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Confirmed Zika Cases in Oregon, 2016 As of 8/9/2016 Travel-associated cases: 20 Oregon mosquito-acquired cases: 0 Total: 20

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Zika Cases in New Jersey New Jersey County Confirmed Travel-Related Cases Bergen 17 Passaic 16 Middlesex 7 Burlington 5 Gloucester 1 Hudson 9 Essex 7 Union 6 Camden 4 Morris 4 Monmouth 2 Ocean 1 Hunterdon 2 Mercer 3 Somerset 1 TOTAL 85 Last Updated: August 09, 2016 http://www.nj.gov/health/cd/zika/case_count.shtml

Zika Cases in New Jersey New Jersey County Confirmed Travel-Related Cases Bergen 17 Passaic 16 Middlesex 7 Burlington 5 Gloucester 1 Hudson 9 Essex 7 Union 6 Camden 4 Morris 4 Monmouth 2 Ocean 1 Hunterdon 2 Mercer 3 Somerset 1 TOTAL 85 Last Updated: August 09, 2016

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As of Aug. 5, 2016 51 confirmed travel-related Zika cases in Georgia http://dph.georgia.gov/

As of Aug. 5, 2016 51 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: 15 Locally Acquired Mosquito Borne Cases: 0 http://doh.dc.gov/publication/zika-virus-information

Zika Virus Update: Last Update: Daily (5 pm EST) Total Human Cases Related to International Travel: 15 Locally Acquired Mosquito Borne Cases: 0

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At A Glance - Zika Virus in Arkansas (as of August 9, 2016) Travel-associated Zika virus disease cases reported: 9 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 9, 2016) Travel-associated Zika virus disease cases reported: 9 Locally acquired cases reported: 0

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Travel-associated Zika cases confirmed in Arizona: 18 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: 18 Arizona Arboviral Handbook for Chikungunya, Dengue, & Zika Viruses

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Alabama Residents Tested for Zika Virus as of August 9, 2016 Number of Submissions Positive Test Results for Zika or Flavivirus, unspecified (likely Zika) 196 20 http://www.adph.org/mosquito/index.asp?id=7427

Alabama Residents Tested for Zika Virus as of August 9, 2016 Number of Submissions Positive Test Results for Zika or Flavivirus, unspecified (likely Zika) 196 20

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Health officials are also investigating a South Miami-Dade County local case, but have released few details.Read more here:http://www.bradenton.com/news/state/florida/article94615057.html#storylink=cpy

August 9, 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 at 2 p.m. 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 2,567 people statewide. Florida currently has the capacity to test 6,053 people for active Zika virus and 1,691 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 four in Miami-Dade County, three in Orange County, two in Hernando County, one in Broward County, one in Lee County, one in Monroe County and two involving pregnant women. This is Hernando and Monroe counties first travel-related cases of Zika and they have been added to the Declaration of Public Health Emergency. Please visit ourwebsite to see the full list of travel-related cases. There are four new non-travel related cases today being investigated in Miami-Dade County. All four were exposed in the identified area of concern 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 369 Non-Travel Related Infections of Zika 21 *six of these meet CDC’s case definition 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 455 424 17 14 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 16 0 3 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 1 0 0 1 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 3,710 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 369 Non-Travel Related Infections of Zika 21 *six of these meet CDC’s case definition Infections Involving Pregnant Women 57 http://www.floridahealth.gov/newsroom/2016/08/080916-zika-update.html