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Zika Confirmed Cases County Cases* Chelan 1 Clallam 2 Clark 1 Cowlitz 1 Franklin 1 Grant 1 King 13 Kitsap 1 Mason 1 Pierce 4 Skagit 2 Snohomish 6 Yakima 1 Washington State Total 35 * Confirmed travel-associated cases in WA as of 9/13/16

Zika: Two virus strains identified in Malaysia - Health Minister September 14, 2016 17:41 MYT An Aedes aegypti mosquito is seen inside a test tube as part of a research on preventing the spread of the Zika virus and other mosquito-borne diseases at a control and prevention center in Guadalupe, Mexico on March 8, 2016. - Reuters PUTRAJAYA: The Health Ministry has identified two types of Zika virus strains in Malaysia. Minister Datuk Seri Dr S. Subramaniam said the strain from the first Zika infection case in Taman Botani in Klang, was the same as the one found in Brazil. As for the second case in Likas, Sabah, the strain was a local type. "The virus strain in the first case in Klang might have been 'imported' from Singapore and is what we call a 'French Polynesia' virus, which is a virus from outside, not from here. "But in the second case in Likas, the virus is the same as the one we've identified in the country before. This is what we call a 'Micronesia' virus. "This goes to show that there are two types of virus strains lurking among us," he told a special media conference on Zika here today.READ: Zika patient in Sabah dies due to heart complications When asked on the risks carried by the local strain, Dr Subramaniam said it was presumed to be the same as the strain found in Brazil. "Although we’ve had cases of Zika reported in Malaysia previously, we didn't have a chance to fully identify the sort of complications it can pose to humans because the number of cases were too low. "Nevertheless, it is better for us to assume that the risks are the same. At least that way, we will take preventive measures," he said. As of today, the total number of Zika virus infections in the country remain at six cases. Dr Subramaniam added that the ministry has conducted checks on 79 suspected cases of Zika virus since Sept 1 and all turned out to be negative. http://english.astroawani.com/malaysia-news/zika-two-virus-strains-identified-malaysia-health-minister-116742

Zika Clusters Cases notified on 14 Sep 2016 (as at 3pm) 8 E-week 35 (28 Aug - 3 Sep 2016) E-week 36 (4 Sep - 10 Sep 2016) E-week 37 (11 Sep 2016 - 14 Sep 2016 as at 3pm) 215 103 23 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 14 Sep 2016 S/N Locality 1 Aljunied Cres (Blk 95,97,98,99,101,102,103,104,105,106,107,108,109,110,111,112) / Aljunied Rd / 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 120,121,122,123) / Pipit Rd (Blk 56, 92A) / Sims Dr (Blk 42A,43,44) / Sims Pl (Blk 52,53) (273 cases as of 14 Sep 2016, of which 64 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 14 Sep 2016, of which 1 case with onset in the last 2 weeks) 3 Joo Seng Rd (Blk 17, 18, 21) (3 cases as of 14 Sep 2016, of which 2 cases with onset in the last 2 weeks) 4 Bishan St 12 (Blk 122, 123, 134) (5 cases as of 14 Sep 2016, of which 5 cases with onset in the last 2 weeks) 5 Elite Ter / Jln Tua Kong / Elite Ter / Jln Tua Kong / Jln Tua Kong (Park East) / Siglap Road (Flamingo Valley) (7 cases as of 14 Sep 2016, of which 6 cases with onset in the last 2 weeks) 6 Ubi Ave 1, Cres (3 cases as of 14 Sep 2016, of which 2 cases with onset in the last 2 weeks) 7 Circuit Rd (Blk 35) / Jln Raya (2 cases as of 14 Sep 2016, of which 1 case with onset in the last 2 weeks)

Cases notified on 14 Sep 2016 (as at 3pm) 8 http://www.nea.gov.sg/public-health/vector-control/overview/zika-clusters

September 13, 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 13 new travel-related cases today including eight in Miami-Dade, one in Escambia, one in Hillsborough, one in Manatee, one in Monroe and one in Seminole. Please visit our website to see the full list of travel-related cases. There are six new non-travel related cases today: Four individuals are associated with ongoing active transmission in Miami Beach. One individual was identified within the Wynwood area and experienced symptoms of Zika in early August. This case is being announced today following confirmatory lab results. One individual is a Miami-Dade resident and the department is investigating to determine where exposure occurred. DOH continues door-to-door outreach and targeted testing in Pinellas, 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 small identified areas in Wynwood and Miami Beach in Miami-Dade County, see maps below. One case does not mean ongoing active transmission is taking place. DOH conducts a thorough investigation by sampling close contacts and community members around each case to determine if additional people are infected. If DOH finds evidence that active transmission is occurring in an area, the media and the public will be notified. 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 634 Non-Travel Related Infections of Zika 70 Infections Involving Pregnant Women 86 Out of State Cases (not Florida Residents) 9 Total 799 The department is currently conducting 17 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 6,895 people statewide. Florida currently has the capacity to test 5,251 people for active Zika virus and 8,737 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 86. 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 6,020 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. State of Florida Miami-Dade County About the Florida Department of Health The department, nationally accredited by the Public Health Accreditation Board, works to protect, promote, and improve the health of all people in Florida through integrated state, county and community efforts. Follow us on Twitter at @HealthyFla and on Facebook. For more information about the Florida Department of Health, please visit www.FloridaHealth.gov.

There are six new non-travel related cases today: Four individuals are associated with ongoing active transmission in Miami Beach. One individual was identified within the Wynwood area and experienced symptoms of Zika in early August. This case is being announced today following confirmatory lab results. One individual is a Miami-Dade resident and the department is investigating to determine where exposure occurred.

September 13, 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 13 new travel-related cases today including eight in Miami-Dade, one in Escambia, one in Hillsborough, one in Manatee, one in Monroe and one in Seminole. Please visit our website to see the full list of travel-related cases. There are six new non-travel related cases today: Four individuals are associated with ongoing active transmission in Miami Beach. One individual was identified within the Wynwood area and experienced symptoms of Zika in early August. This case is being announced today following confirmatory lab results. One individual is a Miami-Dade resident and the department is investigating to determine where exposure occurred. DOH continues door-to-door outreach and targeted testing in Pinellas, 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 small identified areas in Wynwood and Miami Beach in Miami-Dade County, see maps below. One case does not mean ongoing active transmission is taking place. DOH conducts a thorough investigation by sampling close contacts and community members around each case to determine if additional people are infected. If DOH finds evidence that active transmission is occurring in an area, the media and the public will be notified. 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 634 Non-Travel Related Infections of Zika 70 Infections Involving Pregnant Women 86 Out of State Cases (not Florida Residents) 9 Total 799 The department is currently conducting 17 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 6,895 people statewide. Florida currently has the capacity to test 5,251 people for active Zika virus and 8,737 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 86. 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 6,020 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. State of Florida Miami-Dade County About the Florida Department of Health The department, nationally accredited by the Public Health Accreditation Board, works to protect, promote, and improve the health of all people in Florida through integrated state, county and community efforts. Follow us on Twitter at @HealthyFla and on Facebook. For more information about the Florida Department of Health, please visit www.FloridaHealth.gov.

There are 13 new travel-related cases today including eight in Miami-Dade, one in Escambia, one in Hillsborough, one in Manatee, one in Monroe and one in Seminole.

Infection Type Infection Count Travel-Related Infections of Zika 634 Non-Travel Related Infections of Zika 70 Infections Involving Pregnant Women 86 Out of State Cases (not Florida Residents) 9 Total 799 http://www.floridahealth.gov/newsroom/2016/09/091316-zika-update.html

Infection Type Infection Count Travel-Related Infections of Zika 634 Non-Travel Related Infections of Zika 70 Infections Involving Pregnant Women 86 Out of State Cases (not Florida Residents) 9 Total 799 http://www.floridahealth.gov/newsroom/2016/09/091316-zika-update.html

Zika infection causes brain stunting in monkey fetus PATRIK STOLLARZ/AFP/GETTY IMAGESA pig-tailed macaque climbs a tree in a zoo in western Germany. By HELEN BRANSWELL @HelenBranswell SEPTEMBER 12, 2016 For those still skeptical that the Zika virus is causing brain defects in babies infected in the womb, a new study provides some pretty strong evidence. Researchers from the University of Washington reported Monday that they infected a pregnant pigtail macaque monkey, then monitored the development of her fetus. Within three weeks of infection, there were already signs that the fetus’s brain had sustained damage. The white matter stopped developing, as did the size of the head. “We have incontrovertible, irrefutable evidence … that Zika causes fetal brain injury,” lead author Dr. Kristina Adams Waldorf said in an interview with STAT. “It does it, and it does it fast.” Adams Waldorf is an obstetrician-gynecologist who researches the impact of infections on pregnancy. While she normally works on bacterial infections, she rapidly shifted gears early this year, gathering a large team of fellow researchers to see if they could study Zika’s effect on developing fetal brains in pigtail macaques — the animal model with which she normally works. The study, published in the journal Nature Medicine, is unusual, reporting on infection in a single animal. While studies in primates are generally small, it would be more common to have data on three or four infected animals and an equal number of healthy animals for comparison purposes. Adams Waldorf explained that at the time the group started the trial, they had a single pregnant macaque. So that’s what they studied. Risks even in late pregnancy The female was already well-along in her pregnancy, at the equivalent of 28 weeks or the beginning of the third trimester in a human pregnancy. The fetus’s development was monitored by weekly ultrasounds, and it was delivered by Cesarean section at the equivalent of 38 weeks. In humans, Zika infection in the first trimester seems to lead to the worst damage in affected fetuses. But experts have warned for some time that it’s likely that other problems — hearing loss, vision loss, developmental delays — may arise when infection occurs later in pregnancy. That’s what this work mirrored, Adams Waldorf said. The rapidity of fetal brain damage suggests that preventing Zika infection in pregnant women has to be the goal, Adams Waldorf said; developing a treatment to be given after a woman develops symptoms would be a waste of time. Animal proof? Adams Waldorf said the work proves Zika infection in the womb causes brain birth defects — fulfilling a test known as Koch’s postulates. Laid out in 1884, Koch’s postulates are criteria that must be met to prove a pathogen causes a disease. A key proof is that the pathogen causes the disease when it is inoculated into a healthy laboratory animal. Other researchers, though, said one cannot make this claim based on the study of a single animal. “I think that given what we know about human Zika infection, it’s really tempting to say ‘Aha! This is really showing the same thing in a macaque,’’’ said Dave O’Connor, a professor of pathology and laboratory medicine at the University of Wisconsin-Madison. “But with [a single animal] and without appropriate controls that were imaged the exact same way at the exact same time points, I would just be a little bit more cautious than that.” O’Connor has also been working on Zika infection in rhesus macaques, taking the unusual step of sharing his data online in real time. His lab infected four pregnant macaques, but did not see brain damage in the fetuses. They injected their monkeys with a much lower dose of Zika virus than Adams Waldorf’s team used — another detail that O’Connor and others point to in cautioning how much one can conclude from this experiment. The monkeys in O’Connor’s lab got one injection of the virus. Adams Waldorf’s team used five injections, each containing 1,000 times more virus than O’Connor used, he noted. “At best, mosquitoes can deliver a fraction of that,” agreed Nikos Vasilakis, a pathology professor at the University of Texas Medical Branch in Galveston who is also studying Zika infections in macaques. Adams Waldorf explained that Aedes mosquitoes make a series of small bites when they feed, injecting virus each time if they are infected. That was the rationale for using multiple doses and the amount of virus given to the pregnant animal. Those issues aside, both O’Connor and Vasilakis praised the work, saying it shows pigtail macaques could be a useful animal model for human Zika infection. Animal models are critical in research, especially in the development of vaccines and drugs. Helen Branswell can be reached at [email protected] Follow Helen on Twitter @HelenBranswell https://www.statnews.com/2016/09/12/zika-fetus-brain-monkey/

Figures Figure 1 Fetal biometry, ultrasound and serial fetal brain MR imaging of a ZIKV-infected pregnant pigtail macaque. Full size figure and legend Figure 2 Neuropathology of the ZIKV-infected fetal brain and ZIKV RNA in fetal and dam tissues. Full size figure and legend

We describe the development of fetal brain lesions after Zika virus (ZIKV) inoculation in a pregnant pigtail macaque. Periventricular lesions developed within 10 d and evolved asymmetrically in the occipital–parietal lobes. Fetal autopsy revealed ZIKV in the brain and significant cerebral white matter hypoplasia, periventricular white matter gliosis, and axonal and ependymal injury. Our observation of ZIKV-associated fetal brain lesions in a nonhuman primate provides a model for therapeutic evaluation.

Kristina M Adams Waldorf, Jennifer E Stencel-Baerenwald, Raj P Kapur, Colin Studholme, Erica Boldenow, Jay Vornhagen, Audrey Baldessari, Manjiri K Dighe, Jeff Thiel, Sean Merillat, Blair Armistead, Jennifer Tisoncik-Go, Richard R Green, Michael A Davis, Elyse C Dewey, Marian R Fairgrieve, J Christopher Gatenby, Todd Richards, Gwenn A Garden, Michael S Diamond, Sandra E Juul, Richard F Grant, LaRene Kuller, Dennis W W Shaw, Jason Ogle et al. Affiliations Contributions Corresponding authors Author information Main• Methods• Accession codes• Acknowledgments• Author information• Supplementary information Author footnotes Present address: Department of Biology, Calvin College, Grand Rapids, Michigan, USA. Erica Boldenow These authors contributed equally to this work. Jennifer E Stencel-Baerenwald, Raj P Kapur, Colin Studholme, Erica Boldenow & Jay Vornhagen Affiliations Department of Obstetrics and Gynecology, University of Washington, Seattle, Washington, USA. Kristina M Adams Waldorf Department of Immunology, University of Washington, Seattle, Washington, USA. Jennifer E Stencel-Baerenwald, Jennifer Tisoncik-Go, Richard R Green, Michael A Davis, Elyse C Dewey, Marian R Fairgrieve & Michael Gale Jr Center for Innate Immunity and Immune Disease, University of Washington, Seattle, Washington, USA. Jennifer E Stencel-Baerenwald, Jennifer Tisoncik-Go, Richard R Green, Michael A Davis, Elyse C Dewey, Marian R Fairgrieve & Michael Gale Jr Department of Pathology, University of Washington, Seattle, Washington, USA. Raj P Kapur & Gwenn A Garden Department of Pathology, Seattle Children's Hospital, Seattle, Washington, USA. Raj P Kapur Department of Pediatrics, University of Washington, Seattle, Washington, USA. Colin Studholme, Erica Boldenow, Sandra E Juul, William B Dobyns & Lakshmi Rajagopal Department of Bioengineering, University of Washington, Seattle, Washington, USA. Colin Studholme Department of Radiology, University of Washington, Seattle, Washington, USA. Colin Studholme, Manjiri K Dighe, Jeff Thiel, J Christopher Gatenby, Todd Richards & Dennis W W Shaw Center for Global Infectious Disease Research, Seattle Children's Research Institute, Seattle, Washington, USA. Erica Boldenow, Jay Vornhagen, Sean Merillat, Blair Armistead & Lakshmi Rajagopal Department of Global Health, University of Washington, Seattle, Washington, USA. Jay Vornhagen, Blair Armistead & Lakshmi Rajagopal Washington National Primate Research Center, Seattle, Washington, USA. Audrey Baldessari, Richard F Grant, LaRene Kuller, Jason Ogle, G Michael Gough, Wonsok Lee & Chris English Department of Neurology, University of Washington, Seattle, Washington, USA. Gwenn A Garden Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA. Michael S Diamond Department of Molecular Microbiology, Washington University School of Medicine, St. Louis, Missouri, USA. Michael S Diamond Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, Missouri, USA. Michael S Diamond Center for Human Immunology and Immunotherapy Programs, Washington University School of Medicine, St. Louis, Missouri, USA. Michael S Diamond Department of Radiology, Seattle Children's Hospital, Seattle, Washington, USA. Dennis W W Shaw Department of Neurological Surgery, University of Washington, Seattle, Washington, USA. Robert F Hevner Center for Integrative Brain Research, Seattle Children's Research Institute, Seattle, Washington, USA. Robert F Hevner & William B Dobyns Contributions K.M.A.W., J.E.S.-B., R.P.K., C.S., M.G. and L.R. designed the study; K.M.A.W., J.E.S.-B., R.P.K., C.S., E.B., J.V., A.B., M.K.D., J.T., S.M., B.A., J.T.-G., M.A.D., E.C.D., M.R.F., J.C.G., T.R., M.S.D., L.K., J.O., G.M.G., W.L., C.E. and L.R. performed the experiments; K.M.A.W., J.E.S.-B., R.P.K., C.S., E.B., J.V., A.B., M.K.D., J.T., R.R.G., S.M., B.A., J.T.-G., M.A.D., E.C.D., M.R.F., J.C.G., T.R., G.A.G., S.E.J., R.F.G., L.K., D.W.W.S., R.F.H., W.B.D., M.G. and L.R. analyzed the data; K.M.A.W., J.E.S.-B., R.P.K., C.S., E.B., J.V., M.K.D., J.T., R.R.G, T.R., M.S.D., D.W.W.S., R.F.H., M.G. and L.R. drafted the manuscript; and all authors reviewed the final draft of the manuscript. Competing financial interests M.S.D. is a consultant for Inbios and Visterra, a member of the Scientific Advisory Board of Moderna and OraGene, and a recipient of research grants from Moderna and Visterra. M.S.D.'s activities for these companies may be involved in studies on Zika virus diagnostics, therapeutics or vaccines. Corresponding authors Correspondence to: Kristina M Adams Waldorf or Michael Gale Jr or Lakshmi Rajagopal

NATURE MEDICINE | BRIEF COMMUNICATION Print Share/bookmark Fetal brain lesions after subcutaneous inoculation of Zika virus in a pregnant nonhuman primate http://www.nature.com/nm/journal/vaop/ncurrent/full/nm.4193.html Nature Medicine (2016) doi:10.1038/nm.4193 Received 17 June 2016 Accepted 31 August 2016 Published online 12 September 2016

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

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County Cases Angelina 1 Bell 6 Bexar 11 Brazos 2 Collin 5 Dallas 35 Denton 6 El Paso 3 Ellis 1 Fort Bend 7 Frio 1 Galveston 3 Gray 1 Grayson 1 Gregg 1 Hamilton 1 Harris 52 Jefferson 2 Lee 1 Lubbock 1 Matagorda 1 Medina 1 Midland 1 Montgomery 1 Palo Pinto 1 Randall 1 Tarrant 21 Travis 4 Upshur 1 Val Verde 1 Walker 1 Williamson 5 Wise 1 Total 181 Dallas Pregnant Registry 18 Texas Preg Reg excl Dallas 28 Total 227

Zika Virus – September 13, 2016. Texas has had 181 reported cases of Zika virus disease. This count includes 11 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 11 Brazos 2 Collin 5 Dallas 35 Denton 6 El Paso 3 Ellis 1 Fort Bend 7 Frio 1 Gray 1 Galveston 3 Grayson 1 Gregg 1 Hamilton 1 Harris 52 Jefferson 2 Lee 1 Lubbock 1 Matagorda 1 Medina 1 Midland 1 Montgomery 1 Palo Pinto 1 Randall 1 Tarrant 21 Travis 4 Upshur 1 Val Verde 1 Walker 1 Williamson 5 Wise 1 Total 181

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

Zika Cases in New Jersey Last Updated: September 12, 2016 http://www.nj.gov/health/cd/zika/case_count.shtml

Zika Cases in New Jersey Last Updated: September 12, 2016

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Current Indiana Zika Count Zika Cases 2015 2016 Total Travel-associated 3 32 35 Locally-acquired 0 0 0 Note: These numbers are updated each week on Friday. Last updated 9/9/16 http://in.gov/isdh/26910.htm