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Zika virus detected in Canada, as of September 15, 2016 Country Acquired through sexual transmission Maternal-to-fetal transmission Travel-related Canada 2 2 279 http://www.healthycanadians.gc.ca/diseases-conditions-maladies-affections/disease-maladie/zika-virus/surveillance-eng.php?id=zikacases#s1

Zika virus detected in Canada, as of September 15, 2016 Country Acquired through sexual transmission Maternal-to-fetal transmission Travel-related Canada 2 2 279

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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of September 14, 2016)§ States Travel-associated cases* No. (% of cases in states) (N=3,133) Locally acquired cases† No. (% of cases in states) (N=43) Alabama 24 (1) 0 (0) Arizona 29 (1) 0 (0) Arkansas 10 (<1) 0 (0) California 224 (7) 0 (0) Colorado 32 (1) 0 (0) Connecticut 58 (2) 0 (0) Delaware 11 (<1) 0 (0) District of Columbia 17 (1) 0 (0) Florida 596 (19) 43 (100) Georgia 78 (2) 0 (0) Hawaii 12 (<1) 0 (0) Idaho 3 (<1) 0 (0) Illinois 58 (2) 0 (0) Indiana 32 (1) 0 (0) Iowa 16 (1) 0 (0) Kansas 13 (<1) 0 (0) Kentucky 23 (1) 0 (0) Louisiana 29 (1) 0 (0) Maine 11 (<1) 0 (0) Maryland 95 (3) 0 (0) Massachusetts 67 (2) 0 (0) Michigan 52 (2) 0 (0) Minnesota 47 (2) 0 (0) Mississippi 21 (1) 0 (0) Missouri 26 (1) 0 (0) Montana 7 (<1) 0 (0) Nebraska 8 (<1) 0 (0) Nevada 14 (<1) 0 (0) New Hampshire 8 (<1) 0 (0) New Jersey 116 (4) 0 (0) New Mexico 6 (<1) 0 (0) New York 685 (22) 0 (0) North Carolina 61 (2) 0 (0) North Dakota 1 (<1) 0 (0) Ohio 36 (1) 0 (0) Oklahoma 26 (1) 0 (0) Oregon 23 (1) 0 (0) Pennsylvania†† 102 (3) 0 (0) Rhode Island 29 (1) 0 (0) South Carolina 31 (1) 0 (0) South Dakota 1 (<1) 0 (0) Tennessee 39 (1) 0 (0) Texas 181 (6) 0 (0) Utah 11** (<1) 0 (0) Vermont 7 (<1) 0 (0) Virginia 81 (3) 0 (0) Washington 34 (1) 0 (0) West Virginia 11 (<1) 0 (0) Wisconsin 29 (1) 0 (0) Wyoming 2 (<1) 0 (0) http://www.cdc.gov/zika/geo/united-states.html

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Wisconsin Annual Summary Data - 2016 Updated September 14, 2016 Confirmed Zika virus cases 43 Probable* Zika virus cases 1 Completed testing - Total 721 * 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 14, 2016 Confirmed Zika virus cases 43 Probable* Zika virus cases 1 Completed testing - Total 721 * 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 1 Cowlitz 1 Franklin 1 Grant 1 King 15 Kitsap 1 Mason 1 Pierce 4 Skagit 2 Snohomish 7 Yakima 1 Washington State Total 38 * Confirmed travel-associated cases in WA as of 9/15/16 * Confirmed travel-associated cases in WA as of 9/13/16 http://www.doh.wa.gov/YouandYourFamily/IllnessandDisease/ZikaVirus

Zika Confirmed Cases County Cases* Chelan 1 Clallam 2 Clark 1 Cowlitz 1 Franklin 1 Grant 1 King 15 Kitsap 1 Mason 1 Pierce 4 Skagit 2 Snohomish 7 Yakima 1 Washington State Total 38 * Confirmed travel-associated cases in WA as of 9/15/16

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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of September 14, 2016)§ States Travel-associated cases* No. (% of cases in states) (N=3,133) Locally acquired cases† No. (% of cases in states) (N=43) Alabama 24 (1) 0 (0) Arizona 29 (1) 0 (0) Arkansas 10 (<1) 0 (0) California 224 (7) 0 (0) Colorado 32 (1) 0 (0) Connecticut 58 (2) 0 (0) Delaware 11 (<1) 0 (0) District of Columbia 17 (1) 0 (0) Florida 596 (19) 43 (100) Georgia 78 (2) 0 (0) Hawaii 12 (<1) 0 (0) Idaho 3 (<1) 0 (0) Illinois 58 (2) 0 (0) Indiana 32 (1) 0 (0) Iowa 16 (1) 0 (0) Kansas 13 (<1) 0 (0) Kentucky 23 (1) 0 (0) Louisiana 29 (1) 0 (0) Maine 11 (<1) 0 (0) Maryland 95 (3) 0 (0) Massachusetts 67 (2) 0 (0) Michigan 52 (2) 0 (0) Minnesota 47 (2) 0 (0) Mississippi 21 (1) 0 (0) Missouri 26 (1) 0 (0) Montana 7 (<1) 0 (0) Nebraska 8 (<1) 0 (0) Nevada 14 (<1) 0 (0) New Hampshire 8 (<1) 0 (0) New Jersey 116 (4) 0 (0) New Mexico 6 (<1) 0 (0) New York 685 (22) 0 (0) North Carolina 61 (2) 0 (0) North Dakota 1 (<1) 0 (0) Ohio 36 (1) 0 (0) Oklahoma 26 (1) 0 (0) Oregon 23 (1) 0 (0) Pennsylvania†† 102 (3) 0 (0) Rhode Island 29 (1) 0 (0) South Carolina 31 (1) 0 (0) South Dakota 1 (<1) 0 (0) Tennessee 39 (1) 0 (0) http://www.cdc.gov/zika/geo/united-states.html

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As of September 20, 2016 in South Carolina: Travel-associated cases reported: 48 Pregnant women: 0 Sexually transmitted: 1* Locally acquired vector-borne cases reported: 0 Total cases: 48 http://www.scdhec.gov/Health/DiseasesandConditions/InfectiousDiseases/InsectAnimalBorne/ZikaVirus/

As of September 20, 2016 in South Carolina: Travel-associated cases reported: 48 Pregnant women: 0 Sexually transmitted: 1* Locally acquired vector-borne cases reported: 0 Total cases: 48

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Confirmed Zika Cases Oregon, 2016 Travel-associated cases: 30 Oregon mosquito-acquired cases: 0 Total: 30 Updated Sept. 20, 2016 https://public.health.oregon.gov/DiseasesConditions/DiseasesAZ/Zika/Pages/index.aspx

Confirmed Zika Cases Oregon, 2016 Travel-associated cases: 30 Oregon mosquito-acquired cases: 0 Total: 30 Updated Sept. 20, 2016

Zika Virus – September 21, 2016. Texas has had 195 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 13 Brazos 3 Burnet 1 Cameron 1 Collin 5 Dallas 35 Denton 6 El Paso 3 Ellis 1 Fort Bend 7 Frio 1 Gray 1 Galveston 6 Grayson 1 Gregg 1 Hamilton 1 Harris 55 Jefferson 2 Lee 1 Lubbock 1 Matagorda 1 Medina 1 Midland 1 Montgomery 1 Palo Pinto 1 Randall 1 Tarrant 21 Travis 5 Upshur 1 Val Verde 1 Walker 1 Williamson 6 Webb 1 Wise 1 Total 195

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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of September 14, 2016)§ States Travel-associated cases* No. (% of cases in states) (N=3,133) Locally acquired cases† No. (% of cases in states) (N=43) Alabama 24 (1) 0 (0) Arizona 29 (1) 0 (0) Arkansas 10 (<1) 0 (0) California 224 (7) 0 (0) Colorado 32 (1) 0 (0) Connecticut 58 (2) 0 (0) Delaware 11 (<1) 0 (0) District of Columbia 17 (1) 0 (0) Florida 596 (19) 43 (100) Georgia 78 (2) 0 (0) Hawaii 12 (<1) 0 (0) Idaho 3 (<1) 0 (0) Illinois 58 (2) 0 (0) Indiana 32 (1) 0 (0) Iowa 16 (1) 0 (0) Kansas 13 (<1) 0 (0) Kentucky 23 (1) 0 (0) Louisiana 29 (1) 0 (0) Maine 11 (<1) 0 (0) Maryland 95 (3) 0 (0) Massachusetts 67 (2) 0 (0) Michigan 52 (2) 0 (0) Minnesota 47 (2) 0 (0) Mississippi 21 (1) 0 (0) Missouri 26 (1) 0 (0) Montana 7 (<1) 0 (0) Nebraska 8 (<1) 0 (0) Nevada 14 (<1) 0 (0) New Hampshire 8 (<1) 0 (0) New Jersey 116 (4) 0 (0) New Mexico 6 (<1) 0 (0) New York 685 (22) 0 (0) North Carolina 61 (2) 0 (0) North Dakota 1 (<1) 0 (0) Ohio 36 (1) 0 (0) Oklahoma 26 (1) 0 (0) http://www.cdc.gov/zika/geo/united-states.html

Zika virus cases in Ohio:

Zika virus cases in Ohio: