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Last Update: Daily (5 pm EST) Total Human Cases Related to International Travel: 24 Locally Acquired Mosquito Borne Cases: 0 http://doh.dc.gov/publication/zika-virus-information

Last Update: Daily (5 pm EST) Total Human Cases Related to International Travel: 24 Locally Acquired Mosquito Borne Cases: 0

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As of Sept. 6, 2016 77 confirmed travel-related Zika cases in Georgia http://dph.georgia.gov/

As of Sept. 6, 2016 77 confirmed travel-related Zika cases in Georgia Confirmed travel-related Zika cases in Georgia (by county) since January 2016 County Number of Travel-Related Zika Cases Barrow < 5 Bibb < 5 Bulloch < 5 Camden < 5 Carroll < 5 Chatham < 5 Cherokee < 5 Clarke < 5 Clayton < 5 Cobb <5 Columbia < 5 DeKalb 10-14 Douglas < 5 Forsyth < 5 Fulton 10-14 Gwinnett 10-14 Hart < 5 Henry < 5 Liberty < 5 Long < 5 Lowndes < 5 Muscogee < 5 Richmond < 5 Rockdale < 5 Thomas < 5 Toombs < 5 Walker < 5 Walton < 5

ACTIVE INVESTIGATIONS The department is conducting 14 active investigations, including 11 in Miami-Dade, one in Pinellas and two in Palm Beach counties. The department 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. The department has closed out three investigations including two in Miami-Dade County and one in Broward County. These cases were determined to be single cases with no additional transmission or linkage to areas of active transmission. Data as of Sep. 6, 2016 - 3:45pm EST

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September 6, 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 is one new travel related case today in Orange County. Please visit our website to see the full list of travel-related cases. There are seven new non-travel related cases today. Six are associated with the Miami Beach investigation. One is a new investigation in Miami-Dade County. The six new cases associated with Miami Beach were confirmed Friday, but are being formally announced today due to Hurricane Hermine closing state offices on Friday. 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 577 Non-Travel Related Infections of Zika 56 Infections Involving Pregnant Women 80 The department is currently conducting 14 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 5,910 people statewide. Florida currently has the capacity to test 5,678 people for active Zika virus and 6,748 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 80. 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 5,541 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 seven new non-travel related cases today. Six are associated with the Miami Beach investigation. One is a new investigation in Miami-Dade County. The six new cases associated with Miami Beach were confirmed Friday, but are being formally announced today due to Hurricane Hermine closing state offices on Friday. http://www.floridahealth.gov/newsroom/2016/09/Department of Health Daily Zika Update.html

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September 6, 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 is one new travel related case today in Orange County. Please visit our website to see the full list of travel-related cases. There are seven new non-travel related cases today. Six are associated with the Miami Beach investigation. One is a new investigation in Miami-Dade County. The six new cases associated with Miami Beach were confirmed Friday, but are being formally announced today due to Hurricane Hermine closing state offices on Friday. 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 577 Non-Travel Related Infections of Zika 56 Infections Involving Pregnant Women 80 The department is currently conducting 14 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 5,910 people statewide. Florida currently has the capacity to test 5,678 people for active Zika virus and 6,748 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 80. 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 5,541 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.

Infection Type Infection Count Travel-Related Infections of Zika 577 Non-Travel Related Infections of Zika 56 Infections Involving Pregnant Women 80 http://www.floridahealth.gov/newsroom/2016/09/Department of Health Daily Zika Update.html

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Number of cases reported County/Area Today Year to Date (8/30-9/05/16) Albany 0 4 Broome 0 3 Clinton 0 1 Columbia 0 1 Delaware 0 1 Dutchess 0 5 Erie 0 4 Lewis 0 1 Monroe 3 15 Nassau 3 43 Niagara 0 1 Oneida 0 3 Onondaga 1 7 Ontario 0 3 Orange 1 7 Otsego 0 1 Putnam 0 1 Rockland 0 8 Saratoga 0 2 St Lawrence 0 1 Schenectady 0 1 Suffolk 0 43 Tompkins 0 2 Wayne 0 2 Westchester 0 21 NYS (ex NYC) 8 181 NYC 14 553 NYS Total Confirmed 22 734 NYS Pregnant Registry 0 25 NYS Total 22 759

Media Contact: Michael Hernández [email protected] 305-375-1545 Statement from Mayor Carlos A. Gimenez regarding continued mosquito control efforts in Miami Beach MIAMI (September 06, 2016) — Miami-Dade County's Mosquito Control team continues to monitor the number of mosquitoes found in traps throughout the County. As it has been from the beginning, our goal is to reduce the cycle of Zika transmission by reducing the number of mosquitoes. Over the weekend, the number of mosquitoes found in traps in the 1.5-square-mile area in Miami Beach where mosquitoes have tested positive for Zika has increased. Despite the increase, it is important to note that all subsequent test results from mosquitoes in the same three trap locations have been negative for Zika. In order to continue our aggressive and proactive mosquito-control surveillance, monitoring and response, I, in consultation with Governor Rick Scott’s Office, the Centers for Disease Control and Prevention, the Florida Department of Health and the Department of Agriculture, have directed Miami-Dade County Mosquito Control to begin four cycles of adulticide aerial spraying using EPA-approved naled in the 1.5-square-mile area where mosquitoes have tested positive for Zika. Weather permitting, the aerial spraying will begin Thursday at approximately 5 a.m. for the next four weeks and will be completed within a half hour. We will keep the number of adulticide missions to a minimum on school days, and parents may prefer to keep students indoors until 6:30 a.m. following aerial spraying. Due to the unique topography, high-rise buildings and construction sites on Miami Beach, at this time, we will focus our aerial spraying only on adulticide treatment and larvicide application on the ground by truck or by hand during inspections. This treatment differs slightly from the larvicide treatment we were able to perform both aerially and on the ground in the area north of downtown Miami where local transmission was first identified. This morning, Miami-Dade County Mosquito Control also began an innovative ground-control larvicide treatment in Miami Beach using trucks equipped with Buffalo Turbines. As far as we know, Miami-Dade is one of the first counties in the nation to use this state-of-the-art equipment using EPA-approved Bti to target breeding areas and reduce the mosquito population. The truck sprayings will also take place over the next four weeks during early morning hours. The truck spraying events will be west of Washington Avenue between the hours of 2 a.m. and 6 a.m., and east of Washington Avenue between the hours of 5 a.m. and 6 a.m., approximately every seven days. I thank City of Miami Beach leaders for their ongoing collaboration as we continue to work to reduce the mosquito population, both aerially and on the ground. Miami-Dade County is fully mobilized and we continue our proactive and aggressive response to reducing the Aedes Aegypti mosquito population. Prevention is the most important tool in our arsenal to keep our community safe from the Zika virus. Therefore, we continue to ask all residents and visitors to do their part to keep our community safe by draining standing water, wearing clothing that covers the skin and applying mosquito repellant when going outdoors, especially during early morning and evening hours. # # # To request materials in accessible format, sign language interpreters, and/or any accommodation to participate in any County-sponsored program or meeting, please call Office of Communications, 305-375-1545 or email, [email protected], five days in advance to initiate your request. TTY users may also call 711 (Florida Relay Service). Office of the Mayor http://www.miamidade.gov/releases/2016-09-06-mayor-statement-mosquito-control-mb.asp

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Current Indiana Zika Count Zika Cases 2015 2016 Total Travel-associated 3 31 34 Locally-acquired 0 0 0 Note: These numbers are updated each week on Friday. Last updated 9/2/16 http://in.gov/isdh/26910.htm

Current Indiana Zika Count Zika Cases 2015 2016 Total Travel-associated 3 31 34 Locally-acquired 0 0 0 Note: These numbers are updated each week on Friday. Last updated 9/2/16

Allegheny County Residents Approved for Zika Testing: 179 CDC Confirmed Cases: 10 Unspecified Flavivirus Infections: 1* (as of September 6, 2016) *- specific virus (dengue/zika) cannot be identified

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County Cases Bell 5 Bexar 10 Brazos 2 Collin 5 Dallas 34 Denton 4 El Paso 2 Ellis 1 Fort Bend 7 Frio 1 Galveston 3 Gray 1 Grayson 1 Gregg 1 Hamilton 1 Harris 45 Jefferson 2 Lubbock 1 Matagorda 1 Medina 1 Midland 1 Montgomery 1 Palo Pinto 1 Randall 1 Tarrant 18 Travis 3 Val Verde 1 Walker 1 Williamson 4 Wise 1 Total 160 Dallas Pregnant Registry 18 Texas Preg Reg excl Dallas 28 Total 206

Zika Virus – September 6, 2016. Texas has had 160 reported cases of Zika virus disease. This count includes six pregnant women, two infants infected before birth, and one person who had sexual contact with a traveler. Texas Zika Cases by County: County Cases Bell 5 Bexar 10 Brazos 2 Collin 5 Dallas 34 Denton 4 El Paso 2 Ellis 1 Fort Bend 7 Frio 1 Gray 1 Galveston 3 Grayson 1 Gregg 1 Hamilton 1 Harris 45 Jefferson 2 Lubbock 1 Matagorda 1 Medina 1 Midland 1 Montgomery 1 Palo Pinto 1 Randall 1 Tarrant 18 Travis 3 Val Verde 1 Walker 1 Williamson 4 Wise 1 Total 160

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Alabama Residents Tested for Zika Virus as of September 6, 2016 Number of Submissions Positive Test Results for Zika or Flavivirus, unspecified (likely Zika) 245 32 http://www.adph.org/mosquito/index.asp?id=7427