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At A Glance - Zika in the U.S. (as of August 22, 2016) North CarolinaTravel-associated Zika virus disease cases reported: 36 http://epi.publichealth.nc.gov/zika/

At A Glance - Zika in the U.S. (as of August 22, 2016) North CarolinaTravel-associated Zika virus disease cases reported: 36Locally acquired vectorborne cases reported: 0 U.S. StatesTravel-associated Zika virus disease cases reported: 2,245Locally acquired vectorborne cases reported: 14 U.S. TerritoriesTravel-associated cases reported: 35Locally acquired vectorborne cases reported: 8,000

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At A Glance - Zika Virus in Arkansas (as of August 16, 2016) Travel-associated Zika virus disease cases reported: 10 Locally acquired cases reported: 0 http://www.healthy.arkansas.gov/programsServices/infectiousDisease/zoonoticDisease/zika/Pages/default.aspx

At A Glance - Zika Virus in Arkansas (as of August 16, 2016) Travel-associated Zika virus disease cases reported: 10 Locally acquired cases reported: 0

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Zika Virus – August 22, 2016. Texas has had 122 reported cases of Zika virus disease. This count includes three 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 4 Bexar 8 Brazos 1 Collin 3 Dallas 27 Denton 4 El Paso 1 Ellis 1 Fort Bend 6 Frio 1 Gray 1 Galveston 2 Grayson 1 Greg 1 Hamilton 1 Harris 32 Jefferson 1 Lubbock 1 Medina 1 Palo Pinto 1 Randall 1 Tarrant 14 Travis 3 Val Verde 1 Walker 1 Williamson 3 Wise 1 Total 122 Note: Zika case data for Texas will be updated each weekday no later than 11 a.m. http://www.texaszika.org/

Zika Virus – August 22, 2016. Texas has had 122 reported cases of Zika virus disease. This count includes three 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 4 Bexar 8 Brazos 1 Collin 3 Dallas 27 Denton 4 El Paso 1 Ellis 1 Fort Bend 6 Frio 1 Gray 1 Galveston 2 Grayson 1 Greg 1 Hamilton 1 Harris 32 Jefferson 1 Lubbock 1 Medina 1 Palo Pinto 1 Randall 1 Tarrant 14 Travis 3 Val Verde 1 Walker 1 Williamson 3 Wise 1 Total 122 Note: Zika case data for Texas will be updated each weekday no later than 11 a.m.

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Pennsylvania Blood Tests Submitted for Zika TestingInformation updated Mondays at 2 p.m. Confirmed Infections: 82 Pending Test Results: 120 Last update: 08/22/2016 http://www.health.pa.gov/My Health/Diseases and Conditions/U-Z/Zikavirus/Pages/ZikaVirusHomePage.aspx#.V7H5wJgrI55

Pennsylvania Blood Tests Submitted for Zika TestingInformation updated Mondays at 2 p.m. Confirmed Infections: 82 Pending Test Results: 120 Last update: 08/22/2016

week conf discard untested total weekly increase 32 29 102 254 385 18 31 24 101 242 367 23 30 22 97 225 344 24 29 21 92 207 320 23 28 21 80 196 297 41 27 21 75 160 256 62 26 18 64 112 194 13 25 13 56 112 181 17 24 11 51 102 164 27 23 6 50 81 137 19 22 6 43 69 118 23 21 6 41 48 95 7 20 5 26 57 88 7 19 5 26 50 81 9 18 5 24 43 72 14 17 5 21 32 58 8 16 4 20 26 50 6 15 4 18 22 44 11 14 2 15 16 33 0

intensified surveillance of microcephaly Review 19 August 2016 Among the epidemiological weeks 01 to 32 of 2016 have been 29 confirmed cases of microcephaly associated virus Zika, 102 cases were dismissed and 254 cases are under consideration. http://www.ins.gov.co/boletin-epidemiologico/Boletn Epidemiolgico/2016 Boletin epidemiologico semana 32.pdf

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States States States States CDC States 15-Aug 16-Aug 17-Aug 18-Aug 18-Aug 19-Aug AK 1 1 1 1 0 1 AL 20 20 20 20 11 20 AR 9 9 9 9 9 9 AZ 22 22 22 22 17 24 CA 153 153 153 153 137 170 CO 20 20 20 21 21 21 CT 61 61 61 61 71 71 DE 12 12 12 12 10 12 DC 15 15 16 16 11 16 FL 529 542 557 577 405 592 GA 56 56 56 56 48 56 HI 10 10 10 10 10 10 ID 1 1 1 1 1 1 IL 52 52 52 56 45 56 IN 27 27 27 27 24 32 IA 13 13 13 13 13 13 KS 8 8 8 9 9 9 KY 11 11 11 11 10 11 LA 19 19 19 23 23 23 MD 57 57 64 64 64 64 MA 58 58 58 59 59 59 ME 9 9 9 9 9 9 MI 20 20 20 25 25 25 MN 29 29 29 31 31 31 MO 16 16 16 18 18 18 MS 15 15 15 17 17 17 MT 4 4 4 4 4 4 NC 33 33 33 35 35 35 ND 3 3 3 3 1 3 NE 4 4 4 6 6 6 NH 8 8 8 8 8 8 NJ 89 89 89 89 66 89 NM 3 3 3 3 3 3 NV 11 11 11 13 13 13 NY 657 657 657 675 579 675 OH 31 31 31 33 33 33 OK 13 13 13 19 19 19 OR 24 24 24 25 14 25 PA 74 74 74 74 69 74 RI 18 18 18 25 25 25 SC 33 33 33 33 31 33 TN 27 27 27 33 33 33 TX 153 153 153 153 108 166 UT 8 8 8 8 6 8 VA 57 57 57 63 62 63 VT 6 6 6 6 6 6 WA 23 23 23 23 19 29 WI 18 18 18 25 20 25 WV 9 9 9 9 10 11 2548 2561 2584 2685 2268 2755

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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of August 17, 2016)§ http://www.cdc.gov/zika/geo/united-states.html States Travel-associated cases* No. (% of cases in states) (N=2,246) Locally acquired cases† No. (% of cases in states) (N=14) Alabama 11 (<1) 0 (0) Arizona 17 (1) 0 (0) Arkansas 9 (<1) 0 (0) California 137 (6) 0 (0) Colorado 21 (1) 0 (0) Connecticut 49 (2) 0 (0) Delaware 10 (<1) 0 (0) District of Columbia 11 (<1) 0 (0) Florida 405 (18) 14 (100) Georgia 48 (2) 0 (0) Hawaii 10 (<1) 0 (0) Idaho 1 (<1) 0 (0) Illinois 45 (2) 0 (0) Indiana 24 (1) 0 (0) Iowa 13 (1) 0 (0) Kansas 9 (<1) 0 (0) Kentucky 10 (<1) 0 (0) Louisiana 23 (1) 0 (0) Maine 9 (<1) 0 (0) Maryland 64 (3) 0 (0) Massachusetts 59 (3) 0 (0)

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Zika virus detected in Canada, as of August 18, 2016 Country Acquired through sexual transmission Maternal-to-fetal transmission Travel-related Canada 2 3 220 As of August 18, 2016, Canada confirms 3 maternal-to-fetal transmissions of Zika virus, including one with severe neurological congenital anomalies. 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 August 18, 2016 Country Acquired through sexual transmission Maternal-to-fetal transmission Travel-related Canada 2 3 220 As of August 18, 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 17, 2016)§ http://www.cdc.gov/zika/geo/united-states.html States Travel-associated cases* No. (% of cases in states) (N=2,246) Locally acquired cases† No. (% of cases in states) (N=14) Alabama 11 (<1) 0 (0) Arizona 17 (1) 0 (0) Arkansas 9 (<1) 0 (0) California 137 (6) 0 (0) Colorado 21 (1) 0 (0) Connecticut 49 (2) 0 (0) Delaware 10 (<1) 0 (0) District of Columbia 11 (<1) 0 (0) Florida 405 (18) 14 (100) Georgia 48 (2) 0 (0) Hawaii 10 (<1) 0 (0) Idaho 1 (<1) 0 (0) Illinois 45 (2) 0 (0) Indiana 24 (1) 0 (0) Iowa 13 (1) 0 (0) Kansas 9 (<1) 0 (0) Kentucky 10 (<1) 0 (0) Louisiana 23 (1) 0 (0) Maine 9 (<1) 0 (0) Maryland 64 (3) 0 (0) Massachusetts 59 (3) 0 (0) Michigan 25 (1) 0 (0) Minnesota 31 (1) 0 (0) Mississippi 17 (1) 0 (0) Missouri 18 (1) 0 (0) Montana 4 (<1) 0 (0) Nebraska 6 (<1) 0 (0) Nevada 13 (1) 0 (0) New Hampshire 8 (<1) 0 (0) New Jersey 66 (3) 0 (0) New Mexico 3 (<1) 0 (0) New York 579 (26) 0 (0) North Carolina 35 (2) 0 (0) North Dakota 1 (<1) 0 (0) Ohio 33 (1) 0 (0) Oklahoma 19 (1) 0 (0) Oregon 14 (1) 0 (0) Pennsylvania†† 69 (3) 0 (0) Rhode Island 25 (1) 0 (0) South Carolina 31 (1) 0 (0) Tennessee 33 (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 17, 2016)§ http://www.cdc.gov/zika/geo/united-states.html States Travel-associated cases* No. (% of cases in states) (N=2,246) Locally acquired cases† No. (% of cases in states) (N=14) Alabama 11 (<1) 0 (0) Arizona 17 (1) 0 (0) Arkansas 9 (<1) 0 (0) California 137 (6) 0 (0) Colorado 21 (1) 0 (0) Connecticut 49 (2) 0 (0) Delaware 10 (<1) 0 (0) District of Columbia 11 (<1) 0 (0) Florida 405 (18) 14 (100) Georgia 48 (2) 0 (0) Hawaii 10 (<1) 0 (0) Idaho 1 (<1) 0 (0) Illinois 45 (2) 0 (0) Indiana 24 (1) 0 (0) Iowa 13 (1) 0 (0) Kansas 9 (<1) 0 (0) Kentucky 10 (<1) 0 (0) Louisiana 23 (1) 0 (0) Maine 9 (<1) 0 (0) Maryland 64 (3) 0 (0) Massachusetts 59 (3) 0 (0) Michigan 25 (1) 0 (0) Minnesota 31 (1) 0 (0) Mississippi 17 (1) 0 (0) Missouri 18 (1) 0 (0) Montana 4 (<1) 0 (0) Nebraska 6 (<1) 0 (0) Nevada 13 (1) 0 (0) New Hampshire 8 (<1) 0 (0) New Jersey 66 (3) 0 (0) New Mexico 3 (<1) 0 (0) New York 579 (26) 0 (0) North Carolina 35 (2) 0 (0) North Dakota 1 (<1) 0 (0) Ohio 33 (1) 0 (0) Oklahoma 19 (1) 0 (0) Oregon 14 (1) 0 (0) Pennsylvania†† 69 (3) 0 (0) Rhode Island 25 (1) 0 (0)