niman

The circumstances of the 35-year-old patient offer a glimpse into how health officials are handling the cases, which are not public by law. It’s unclear whether his case has been counted in official numbers reported Wednesday. He lives in Miami Beach, works at home and has not traveled to Wynwood in at least six months. He suspects he got the virus from his wife, who travels throughout the county for work but has not shown any symptoms. She has not yet been tested. The couple last traveled abroad in March or April, to a region with no cases. The patient said he started feeling achy and had sore eyes on Aug. 1 while out of town in an area with fewer than seven travel-related Zika cases and no local transmissions, making it unlikely he picked up the virus there. He returned home thinking he had the flu, then woke up Aug. 4 with a rash and decided to be tested, fearing that he might spread the virus to neighbors and friends. “I thought the most responsible thing was to get tested to limit the ability to spread it,” he said. But he wasn’t sure where. He looked online for a doctor doing Zika testing, found an urgent-care center and made an appointment. The office sent him to a Coral Gables lab for testing. This week, on Tuesday, the office called to confirm the results and on Wednesday, just before 5 p.m., a state health worker called to question him, he said. Throughout, he said he never had any sense that any health officials were alarmed. When he raised concerns about being bitten by mosquitoes that might infect others, he said the health workers seemed unconcerned. Read more here: http://www.bradenton.com/news/state/florida/article94991502.html#storylink=cpy http://www.bradenton.com/news/state/florida/article94991502.html

More pipes and buckets https://www.google.com/maps/@25.8033151,-80.1991595,3a,30y,194.08h,84.61t/data=!3m6!1e1!3m4!1sOcG8or0QcFHI9-Ym8VsqmA!2e0!7i13312!8i6656

See pipes on right of this picture https://www.google.com/maps/@25.8028927,-80.2002069,3a,30y,90h,90t/data=!3m6!1e1!3m4!1sSqEza0U9JtaHGsEg-sIdOA!2e0!7i13312!8i6656

Inaugural 1 hour interview on Zika local transmission in Florida (Wynwood Cluster) with discussion of details in WSJ report (including detail on the index site and why it was an occupational hazard) https://soundcloud.com/thedrnimanshow/august102016

Map Update https://www.google.com/maps/d/edit?hl=en&hl=en&authuser=0&authuser=0&mid=1FlIB7hHnVgGD9TlbSx5HwAj-PEQ

Chickasaw 1 DeSoto 1 Harrison 1 Hinds 1 LaFayette 1 Madison 2 Neshoba 1 Noxubee 1 Oktibbeha 2 Panola 2 Rankin 2 15

Map Update https://www.google.com/maps/d/edit?hl=en&hl=en&authuser=0&authuser=0&mid=1FlIB7hHnVgGD9TlbSx5HwAj-PEQ

Zika at index Wynwood site was an occupational hazard,

Aug. 10, 2016 DEPARTMENT OF HEALTH DAILY ZIKA UPDATE http://www.floridahealth.gov/newsroom/2016/08/081016-zika-update.html Contact: Communications [email protected] (850) 245-4111 Tallahassee, Fla.—In an effort to keep Florida residents and visitors safe and aware about the status of the Zika virus, the department will continue to issue a Zika virus update each week day. Updates will include a CDC-confirmed Zika case count by county and information to better keep Floridians prepared. The department has conducted testing for the Zika virus for more than 2,649 people statewide. Florida currently has the capacity to test 5,941 people for active Zika virus and 1,613 for Zika antibodies. Per the Governor’s direction on August 3, all county health departments are now offering free Zika risk assessment and testing to any pregnant woman who would like to be tested. There are 14 new travel-related cases today with seven in Miami-Dade, two in Bay, two in Palm Beach, one in Lake, one in Seminole and one in St. Lucie counties. This is Bay County’s first travel-related case of Zika and they have been added to the Declaration of Public Health Emergency. Please visit our website to see the full list of travel-related cases. There is one new non-travel related case today being investigated in Miami-Dade County. The person was exposed in the same area in Miami-Dade County. The department still believes active transmissions are only taking place within the identified area that is less than one-square mile in Miami-Dade County. For a complete breakdown of non-travel and travel-related Zika infections to-date, please see below. Infection Type Infection Count Travel-Related Infections of Zika 382 Non-Travel Related Infections of Zika 22 Infections Involving Pregnant Women 57 ACTIVE INVESTIGATIONS The department is currently conducting three active investigations. Under each section below, the department outlines the original cases that spurred these investigations, the number of samples collected and results in connection with each investigation to-date. 1) Identified one-square mile in Miami-Dade – Two (2) original cases Total # of Samples Collected Negative Samples Positive Samples Pending Results 498 424 18 46 Door to door outreach and sampling continue. Mosquito abatement and reduction activities are on-going. On August 4, the department announced we have completed testing in a 10 block area of the northwest quadrant of the one-square mile area and no people within the 10 block radius tested positive. The department has cleared that area and is continuing to test people within the one-square mile radius. A map detailing the area is below. The CDC continues to monitor the area per their guidelines. 2) Miami-Dade investigation outside the one-square mile: One (1) case Total # of Samples Collected Negative Samples Positive Samples Pending Results 19 18 0 1 Sample collection and door-to-door outreach continues. Mosquito abatement and reduction activities are on-going. 3) One (1) case in Palm Beach County: Total # of Samples Collected Negative Samples Positive Samples Pending Results 3 0 0 3 Door to door outreach and sample collection in areas of interest around the case are underway. Mosquito abatement and reduction activities will take place around the area of interest. CLOSED INVESTIGATIONS The department has closed out the investigations into the first cases in Miami-Dade and Broward County (two cases). The department tested 124 close contacts and individuals from the community and found no additional positives. The department still believes active transmissions are only taking place within the identified one-square mile area in Miami-Dade County. There are no active investigations in Broward County and no areas of active transmission in Broward County. One case does not mean active transmission is taking place and that’s why the department conducts a thorough investigation by sampling close contacts and community members around each case to determine if additional people are infected. The department has not yet determined where the individual in Palm Beach County or the individual outside the one-square mile in Miami-Dade County likely contracted Zika and will share more details as the investigations progress. If the department finds evidence that active transmission is occurring in an area, we will notify the media and the public. The department still believes active transmissions of the Zika virus are occurring in one small area in Miami-Dade County, just north of downtown. The exact location is within the boundaries of the following area: NW 5th Avenue to the west, US 1 to the east, NW/NE 38th Street to the north and NW/NE 20thStreet to the south. This area is about one square mile and a map is below to detail the area. This remains the only area of the state where the department has confirmed there are local transmissions of Zika. If investigations reveal additional areas of likely active transmission, the department will announce a defined area of concern. CDC recommends that women who are pregnant or thinking of becoming pregnant postpone travel to areas with widespread Zika infection. Florida’s small case cluster is not considered widespread transmission, however, pregnant women are advised to avoid non-essential travel to the impacted area in Miami-Dade County (see map below). If you are pregnant and must travel or if you live or work in the impacted area, protect yourself from mosquito bites by wearing insect repellent, long clothing and limiting your time outdoors. According to CDC guidance, providers should consider testing all pregnant women with a history of travel to a Zika affected area for the virus. It is also recommended that all pregnant women who reside in or travel frequently to the area where active transmission is likely occurring be tested for Zika in the first and second trimester. Pregnant women in the identified area can contact their medical provider or their local county health department to be tested and receive a Zika prevention kit. CDC recommends that a pregnant woman with a history of Zika virus and her provider should consider additional ultrasounds. Additionally, the department is working closely with the Healthy Start Coalition of Miami-Dade County to identify pregnant women in the one square mile area to ensure they have access to resources and information to protect themselves. CDC recommends that a pregnant woman with a history of Zika virus and her provider should consider additional ultrasounds. Pregnant women can contact their local county health department for Zika risk assessment and testing hours and information. A Zika risk assessment will be conducted by county health department staff and blood and/or urine samples may be collected and sent to labs for testing. It may take one to two weeks to receive results. Florida has been monitoring pregnant women with evidence of Zika regardless of symptoms since January. The total number of pregnant women who have been or are being monitored is 57. On Feb. 12, Governor Scott directed the State Surgeon General to activate a Zika Virus Information Hotline for current Florida residents and visitors, as well as anyone planning on traveling to Florida in the near future. The hotline, managed by the Department of Health, has assisted 3,770 callers since it launched. The number for the Zika Virus Information Hotline is 1-855-622-6735. The department urges Floridians to drain standing water weekly, no matter how seemingly small. A couple drops of water in a bottle cap can be a breeding location for mosquitoes. Residents and visitors also need to use repellents when enjoying the Florida outdoors. For more information on DOH action and federal guidance, please click here. For resources and information on Zika virus, click here. About the Florida Department of Health The department, nationally accredited by the Public Health Accreditation Board, works to protect, promote and improve the health of all people in Florida through integrated state, county and community efforts. Follow us on Twitter at @HealthyFla and on Facebook. For more information about the Florida Department of Health, please visit www.FloridaHealth.gov.

Infection Type Infection Count Travel-Related Infections of Zika 382 Non-Travel Related Infections of Zika 22 Infections Involving Pregnant Women 57

Fourteen of the roughly 30 employees who work at the business in Wynwood reported they had typical Zika symptoms such as fever, rash, joint pain or conjunctivitis from early June to mid-July, according to the report. http://www.wsj.com/articles/pregnant-zika-victim-alerted-officials-to-florida-outbreak-1470821406

Aug. 10, 2016 DEPARTMENT OF HEALTH DAILY ZIKA UPDATE Contact: Communications [email protected] (850) 245-4111 Tallahassee, Fla.—In an effort to keep Florida residents and visitors safe and aware about the status of the Zika virus, the department will continue to issue a Zika virus update each week day. Updates will include a CDC-confirmed Zika case count by county and information to better keep Floridians prepared. The department has conducted testing for the Zika virus for more than 2,649 people statewide. Florida currently has the capacity to test 5,941 people for active Zika virus and 1,613 for Zika antibodies. Per the Governor’s direction on August 3, all county health departments are now offering free Zika risk assessment and testing to any pregnant woman who would like to be tested. There are 14 new travel-related cases today with seven in Miami-Dade, two in Bay, two in Palm Beach, one in Lake, one in Seminole and one in St. Lucie counties. This is Bay County’s first travel-related case of Zika and they have been added to the Declaration of Public Health Emergency. Please visit our website to see the full list of travel-related cases. There is one new non-travel related case today being investigated in Miami-Dade County. The person was exposed in the same area in Miami-Dade County. The department still believes active transmissions are only taking place within the identified area that is less than one-square mile in Miami-Dade County. For a complete breakdown of non-travel and travel-related Zika infections to-date, please see below. Infection Type Infection Count Travel-Related Infections of Zika 382 Non-Travel Related Infections of Zika 22 Infections Involving Pregnant Women 57 ACTIVE INVESTIGATIONS The department is currently conducting three active investigations. Under each section below, the department outlines the original cases that spurred these investigations, the number of samples collected and results in connection with each investigation to-date. 1) Identified one-square mile in Miami-Dade – Two (2) original cases Total # of Samples Collected Negative Samples Positive Samples Pending Results 498 424 18 46 Door to door outreach and sampling continue. Mosquito abatement and reduction activities are on-going. On August 4, the department announced we have completed testing in a 10 block area of the northwest quadrant of the one-square mile area and no people within the 10 block radius tested positive. The department has cleared that area and is continuing to test people within the one-square mile radius. A map detailing the area is below. The CDC continues to monitor the area per their guidelines. 2) Miami-Dade investigation outside the one-square mile: One (1) case Total # of Samples Collected Negative Samples Positive Samples Pending Results 19 18 0 1 Sample collection and door-to-door outreach continues. Mosquito abatement and reduction activities are on-going. 3) One (1) case in Palm Beach County: Total # of Samples Collected Negative Samples Positive Samples Pending Results 3 0 0 3 Door to door outreach and sample collection in areas of interest around the case are underway. Mosquito abatement and reduction activities will take place around the area of interest. CLOSED INVESTIGATIONS The department has closed out the investigations into the first cases in Miami-Dade and Broward County (two cases). The department tested 124 close contacts and individuals from the community and found no additional positives. The department still believes active transmissions are only taking place within the identified one-square mile area in Miami-Dade County. There are no active investigations in Broward County and no areas of active transmission in Broward County. One case does not mean active transmission is taking place and that’s why the department conducts a thorough investigation by sampling close contacts and community members around each case to determine if additional people are infected. The department has not yet determined where the individual in Palm Beach County or the individual outside the one-square mile in Miami-Dade County likely contracted Zika and will share more details as the investigations progress. If the department finds evidence that active transmission is occurring in an area, we will notify the media and the public. The department still believes active transmissions of the Zika virus are occurring in one small area in Miami-Dade County, just north of downtown. The exact location is within the boundaries of the following area: NW 5th Avenue to the west, US 1 to the east, NW/NE 38th Street to the north and NW/NE 20thStreet to the south. This area is about one square mile and a map is below to detail the area. This remains the only area of the state where the department has confirmed there are local transmissions of Zika. If investigations reveal additional areas of likely active transmission, the department will announce a defined area of concern. CDC recommends that women who are pregnant or thinking of becoming pregnant postpone travel to areas with widespread Zika infection. Florida’s small case cluster is not considered widespread transmission, however, pregnant women are advised to avoid non-essential travel to the impacted area in Miami-Dade County (see map below). If you are pregnant and must travel or if you live or work in the impacted area, protect yourself from mosquito bites by wearing insect repellent, long clothing and limiting your time outdoors. According to CDC guidance, providers should consider testing all pregnant women with a history of travel to a Zika affected area for the virus. It is also recommended that all pregnant women who reside in or travel frequently to the area where active transmission is likely occurring be tested for Zika in the first and second trimester. Pregnant women in the identified area can contact their medical provider or their local county health department to be tested and receive a Zika prevention kit. CDC recommends that a pregnant woman with a history of Zika virus and her provider should consider additional ultrasounds. Additionally, the department is working closely with the Healthy Start Coalition of Miami-Dade County to identify pregnant women in the one square mile area to ensure they have access to resources and information to protect themselves. CDC recommends that a pregnant woman with a history of Zika virus and her provider should consider additional ultrasounds. Pregnant women can contact their local county health department for Zika risk assessment and testing hours and information. A Zika risk assessment will be conducted by county health department staff and blood and/or urine samples may be collected and sent to labs for testing. It may take one to two weeks to receive results. Florida has been monitoring pregnant women with evidence of Zika regardless of symptoms since January. The total number of pregnant women who have been or are being monitored is 57. On Feb. 12, Governor Scott directed the State Surgeon General to activate a Zika Virus Information Hotline for current Florida residents and visitors, as well as anyone planning on traveling to Florida in the near future. The hotline, managed by the Department of Health, has assisted 3,770 callers since it launched. The number for the Zika Virus Information Hotline is 1-855-622-6735. The department urges Floridians to drain standing water weekly, no matter how seemingly small. A couple drops of water in a bottle cap can be a breeding location for mosquitoes. Residents and visitors also need to use repellents when enjoying the Florida outdoors. For more information on DOH action and federal guidance, please click here. For resources and information on Zika virus, click here. About the Florida Department of Health The department, nationally accredited by the Public Health Accreditation Board, works to protect, promote and improve the health of all people in Florida through integrated state, county and community efforts. Follow us on Twitter at @HealthyFla and on Facebook. For more information about the Florida Department of Health, please visit www.FloridaHealth.gov.

http://www.floridahealth.gov/newsroom/2016/08/081016-zika-update.html There is one new non-travel related case today being investigated in Miami-Dade County. The person was exposed in the same area in Miami-Dade County. The department still believes active transmissions are only taking place within the identified area that is less than one-square mile in Miami-Dade County. For a complete breakdown of non-travel and travel-related Zika infections to-date, please see below. Infection Type Infection Count Travel-Related Infections of Zika 382 Non-Travel Related Infections of Zika 22 Infections Involving Pregnant Women 57

The recent report with detail on the initial Zika cases in the Wynwood area of Miami, Florida cites 14 symptomatic cases among the 30 employees, suggesting an attack rate approaching 100%. Only about 20% of Zika infections cause symptoms, so symptoms in almost 50% of the workforce suggests virtual all were infected over the six-eight week period, which began in early June. The early date also suggests that many local residents who were infected in June would test negative on urine tests on samples collected in late July or August.

Map Update https://www.google.com/maps/d/edit?hl=en&hl=en&authuser=0&authuser=0&mid=1FlIB7hHnVgGD9TlbSx5HwAj-PEQ

The Illinois Department of Public Health is reporting 47 cases of Zika virus disease statewide. http://www.dph.illinois.gov/topics-services/diseases-and-conditions/zika

The Illinois Department of Public Health is reporting 47 cases of Zika virus disease statewide.

TABLE I. Provisional cases of selected* infrequently reported notifiable diseases (<1,000 cases reported during the preceding year), United States, week ending August 6, 2016 (WEEK 31)† http://wonder.cdc.gov/mmwr/mmwr_2016.asp?mmwr_year=2016&mmwr_week=31&mmwr_table=1&request=Submit&mmwr_location= Disease Total cases reported for previous years Current week Cum 2016 5-year weekly average§ 2015 2014 2013 2012 2011 States reporting cases during current week (No.31) Anthrax - - - - - - - 1 Arboviral diseases ¶,**: Chikungunya virus †† - 59 8 896 NN NN NN NN Eastern equine encephalitis virus - 1 0 6 8 8 15 4 Jamestown Canyon virus §§ - - 0 11 11 22 2 3 La Crosse virus §§ - 2 2 55 80 85 78 130 Powassan virus - 2 0 7 8 12 7 16 St. Louis encephalitis virus - - 1 23 10 1 3 6 Western equine encephalitis virus - - - - - - - - Botulism, total 2 104 3 195 161 152 168 153 foodborne - 25 0 37 15 4 27 24 infant 2 68 2 138 127 136 123 97 OH (2 ) other(wound & unspecified) - 11 0 20 19 12 18 32 Brucellosis 1 61 3 126 92 99 114 79 TX (1 ) Chancroid - 8 0 11 - - 15 8 Cholera - - 0 2 5 14 17 40 Cyclosporiasis ** 19 216 32 645 388 784 123 151 NY (1 ), NYC (6 ), VA (1 ), TX (9 ), WA (2 ) Diphtheria - - - - 1 - 1 - Haemophilus influenzae, invasive disease (age <5 yrs) ¶¶: serotype b - 10 1 29 40 31 30 14 nontypeable serotype - 89 2 175 128 141 115 93 other serotype - 74 1 135 266 233 263 230 unknown serotype 1 129 3 167 39 34 37 48 OH (1 ) Hansen's disease ** - 24 2 89 88 81 82 82 Hantavirus Infections **: Hantavirus infection (non-HPS) †† - 2 0 1 NN NN NN NN Hantavirus pulmonary syndrome (HPS) - 9 0 17 32 21 30 23 Hemolytic uremic syndrome, post-diarrheal ** 3 103 9 274 250 329 274 290 NY (1 ), NE (1 ), ID (1 ) Hepatitis B, virus infection perinatal 1 16 1 37 47 48 40 NP PA (1 ) Influenza-associated pediatric mortality **, *** - 79 1 130 141 160 52 118 Leptospirosis ** - 17 1 40 38 NN NN NN Listeriosis 7 302 21 766 769 735 727 870 ME (1 ), NY (1 ), NYC (1 ), OH (1 ), MD (2 ), TX (1 ) Measles ††† - 49 2 188 667 187 55 220 Meningococcal disease, invasive §§§: serogroup ACWY - 57 2 120 123 142 161 257 serogroup B - 44 1 111 89 99 110 159 other serogroup 1 10 0 21 25 17 20 20 NY (1 ) unknown serogroup 2 118 3 120 196 298 260 323 CT (1 ), AZ (1 ) Novel influenza A virus infections ¶¶¶ - 3 10 6 3 21 313 14 Plague - - 0 13 10 4 4 3 Poliomyelitis, paralytic - - - - - 1 - - Polio virus infection, nonparalytic ** - - - - - - - - Psittacosis ** - 3 0 4 8 6 2 2 Q fever total **: 1 65 3 156 168 170 135 134 acute - 56 3 122 132 137 113 110 chronic 1 9 1 34 36 33 22 24 NYC (1 ) Rabies, human - - 0 1 1 2 1 6 SARS CoV - - - - - - - - Smallpox - - - - - - - - Streptococcal toxic shock syndrome ** - 157 3 335 259 224 194 168 Syphilis, congenital **** - 177 8 489 458 348 322 360 Toxic shock syndrome (staphylococcal) ** - 17 2 64 59 71 65 78 Trichinellosis ** - 6 0 11 14 22 18 15 Tularemia 4 93 8 314 180 203 149 166 MO (2 ), NE (1 ), WY (1 ) Typhoid fever 3 167 8 367 349 338 354 390 NYC (1 ), OH (1 ), MD (1 ) Vancomycin-intermediate Staphylococcus aureus ** - 59 3 183 212 248 134 82 Vancomycin-resistant Staphylococcus aureus ** - - 0 1 - - 2 - Viral hemorrhagic Fevers ††††: Crimean-Congo hemorrhagic fever - - - - NP NP NP NP Ebola hemorrhagic fever - - - - 4 NP NP NP Guanarito hemorrhagic fever - - - - NP NP NP NP Junin hemorrhagic fever - - - - NP NP NP NP Lassa fever - - - - 1 NP NP NP Lujo virus - - - - NP NP NP NP Machupo hemorrhagic fever - - - - NP NP NP NP Marburg fever - - - - NP NP NP NP Sabia-associated hemorrhagic fever - - - - NP NP NP NP Yellow fever - - - - - - - - Zika ††,§§§§ Zika virus congenital infection NA NA NA NN NN NN NN NN Zika virus disease, non-congenital infection 12 1,900 0 NN NN NN NN NN NYC (4 ), MI (1 ), SC (3 ), TN (2 ), LA (2 ) [ Export This Table ] [ Next Part ] [ NNDSS Interactive Tables ] [ Mortality Interactive Tables ] -: No reported cases N: Not reportable. NA: Not Available NN: Not Nationally Notifiable. NP: Nationally notifiable but not published. Cum: Cumulative year-to-date counts. * Case counts for reporting years 2015 and 2016 are provisional and subject to change. Data for years 2011 through 2014 are finalized. For further information on interpretation of these data, seehttp://wwwn.cdc.gov/nndss/document/ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. † This table does not include cases from the U.S. territories. Three low incidence conditions, rubella, rubella congenital, and tetanus, are in Table II to facilitate case count verification with reporting jurisdictions. § Calculated by summing the incidence counts for the current week, the 2 weeks preceding the current week, and the 2 weeks following the current week, for a total of 5 preceding years. Additional information is available athttp://wwwn.cdc.gov/nndss/document/5yearweeklyaverage.pdf. ¶ Includes both neuroinvasive and nonneuroinvasive. Updated weekly reports from the Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases (ArboNET Surveillance). Data for West Nile virus are available in Table II. ** Not reportable in all reporting jurisdictions. Data from states where the condition is not reportable are excluded from this table, except for the arboviral diseases and influenza-associated pediatric mortality. Reporting exceptions are available athttp://wwwn.cdc.gov/nndss/downloads.html. †† Office of Management and Budget approval of the NNDSS Revision #0920-0728 on January 21, 2016, authorized CDC to receive data for these conditions. CDC is in the process of soliciting data for these conditions (except Zika virus, congenital infection). CDC and the U.S. states are still modifying the technical infrastructure needed to collect and transmit data for Zika virus congenital infections. §§ Jamestown Canyon virus and Lacrosse virus have replaced California serogroup diseases. ¶¶ Data for Haemophilus influenzae (all ages, all serotypes) are available in Table II. *** Please refer to the MMWR publication for weekly updates to the footnote for this condition. ††† Please refer to the MMWR publication for weekly updates to the footnote for this condition. §§§ Data for meningococcal disease (all serogroups) are available in Table II. ¶¶¶ Please refer to the MMWR publication for weekly updates to the footnote for this condition. **** Updated weekly from reports to the Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. †††† Please refer to the MMWR publication for weekly updates to the footnote for this condition. §§§§ All cases reported have occurred in travelers returning from affected areas, with their sexual contacts, or infants infected in utero. National Notifiable Diseases Surveillance System (NNDSS) MMWR web application provided by CDC WONDER, http://wonder.cdc.gov

Zika virus congenital infection NA NA NA NN NN NN NN NN Zika virus disease, non-congenital infection 12 1,900 0 NN NN NN NN NN NYC (4 ), MI (1 ), SC (3 ), TN (2 ), LA (2 )

Map Update https://www.google.com/maps/d/edit?hl=en&hl=en&authuser=0&authuser=0&mid=1FlIB7hHnVgGD9TlbSx5HwAj-PEQ

HCPH Zika Virus Cases *Please note, these are the most current number of confirmed cases. This list is updated every Thursday by 2pm CST. http://publichealth.harriscountytx.gov/Resources/2016-Zika-Virus Locally acquired mosquito-borne cases reported: 0 Travel-associated cases reported: 17 Pregnant woman: 2 Microcephaly: 2 (1 fatal) Sexually transmitted: 0 Guillain-Barre syndrome: 0 Age Range Gender Travel Month Country of Travel Status 20 to 29 F 07/2016 Dominican Republic Recovered 40 to 49 F 07/2016 Trinidad and Tobago Recovered 20 to 29 F 07/2016 Mexico Recovered 10 to 19 F 06/2016 Dominican Republic Recovered 10 to 19 F 06/2016 Dominican Republic Recovered 20 to 29 F 06/2016 Mexico Recovered 40-49 F 04/2016 Honduras Recovered <10 M 02/2016 Colombia Microcephaly 30-39 F 02/2016 Colombia Recovered 20 to 29 F 01/2016 El Salvador Recovered <10 F 01/2016 El Salvador Fatal 30-39 M 01/2016 Venezuela Recovered 40-49 M 01/2016 Honduras Recovered < 10 M 12/2015 El Salvador Recovered 40-49 F 11/2015 El Salvador Recovered 20-29 M 11/2015 El Salvador Recovered 40-49 F 11/2015 El Salvador Recovered

HCPH Zika Virus Cases *Please note, these are the most current number of confirmed cases. This list is updated every Thursday by 2pm CST. http://publichealth.harriscountytx.gov/Resources/2016-Zika-Virus Locally acquired mosquito-borne cases reported: 0 Travel-associated cases reported: 17 Pregnant woman: 2 Microcephaly: 2 (1 fatal) Sexually transmitted: 0 Guillain-Barre syndrome: 0 Age Range Gender Travel Month Country of Travel Status 20 to 29 F 07/2016 Dominican Republic Recovered 40 to 49 F 07/2016 Trinidad and Tobago Recovered 20 to 29 F 07/2016 Mexico Recovered 10 to 19 F 06/2016 Dominican Republic Recovered 10 to 19 F 06/2016 Dominican Republic Recovered 20 to 29 F 06/2016 Mexico Recovered 40-49 F 04/2016 Honduras Recovered <10 M 02/2016 Colombia Microcephaly 30-39 F 02/2016 Colombia Recovered 20 to 29 F 01/2016 El Salvador Recovered <10 F 01/2016 El Salvador Fatal 30-39 M 01/2016 Venezuela Recovered 40-49 M 01/2016 Honduras Recovered < 10 M 12/2015 El Salvador Recovered 40-49 F 11/2015 El Salvador Recovered 20-29 M 11/2015 El Salvador Recovered 40-49 F 11/2015 El Salvador Recovered

Zika Virus – August 10, 2016. Texas has had 99 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 2 Dallas 22 Denton 3 Ellis 1 Fort Bend 4 Frio 1 Gray 1 Galveston 2 Grayson 1 Hamilton 1 Harris 30 Lubbock 1 Medina 1 Tarrant 13 Travis 3 Val Verde 1 Williamson 3 Wise 1 Total 99

TOM FRIEDEN: I’ll answer the second of those questions and then ask Dr. Denise Jamieson to answer the first of them. The details of the investigation again I’ll refer you to Florida. Our understanding is that they did surveys both at the workplace, as well as in the community. And for the community -- for the community survey, they identified six asymptomatic people with positive urine PCR, implying infection within the past two weeks. For the workplace, they identified individuals with both positive PCR and positive IGM. Some had symptoms and some did not. And so I’ll refer you to the state for those details. Dr. Jamieson? http://www.cdc.gov/media/releases/2016/t0801-zika-update.html