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59 Zika cases in 2015 Zika ††,§§§§ Zika virus congenital infection NA NA NA NN NN NN NN NN Zika virus disease, non-congenital infection 5 1,764 0 NN NN NN NN NN PA (1 ), MN (1 ), TN (1 ), MS (1 ), TX (1 )

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States States States States CDC States States States 25-Jul 26-Jul 27-Jul 28-Jul 28-Jul 29-Jul 1-Aug 2-Aug AK 1 1 1 1 0 1 1 1 AL 14 15 15 15 9 15 15 18 AR 6 6 7 7 5 7 7 7 AZ 10 11 11 11 10 11 11 13 CA 98 98 98 98 87 114 114 114 CO 17 17 17 18 18 18 18 18 CT 41 41 57 57 38 57 57 57 DE 10 10 12 12 10 12 12 12 DC 14 14 14 14 10 14 14 14 FL 358 364 381 381 307 390 402 406 GA 46 46 46 46 41 46 46 46 HI 10 10 10 10 10 10 10 10 IL 30 30 30 35 29 35 35 35 IN 13 13 13 15 15 15 15 15 IA 9 9 9 9 9 9 9 9 KS 5 5 8 8 6 8 8 8 KY 11 11 11 11 10 11 11 11 LA 9 9 14 14 9 14 14 14 MD 42 42 48 48 48 48 48 48 MA 49 49 49 52 52 52 52 52 ME 7 7 7 7 7 7 8 8 MI 13 13 13 14 14 14 14 14 MN 21 21 21 21 21 21 21 21 MO 8 8 8 8 8 8 8 8 MS 9 11 11 11 11 14 14 14 MT 5 5 5 5 1 5 5 5 NC 21 21 21 25 21 25 25 25 ND 3 3 3 3 1 3 3 3 NE 3 3 3 3 4 3 3 3 NH 7 7 7 7 7 7 7 7 NJ 61 69 69 69 50 69 69 76 NM 3 3 3 3 3 3 3 3 NV 9 9 9 9 11 9 9 9 NY 521 521 521 547 449 562 562 562 OH 26 26 26 27 26 27 28 28 OK 12 12 12 12 13 12 12 12 OR 19 19 19 19 12 19 19 20 PA 51 51 51 51 48 51 61 61 RI 17 17 17 17 16 17 17 17 SC 23 23 23 25 25 26 26 26 TN 15 15 15 15 16 15 15 15 TX 110 118 122 123 76 123 134 134 UT 8 8 8 8 6 8 8 8 VA 43 43 43 50 48 50 50 50 VT 3 3 3 3 6 3 3 3 WA 18 18 19 19 14 19 19 20 WI 11 11 11 11 11 11 11 11 WV 9 9 9 9 9 9 9 9 1848 1874 1929 1982 1657 2026 2061 2079

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Confirmed Zika Cases in Oregon, 2016 As of 8/2/2016 Travel-associated cases: 16Oregon mosquito-acquired cases: 0 Total: 16 https://public.health.oregon.gov/newsadvisories/Pages/zika.aspx

Confirmed Zika Cases in Oregon, 2016 As of 8/2/2016 Travel-associated cases: 16 Oregon mosquito-acquired cases: 0 Total: 16

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Zika virus cases in Ohio: https://www.odh.ohio.gov/odhprograms/bid/zdp/diseases/zika.aspx

Zika virus cases in Ohio:

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Alabama Residents Tested for Zika Virus as of August 2, 2016 Number of Submissions Positive Test Results for Zika or Flavivirus, unspecified (likely Zika) 170 18 http://www.adph.org/mosquito/index.asp?id=7427

Alabama Residents Tested for Zika Virus as of August 2, 2016 Number of Submissions Positive Test Results for Zika or Flavivirus, unspecified (likely Zika) 170 18

Zika Virus – August 2, 2016. Texas has had 90 reported cases of Zika virus disease. This count includes three pregnant women, one infant 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 3 Frio 1 Gray 1 Galveston 1 Grayson 1 Hamilton 1 Harris 24 Lubbock 1 Medina 1 Tarrant 13 Travis 3 Val Verde 1 Williamson 2 Wise 1 Total 90 Note: Zika case data for Texas will be updated each weekday no later than 11 a.m.

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Zika Cases in New Jersey New Jersey County Confirmed Travel-Related Cases Bergen 15 Passaic 14 Middlesex 7 Burlington 5 Gloucester 1 Hudson 7 Essex 6 Union 5 Camden 4 Morris 4 Monmouth 2 Ocean 1 Hunterdon 2 Mercer 3 TOTAL 76 Last Updated: August 02, 2016 http://www.nj.gov/health/cd/zika/case_count.shtml

Zika Cases in New Jersey New Jersey County Confirmed Travel-Related Cases Bergen 15 Passaic 14 Middlesex 7 Burlington 5 Gloucester 1 Hudson 7 Essex 6 Union 5 Camden 4 Morris 4 Monmouth 2 Ocean 1 Hunterdon 2 Mercer 3 TOTAL 76 Last Updated: August 02, 2016

AUGUST 2, 2016 9:33 PM Zika virus spreading in Miami as new local case reported outside of Wynwood Fighting Zika on the streets 1:15 FACEBOOK TWITTER EMAIL SHARE FACEBOOK TWITTER EMAIL SHARE 1 of 7 As Miami-Dade mosquito inspectors continue to spray the Zika infested areas of Wynwood, Miami Police also lent a hand on Tuesday, passing out mosquito spray to homeless people in the area. Emily Michot [email protected] BY DANIEL CHANG, ALEX DAUGHERTY AND JOEY FLECHAS [email protected] LINKEDIN GOOGLE+ PINTEREST REDDIT PRINT ORDER REPRINT OF THIS STORY Zika virus is spreading in South Florida, state health officials confirmed on Tuesday, with reports of a new locally transmitted case in Miami-Dade County — this one outside of the Miami neighborhood where the nation’s first cluster of local infectionsemerged in July. Florida health officials said a one-square-mile neighborhood north of downtown — around Wynwood — remains the only area in the state with active, ongoing Zika transmission by mosquitoes. But the new local infection indicates that mosquitoes are spreading the disease beyond this isolated district. “We are investigating that carefully,” said Sarah Revell, a spokeswoman for the Florida Department of Health said late Tuesday, “and if we do identify another area of local transmission, we will put out an advisory.” The new case raises the number of locally transmitted Zika infections in Florida to 15 people, including 13 in Miami-Dade and two in Broward. Health officials also reported three new travel-related Zika infections in Miami-Dade on Tuesday, raising the statewide total to 336 people who acquired the disease abroad. Miami-Dade Mayor Carlos Gimenez announced that airplanes will begin spraying insecticides on Wednesday morning across a 10-square-mile area of Miami that includes the neighborhood where the virus is spreading. Aerial spraying is not as effective at eradicating the mosquito species most capable of spreading Zika virus, Aedes aegytpi, because it tends to live and breed near covered structures and stay near humans. But Gimenez said the county had to try. “Some say it's effective. Some say it’s not that effective. But it’s been recommended by the state and the federal government and we’re going to do it,” he said at Green Space Wynwood, a retail and office building in the heart of the affected neighborhood. “If it has a success rate of 10, 20, 30 percent,” Gimenez said, “then that’s 30 percent more than what we had before.” The aerial spraying comes after weeks of aggressive pest-control efforts — including hand spraying and chemical applications to kill larvae — failed to reduce the threat of mosquito-borne Zika infections in an area that includes the Wynwood and Midtown Miami districts. Gimenez announced the new effort one day after the Centers for Disease Control and Prevention urged pregnant women not to visit the area north of downtown Miami because of ongoing Zika virus transmission — an unprecedented travel advisory for the continental United States — and Florida Gov. Rick Scott asked the federal agency to send an emergency response team to help. Miami’s isolated Zika outbreak also triggered a bipartisan and nearly unanimous response from Florida’s congressional delegation, with 26 of the state’s 27 members of the U.S. House of Representatives signing a letter to the CDC asking for more money to combat the virus. The CDC has sent more than $8 million in Zika-specific funding to Florida already, but an additional $720,000 for the state announced on Tuesday was deemed “paltry” by the congressional delegation, who noted that the Sunshine State has been hit harder than most. As politicians struggled to shake loose more federal funding to combat Zika, Miami police worked on the ground in Wynwood and elsewhere on Tuesday to help fight the virus — handing out cans of insect repellent to the homeless and passersby. With the thermometer pushing 90 degrees, James Bernat, homeless coordinator for the Miami Police Department, walked along Northwest First Avenue on the southern edge of Wynwood with a group of cops. On one block, they rested a can of insect repellent against the belly of a shirtless man napping on a cardboard box under large graffiti faces painted on a wall. Farther up the street, Antonio Price, 51, sat on a crate in the shade when the group approached him. Price said he was thankful for the free can of repellent, but he wasn’t very concerned about the Zika virus, which can cause birth defects and neurological disorders. “I got 99 problems,” Price said, “but Zika ain’t one.” Summer rain and heat, however, raises the threat of mosquito-borne diseases, said Glendina Roseborough, a sanitation worker who was using large tongs to pluck trash from puddles of water after Monday night’s storms. “People in the area need to take precautions,” said Roseborough, who carried four bottles of water and a can of insect repellent on her rolling trash can, offering complimentary sprays to everyone who walked by. With the neighborhood north of downtown identified as the only place in the state with ongoing Zika transmission, Florida health officials on Tuesday clarified that at least 12 of Miami-Dade’s local cases acquired the disease inside the one-square-mile area — and not at a specific “work site,” as CDC officials had said this week. “We have narrowed it down to a pretty tight area,” Revell said. County officials will continue trapping, counting and testing mosquitoes for Zika virus in the area, though to date no insects have tested positive. Mayor Gimenez says the county has invested more resources to fight Zika over the last five months, including the aerial spraying. Residents in the spraying area were notified Tuesday night via a reverse 911 call to landlines. The insecticide, called Naled, is used to kill adult mosquitoes and larvae. Lee Casey, Miami-Dade’s environmental affairs director, said the chemical is not harmful to humans and pets. “It's pretty safe stuff,” he said. Casey added that spraying will take place in the early morning and late evening when the Zika mosquitoes are most active and the impact on other insects is minimal. County officials would not verify how long they will use aerial spraying in the area, and Casey was unable to state a target for reducing the mosquito population in the area. “We spray and then do surveillance to determine the impact,” he said. MIAMI HERALD STAFF WRITER PATRICIA MAZZEI CONTRIBUTED TO THIS REPORT. http://www.miamiherald.com/news/health-care/article93386952.html?platform=hootsuite Read more here: http://www.miamiherald.com/news/health-care/article93386952.html?platform=hootsuite#storylink=cpy

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Published: August 2, 2016, 8:55 PM 0 Everett – Snohomish officials say a teenage girl is the third person to test positive for Zika virus in the county. The Snohomish Health District said Tuesday the girl had recently traveled to Nicaragua, an area known to have mosquitoes infected with the virus. Officials say the teen isn’t pregnant and that they are working with her health care provider to follow virus guidelines from the Centers for Disease Control and Prevention. The state Department of Health said as of July 27, there were 16 confirmed Zika cases statewide. On Monday, the CDC instructed pregnant women to avoid a neighborhood in Miami, Fla., marking what is believed to be the first time in the agency’s 70-year history that it warned people not to travel somewhere in the U.S. http://www.columbian.com/news/2016/aug/02/teen-3rd-in-snohomish-to-test-positive-for-zika/

Locally Acquired Zika Cases Rises To 15 In South Florida August 2, 2016 11:20 PM Filed Under: Babies, CDC, Health, Women, Zika 20 Follow CBSMIAMI.COM: Facebook | Twitter MIAMI (CBSMiami) – State health officials said they are investigating one new locally acquired case of the Zika virus in Miami-Dade County – bringing the total to 15 non-travel related cases within South Florida. They also announced three new travel-related cases – all located in Miami-Dade County. The new announcement comes as the Centers for Disease Control and Prevention (CDC) is finding it more difficult than it originally thought to wipe out mosquitoes that may be carrying the virus. State health officials reported that 14 of the people had contracted the virus after being bitten by mosquitoes in Miami’s Wynwood arts district. Miami-Dade County Mayor Carlos Gimenez met with the CDC Tuesday and announced there would aerial mosquito spraying within the 10-mile Wynwood area. They also said mosquito testing, at last check, came back negative for the virus. Still, the CDC has issued a rare travel warning advising pregnant women to avoid the Wynwood area because mosquito counts are still high in the area. Couples who have been there recently are advised to put off havingchildren for at least two months and expectant mothers should get tested for the virus if they have visited the neighborhood since mid-June. The travel warning covers an area of about one square mile in Wynwood to the east of Interstate 95 and south of I-195. It’s large enough, health officials said, to provide a buffer around the suspected hot zone. The tropical mosquito that spreads Zika travels less than 200 yards in its lifetime. Zika 101: Prevent Spread By Protecting Yourself CDC Director Tom Frieden said mosquito control is difficult in the neighborhood because it has industrial, commercial and residential development. The mosquito that carries the virus is generally difficult to eradicate. He added that it’s possible mosquitoes are resistant to the insecticide being used, but it could take weeks for federal and state officials to figure that out. He said there also could be breeding sites that haven’t been destroyed. CDC officials said they could not remember another time in the 70-year history of the disease-fighting agency when it told members of the public not to travel someplace in the U.S. On Monday, the United Kingdom and New York issued a travel advisory warning travelers – especially pregnant women – to avoid the affected area of South Florida. Related: Gov. Scott: Florida Remains ‘Safe State’ Amid Zika Battle At last check, Florida health officials said they have tested more than 200 people in Miami-Dade and Broward counties since early July. Emergency response teams from the Centers for Disease Control and Prevention will help Florida authorities investigate the outbreak, collect samples and control mosquitoes. So far no mosquitoes in Miami or elsewhere in Florida have tested positive for Zika. Residents and frequent visitors to Wynwood are keeping up to date on the latest information concerning the situation. “We have plenty of mosquitoes around here but I’m not scared because they say that the Zika is not her in Wynwood,” said resident Alberto Carreras. Kari Vidal, who used to live in Wynwood, is concerned. She’s expecting her second son in October. “It’s definitely difficult going through a pregnancy in the heat of the summer and now, mosquitos are everywhere. You can get a bite in your car, walking to your car, even in your own house sometimes.” She added, “I’m very concerned about my husband as well. I have gotten him his own bottle of repellent and we are taking all the necessary precautions. As far as I understand, he could get it and we wouldn’t even know.” Governor Rick Scott said they’ve been dealing with the threat of Zika for months, everything is under control and Florida is open for business. “This has been going on for quite a while. We had our first case of travel related Zika virus in February, I declared a state of emergency, and we’ve been working on this. We now have 14 cases out of 20 million people and probably 60 million visitors this year, so come to Florida we are going to take care of you.” Zika infections in pregnant women can cause severe brain-related birth defects, including microcephaly which is a serious birth defect of the brain. The global outbreak has led to more than 1,800 serious defects. On Tuesday the CDC announced that it had awarded more than $16 million to 40 states and territories to establish, enhance, and maintain information-gathering systems to rapidly detect adverse outcomes caused by Zika virus infection. The agency said the awards were a stopgap diverted from other public health resources until Zika funds are provided by Congress. http://miami.cbslocal.com/2016/08/02/cdc-finds-it-a-challenge-to-battle-zika-in-wynwood/

"" style="box-sizing: inherit; border: 0px; vertical-align: bottom;"> SHARE 1.An inspector with the Miami-Dade County mosquito control department looks for standing water as he inspects an empty lot, Aug. 2, in the Wynwood neighborhood of Miami. The CDC has advised pregnant women to avoid travel to this neighborhood where mosquitoes are apparently transmitting Zika directly to humans.Lynne Sladky / AP 2. Florida Gov. Rick Scott addresses the media during a round-table discussion about the Zika virus in St. Petersburg, Florida., Aug. 1. The CDC issued an advisory, Monday, Aug. 1, 2016, that says pregnant women should not travel to the so-called Zika "transmission area" in Florida and pregnant women who live there should take steps to prevent mosquito bites. The advisory comes after 10 new infections of the Zika virus were reported in the same Miami neighborhood likely transmitted by local mosquitoes. Tamara Lush / AP 3.Miami-Dade mosquito control worker Carlos Vargas point to the Aedes aegypti mosquito larvae at a home in Miami, June 7. The US state of Florida now has 14 people who likely contracted the Zika virus from mosquitoes in the Miami area, and the state needs emergency help from the federal government, officials said August 1, 2016. Governor Rick Scott announced 10 new cases of locally transmitted Zika, in addition to four made public by the department of health on July 29.RHONA WISE / AFP - Getty Images advertisement 4.James Bernat and Michelle Albelo, City of Miami police officers, give out cans of insect repellent as they help people near the Miami Rescue Mission prevent mosquito bites that may infect them with the Zika virus on August 2 in Miami.Joe Raedle / Getty Images 5.Barbara Betancourt holds her baby Daniel Valdes after being given a can of insect repellent by a police officer.Joe Raedle / Getty Images 6.Carlos Varas, a Miami-Dade County mosquito control inspector, uses a Golden Eagle blower to spray pesticide to kill mosquitos in the Wynwood neighborhood as the county fights to control the Zika virus outbreak.Joe Raedle / Getty Images advertisement 7.Dr. Juliana Duque uses a fetal heart monitor on a patient who is in her first trimester of pregnancy at the Borinquen Medical Center, Aug. 2, 2016 in Miami. The CDC has advised pregnant women to avoid travel to the nearby neighborhood of Wynwood where mosquitoes are apparently transmitting Zika directly to humans. The patient also had a test for Zika following her exam.Lynne Sladky / AP 8.An inspector looks for standing water as he inspects an empty lot, Aug. 2, in the Wynwood neighborhood of Miami.Lynne Sladky / AP 9.Mosquito control inspector Larry Smart uses a fogger to spray pesticide to kill mosquitoes in the Wynwood neighborhood, August 1.Joe Raedle / Getty Images http://www.nbcnews.com/slideshow/15-zika-cases-set-miami-dade-county-full-alert-n621971

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A suspected non-travel related case is being investigated in the southwest part of Broward County, near the cities of Davie and Southwest Ranches. http://www.nbcmiami.com/news/local/15th-Non-Travel-Zika-Case-Discovered-In-Miami-Dade-as-Suspected-Case-in-Broward-Being-Investigated-388985511.html

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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 336 Non-Travel Related Infections of Zika 15 Infections Involving Pregnant Women 55 NUMBER OF ZIKA CASES BY COUNTY County Number of Cases (all travel related) Alachua 5 Brevard 8 Broward 55 Charlotte 1 Citrus 2 Clay 3 Collier 4 Duval 6 Escambia 2 Highlands 1 Hillsborough 10 Lake 1 Lee 6 Manatee 2 Martin 1 Miami-Dade 102 Okaloosa 2 Okeechobee 1 Orange 40 Osceola 18 Palm Beach 18 Pasco 6 Pinellas 7 Polk 12 Santa Rosa 1 Seminole 12 St. Johns 3 St. Lucie 2 Volusia 5 Total cases not involving pregnant women 336 . . . . . . Cases involving pregnant women regardless of symptoms 55 Lasted updated: Aug. 2, 2016 - 4pm EST