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Zika virus detected in Canada, as of September 1, 2016 Country Acquired through sexual transmission Maternal-to-fetal transmission Travel-related Canada 2 2 247

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Alabama Residents Tested for Zika Virus as of September 2, 2016 Number of Submissions Positive Test Results for Zika or Flavivirus, unspecified (likely Zika) 243 31 http://www.adph.org/mosquito/index.asp?id=7427

Alabama Residents Tested for Zika Virus as of September 2, 2016 Number of Submissions Positive Test Results for Zika or Flavivirus, unspecified (likely Zika) 243 31

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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of August 31, 2016)§ http://www.cdc.gov/zika/geo/united-states.html States Travel-associated cases* No. (% of cases in states) (N=2,687) Locally acquired cases† No. (% of cases in states) (N=35) Alabama 24 (1) 0 (0) Arizona 20 (1) 0 (0) Arkansas 9 (<1) 0 (0) California 152 (6) 0 (0) Colorado 27 (1) 0 (0) Connecticut 52 (2) 0 (0) Delaware 11 (<1) 0 (0) District of Columbia 11 (<1) 0 (0) Florida 507 (19) 35 (100) Georgia 69 (3) 0 (0) Hawaii 11 (<1) 0 (0) Idaho 2 (<1) 0 (0) Illinois 51 (2) 0 (0) Indiana 31 (1) 0 (0) Iowa 14 (1) 0 (0) Kansas 13 (<1) 0 (0) Kentucky 20 (1) 0 (0) Louisiana 26 (1) 0 (0) Maine 11 (<1) 0 (0) Maryland 85 (3) 0 (0) Massachusetts 65 (2) 0 (0) Michigan 43 (2) 0 (0) Minnesota 40 (1) 0 (0) Mississippi 18 (1) 0 (0) Missouri 23 (1) 0 (0) Montana 7 (<1) 0 (0) Nebraska 8 (<1) 0 (0) Nevada 13 (<1) 0 (0) New Hampshire 8 (<1) 0 (0) New Jersey 91 (3) 0 (0) New Mexico 3 (<1) 0 (0) New York 625 (23) 0 (0) North Carolina 48 (2) 0 (0) North Dakota 1 (<1) 0 (0) Ohio 33 (1) 0 (0) Oklahoma 20 (1) 0 (0) Oregon 19 (1) 0 (0) Pennsylvania†† 90 (3) 0 (0) Rhode Island 28 (1) 0 (0) South Carolina 31 (1) 0 (0) South Dakota 1 (<1) 0 (0) Tennessee 37 (1) 0 (0) Texas 136 (5) 0 (0) Utah 10 (<1) 0 (0)

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Confirmed cases of Zika Virus Disease in Tennessee as of : February 9, 2016 - 1 April 6, 2016 – 2 May 19, 2016 – 3 May 27, 2016 – 4 June 15, 2016 – 5 June 22, 2016 – 7 June 27, 2016 – 8 June 29, 2016 – 9 July 5, 2016 – 10 July 11, 2016 – 14 July 25, 2016 – 17 August 1, 2016 – 23 August 15, 2016 – 34 August 29, 2016 – 37 - See more at: https://www.tn.gov/health/topic/zika-virus#sthash.ONfwDoSC.OmEV3Ah4.dpuf

Confirmed cases of Zika Virus Disease in Tennessee as of : February 9, 2016 - 1 April 6, 2016 – 2 May 19, 2016 – 3 May 27, 2016 – 4 June 15, 2016 – 5 June 22, 2016 – 7 June 27, 2016 – 8 June 29, 2016 – 9 July 5, 2016 – 10 July 11, 2016 – 14 July 25, 2016 – 17 August 1, 2016 – 23 August 15, 2016 – 34 August 29, 2016 – 37 - See more at: https://www.tn.gov/health/topic/zika-virus#sthash.ONfwDoSC.OmEV3Ah4.dpuf

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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of August 31, 2016)§ http://www.cdc.gov/zika/geo/united-states.html States Travel-associated cases* No. (% of cases in states) (N=2,687) Locally acquired cases† No. (% of cases in states) (N=35) Alabama 24 (1) 0 (0) Arizona 20 (1) 0 (0) Arkansas 9 (<1) 0 (0) California 152 (6) 0 (0) Colorado 27 (1) 0 (0) Connecticut 52 (2) 0 (0) Delaware 11 (<1) 0 (0) District of Columbia 11 (<1) 0 (0) Florida 507 (19) 35 (100) Georgia 69 (3) 0 (0) Hawaii 11 (<1) 0 (0) Idaho 2 (<1) 0 (0) Illinois 51 (2) 0 (0) Indiana 31 (1) 0 (0) Iowa 14 (1) 0 (0) Kansas 13 (<1) 0 (0) Kentucky 20 (1) 0 (0) Louisiana 26 (1) 0 (0) Maine 11 (<1) 0 (0) Maryland 85 (3) 0 (0) Massachusetts 65 (2) 0 (0) Michigan 43 (2) 0 (0) Minnesota 40 (1) 0 (0) Mississippi 18 (1) 0 (0) Missouri 23 (1) 0 (0) Montana 7 (<1) 0 (0) Nebraska 8 (<1) 0 (0)

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At A Glance - Zika in the U.S. (as of August 31, 2016) North CarolinaTravel-associated Zika virus disease cases reported: 49Locally acquired vectorborne cases reported: 0 http://epi.publichealth.nc.gov/zika/

At A Glance - Zika in the U.S. (as of August 31, 2016) North CarolinaTravel-associated Zika virus disease cases reported: 49Locally acquired vectorborne cases reported: 0 U.S. StatesTravel-associated Zika virus disease cases reported: 2,686Locally acquired vectorborne cases reported: 35 U.S. TerritoriesTravel-associated cases reported: 51Locally acquired vectorborne cases reported: 14,059

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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of August 31, 2016)§ http://www.cdc.gov/zika/geo/united-states.html States Travel-associated cases* No. (% of cases in states) (N=2,687) Locally acquired cases† No. (% of cases in states) (N=35) Alabama 24 (1) 0 (0) Arizona 20 (1) 0 (0) Arkansas 9 (<1) 0 (0) California 152 (6) 0 (0) Colorado 27 (1) 0 (0) Connecticut 52 (2) 0 (0) Delaware 11 (<1) 0 (0) District of Columbia 11 (<1) 0 (0) Florida 507 (19) 35 (100) Georgia 69 (3) 0 (0) Hawaii 11 (<1) 0 (0) Idaho 2 (<1) 0 (0) Illinois 51 (2) 0 (0) Indiana 31 (1) 0 (0) Iowa 14 (1) 0 (0) Kansas 13 (<1) 0 (0) Kentucky 20 (1) 0 (0) Louisiana 26 (1) 0 (0) Maine 11 (<1) 0 (0) Maryland 85 (3) 0 (0) Massachusetts 65 (2) 0 (0) Michigan 43 (2) 0 (0) Minnesota 40 (1) 0 (0) Mississippi 18 (1) 0 (0) Missouri 23 (1) 0 (0) Montana 7 (<1) 0 (0)

Chickasaw 1 DeSoto 1 Harrison 2 Hinds 1 LaFayette 1 Lamar 1 Madison 3 Neshoba 1 Noxubee 1 Oktibbeha 2 Panola 2 Rankin 2 18 http://msdh.ms.gov/msdhsite/_static/resources/6754.pdf

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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of August 31, 2016)§ http://www.cdc.gov/zika/geo/united-states.html States Travel-associated cases* No. (% of cases in states) (N=2,687) Locally acquired cases† No. (% of cases in states) (N=35) Alabama 24 (1) 0 (0) Arizona 20 (1) 0 (0) Arkansas 9 (<1) 0 (0) California 152 (6) 0 (0) Colorado 27 (1) 0 (0) Connecticut 52 (2) 0 (0) Delaware 11 (<1) 0 (0) District of Columbia 11 (<1) 0 (0) Florida 507 (19) 35 (100) Georgia 69 (3) 0 (0) Hawaii 11 (<1) 0 (0) Idaho 2 (<1) 0 (0) Illinois 51 (2) 0 (0) Indiana 31 (1) 0 (0) Iowa 14 (1) 0 (0) Kansas 13 (<1) 0 (0) Kentucky 20 (1) 0 (0) Louisiana 26 (1) 0 (0) Maine 11 (<1) 0 (0) Maryland 85 (3) 0 (0) Massachusetts 65 (2) 0 (0) Michigan 43 (2) 0 (0) Minnesota 40 (1) 0 (0) Mississippi 18 (1) 0 (0) Missouri 23 (1) 0 (0)

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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of August 31, 2016)§ http://www.cdc.gov/zika/geo/united-states.html States Travel-associated cases* No. (% of cases in states) (N=2,687) Locally acquired cases† No. (% of cases in states) (N=35) Alabama 24 (1) 0 (0) Arizona 20 (1) 0 (0) Arkansas 9 (<1) 0 (0) California 152 (6) 0 (0) Colorado 27 (1) 0 (0) Connecticut 52 (2) 0 (0) Delaware 11 (<1) 0 (0) District of Columbia 11 (<1) 0 (0) Florida 507 (19) 35 (100) Georgia 69 (3) 0 (0) Hawaii 11 (<1) 0 (0) Idaho 2 (<1) 0 (0) Illinois 51 (2) 0 (0) Indiana 31 (1) 0 (0) Iowa 14 (1) 0 (0) Kansas 13 (<1) 0 (0) Kentucky 20 (1) 0 (0) Louisiana 26 (1) 0 (0) Maine 11 (<1) 0 (0)

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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of August 31, 2016)§ http://www.cdc.gov/zika/geo/united-states.html States Travel-associated cases* No. (% of cases in states) (N=2,687) Locally acquired cases† No. (% of cases in states) (N=35) Alabama 24 (1) 0 (0) Arizona 20 (1) 0 (0) Arkansas 9 (<1) 0 (0) California 152 (6) 0 (0) Colorado 27 (1) 0 (0) Connecticut 52 (2) 0 (0) Delaware 11 (<1) 0 (0) District of Columbia 11 (<1) 0 (0) Florida 507 (19) 35 (100) Georgia 69 (3) 0 (0) Hawaii 11 (<1) 0 (0) Idaho 2 (<1) 0 (0) Illinois 51 (2) 0 (0) Indiana 31 (1) 0 (0) Iowa 14 (1) 0 (0) Kansas 13 (<1) 0 (0) Kentucky 20 (1) 0 (0)