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Today, the Florida Department of Health (DOH) has confirmed that two additional individuals have the Zika virus in Miami-Dade County. Both of these cases are local transmissions through mosquito bites and brings the total number of local transmissions of Zika to 30 in Florida. The Florida Department of Agriculture and Consumer Services has tested more than 25,000 mosquitos for Zika in Florida and none have come back positive. Governor Rick Scott said, “While we have learned there are two new individuals that contracted the Zika virus through mosquito bites in our state, we still believe local transmissions are only occurring in an area that is less than one square mile in Wynwood. http://www.flgov.com/2016/08/15/gov-scott-following-two-new-zika-cases-in-miami-dade-county-commerical-companies-to-assist-with-mosquito-control/

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As of Thursday, August 11, 2016, VDH has reported 60 cases of Zika virus disease in Virginia residents to the CDC ( 7 in Northwest Region, 29 in Northern Region, 5 in Eastern Region, 11 in Central Region and 8 in Southwest Region). CDC has issued a travel alert (Level 2-Practice Enhanced Precautions) for people traveling to regions and certain countries where Zika virus transmission is ongoing. http://www.vdh.virginia.gov/zika/zika-virus-update/

As of Thursday, August 11, 2016, VDH has reported 60 cases of Zika virus disease in Virginia residents to the CDC ( 7 in Northwest Region, 29 in Northern Region, 5 in Eastern Region, 11 in Central Region and 8 in Southwest Region). CDC has issued a travel alert (Level 2-Practice Enhanced Precautions) for people traveling to regions and certain countries where Zika virus transmission is ongoing.

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County Cases Bell 1 Bexar 8 Brazos 1 Collin 3 Dallas 25 Denton 3 Ellis 1 Fort Bend 5 Frio 1 Galveston 3 Gray 1 Grayson 1 Hamilton 1 Harris 32 Lubbock 1 Medina 1 Palo Pinto 1 Randall 1 Tarrant 14 Travis 3 Val Verde 1 Williamson 3 Wise 1 Total 112 Dallas Pregnant Registry 12 Texas Preg Reg excl Dallas 29 Total 153

Zika Virus – August 15, 2016. http://www.texaszika.org/ Texas has had 108 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 1 Bexar 6 Brazos 1 Collin 3 Dallas 24 Denton 3 Ellis 1 Fort Bend 5 Frio 1 Gray 1 Galveston 2 Grayson 1 Hamilton 1 Harris 32 Lubbock 1 Medina 1 Palo Pinto 1 Randall 1 Tarrant 14 Travis 3 Val Verde 1 Williamson 3 Wise 1 Total 108

Zika Virus – August 15, 2016. Texas has had 108 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 1 Bexar 6 Brazos 1 Collin 3 Dallas 24 Denton 3 Ellis 1 Fort Bend 5 Frio 1 Gray 1 Galveston 2 Grayson 1 Hamilton 1 Harris 32 Lubbock 1 Medina 1 Palo Pinto 1 Randall 1 Tarrant 14 Travis 3 Val Verde 1 Williamson 3 Wise 1 Total 108

Last Updated on: Wednesday, August 08, 2016 Gender Age Range Travel History Travel Month Confirmation Date Case Status by CDC Female 60-64 Colombia 11/15 12/22/2015 Confirmed Positive Male 35-39 Honduras 12/15 01/28/2016 Confirmed Positive Female 40-45 Honduras 12/15 1/29/2016 Confirmed Positive Female 0-10 Honduras 1/16 2/22/2016 Confirmed Positive Female 45-50 Guatemala 1/16 2/25/2016 Confirmed Positive Female 60-64 El Salvador 11/15 2/26/2016 Confirmed Positive Female 30-34 Central America 6/16 6/22/2016 Confirmed Positive Female 25-30 Honduras 5/16 5/20/2016 Confirmed Positive Male 30-34 Puerto Rico 6/16 6/21/2016 Confirmed Positive Female 55-60 Venezuela unknown 6/22/2016 Confirmed Positive Male 30-34 U.S. Virgin Islands 6/16 6/27/2016 Confirmed Positive Male 55-60 Puerto Rico 7/16 7/21/2016 Confirmed Positive Male 15-20 Costa Rica 7/16 7/29/2016 Confirmed Positive Female 65-70 Nicaragua/Guatemala 7/16 8/04/2016 Confirmed Positive http://www.houstontx.gov/health/Epidemiology/Zika_Virus.html

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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of August 10, 2016)§ http://www.cdc.gov/zika/geo/united-states.html States Travel-associated cases* No. (% of cases in states) (N=1,956) Locally acquired cases† No. (% of cases in states) (N=6) Alabama 11 (1) 0 (0) Arizona 10 (1) 0 (0) Arkansas 5 (<1) 0 (0) California 87 (4) 0 (0) Colorado 20 (1) 0 (0) Connecticut 49 (3) 0 (0) Delaware 10 (1) 0 (0) District of Columbia 11 (1) 0 (0) Florida 322 (16) 6 (100) Georgia 46 (2) 0 (0) Hawaii 10 (1) 0 (0) Idaho 1 (<1) 0 (0) Illinois 44 (2) 0 (0) Indiana 22 (1) 0 (0) Iowa 9 (<1) 0 (0) Kansas 8 (<1) 0 (0) Kentucky 10 (1) 0 (0) Louisiana 22 (1) 0 (0) Maine 9 (<1) 0 (0) Maryland 57 (3) 0 (0) Massachusetts 58 (3) 0 (0) Michigan 20 (1) 0 (0) Minnesota 29 (2) 0 (0) Mississippi 14 (1) 0 (0) Missouri 14 (1) 0 (0) Montana 4 (<1) 0 (0) Nebraska 6 (<1) 0 (0) Nevada 12 (1) 0 (0) New Hampshire 8 (<1) 0 (0) New Jersey 54 (3) 0 (0) New Mexico 3 (<1) 0 (0) New York 530 (27) 0 (0) North Carolina 33 (2) 0 (0) North Dakota 1 (<1) 0 (0) Ohio 26 (1) 0 (0) Oklahoma 17 (1) 0 (0) Oregon 14 (1) 0 (0) Pennsylvania†† 63 (3) 0 (0) Rhode Island 18 (1) 0 (0) South Carolina 31 (2) 0 (0) Tennessee 27 (1) 0 (0)

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As of August 15, 2016 in South Carolina: Travel-associated cases reported: 33 Pregnant women: 0 Sexually transmitted: 1* Locally acquired vector-borne cases reported: 0 Total cases: 33 http://www.scdhec.gov/Health/DiseasesandConditions/InfectiousDiseases/InsectAnimalBorne/ZikaVirus/

As of August 15, 2016 in South Carolina: Travel-associated cases reported: 33 Pregnant women: 0 Sexually transmitted: 1* Locally acquired vector-borne cases reported: 0 Total cases: 33

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Pennsylvania Blood Tests Submitted for Zika TestingInformation updated Mondays at 2 p.m. Confirmed Infections: 74 Pending Test Results: 97 Last update: 08/15/2016 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: 74 Pending Test Results: 97 Last update: 08/15/2016

Allegheny County Residents Approved for Zika Testing: 150 CDC Confirmed Cases: 7(as of August 15)

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Zika Cases in New Jerseyhttp://www.nj.gov/health/cd/zika/case_count.shtml New Jersey County Confirmed Travel-Related Cases Bergen 17 Passaic 17 Middlesex 7 Burlington 5 Gloucester 1 Hudson 10 Essex 8 Union 6 Camden 4 Morris 4 Monmouth 2 Ocean 1 Hunterdon 2 Mercer 3 Somerset 1 Cumberland 1 TOTAL 89 Last Updated: August 11, 2016

Zika Cases in New Jersey New Jersey County Confirmed Travel-Related Cases Bergen 17 Passaic 17 Middlesex 7 Burlington 5 Gloucester 1 Hudson 10 Essex 8 Union 6 Camden 4 Morris 4 Monmouth 2 Ocean 1 Hunterdon 2 Mercer 3 Somerset 1 Cumberland 1 TOTAL 89 Last Updated: August 11, 2016

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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of August 10, 2016)§ http://www.cdc.gov/zika/geo/united-states.html States Travel-associated cases* No. (% of cases in states) (N=1,956) Locally acquired cases† No. (% of cases in states) (N=6) Alabama 11 (1) 0 (0) Arizona 10 (1) 0 (0) Arkansas 5 (<1) 0 (0) California 87 (4) 0 (0) Colorado 20 (1) 0 (0) Connecticut 49 (3) 0 (0) Delaware 10 (1) 0 (0) District of Columbia 11 (1) 0 (0) Florida 322 (16) 6 (100) Georgia 46 (2) 0 (0) Hawaii 10 (1) 0 (0) Idaho 1 (<1) 0 (0) Illinois 44 (2) 0 (0) Indiana 22 (1) 0 (0) Iowa 9 (<1) 0 (0) Kansas 8 (<1) 0 (0) Kentucky 10 (1) 0 (0) Louisiana 22 (1) 0 (0) Maine 9 (<1) 0 (0) Maryland 57 (3) 0 (0) Massachusetts 58 (3) 0 (0) Michigan 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 10, 2016)§ http://www.cdc.gov/zika/geo/united-states.htmlhttp://www.cdc.gov/zika/geo/united-states.html States Travel-associated cases* No. (% of cases in states) (N=1,956) Locally acquired cases† No. (% of cases in states) (N=6) Alabama 11 (1) 0 (0) Arizona 10 (1) 0 (0) Arkansas 5 (<1) 0 (0) California 87 (4) 0 (0) Colorado 20 (1) 0 (0) Connecticut 49 (3) 0 (0) Delaware 10 (1) 0 (0) District of Columbia 11 (1) 0 (0) Florida 322 (16) 6 (100) Georgia 46 (2) 0 (0) Hawaii 10 (1) 0 (0) Idaho 1 (<1) 0 (0) Illinois 44 (2) 0 (0) Indiana 22 (1) 0 (0) Iowa 9 (<1) 0 (0) Kansas 8 (<1) 0 (0) Kentucky 10 (1) 0 (0) Louisiana 22 (1) 0 (0) Maine 9 (<1) 0 (0) Maryland 57 (3) 0 (0) Massachusetts 58 (3) 0 (0)