niman

From CDC Aug 1 presser BETSY MCKAY: Hi. Thanks very much. I wanted to follow up on that last comment, Dr. Frieden. You said they found -- was this everyone? Were all 14 people found within this 150-meter area around the workplace, either at the workplace or in the community? Was that everybody, or are there, you know, some people who may have been infected, you know, in that neighborhood but outside that 150-meter area? And then my second question was, you mentioned that the, you know, mosquito populations aren't coming down because of possible resistance. Do you know what insecticide or insecticides are being used? TOM FRIEDEN: Thank you. and I’ll refer you to Florida for the details of those questions, but my understanding, which should be confirmed with Florida is that 12 of the 14 infections so far diagnosed that are referred to in Governor Scott’s press release today occurred in this 150-meter area. http://www.cdc.gov/media/releases/2016/t0801-zika-update.html

On the following Monday, Aug 1 all three agencies issued press releases citing 10 more Zika cases, all of which were in the 150 meter area centered in the 1 mile transmission zone. The CDC presser had the most detail. 6 of the cases were asymptomatic but PCR testing of urine were Zika positive. Four symptomatic contacts of the initial "2 or more" were positive via PCR or IgM antibodies. The 150 meter area (subsequently described a six blocks) was located at the center of the 1 mile transmission zone). Although the presser noted that 10 of the 12 cases were in the 150 meter area, it did not exclude the possibility that the other 2 cases were within in 1 mile area but outside of the 150 meter area. However, the shape of the 1 square mile suggested that only the 12 cases were within that area (shape would have been distorted is the other two were within the larger zone) and the DoH press release noted that testing of neighbors and contacts of two of the cases were negative, suggesting these were the first two cases and these two cases were not linked to the Winwood area.

From CDC July 29 presser: TOM FRIEDEN: The epidemiologic analysis strongly suggests that the exposure and the infection occurred around the workplace because of the connections between people who don't have other connections. So the Florida investigation identified in the course of their interviewing of patients and assessment of environments, that this location was likely to have been the source for more than one case of Zika spread locally. http://www.cdc.gov/media/releases/2016/t0729-zika-update.html

From Florida DoH July 29 press release: The Florida Department of Health has gathered enough information as part of its ongoing investigation into non-travel related cases of Zika in Miami-Dade and Broward counties to conclude that a high likelihood exists that four cases are the result of local transmission. At this time, the department believes that active transmission 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 20th Street to the south. This area is about 1 square mile and a map is below to detail the area. While no mosquitoes trapped tested positive for the Zika virus, the department believes these cases were likely transmitted through infected mosquitoes in this area. The department is actively conducting door-to-door outreach and urine sample collection in the impacted area and will share more details as they become available. http://www.floridahealth.gov/newsroom/2016/07/072916-local-zika.html

From Governor's July 29 press release: Today, Governor Rick Scott announced that the Florida Department of Health (DOH) has concluded that four cases of the Zika virus are likely mosquito-borne. DOH knows that the four cases are in Miami-Dade and Broward Counties. One of these cases involves a woman and the other three cases involve men. At this time, DOH believes that 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 20th Street to the south. This area is about 1 square mile and a map is below to detail the area. This is currently the only area of the state where DOH is testing to see if there are local transmissions of Zika. They are all active Zika cases and have not exhibited symptoms to be admitted to the hospital. http://www.flgov.com/2016/07/29/gov-scott-with-likely-mosquito-borne-zika-cases-state-will-use-full-resources-to-protect-floridians/

Confusion over the relationship of the first two cases with the cluster of cases in Wynwood began with the Florida governor's announcement on July 29 describing two more local cases (men in Miami-Dade and Broward County which had been aoounced two days earlier). The statement indicated that the number of local transmission cases had increased to four, but active transmission was limited to a one square mile area defined by the map that was included in the press release. The CDC followed with a presser which did little to clarify the confusion. The CDC announcement noted that "more than one" of the cases were linked to a small region within the 1 square mile transmission zone, which included Wynwood.

One case in Broward: 70 close contacts and individuals from the community have been tested with no additional positive http://www.floridahealth.gov/newsroom/2016/08/080416-zika-update.html

The second local Zika Florida transmission case involved a man residing in Broward County. This case was announced a day after the index case. Media reports which included Broward County mosquito control spraying in the cases neighborhood indicated this case resided in Fort Lauderdale just west of downtown. Testing of 70 contacts and neighbors failed to link this case to another Zika case, and this case was also categorized as a case not involved in active transmission.

One case in Miami-Dade: 54 close contacts and individuals from the community have been tested with no additional positives http://www.floridahealth.gov/newsroom/2016/08/080416-zika-update.html

The first case of local transmission was a Miami-Dade woman who was cited by the Florida Department of Health four days after confirmation. Local media accounts featuring Miami-Dade infection control teams in her neighborhood indicated this case resided in the East Coral Gables community west of downtown Miami. Testing of 54 contacts and neighbors failed to identify a linked Zika case, so the location of the infection of this index case was unknown and the case was classified as a local case not involving active transmission.

Florida has announced the fourth local case of Zika transmission which is not linked to the cluster (13 confirmed) cases in Wynwood. Like the first three, government announcements (by offices of governor and health) maintained that active transmission was limited to Wynwood, creating confusion subsequently propagated by media reports. The government use of the term "active transmission" is defined by close clustering, and failure to identify such clusters linked to four cases leads to the exclusion of these cases, even though each instance involves a case that has not recently traveled outside of Florida, and the four cases represent Floridians who reside in Miami-Dade (2), Broward, and Palm Beach counties. Update: Palm Beach County case may be epidemiologically linked to travel to Wynwood.

New case of non-travel related Zika in Palm Beach County Filed Under: Zika Stephanie Soucheray | News Reporter | CIDRAP News | Aug 08, 2016 Share Tweet LinkedIn Email Print & PDF westpalmbeach.jpg Wally Gobetz/ Flickr cc Florida Governor Rick Scott announced today that the Florida Department of Public Health (Florida Health) is investigating a case of locally transmitted Zika in Palm Beach County. The case is the first non-travel related Zika transmission outside of Miami-Dade and Broward counties in Florida. As of today, the state has 17 cases of non-travel related Zika. Florida Health is conducting door-to-door outreach, mosquito abatement, and sampling in Palm Beach County. According to a statement from the governor's office, the person had recently traveled to Miami-Dade County, and Florida Health officials are still saying that active transmission of Zika is limited to a 1-square mile area of the Wynwood neighborhood, just north of downtown Miami. "While this investigation is ongoing, DOH still believes active transmissions are only taking place within the identified area that is less than one-square mile in Miami-Dade County," said Scott in a statement. "With the announcement of this new case, and the upcoming new school year, I have directed DOH and DOE to closely work together to ensure students, parents, educators and district leaders have all the resources and guidance they need to combat the Zika virus." With the start of school approaching, Scott said he would work with the Florida Department of Education to distribute Zika preparedness kits across to schools and universities across southern Florida, including door hangers, mosquito repellent, and other educational materials. In its daily update, Florida Health said there are 357 travel-related Zika cases in the state, 55 in pregnant women. On Aug 3, Scott ordered that all pregnant women in Florida can be tested for Zika for free. Florida health has already tested 2,515 people statewide for Zika virus, and has the capacity to test 6,145 people for active Zika virus and 1,840 for Zika antibodies. See also: Aug 8 Governor Scott's statement Aug 8 Florida Health update http://www.cidrap.umn.edu/news-perspective/2016/08/new-case-non-travel-related-zika-palm-beach-county

Investigators Study New Zika Case in Palm Beach County An Aedes Aegypti mosquito, which carries the Zika virus, photographed on human skin in a lab of the International Training and Medical Research Training Center in Cali, Colombia, in January 2016. ENLARGE An Aedes Aegypti mosquito, which carries the Zika virus, photographed on human skin in a lab of the International Training and Medical Research Training Center in Cali, Colombia, in January 2016. PHOTO: AGENCE FRANCE-PRESSE/GETTY IMAGES By MELANIE EVANS Updated Aug. 8, 2016 8:02 p.m. ET 0 COMMENTS The first Zika outbreak in the continental U.S. has spread to a third Florida county, the governor said on Monday, as health officials launched an investigation into a new case. But officials believe active transmission of the virus remains confined to the square-mile Wynwood neighborhood of Miami where the outbreak was first identified. Gov. Rick Scott said state Department of Health officials are investigating how an individual in Palm Beach County became the state’s 17th person believed to be infected without exposure from travel outside the U.S. to areas where Zika is circulating. The virus, which can cause birth defects, is spread largely by mosquitoes, but also by sexual contact. The Florida Department of Health has ruled out sexual transmission in the new investigation. –– ADVERTISEMENT –– A health department spokeswoman said “the investigation is under way to try to confirm the source of the infection.” The state previously identified 16 people in neighboring Broward and Miami-Dade counties who are believed to have been infected with Zika by a mosquito. The individual in Palm Beach County, just to the north of Broward, recently visited Miami-Dade County, the state health department said. “The department still believes active transmissions are only taking place within the identified area that is less than one-square-mile,” the agency said. Florida health officials have launched efforts to collect samples from Palm Beach County locals to track the virus’s possible spread. The state has also begun efforts in the county to kill mosquitoes. Mr. Scott also said on Monday that the state would distribute mosquito repellent to Florida’s public colleges, universities and school districts. Fliers and other resources on the virus would be sent home with students, the governor’s office said. http://www.wsj.com/articles/investigators-study-new-zika-case-in-palm-beach-county-1470698946

August 8, 2016 DEPARTMENT OF HEALTH DAILY ZIKA UPDATE http://www.floridahealth.gov/newsroom/2016/08/080816-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 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 2,515 people statewide. Florida currently has the capacity to test 6,145 people for active Zika virus and 1,840 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 six new travel-related cases today with two in Miami-Dade County, two in Hillsborough County, one in Polk County and one in Leon County. This is Leon County’s first travel-related case 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 is one new non-travel related case today being investigated in Palm Beach County. Please note this does not mean active transmission of Zika virus is occurring in Palm Beach County. The individual has recently traveled to Miami-Dade County and the department’s investigation is underway to try to determine the source of infection. If the department identifies any area of concern in Palm Beach County, we will notify the public immediately. 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 357 Non-Travel Related Infections of Zika 17 *six of these meet CDC’s case definition Infections Involving Pregnant Women 55 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 437 418 11 8 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 55. 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 3,443 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.

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 357 Non-Travel Related Infections of Zika 17 *six of these meet CDC’s case definition Infections Involving Pregnant Women 55

When I landed in Miami on June 5, it was hot, wet and buggy. I felt like I was stepping into a spa set up for mosquitoes – they love this kind of weather. But at that time, the local bugs weren’t spreading the Zika virus. In fact, the only official cases were from people who had traveled to Zika-infested areas or who had sex with such a traveler. But I wasn’t taking any chances. I’m pretty susceptible to mosquito bites. So I stocked up: I bought one can of Off and about six of those brightly colored mosquito repellent wristbands. It turns out that even with my mini-arsenal of bug-repelling products, I wouldn’t stand a chance. Chalmers Vasquez, Miami-Dade County’s mosquito control manager, hunts for Aedes aegypti mosquitoes, the species that carries Zika. At one point, there were eight mosquitoes landing on him.Credit: Amy Walters/Reveal I joined Chalmers Vasquez, Miami-Dade County’s mosquito control manager, as he headed out to hunt for Aedes aegypti mosquitoes, the species that carries Zika. The bugs seemed to like him more than they like me. At one point, there were eight mosquitoes landing on him. They rose up out of a small pool of water at the bottom of a toy wheelbarrow, and they were hungry. I was so busy paying attention to Chalmers and the mosquitoes sucking his blood that I didn’t realize they were feasting on me, too. Within minutes, I had two big welts on the back of my left forearm, just inches from my wrist: Aedes aegypti 2, Amy Walters 0. Mosquitoes rose up out of a small pool of water at the bottom of a toy wheelbarrow. Within minutes, I had two big welts on the back of my left forearm, just inches from my wrist.Credit: Amy Walters/Reveal A couple of days later, I interviewed two virologists, Sharon Isern and Scott Michael, a husband-wife research team. They commented on the bites and how big they were. They weren’t going away. It was kind of embarrassing. I was here to report on Zika, but now it felt like I was getting up close and personal with the disease. I wasn’t pregnant, so that wasn’t a concern. But what if I carried Zika, then some mosquito bit me and passed it on to someone else? I didn’t want to be part of the problem. I decided to call Miami’s Zika hotline. A guy named Stan took my call. He told me there was no way I could get Zika, so they wouldn’t test me. It was June 8, and at that time, there were no known Zika-carrying mosquitoes in the continental U.S. I told him, if they didn’t test people like me, how would they ever find out if Zika-carrying bugs were buzzing around? He wasn’t swayed, and eventually I just hung up. On June 14, I was back in California. After I was home for a few days, I started feeling sick. I had a cough, was congested and felt feverish. Catching Zika seemed like a long shot. Less than 20 percent of people who get infected show any symptoms … but maybe I did have Zika. Shouldn’t I know? This time, I called up my own health care provider. “So I was traveling in Miami reporting a story on Zika,” I said, “and I got some mosquito bites.” I spoke to a nurse and asked if they would test me. Again, unless I’d been out of the continental U.S., the answer was no. It felt like I was going around in circles. If the Centers for Disease Control and Prevention wasn’t testing for local cases of Zika, how could it find them? I was starting to think “local cases” might include me. A digitally colorized transmission electron micrograph shows the Zika virus. If an expectant mom has Zika, her baby could have severe birth defects.Credit: Cynthia Goldsmith/CDC I still had a story to report. In early July, I called Tom Skinner with the CDC. Why weren’t they testing me for Zika? “Our guidelines right now are focusing on individuals who have traveled to areas where Zika virus is circulating, who are presenting with symptoms,” he said, “because right now, that’s what the epidemiology of this disease indicates. We’re not seeing any local transmission.” But by the end of July, everything had changed. The first locally acquired case of Zika was identified in Miami. According to officials, the spread may have started as far back as June 15 – one week after I left. The CDC soon uncovered more than a dozen cases of locally acquired Zika in one neighborhood of Miami. More are popping up almost every day. Florida Gov. Rick Scott now has called for free Zika tests for pregnant women throughout the state. If an expectant mom has Zika, her baby could have severe birth defects. But what about for people like me, who aren’t pregnant and just want to know if we are carrying this virus? We may never know. Amy Walters can be reached at [email protected]. Follow her on Twitter: @AmyWalters_.

Did our reporter get Zika? Topics: Accountability / Health Care Categories: Dig By Amy Walters / August 5, 2016 https://www.revealnews.org/blog/did-our-reporter-get-zika/

Number of cases reported County/Area Today Year to Date (8/5-8/16) Albany 0 3 Broome 0 1 Clinton 0 1 Columbia 0 1 Dutchess 0 5 Erie 0 4 Lewis 0 1 Monroe 1 7 Nassau 3 34 Niagara 0 1 Oneida 0 3 Onondaga 0 5 Ontario 0 3 Orange 0 4 Otsego 0 1 Putnam 0 1 Rockland 0 7 St Lawrence 0 1 Schenectady 0 1 Suffolk 1 32 Tompkins 0 2 Westchester 0 14 NYS (ex NYC) 5 132 NYC 18 449 NYS Total Confirmed 23 581 NYS Pregnant Registry 0 25 NYS Total 23 606

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

AUGUST 8, 2016 3:31 PM First local Palm Beach County Zika case confirmed Miami-Dade County mosquito inspector Carlos Varas uses a Golden Eagle machine to spray insecticide in Wynwood as resident Calmero Diaz, 63, looks on. On Monday, Gov. Rick Scott announced the first local case of Zika in Palm Beach County, making it the 17th local case so far found in the state. Emily Michot [email protected] BY JENNY STALETOVICH [email protected] LINKEDIN GOOGLE+ PINTEREST REDDIT PRINT ORDER REPRINT OF THIS STORY Palm Beach County has its first local case of Zika, Gov. Rick Scott announced Monday. The patient had recently traveled to Miami-Dade County, but it’s not yet clear where the virus was contracted. The Florida Department of Health has begun questioning neighbors while officials increase mosquito control efforts in the area. The additional case increases the number of locally acquired Zika cases to 17 in South Florida, along with 406 travel-related cases, 20 of which occurred in Palm Beach County. While the news marks the first time a local case has been reported north of Broward County, officials say they remain convinced that active transmission of the virus is still limited to a one-square-mile area in Miami's Wynwood neighborhood. Since the first local case was reported in Miami-Dade July 29, officials have amped up efforts to battle mosquitoes during South Florida’s buggiest time of the year. On Sunday morning, a second round of aerial spraying focused on 10 square miles near Wynwood. Interactive feature: Daily Florida Zika virus tracker On Monday, Scott also announced plans to better prepare students to combat the Zika virus when school starts again. The state will begin sending mosquito repellent, normally not allowed on campuses, to all district and public colleges and universities in Miami-Dade, Monroe, Broward, Palm Beach and Martin counties as well as educational material. Nursery schools that offer the state’s free pre-kindergarten program will also get information to distribute. The state will provide training for local school nurses and health staff. http://www.miamiherald.com/news/health-care/article94410842.html

Following New Non-Travel Related Zika Case in Palm Beach Co., Gov. Scott Directs DOH and Education Leaders to Partner on Zika Preparedness On August 8, 2016, in News Releases, by Staff ST. AUGUSTINE, Fla. – Today, Governor Rick Scott announced that the Florida Department of Health (DOH) is investigating one new individual with non-travel related Zika in Palm Beach County. The individual has recently traveled to Miami-Dade County and the department’s investigation is underway to determine the source of infection. DOH has begun door-to-door outreach and sampling in the area and mosquito abatement and reduction activities are also taking place. DOH still believes active transmissions are only taking place within the identified area that is less than one-square mile in Miami-Dade County. More details will be announced when the investigation concludes. Governor Scott will be holding a roundtable on Zika preparedness in St. Johns County today and will be available to address this following the event. Following today’s announcement, and with the 2016-17 school year approaching, Governor Scott has directed the Florida Department of Health, the Florida Department of Education and the Florida Board of Governors to partner together to provide critical Zika prevention guidance and resources to students, parents, educators and district leaders across the state. Governor Rick Scott said, “Today, DOH has announced that they are investigating one new individual with non-travel related Zika in Palm Beach County. While this investigation is ongoing, DOH still believes active transmissions are only taking place within the identified area that is less than one-square mile in Miami-Dade County. With the announcement of this new case, and the upcoming new school year, I have directed DOH and DOE to closely work together to ensure students, parents, educators and district leaders have all the resources and guidance they need to combat the Zika virus. “DOH, DOE and the Florida Board of Governors will begin distributing Zika teacher toolkits and materials for school districts, public state colleges and public universities to help educate students and their families. All districts and public education facilities will also be connected with their local health departments for the opportunity to train school clinic nurses and staff on Zika prevention. “Today, I will also be meeting with members of Florida’s K-12 public school system, the Florida College System and the State University System of Florida to discuss what actions they are taking at their schools and campuses, and we will continue to keep an open line of communication with education leaders across the state.” Governor Scott is directing DOH, DOE and BOG to take the following actions: Distribute to each school district office, public college and public university posters, palm cards, door hangers and other education materials that can be displayed throughout campuses and sent home with students; Send mosquito repellent to school districts, public state colleges and public universities in Miami-Dade, Broward, Martin, Monroe and Palm Beach counties; Share with K-12 educators, principals, parents and other education stakeholders the Florida Department of Health’s Zika teacher toolkit, which includes messages and activities that can be incorporated into teachers’ lesson plans and used at home; Issue informational Zika awareness and prevention materials to VPK and other school readiness programs throughout the state; Provide each school district, public college and public university with contact information for the local health department, which can train school clinic nurses and staff on prevention and symptom identification; and Encourage all education leaders to have protocols in place to promptly address suspected Zika cases.

Today, Governor Rick Scott announced that the Florida Department of Health (DOH) is investigating one new individual with non-travel related Zika in Palm Beach County. The individual has recently traveled to Miami-Dade County and the department’s investigation is underway to determine the source of infection. DOH has begun door-to-door outreach and sampling in the area and mosquito abatement and reduction activities are also taking place. http://www.flgov.com/2016/08/08/following-new-non-travel-related-zika-case-in-palm-beach-co-gov-scott-directs-doh-and-education-leaders-to-partner-on-zika-preparedness/

week conf discard untested total weekly increase 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