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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)

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Maryland Confirmed Zika Virus Infections (As of August 10, 2016) Travel-Associated Locally Acquired Vector-Borne Total 57 0 57 http://phpa.dhmh.maryland.gov/Pages/Zika.aspx

Maryland Confirmed Zika Virus Infections (As of August 10, 2016) Travel-Associated Locally Acquired Vector-Borne Total 57 0 57

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As of Aug. 10, 2016 56 confirmed travel-related Zika cases in Georgia http://dph.georgia.gov/

As of Aug. 10, 2016 56 confirmed travel-related Zika cases in Georgia

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Zika Virus Update: Last Update: Daily (5 pm EST) Total Human Cases Related to International Travel: 16 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: 16 Locally Acquired Mosquito Borne Cases: 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)§ 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) http://www.cdc.gov/zika/geo/united-states.html

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Arizona's First Zika Case Recorded in Traveler, read the news release Travel-associated Zika cases confirmed in Arizona: 22 http://www.azdhs.gov/preparedness/epidemiology-disease-control/mosquito-borne/index.php#zika-home

Arizona's First Zika Case Recorded in Traveler, read the news release Travel-associated Zika cases confirmed in Arizona: 22

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County Cases Bell 1 Bexar 8 Brazos 1 Collin 2 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 13 Travis 3 Val Verde 1 Williamson 3 Wise 1 Total 110 Dallas Pregnant Registry 12 Texas Preg Reg excl Dallas 29 Total 151

Zika Virus – August 12, 2016. Texas has had 106 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. http://www.texaszika.org/ Texas Zika Cases by County: County Cases Bell 1 Bexar 6 Brazos 1 Collin 2 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 13 Travis 3 Val Verde 1 Williamson 3 Wise 1 Total 106

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--- PRESS RELEASE --- For Immediate Release DCHHS Reports the 25th Zika Virus Case in Dallas County DALLAS (Aug. 12, 2016) – Dallas County Health and Human Services (DCHHS) is reporting the 25th case of Zika virus in Dallas County in 2016. The case was confirmed through testing in a private lab. DCHHS has submitted the case for review to the Texas Department of State Health Services. The 31 year-old patient is a resident of Richardson who was infected with the virus during recent travel to Belize. For medical confidentiality and personal privacy reasons, DCHHS does not provide additional identifying information. While sexual transmission of Zika virus is possible, it is primarily transmitted to people by Aedes species mosquitoes. The most common symptoms of Zika virus are fever, rash, joint pain, and conjunctivitis (red eyes). The illness is usually mild with symptoms lasting several days to a week. DCHHS advises individuals with symptoms to see a healthcare provider if they visited an area where Zika virus is present or had sexual contact with a person who traveled to an area where Zika virus is present. There is no specific medication available to treat Zika virus and there is not a vaccine. The best ways to avoid Zika virus are to avoid mosquito bites and sexual contact with a person who has Zika virus. There are currently no reports of Zika virus being locally-transmitted by mosquitoes in Dallas County. However, imported cases make local spread by mosquitoes possible because the mosquitoes that can transmit the virus are found locally. DCHHS advises recent travelers with Zika virus symptoms as well as individuals diagnosed with the virus to protect themselves from further mosquito bites. # For additional information, contact: YaMonica Sadberry, Administrative [email protected] 214.819.6070 (office) Zachary Thompson, Director 214.755.9299 (cell)

--- PRESS RELEASE --- For Immediate Release DCHHS Reports the 24th Zika Virus Case in Dallas County DALLAS (August 11, 2016) – Dallas County Health and Human Services (DCHHS) is reporting the 24th case of Zika virus in Dallas County in 2016. The case was confirmed through testing in a private lab. DCHHS has submitted the case for review to the Texas Department of State Health Services. The 17 year-old patient is a resident of Dallas who was infected with the virus during recent travel to Jamaica. For medical confidentiality and personal privacy reasons, DCHHS does not provide additional identifying information. While sexual transmission of Zika virus is possible, it is primarily transmitted to people by Aedes species mosquitoes. The most common symptoms of Zika virus are fever, rash, joint pain, and conjunctivitis (red eyes). The illness is usually mild with symptoms lasting several days to a week. DCHHS advises individuals with symptoms to see a healthcare provider if they visited an area where Zika virus is present or had sexual contact with a person who traveled to an area where Zika virus is present. There is no specific medication available to treat Zika virus and there is not a vaccine. The best ways to avoid Zika virus are to avoid mosquito bites and sexual contact with a person who has Zika virus. There are currently no reports of Zika virus being locally-transmitted by mosquitoes in Dallas County. However, imported cases make local spread by mosquitoes possible because the mosquitoes that can transmit the virus are found locally. DCHHS advises recent travelers with Zika virus symptoms as well as individuals diagnosed with the virus to protect themselves from further mosquito bites. # For additional information, contact: YaMonica Sadberry, Administrative [email protected] 214.819.6070 (office) Zachary Thompson, Director 214.755.9299 (cell)