County Mayor Carlos Giménez said in a statement. "WE WILL DISCLOSE THE LOCATIONS OF ANY SUCH TRAPS THAT TEST POSITIVE FOR ZIKA TO BOTH THE PROPERTY OWNER AND TO ANYONE ELSE WHO INQUIRES." "Now that the County has been granted permission — via an email from the Florida Surgeon General — to release this information, we are releasing the addresses. This will be our protocol going forward: We will disclose the locations of any such traps that test positive for Zika to both the property owner and to anyone else who inquires," he added. Related: Full NBC News Coverage of Zika No Zika-infected mosquito has been found since September 9. But more cases have been found daily, although people may not necessarily have been infected in recent days. Tests can detect past infections. Florida's health department has reported 120 locally transmitted cases of Zika virus infection, and another 693 cases carried by travelers or sexually infected by travelers. Among the total, 91 are pregnant women. It's not clear how many pregnant women may have been infected locally. There is still no agreement on federal funding to fight Zika. Congress has until Friday to come up with a temporary plan to fund the federal government. The Senate approved one version Wednesday. http://www.nbcnews.com/health/health-news/miami-s-zika-search-turns-another-virus-dengue-n656146

TABLE I. Provisional cases of selected* infrequently reported notifiable diseases (<1,000 cases reported during the preceding year), United States, week ending September 24, 2016 (WEEK 38)† Disease Total cases reported for previous years Current week Cum 2016 5-year weekly average§ 2015 2014 2013 2012 2011 States reporting cases during current week (No.38) Anthrax - - 0 - - - - 1 Arboviral diseases ¶,**: Chikungunya virus †† - 86 2 896 NN NN NN NN Eastern equine encephalitis virus - 2 0 6 8 8 15 4 Jamestown Canyon virus §§ - 1 - 11 11 22 2 3 La Crosse virus §§ - 10 2 55 80 85 78 130 Powassan virus - 5 0 7 8 12 7 16 St. Louis encephalitis virus - 4 0 23 10 1 3 6 Western equine encephalitis virus - - - - - - - - Botulism, total - 124 3 195 161 152 168 153 foodborne - 30 0 37 15 4 27 24 infant - 80 2 138 127 136 123 97 other(wound & unspecified) - 14 0 20 19 12 18 32 Brucellosis 2 84 2 126 92 99 114 79 NYC (1 ), TX (1 ) Chancroid - 9 0 11 - - 15 8 Cholera - 2 0 2 5 14 17 40 Cyclosporiasis ** 5 375 4 645 388 784 123 151 NY (1 ), NYC (1 ), NE (1 ), FL (1 ), CA (1 ) Diphtheria - - - - 1 - 1 - Haemophilus influenzae, invasive disease (age <5 yrs) ¶¶: serotype b - 15 0 29 40 31 30 14 nontypeable serotype - 102 2 175 128 141 115 93 other serotype 2 89 1 135 266 233 263 230 MI (1 ), TX (1 ) unknown serotype 3 146 3 167 39 34 37 48 NYC (1 ), FL (1 ), TX (1 ) Hansen's disease ** - 33 1 89 88 81 82 82 Hantavirus Infections **: Hantavirus infection (non-HPS) †† - 2 - 1 NN NN NN NN Hantavirus pulmonary syndrome (HPS) - 11 0 17 32 21 30 23 Hemolytic uremic syndrome, post-diarrheal ** - 158 8 274 250 329 274 290 Hepatitis B, virus infection perinatal 1 17 1 37 47 48 40 NP PA (1 ) Influenza-associated pediatric mortality **, *** - 79 0 130 141 160 52 118 Leptospirosis ** - 32 1 40 38 NN NN NN Listeriosis 10 440 23 766 769 735 727 870 NY (1 ), NYC (2 ), OH (2 ), NE (1 ), VA (1 ), FL (1 ), AL (1 ), AZ (1 ) Measles ††† - 52 1 188 667 187 55 220 Meningococcal disease, invasive §§§: serogroup ACWY - 65 2 120 123 142 161 257 serogroup B - 51 2 111 89 99 110 159 other serogroup - 12 0 21 25 17 20 20 unknown serogroup 1 130 4 120 196 298 260 323 VA (1 ) Novel influenza A virus infections ¶¶¶ - 21 1 6 3 21 313 14 Plague - - 0 13 10 4 4 3 Poliomyelitis, paralytic - - - - - 1 - - Polio virus infection, nonparalytic ** - - - - - - - - Psittacosis ** - 5 0 4 8 6 2 2 Q fever total **: 2 85 3 156 168 170 135 134 acute 2 71 2 122 132 137 113 110 TX (1 ), WA (1 ) chronic - 14 0 34 36 33 22 24 Rabies, human - - 0 1 1 2 1 6 SARS CoV - - - - - - - - Smallpox - - - - - - - - Streptococcal toxic shock syndrome ** 1 180 3 335 259 224 194 168 KY (1 ) Syphilis, congenital **** - 269 9 492 458 348 322 360 Toxic shock syndrome (staphylococcal) ** - 21 1 64 59 71 65 78 Trichinellosis ** - 8 0 11 14 22 18 15 Tularemia - 139 5 314 180 203 149 166 Typhoid fever 4 224 8 367 349 338 354 390 NY (2 ), PA (1 ), VA (1 ) Vancomycin-intermediateStaphylococcus aureus ** 2 76 4 183 212 248 134 82 PA (1 ), MO (1 ) Vancomycin-resistant Staphylococcus aureus ** - - - 1 - - 2 - Viral hemorrhagic Fevers ††††: Crimean-Congo hemorrhagic fever - - - - NP NP NP NP Ebola hemorrhagic fever - - - - 4 NP NP NP Guanarito hemorrhagic fever - - - - NP NP NP NP Junin hemorrhagic fever - - - - NP NP NP NP Lassa fever - - - - 1 NP NP NP Lujo virus - - - - NP NP NP NP Machupo hemorrhagic fever - - - - NP NP NP NP Marburg fever - - - - NP NP NP NP Sabia-associated hemorrhagic fever - - - - NP NP NP NP Yellow fever - - - - - - - - Zika ††,§§§§ Zika virus congenital infection NA NA NA NN NN NN NN NN Zika virus disease, non-congenital infection - 3,553 - NN NN NN NN NN [ Export This Table ] [ Next Part ] [ NNDSS Interactive Tables ] [ Mortality Interactive Tables ] -: No reported cases N: Not reportable. NA: Not Available NN: Not Nationally Notifiable. NP: Nationally notifiable but not published. Cum: Cumulative year-to-date counts. * Case counts for reporting years 2015 and 2016 are provisional and subject to change. Data for years 2011 through 2014 are finalized. For further information on interpretation of these data, seehttp://wwwn.cdc.gov/nndss/document/ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. † This table does not include cases from the U.S. territories. Three low incidence conditions, rubella, rubella congenital, and tetanus, are in Table II to facilitate case count verification with reporting jurisdictions. § Calculated by summing the incidence counts for the current week, the 2 weeks preceding the current week, and the 2 weeks following the current week, for a total of 5 preceding years. Additional information is available athttp://wwwn.cdc.gov/nndss/document/5yearweeklyaverage.pdf. ¶ Includes both neuroinvasive and nonneuroinvasive. Updated weekly reports from the Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases (ArboNET Surveillance). Data for West Nile virus are available in Table II. ** Not reportable in all reporting jurisdictions. Data from states where the condition is not reportable are excluded from this table, except for the arboviral diseases and influenza-associated pediatric mortality. Reporting exceptions are available athttp://wwwn.cdc.gov/nndss/downloads.html. †† Office of Management and Budget approval of the NNDSS Revision #0920-0728 on January 21, 2016, authorized CDC to receive data for these conditions. CDC is in the process of soliciting data for these conditions (except Zika virus, congenital infection). CDC and the U.S. states are still modifying the technical infrastructure needed to collect and transmit data for Zika virus congenital infections. §§ Jamestown Canyon virus and Lacrosse virus have replaced California serogroup diseases. ¶¶ Data for Haemophilus influenzae (all ages, all serotypes) are available in Table II. *** Please refer to the MMWR publication for weekly updates to the footnote for this condition. ††† Please refer to the MMWR publication for weekly updates to the footnote for this condition. §§§ Data for meningococcal disease (all serogroups) are available in Table II. ¶¶¶ Please refer to the MMWR publication for weekly updates to the footnote for this condition. **** Updated weekly from reports to the Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. †††† Please refer to the MMWR publication for weekly updates to the footnote for this condition. §§§§ All cases reported have occurred in travelers returning from affected areas, with their sexual contacts, or infants infected in utero. National Notifiable Diseases Surveillance System (NNDSS) MMWR web application provided by CDC WONDER, http://wonder.cdc.gov

Zika ††,§§§§ Zika virus congenital infection NA NA NA NN NN NN NN NN Zika virus disease, non-congenital infection - 3,553 - NN NN NN NN NN http://wonder.cdc.gov/mmwr/mmwr_2016.asp?mmwr_year=2016&mmwr_week=38&mmwr_table=1&request=Submit&mmwr_location=

Zika Virus – September 28, 2016. Texas has had 204 reported cases of Zika virus disease. All the cases were associated with travel to an area where Zika is being spread. This count includes 12 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 15 Brazos 3 Burnet 1 Cameron 2 Collin 5 Dallas 35 Denton 6 El Paso 3 Ellis 1 Fort Bend 7 Frio 1 Galveston 7 Gray 1 Grayson 1 Gregg 1 Hamilton 1 Harris 56 Jefferson 2 Lee 1 Lubbock 1 Matagorda 1 Medina 1 Midland 1 Montgomery 1 Palo Pinto 1 Randall 1 Tarrant 22 Travis 8 Upshur 1 Val Verde 1 Walker 1 Williamson 5 Webb 2 Wise 1 Total 204

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Miami-Dade releases Zika-positive trap locations Associated Press MIAMI (AP & WSVN) — Miami-Dade County officials have released the locations of mosquito traps that captured Zika-positive insects in Miami Beach. “As I have stated many times before, Miami-Dade County remains committed to the health and safety of our residents and visitors, and to absolute transparency in our communications with the community we serve,” said Miami-Dade County Mayor Carlos A. Gimenez. Mosquitoes trapped at five locations on Miami Beach tested positive for Zika. Each location tested positive only once; subsequent tests conducted on mosquitoes trapped at these locations yielded negative results. Immediately after notification of the positive test results at each location, Miami-Dade Mosquito Control responded and treated the respective properties and surrounding areas, as per the county’s standard protocol. Click here to see a list of the locations, number of pools of mosquitoes sent in and the dates the positive mosquitoes were trapped for testing. “The Department of Health instructed the County, on multiple occasions, to withhold information related to the exact location of the Zika-positive mosquito traps. Now that the County has been granted permission – via an email from the Florida Surgeon General – to release this information, we are releasing the addresses. This will be our protocol going forward: We will disclose the locations of any such traps that test positive for Zika to both the property owner and to anyone else who inquires. It is also important to note that while we did have five traps that tested positive for Zika on dates ranging from August 22 to September 9, multiple subsequent tests have since been conducted, and all of those tests came back negative,” a news release said Wednesday. County officials made the announcement Tuesday evening after Florida Gov. Rick Scott and Surgeon General Celeste Philip agreed that Miami-Dade can release the trap locations. Earlier that day, Gimenez sent a letter to the state Health Department saying he would release the locations unless state health officials prohibited the action in writing by Wednesday afternoon. But both the state and county had previously refused to disclose the locations, arguing the records were exempt from public records law because they were part of an epidemiological investigation. “We are grateful to the residents who allowed us to place the mosquito traps on their properties,” Mayor Gimenez said. “We continue to remind residents how important it is to continue to ‘Drain and Cover’ to reduce the population of mosquitoes and the spread of diseases in the county.” http://wsvn.com/news/local/miami-dade-to-release-zika-positive-trap-locations/#.V-vq3vThpAQ.twitter

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SEPTEMBER 28, 2016 10:59 AM Zika mosquito sites in Miami Beach identified 1 of 3 Florida Department of Health workers visit 1236 Drexel Ave. in Miami Beach early Wednesday to inform residents that traps captured mosquitoes carrying Zika virus at that location. Galen Treuer BY DANIEL CHANG AND JOEY FLECHAS [email protected] LINKEDIN GOOGLE+ PINTEREST REDDIT PRINT ORDER REPRINT OF THIS STORY Nearly all of the locations in Miami Beach where traps captured mosquitoes carrying Zika virus in August and September are residential areas, though some are located near where lots of people gather, according to information released Wednesday by Miami-Dade officials. The county identified four addresses in South Beach as a result of a public dispute with the Florida Department of Health after the Miami Herald filed a lawsuit against Miami-Dade seeking the locations. Interactive feature: Daily Florida Zika virus tracker The addresses are 1619 Meridian Ave., 932 Lenox Ave., 1236 Drexel Ave. and 2378 Prairie Ave. Health officials identified the Miami Beach Botanical Garden, 2000 Convention Center Dr., as one of the sites on Sept. 1, though the garden had been closed three days prior. The location on Prairie Avenue is near Hebrew Academy’s Rabbi Alexander Gross High School and Miami Beach Senior High, while the Meridian address is near the Lincoln Road mall. Health department officials notified residents before releasing the addresses, but at least one resident contacted the Herald after receiving a visit. Galen Treur, a University of Miami student, said he lives at 1236 Drexel Ave. and sent a photograph of health officials at his doorfront. “I feel it was a real failure of communication,” said Treur, 37, and whose building has eight units. “They weren’t giving out information to reduce our exposure.” The state’s Department of Agriculture and Consumer Services first announced that three of 19 mosquito traps in Miami Beach had captured Zika-positive mosquitoes on Sept. 1. Afourth batch was announced on Sept. 9, and a fifth on Sept. 16. All of the mosquitoes were captured inside of a 1.5-square-mile area first identified on Aug. 19 as having active spread of the virus, between 8th and 28th Streets from the ocean to the bay. Since the last batch of Zika-positive mosquitoes was announced, however, no more traps have captured insects with the virus, according to a letter Miami-Dade Mayor Carlos Gimenez sent to State Surgeon General Celeste Philip on Tuesday, advising Philip that the county would release the locations unless otherwise instructed by the health department. In the letter, Gimenez said the five traps that captured mosquitoes carrying Zika virus were found on the following dates without identifying the addresses: On Aug. 22, one sample tested positive from a trap at 932 Lenox Ave. Since then, 27 samples have been tested from that location, and all were negative. On Aug. 23, two additional samples at 1619 Meridian and the Botanical Garden tested positive for Zika. Since then, 45 samples from those two locations have been tested, all of which were negative. On Sept. 4, a sample from 2378 Prairie Ave. tested positive. Since then, 17 samples have been tested and all were negative. On Sept. 9, a sample from 1236 Drexel Ave. tested positive, and since then 10 samples from the same area have tested negative for Zika. Both the state and county had previously refused to disclose the locations, denying public records requests filed by the Herald. They said the records were exempt from the public records law because they were part of an epidemiological investigation. The Herald filed suit Sept. 16 against the county seeking disclosure of the trap locations on grounds that the information would help the public make decisions about precautions to take if they live or work nearby, and also would inform the community debate on the use of the controversial insecticide naled, which is being used in Miami Beach to control the mosquito population. On Sept. 23, during a hearing on the case, a county attorney said in court that the state had instructed local officials to keep the trap locations secret. But the state insisted that the decision lies solely with the county, calling the county’s statements “completely false.” On Sunday, the dispute escalated, when both Gimenez and Miami Beach Mayor Philip Levineaccused the Florida Department of Health of lying. Read more here: http://www.miamiherald.com/news/health-care/article104627676.html#storylink=cpy http://www.miamiherald.com/news/health-care/article104627676.html

Wed Sep 28, 2016 | 1:36am EDT Thailand rules out Zika link in two microcephaly cases; investigating two A city worker fumigates the area to control the spread of mosquitoes at a university in Bangkok, Thailand, September 13, 2016. REUTERS/Athit Perawongmetha Thailand ruled out on Wednesday Zika as the cause of two cases of microcephaly but is investigating two other cases that could be the first linked to Zika in Southeast Asia of the condition that results in babies being born with small heads. Microcephaly is a rare birth defect that has been linked, in Brazil in particular, to the mosquito-borne Zika virus, which is spreading in Southeast Asia. Thai health authorities said on Tuesday they were investigating four suspected cases of Zika-related microcephaly in three babies and a 36-week old unborn baby. But on Wednesday, Apichai Mongkol, director-general of the ministry's Department of Medical Sciences, said Zika had been ruled out as the cause in two of the cases. "The test results showed that two did not have the Zika virus but it is still unclear with the other two because we found three flavivirus which means it could be dengue, Zika or meningitis," Apichai told Reuters. "To be sure which of the three they contracted we need to investigate further." There are no specific tests to determine if a baby will be born with microcephaly but ultrasound scans in the third trimester of pregnancy can identify the problem, according to the World Health Organization (WHO). It was not clear which of the four cases had been ruled out as having a link to Zika. Zika has been linked to more than 1,800 confirmed cases of microcephaly in Brazil but there have been no confirmed cases of Zika causing the condition in Southeast Asia, according to the WHO. Microcephaly has several potential causes including various infections, exposure to toxins and malnutrition, the WHO says. Health authorities in Southeast Asia have reported a rising number of Zika cases with Thailand confirming 349 since January, including 33 pregnant women. Singapore has recorded 393, including 16 pregnant women. The Philippines, Malaysia and Vietnam have also reported Zika cases. Thailand's public health ministry said earlier the four suspected microcephaly cases were not in Bangkok but it declined to say where they were found. ALSO IN HEALTH NEWS Senators ask Justice Dept to consider probe of EpiPen Medicaid classification Bristol-Myers to test Opdivo with Nektar drug for several cancers The Bangkok Metropolitan Authority said on Wednesday officials had confirmed 26 Zika cases in the city this month. The director-general of the Disease Control Department, Amnuay Gajeena, said out of 33 cases of pregnant women with Zika, eight had given birth without complications. There is no vaccine or treatment for Zika. An estimated 80 percent of people infected have no symptoms, making it difficult for pregnant women to know whether they have been infected. Zika was first identified in Uganda in 1947 and was first isolated in Asia in the 1960s. It was unknown in the Americas until 2014. (Reporting by Amy Sawitta Lefevre and Panarat Thepgumpant; Writing by Amy Sawitta Lefevre; Editing Robert Birsel) http://www.reuters.com/article/us-health-zika-thailand-idUSKCN11Y0FE

Zika Cases & Clusters Number of Zika Cases It is important to note that the day-to-day numbers fluctuate, as they depend on the number of cases notified each day. Therefore, weekly numbers are a better reflection of actual trends. Number of Reported Cases 22-Sep 23-Sep 24-Sep 25-Sep 26-Sep 27 Sep 28 Sep at 3PM 1 2 4 2 0 1 2 Number of Reported Cases by E-week (from Sun 0000hrs to Sat 2359hrs) E-week 33 (14-20Aug16) E-week 34 (21-27Aug16) E-week 35 (28Aug-3Sep16) E-week 36 (4-10Sep16) E-week 37 (11-17Sep16) E-week 38 (18-24Sep16) E-week 39 (25-28Sep16 at 3 PM) 0 1 214^ 103 62 11 5 ^52 cases from look-back exercise Cumulative No. of cases for 2016 (First 38 weeks): 392 Compiled by Communicable Diseases Division, Ministry of Health Location of Active Zika Clusters (Map data is updated at 1am. Kindly clear your internet browser cache after each visit, in order to view the latest information.) As of 28 Sep 2016 S/N Locality 1 Aljunied Cres (Blk 95,97,98,99,100,101,102,103,104,105,106,107,108,109,110,111,112) / Aljunied Rd / Aljunied Rd (Blk 125) / Circuit Rd (Blk 61,85) / Geylang East Ave 1 (Blk 126) / Geylang East Ctrl (Blk 1 22) / Lor 21A,23,25 Geylang / Paya Lebar Way (Blk 91,120,121,122,123) / Pipit Rd (Blk 54, 56, 92A) / Sims Dr (Blk 42A,43,44) / Sims Pl (Blk 52,53) (294 cases as of 28 Sep 2016, of which 4 cases with onset in the last 2 weeks) 2 Bedok Nth Ave 2 (Blk 514) / Bedok Nth Ave 3 (404,405,507) / Bedok Nth St 3 (Blk 525) (5 cases as of 28 Sep 2016, of which 0 cases with onset in the last 2 weeks) 3 Joo Seng Rd (Blk 17, 18, 21) / Vernon Pk (4 cases as of 28 Sep 2016, of which 0 cases with onset in the last 2 weeks) 4 Elite Ter / Fidelio St / Jln Tua Kong (Park East) / Tua Kong Green / Siglap Rd (Flamingo Valley) (13 cases as of 28 Sep 2016, of which 0 cases with onset in the last 2 weeks) 5 Ubi Ave 1, Cres (4 cases as of 28 Sep 2016, of which 0 cases with onset in the last 2 weeks) 6 Balam Rd (Blk 29) / Circuit Rd (Blk 35) / Jln Raya (3 cases as of 28 Sep 2016, of which 0 cases with onset in the last 2 weeks) 7 Sengkang Ctrl (Blk 272C) / Sengkang East Ave (Blk 279C) (2 cases as of 28 Sep 2016, of which 0 cases with onset in the last 2 weeks) 8 Hougang Ave 7 (Blk 325) (2 cases as of 28 Sep 2016, of which 0 cases with onset in the last 2 weeks) http://www.nea.gov.sg/public-health/vector-control/overview/zika-cases-clusters

Miami-Dade will release Zika-positive mosquito trap locations Wednesday Florida Department of Health discussed withholding location of mosquito traps 0:19 FACEBOOK TWITTER EMAIL SHARE FACEBOOK TWITTER EMAIL SHARE 1 of 3 Lillian Rivera of the Florida Department of Health discusses not releasing the location of traps that caught Zika-carrying mosquitoes. After the department said it had not told local officials to keep the locations of the traps a secret, Miami-Dade Mayor Carlos Gimenez and Miami Beach Mayor Philip Levine accused the department of lying. Miami-Dade County BY JOEY FLECHAS [email protected] LINKEDIN GOOGLE+ PINTEREST REDDIT PRINT ORDER REPRINT OF THIS STORY Miami-Dade County on Wednesday will release the locations of mosquito traps that captured Zika-positive insects in Miami Beach, the result of a public dispute between state and local officials after the Miami Herald filed a lawsuit seeking the information. The word came Tuesday evening, an hour after Gov. Rick Scott and Surgeon General Celeste Philip agreed that Miami-Dade can release the trap locations. “Miami-Dade County Mayor Carlos Gimenez will be releasing the locations [Wednesday] morning now that the Florida Department of Health has approved the dissemination of the information,” said Gimenez spokesman Michael Hernandez, adding that property owners at the locations will likely be notified Tuesday night or early Wednesday. Earlier Tuesday, Gimenez sent a letter to the state health department saying he would release the locations of the traps unless state health officials prohibited the action — in writing — by Wednesday afternoon. “This decision is one that is solely the county’s to make,” responded spokesman McKinley P. Lewis, a few hours later. “Gov. Scott encourages the county to disclose the locations of these traps immediately so that their residents may remain fully informed.” FACEBOOK TWITTER EMAIL SHARE Florida Gov. Rick Scott declares Wynwood Zika-free Governor lifts Zika zone in Wynwood; CDC says ‘don’t let down guard.’ C.M. Guerrero The Miami Herald But both the state and county had previously refused to disclose the locations, denying public records requests filed by the Herald. They said the records were exempt from the public records lawbecause they were part of an epidemiological investigation. The Miami Herald filed suit Sept. 16 against the county seeking disclosure of the trap locations on grounds that the information would help the public make decisions about precautions to take if they live or work nearby, and also would inform the community debate on the use of the controversial insecticide naled, which is being used in Miami Beach to control the mosquito population. On Friday, during a hearing on the case, a county attorney said in court that the state had instructed local officials to keep the trap locations secret. But the state insisted that the decision lies solely with the county, calling the county’s statements “completely false.” On Sunday, the dispute escalated, when both Gimenez and Miami Beach Mayor Philip Levine accused the Florida Department of Health of lying. “It is disturbing that the Florida Department of Health is denying previous directives to maintain confidentiality of the trap locations,” Gimenez said in a statement. He said the county had been “carrying out the express orders of the Florida Department of Health as it relates to disclosure of mosquito-trap information.” On Tuesday, Gimenez sent his letter to Florida Surgeon General Celeste Philip saying he planned to release the locations of the traps unless she told him by Wednesday that he could not. In an email Tuesday, Philip responded to Gimenez: “As you know, this decision is one that is solely the county’s to make,” she wrote. “We encourage you to disclose the locations of these traps immediately so that your residents may remain fully informed and we are happy to serve as a resource to you in this process moving forward.” Interactive feature: Daily Florida Zika virus tracker So far, five batches of mosquitoes have tested positive for Zika in Miami Beach, where the active transmission zone for the virus covers two thirds of the island city. Only one of locations has been made public: the Miami Beach Botanical Gardens, which had to close for a week in late August for mosquito treatment. In the letter on Tuesday, Gimenez wrote that “the county has maintained the confidentiality of these locations based solely on the prior and repeated instructions from the Florida Department of Health.” He also said state officials had contradicted themselves, a sentiment echoed by Levine. “Clearly in [Gov. Rick Scott]’s administration, the left hand doesn’t know what the right hand is doing,” Levine said in a text message. “I agree with Mayor Gimenez in that the state should allow this information to be made public.” Even as the dispute over the information came to a head Tuesday, the state health department reported four new local cases of the Zika virus in Miami-Dade. Officials said they are investigating where exposure occurred. One additional out-of-state resident has contracted Zika in Miami-Dade. The department reported no new cases in the zone where mosquitoes are transmitting the virus in Miami Beach, which stretches from Eighth Street to 63rd Street, and from the ocean to Biscayne Bay. In addition to the Zika cases, health officials announced late Tuesday that they had confirmed one person has contracted dengue fever in Miami-Dade. The individual has been treated and is expected to make a full recovery. The health department is contacting people close to the infected individual to see if anyone else has the illness. It is the second locally-acquired case of dengue in Florida this year, and the first in Miami-Dade. Joey Flechas: 305-376-3602, @joeflech Zika Infections Reported in Florida as of Sept. 27 County Number of Cases (all travel related) Alachua 10 Bay 3 Brevard 14 Broward** 113 Charlotte 1 Citrus 2 Clay 3 Collier 7 Duval 8 Escambia 3 Flagler 2 Hernando 4 Highlands 1 Hillsborough 23 Lake 3 Lee 12 Leon 2 Manatee 4 Marion 3 Martin 2 Miami-Dade** 225 Monroe 4 Nassau 1 Okaloosa 3 Okeechobee 1 Orange 79 Osceola 29 Palm Beach** 36 Pasco 8 Pinellas** 16 Polk 24 Santa Rosa 1 Sarasota 3 Seminole 21 St. Johns 4 St. Lucie 5 Volusia 9 Total cases not involving pregnant women 689 . . . . . . Cases involving pregnant women regardless of symptoms* 90 * Counties of pregnant women are not disclosed. ** Does not include local cases Source: Florida Department of Health Read more here: http://www.bradenton.com/news/state/florida/article104605881.html#storylink=cpy

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Wisconsin Annual Summary Data - 2016 Updated September 21, 2016 Confirmed Zika virus cases 45 Probable* Zika virus cases 2 Completed testing - Total 746 * Probable cases have presumptive positive laboratory results without confirmatory CDC testing. https://www.dhs.wisconsin.gov/arboviral/zika.htm

ciated Zika virus cases Wisconsin Annual Summary Data - 2016 Updated September 21, 2016 Confirmed Zika virus cases 45 Probable* Zika virus cases 2 Completed testing - Total 746 * Probable cases have presumptive positive laboratory results without confirmatory CDC testing.

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Zika Confirmed Cases County Cases* Chelan 1 Clallam 2 Clark 2 Cowlitz 1 Franklin 1 Grant 1 King 16 Kitsap 1 Mason 1 Pierce 4 Skagit 2 Snohomish 7 Yakima 2 Washington State Total 41 * Confirmed travel-associated cases in WA as of 9/27/16 http://www.doh.wa.gov/YouandYourFamily/IllnessandDisease/ZikaVirus

Zika Confirmed Cases County Cases* Chelan 1 Clallam 2 Clark 2 Cowlitz 1 Franklin 1 Grant 1 King 16 Kitsap 1 Mason 1 Pierce 4 Skagit 2 Snohomish 7 Yakima 2 Washington State Total 41 * Confirmed travel-associated cases in WA as of 9/27/16

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County Cases Angelina 1 Bell 6 Bexar 15 Brazos 3 Burnet 1 Cameron 2 Collin 5 Dallas 35 Denton 6 El Paso 3 Ellis 1 Fort Bend 7 Frio 1 Galveston 7 Gray 1 Grayson 1 Gregg 1 Hamilton 1 Harris 56 Jefferson 2 Lee 1 Lubbock 1 Matagorda 1 Medina 1 Midland 1 Montgomery 1 Palo Pinto 1 Randall 1 Tarrant 22 Travis 8 Upshur 1 Val Verde 1 Walker 1 Williamson 5 Webb 2 Wise 1 Total 204 Dallas Pregnant Registry 18 Texas Preg Reg excl Dallas 28 Total 250

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