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Zika virus detected in Canada, as of August 25, 2016 Country Acquired through sexual transmission Maternal-to-fetal transmission Travel-related Canada 2 3 232 As of August 25, 2016, Canada confirms 3 maternal-to-fetal transmissions of Zika virus, including one with severe neurological congenital anomalies.

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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of August 24, 2016)§ http://www.cdc.gov/zika/geo/united-states.html States Travel-associated cases* No. (% of cases in states) (N=2,488) Locally acquired cases† No. (% of cases in states) (N=29) Alabama 15 (1) 0 (0) Arizona 20 (1) 0 (0) Arkansas 9 (<1) 0 (0) California 152 (6) 0 (0) Colorado 24 (1) 0 (0) Connecticut 50 (2) 0 (0) Delaware 11 (<1) 0 (0) District of Columbia 11 (<1) 0 (0) Florida 471 (19) 29 (100) Georgia 54 (2) 0 (0) Hawaii 11 (<1) 0 (0) Idaho 1 (<1) 0 (0) Illinois 49 (2) 0 (0) Indiana 28 (1) 0 (0) Iowa 13 (1) 0 (0) Kansas 11 (<1) 0 (0) Kentucky 19 (1) 0 (0) Louisiana 25 (1) 0 (0) Maine 10 (<1) 0 (0) Maryland 77 (3) 0 (0) Massachusetts 63 (3) 0 (0) Michigan 31 (1) 0 (0) Minnesota 31 (1) 0 (0) Mississippi 17 (1) 0 (0) Missouri 20 (1) 0 (0) Montana 4 (<1) 0 (0) Nebraska 7 (<1) 0 (0) Nevada 13 (1) 0 (0) New Hampshire 8 (<1) 0 (0) New Jersey 91 (4) 0 (0) New Mexico 3 (<1) 0 (0) New York 601 (24) 0 (0) North Carolina 35 (1) 0 (0) North Dakota 1 (<1) 0 (0) Ohio 33 (1) 0 (0) Oklahoma 20 (1) 0 (0) Oregon 19 (1) 0 (0) Pennsylvania†† 77 (3) 0 (0) Rhode Island 28 (1) 0 (0) South Carolina 31 (1) 0 (0) South Dakota 1 (<1) 0 (0) Tennessee 35 (1) 0 (0) Texas 125 (5) 0 (0) Utah 7 (<1) 0 (0) Vermont 7 (<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 24, 2016)§ http://www.cdc.gov/zika/geo/united-states.html States Travel-associated cases* No. (% of cases in states) (N=2,488) Locally acquired cases† No. (% of cases in states) (N=29) Alabama 15 (1) 0 (0) Arizona 20 (1) 0 (0) Arkansas 9 (<1) 0 (0) California 152 (6) 0 (0) Colorado 24 (1) 0 (0) Connecticut 50 (2) 0 (0) Delaware 11 (<1) 0 (0) District of Columbia 11 (<1) 0 (0) Florida 471 (19) 29 (100) Georgia 54 (2) 0 (0) Hawaii 11 (<1) 0 (0) Idaho 1 (<1) 0 (0) Illinois 49 (2) 0 (0) Indiana 28 (1) 0 (0) Iowa 13 (1) 0 (0) Kansas 11 (<1) 0 (0) Kentucky 19 (1) 0 (0) Louisiana 25 (1) 0 (0) Maine 10 (<1) 0 (0) Maryland 77 (3) 0 (0) Massachusetts 63 (3) 0 (0) Michigan 31 (1) 0 (0) Minnesota 31 (1) 0 (0) Mississippi 17 (1) 0 (0) Missouri 20 (1) 0 (0) Montana 4 (<1) 0 (0) Nebraska 7 (<1) 0 (0) Nevada 13 (1) 0 (0) New Hampshire 8 (<1) 0 (0) New Jersey 91 (4) 0 (0) New Mexico 3 (<1) 0 (0) New York 601 (24) 0 (0) North Carolina 35 (1) 0 (0) North Dakota 1 (<1) 0 (0) Ohio 33 (1) 0 (0) Oklahoma 20 (1) 0 (0) Oregon 19 (1) 0 (0) Pennsylvania†† 77 (3) 0 (0) Rhode Island 28 (1) 0 (0) South Carolina 31 (1) 0 (0) South Dakota 1 (<1) 0 (0) Tennessee 35 (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 24, 2016)§ http://www.cdc.gov/zika/geo/united-states.html States Travel-associated cases* No. (% of cases in states) (N=2,488) Locally acquired cases† No. (% of cases in states) (N=29) Alabama 15 (1) 0 (0) Arizona 20 (1) 0 (0) Arkansas 9 (<1) 0 (0) California 152 (6) 0 (0) Colorado 24 (1) 0 (0) Connecticut 50 (2) 0 (0) Delaware 11 (<1) 0 (0) District of Columbia 11 (<1) 0 (0) Florida 471 (19) 29 (100) Georgia 54 (2) 0 (0) Hawaii 11 (<1) 0 (0) Idaho 1 (<1) 0 (0) Illinois 49 (2) 0 (0) Indiana 28 (1) 0 (0) Iowa 13 (1) 0 (0) Kansas 11 (<1) 0 (0) Kentucky 19 (1) 0 (0) Louisiana 25 (1) 0 (0) Maine 10 (<1) 0 (0) Maryland 77 (3) 0 (0) Massachusetts 63 (3) 0 (0) Michigan 31 (1) 0 (0) Minnesota 31 (1) 0 (0) Mississippi 17 (1) 0 (0) Missouri 20 (1) 0 (0) Montana 4 (<1) 0 (0) Nebraska 7 (<1) 0 (0) Nevada 13 (1) 0 (0) New Hampshire 8 (<1) 0 (0) New Jersey 91 (4) 0 (0) New Mexico 3 (<1) 0 (0) New York 601 (24) 0 (0) North Carolina 35 (1) 0 (0) North Dakota 1 (<1) 0 (0) Ohio 33 (1) 0 (0) Oklahoma 20 (1) 0 (0) Oregon 19 (1) 0 (0) Pennsylvania†† 77 (3) 0 (0) Rhode Island 28 (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 24, 2016)§ http://www.cdc.gov/zika/geo/united-states.html States Travel-associated cases* No. (% of cases in states) (N=2,488) Locally acquired cases† No. (% of cases in states) (N=29) Alabama 15 (1) 0 (0) Arizona 20 (1) 0 (0) Arkansas 9 (<1) 0 (0) California 152 (6) 0 (0) Colorado 24 (1) 0 (0) Connecticut 50 (2) 0 (0) Delaware 11 (<1) 0 (0) District of Columbia 11 (<1) 0 (0) Florida 471 (19) 29 (100) Georgia 54 (2) 0 (0) Hawaii 11 (<1) 0 (0) Idaho 1 (<1) 0 (0) Illinois 49 (2) 0 (0) Indiana 28 (1) 0 (0) Iowa 13 (1) 0 (0) Kansas 11 (<1) 0 (0) Kentucky 19 (1) 0 (0) Louisiana 25 (1) 0 (0) Maine 10 (<1) 0 (0) Maryland 77 (3) 0 (0) Massachusetts 63 (3) 0 (0) Michigan 31 (1) 0 (0) Minnesota 31 (1) 0 (0) Mississippi 17 (1) 0 (0) Missouri 20 (1) 0 (0) Montana 4 (<1) 0 (0) Nebraska 7 (<1) 0 (0) Nevada 13 (1) 0 (0) New Hampshire 8 (<1) 0 (0) New Jersey 91 (4) 0 (0) New Mexico 3 (<1) 0 (0) New York 601 (24) 0 (0) North Carolina 35 (1) 0 (0) North Dakota 1 (<1) 0 (0) Ohio 33 (1) 0 (0) Oklahoma 20 (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 24, 2016)§ http://www.cdc.gov/zika/geo/united-states.html States Travel-associated cases* No. (% of cases in states) (N=2,488) Locally acquired cases† No. (% of cases in states) (N=29) Alabama 15 (1) 0 (0) Arizona 20 (1) 0 (0) Arkansas 9 (<1) 0 (0) California 152 (6) 0 (0) Colorado 24 (1) 0 (0) Connecticut 50 (2) 0 (0) Delaware 11 (<1) 0 (0) District of Columbia 11 (<1) 0 (0) Florida 471 (19) 29 (100) Georgia 54 (2) 0 (0) Hawaii 11 (<1) 0 (0) Idaho 1 (<1) 0 (0) Illinois 49 (2) 0 (0) Indiana 28 (1) 0 (0) Iowa 13 (1) 0 (0) Kansas 11 (<1) 0 (0) Kentucky 19 (1) 0 (0) Louisiana 25 (1) 0 (0) Maine 10 (<1) 0 (0) Maryland 77 (3) 0 (0) Massachusetts 63 (3) 0 (0) Michigan 31 (1) 0 (0) Minnesota 31 (1) 0 (0) Mississippi 17 (1) 0 (0) Missouri 20 (1) 0 (0) Montana 4 (<1) 0 (0) Nebraska 7 (<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 24, 2016)§ http://www.cdc.gov/zika/geo/united-states.html States Travel-associated cases* No. (% of cases in states) (N=2,488) Locally acquired cases† No. (% of cases in states) (N=29) Alabama 15 (1) 0 (0) Arizona 20 (1) 0 (0) Arkansas 9 (<1) 0 (0) California 152 (6) 0 (0) Colorado 24 (1) 0 (0) Connecticut 50 (2) 0 (0) Delaware 11 (<1) 0 (0) District of Columbia 11 (<1) 0 (0) Florida 471 (19) 29 (100) Georgia 54 (2) 0 (0) Hawaii 11 (<1) 0 (0) Idaho 1 (<1) 0 (0) Illinois 49 (2) 0 (0) Indiana 28 (1) 0 (0) Iowa 13 (1) 0 (0) Kansas 11 (<1) 0 (0) Kentucky 19 (1) 0 (0) Louisiana 25 (1) 0 (0) Maine 10 (<1) 0 (0) Maryland 77 (3) 0 (0) Massachusetts 63 (3) 0 (0) Michigan 31 (1) 0 (0) Minnesota 31 (1) 0 (0) Mississippi 17 (1) 0 (0) Missouri 20 (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 24, 2016)§ http://www.cdc.gov/zika/geo/united-states.html States Travel-associated cases* No. (% of cases in states) (N=2,488) Locally acquired cases† No. (% of cases in states) (N=29) Alabama 15 (1) 0 (0) Arizona 20 (1) 0 (0) Arkansas 9 (<1) 0 (0) California 152 (6) 0 (0) Colorado 24 (1) 0 (0) Connecticut 50 (2) 0 (0) Delaware 11 (<1) 0 (0) District of Columbia 11 (<1) 0 (0) Florida 471 (19) 29 (100) Georgia 54 (2) 0 (0) Hawaii 11 (<1) 0 (0) Idaho 1 (<1) 0 (0) Illinois 49 (2) 0 (0) Indiana 28 (1) 0 (0) Iowa 13 (1) 0 (0) Kansas 11 (<1) 0 (0) Kentucky 19 (1) 0 (0) Louisiana 25 (1) 0 (0) Maine 10 (<1) 0 (0) Maryland 77 (3) 0 (0) Massachusetts 63 (3) 0 (0) Michigan 31 (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 24, 2016)§ http://www.cdc.gov/zika/geo/united-states.html States Travel-associated cases* No. (% of cases in states) (N=2,488) Locally acquired cases† No. (% of cases in states) (N=29) Alabama 15 (1) 0 (0) Arizona 20 (1) 0 (0) Arkansas 9 (<1) 0 (0) California 152 (6) 0 (0) Colorado 24 (1) 0 (0) Connecticut 50 (2) 0 (0) Delaware 11 (<1) 0 (0) District of Columbia 11 (<1) 0 (0) Florida 471 (19) 29 (100) Georgia 54 (2) 0 (0) Hawaii 11 (<1) 0 (0) Idaho 1 (<1) 0 (0) Illinois 49 (2) 0 (0) Indiana 28 (1) 0 (0) Iowa 13 (1) 0 (0) Kansas 11 (<1) 0 (0) Kentucky 19 (1) 0 (0) Louisiana 25 (1) 0 (0) Maine 10 (<1) 0 (0) Maryland 77 (3) 0 (0) Massachusetts 63 (3) 0 (0)

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August 26, 2016 This week, the Louisiana Department of Health has confirmed three additional cases of Zika virus. This brings the total to 26 cases of travel-associated Zika confirmed in Louisiana. http://www.dhh.louisiana.gov/index.cfm/newsroom/detail/3969

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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of August 24, 2016)§ http://www.cdc.gov/zika/geo/united-states.html States Travel-associated cases* No. (% of cases in states) (N=2,488) Locally acquired cases† No. (% of cases in states) (N=29) Alabama 15 (1) 0 (0) Arizona 20 (1) 0 (0) Arkansas 9 (<1) 0 (0) California 152 (6) 0 (0) Colorado 24 (1) 0 (0) Connecticut 50 (2) 0 (0) Delaware 11 (<1) 0 (0) District of Columbia 11 (<1) 0 (0) Florida 471 (19) 29 (100) Georgia 54 (2) 0 (0) Hawaii 11 (<1) 0 (0) Idaho 1 (<1) 0 (0) Illinois 49 (2) 0 (0) Indiana 28 (1) 0 (0) Iowa 13 (1) 0 (0) Kansas 11 (<1) 0 (0) Kentucky 19 (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 24, 2016)§ http://www.cdc.gov/zika/geo/united-states.html States Travel-associated cases* No. (% of cases in states) (N=2,488) Locally acquired cases† No. (% of cases in states) (N=29) Alabama 15 (1) 0 (0) Arizona 20 (1) 0 (0) Arkansas 9 (<1) 0 (0) California 152 (6) 0 (0) Colorado 24 (1) 0 (0) Connecticut 50 (2) 0 (0) Delaware 11 (<1) 0 (0) District of Columbia 11 (<1) 0 (0) Florida 471 (19) 29 (100) Georgia 54 (2) 0 (0) Hawaii 11 (<1) 0 (0) Idaho 1 (<1) 0 (0) Illinois 49 (2) 0 (0) Indiana 28 (1) 0 (0) Iowa 13 (1) 0 (0) Kansas 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 24, 2016)§ http://www.cdc.gov/zika/geo/united-states.html States Travel-associated cases* No. (% of cases in states) (N=2,488) Locally acquired cases† No. (% of cases in states) (N=29) Alabama 15 (1) 0 (0) Arizona 20 (1) 0 (0) Arkansas 9 (<1) 0 (0) California 152 (6) 0 (0) Colorado 24 (1) 0 (0) Connecticut 50 (2) 0 (0) Delaware 11 (<1) 0 (0) District of Columbia 11 (<1) 0 (0) Florida 471 (19) 29 (100) Georgia 54 (2) 0 (0) Hawaii 11 (<1) 0 (0)