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July 29, 2016 - Weekly Texas Data for National Zika Pregnancy Registry Texas has reported 42 individuals into the CDC’s Zika Pregnancy Registry. That number includes three pregnant women who are confirmed Zika cases. It also includes pregnant women and any newborns who have laboratory evidence of Zika infection but don’t qualify as Zika cases because they have had no symptoms or because the infection couldn’t be specifically identified as Zika virus. Texas provides data to the Zika Pregnancy Registry weekly. http://www.texaszika.org/

July 29, 2016 - Weekly Texas Data for National Zika Pregnancy Registry Texas has reported 42 individuals into the CDC’s Zika Pregnancy Registry. That number includes three pregnant women who are confirmed Zika cases. It also includes pregnant women and any newborns who have laboratory evidence of Zika infection but don’t qualify as Zika cases because they have had no symptoms or because the infection couldn’t be specifically identified as Zika virus. Texas provides data to the Zika Pregnancy Registry weekly.

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Zika Virus – August 1, 2016. Texas has had 88 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 21 Denton 3 Ellis 1 Fort Bend 3 Frio 1 Gray 1 Grayson 1 Hamilton 1 Harris 24 Lubbock 1 Medina 1 Tarrant 13 Travis 3 Val Verde 1 Williamson 2 Wise 1 Total 88 http://www.texaszika.org/

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Zika Virus – August 1, 2016. Texas has had 88 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 21 Denton 3 Ellis 1 Fort Bend 3 Frio 1 Gray 1 Grayson 1 Hamilton 1 Harris 24 Lubbock 1 Medina 1 Tarrant 13 Travis 3 Val Verde 1 Williamson 2 Wise 1 Total 88 http://www.texaszika.org/

CREATED ON: TUESDAY,AUGUST 02 6:32 AM LAST MODIFIED: TUESDAY,AUGUST 02 6:32 AM Zika prompts travel warning MIAMI (AP) — In a highly unusual travel warning, health officials advised pregnant women to avoid a part of Miami where mosquitoes are apparently transmitting Zika directly to humans. Health officials last Friday announced that mosquitoes have apparently started spreading Zika on the U.S. mainland, citing four cases they strongly believe were caused by bites. Ten more cases were announced Monday, even though Florida authorities have yet to find any mosquitoes actually carrying the virus. Of the 14 people infected, two are women and 12 are men. Eight patients showed symptoms of Zika, which can include fever, rash, joint pain and red eyes. The others had no symptoms. The disease is often so mild that most people don’t know they are infected. All 14 cases are thought to have occurred in Miami’s Wynwood arts district, a trendy, fast-gentrifying neighborhood of warehouses, art galleries, restaurants and boutiques. Rosemary LeBranch was doing laundry in Wynwood when health officials came to her house a few days ago and took urine samples from her, her daughter and her father. Her father, Gabriel Jean, tested positive for Zika, she said Monday. He had already spoken with a doctor and was advised to wear long shirts and pants outdoors. “He said nothing hurts; he doesn’t have any pain. He doesn’t feel anything,” she said. More than 1,650 cases of Zika have been reported in U.S. states. Nearly all have been the result of travel to a Zika-stricken country or sex with someone who was infected abroad, but now more than a dozen people have been infected in the U.S. Florida health officials said they have tested more than 200 people in Miami-Dade and Broward counties since early July. An emergency response team from the Centers for Disease Control and Prevention will help Florida authorities investigate the outbreak, collect samples and control mosquitoes. Scott asked for a CDC emergency team to help Florida combat Zika, which has been sweeping Latin America and the Caribbean in recent months and now may be gaining a long-dreaded foothold in the U.S. The White House said a team will be sent quickly. “We will continue to keep our residents and visitors safe utilizing constant surveillance and aggressive strategies, such as increased mosquito spraying, that have allowed our state to fight similar viruses,” Florida Gov. Rick Scott said in a statement Monday. Government health officials warned pregnant women Monday to avoid the Zika-stricken part of Miami and told couples who have been there recently to put off having children for at least two months, after the number of people feared infected through mosquito bites in the U.S. climbed to 14. The CDC also said expectant mothers should get tested for the virus if they have visited the neighborhood since mid-June. Jordan Davison and Melissa Felix work for a cruise line and were enjoying their day off Monday looking at Wynwood’s spray-painted murals. “It’s not like a big thing, right?” the 25-year-old Davidson said. “It’s kind of freaky. There’s so much going on we didn’t know, didn’t really think about it. ... I might wear bug spray going forward.” 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. Zika infections in pregnant women can cause severe brain-related birth defects, including extremely small skulls. The global outbreak has led to more than 1,800 serious defects. The virus can linger in the blood and urine for weeks and has been found in sperm for months. As a result, the CDC said men and women who have recently been in the affected area should wait at least eight weeks before trying to conceive a child. And men who have had symptoms of Zika should wait at least six months, the CDC said. 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. Dr. Peter Hotez, a tropical medicine expert at the Baylor College of Medicine in Texas, said the CDC should be more cautious and expand the travel advisory to all of Miami-Dade County. “If you’re pregnant or think you might be pregnant, avoid travel to Miami, and possibly elsewhere in South Florida,” he said. “I’m guessing most women who are pregnant are doing that. I don’t think they’re sitting around waiting for the CDC to split hairs and fine-tune it to a specific area.” CDC Director Dr. Tom Frieden said the narrowly drawn warning was dictated by science and not by any concern for Florida’s crucial tourism industry. He said it was based on the nation’s ability to contain previous outbreaks of other diseases carried by the same mosquito. “There wouldn’t be a technical or scientific basis to give a broader recommendation,” Frieden said. http://www.thedpost.com/Zika-outbreak-prompts-travel-war

August 2, 2016, 6:43 AM CDC struggling to wipe out mosquitoes carrying Zika virus Pregnant women are being warned to stay away from a popular Florida neighborhood over the Zika virus, the first time a warning of this kind has been issued in the United States. The small Miami neighborhood of Wynwood is home to the largest ongoing Zika transmission in the continental U.S. There are now 14 locally transmitted cases in or near the Wynwood district, among more than 1,600 travel-related Zika cases in the country. Play VIDEO Concerns growing over Zika threat in U.S. State and county health officials, along with an emergency response team from the Centers for Disease Control, are here, but struggling to control the Aedes aegypti mosquito -- the bug spreading the virus -- because the chemicals they're using to kill the bug aren't very effective, reports CBS News correspondent David Begnaud. "They've been applying chemicals that kill larval mosquitoes every day. It isn't working as well as we had hoped. That could be because some of the mosquitoes are resistant to those insecticides," said Dr. Tom Friedman, director of the Centers for Disease Control. Friedman said the mosquito only travels 165 yards in its lifetime, but moves quickly. "It's been referred to as the cockroach of mosquitoes. It lives indoors and outdoors, it can breed or hatch in a few drops of water, the eggs can last for months," Friedman said. "It can bite four or five people at once so it spreads the disease rapidly." In the last two weeks, 14 people - 12 of them men -- have been infected with Zika in two southern Florida counties. The virus is most dangerous for pregnant women. Best bug sprays for fighting Zika For consumers, avoiding Zika is getting more expensive According to the CDC, women with Zika symptoms should wait at least two months before trying to become pregnant, and infected men should wait at least six months before trying to have a child. 21 PHOTOS 19 alarming facts about the Zika virus Dr. Diego Schmuels said he's ramping up testing for all pregnant women at his Miami clinic, which is located right inside the Zika zone. "So basically, we just started to make sure that all pregnant women -- symptomatic or asymptomatic -- are going to get tested for the Zika virus," Schmuels said. According to health officials, about half a dozen people infected in Wynwood were asymptomatic. Rosemary Jean said her father, Gabriel, is one of them. "He don't have a fever. He doesn't have anything," Jean said. "He says he feels alright, he doesn't feel nothing." The first locally transmitted case in Florida dates back to mid-June, so the CDC said women who traveled here after that should get tested. Florida health officials are also going to people's homes, urging them to get rid of standing water and to cover up, even in the Miami August heat. http://www.cbsnews.com/news/zika-virus-in-us-chemicals-used-to-kill-aedes-aegypti-mosquito-not-very-effective-cdc/

Officials Warn Pregnant Women to Avoid Miami Neighborhood Affected by Zika Recommendation follows identification of 10 additional cases in area, bringing the total to 14 A Miami-Dade County mosquito control inspector checks a property for mosquitoes or breeding areas in the Wynwood neighborhood of Miami. ENLARGE A Miami-Dade County mosquito control inspector checks a property for mosquitoes or breeding areas in the Wynwood neighborhood of Miami. PHOTO: JOE RAEDLE/GETTY IMAGES By BETSY MCKAY and MELANIE EVANS Updated Aug. 1, 2016 5:40 p.m. ET 14 COMMENTS An outbreak of Zika in Miami prompted the federal Centers for Disease Control and Prevention on Monday to warn pregnant women to avoid the neighborhood where officials believe mosquitoes may be transmitting the virus, or take precautions if they live or work there. The agency took the rare step after an investigation by Florida health officials turned up 10 new cases of Zika in the same neighborhood where they had already identified four infections. The outbreak, now involving 14 people, is the first believed to be caused by mosquitoes in the continental U.S. MORE ABOUT ZIKA Four Zika Infections in Florida Likely First in U.S. From Mosquito Bites (July 29, 2016) FDA Tells Two South Florida Counties to Stop Blood Donations Over Zika (July 28, 2016) Spread of Zika Virus in Puerto Rico Accelerates (July 30, 2016) Public-Health Officials Across U.S. Race to Build Defenses Against Zika Virus (July 18, 2016) The CDC said test results showed that spraying, removing standing water and other efforts had failed to kill off many of the Aedes aegypti mosquitoes, which can carry Zika, in the square-mile of the Wynwood neighborhood just north of downtown Miami that Florida have deemed the affected zone. “There is a risk of continued active transmission of Zika in that area,” CDC Director Tom Frieden said in a call with reporters. The agency is dispatching an eight-member team, with experts in Zika, birth defects, mosquito control and other areas to assist with the investigation. Patients of Miami obstetrician-gynecologist Ellen Schwartzbard flooded her office with anxious calls on Monday morning. “I can say it is ringing off the hook,” she said. Her practice sees patients from across Miami, including the Wynwood neighborhood, and pregnant women are asking whether it is safe to stay where they are, she said. One pregnant patient who lives outside of Wynwood called from a summer home in Colorado and asked whether it was safe to return, said Dr. Schwartzbard. Dr. Schwartzbard said she told the woman it was safe to return. She said she cannot recommend women leave Miami “with 14 cases in a one-square-mile area.” It may not be practical for women to spend their pregnancy away from home, she said. She advises women to stay indoors, wear long sleeves, wear mosquito repellent and get rid of standing water near their homes. The discovery of more infections—involving 12 men and two women—highlights how difficult it can be to stay ahead of Zika. The virus can be devastating to fetuses, yet spreads quietly, infecting most people without causing any symptoms. And it is carried by a mosquito that breeds in the tiniest of pools of water, hides in dark corners, and defies many of the insecticides deployed against it. ENLARGE CDC ZIKA RECOMMENDATIONS The Centers for Disease Control and Prevention have issued new recommendations regarding the Zika virus in the wake of an outbreak in the Wynwood neighborhood of Miami: Pregnant women who live in that area should wear mosquito repellents and take other steps to prevent mosquito bites. Pregnant women should use condoms or abstain from sexual contact for the duration of their pregnancies. Men and women who live in or have been in the area since June 15 should wait at least eight weeks before trying to conceive, or six months if the man has symptoms. All pregnant women in the U.S. should be assessed for possible exposure to Zika during every prenatal care visit, and tested if warranted. The Aedes aegypti mosquitoes that can carry Zika have been found in the past in portions of 30 states. Source: U.S. Centers for Disease Control and Prevention But the Aedes aegypti has a short flight range of about 150 meters in its lifetime, meaning that if not many mosquitoes are infected, outbreaks can be quite limited. Health officials are focusing most intensively on one small area with a 150-meter radius around two workplaces where the first two people to develop Zika symptoms were found, Dr. Frieden said. Twelve of the 14 infections occurred within this area, he said. The Florida Department of Health added a buffer area around that radius to form the transmission zone they disclosed on Friday. Dr. Frieden said health officials expect more infections to be found as they continue testing people in the affected area, and the outbreak could go on for some time. But he said they don’t expect it to spread widely. “Nothing we’ve seen indicates widespread transmission, but it’s certainly possible there could be sustained transmission in small areas.” Vector control experts will test to see if the mosquitoes in the area are resistant to the pyrethroid insecticides that workers have been using to try to kill them. Mosquitoes may also still be thriving if there are hidden pockets of standing water where they can breed, Dr. Frieden said. The CDC’s travel advice resembled those it has issued for other countries and territories where Zika is circulating. Pregnant women shouldn’t visit the affected area and if they have been there anytime since June 15, including living or working there, they should be tested for Zika, the agency said. U.S. health officials have been expecting and preparing for possible Zika outbreaks this summer. Miami in particular is at risk because it has the Aedes aegypti mosquito, and large numbers of travelers coming and going from countries and territories in Latin America and the Caribbean such as Puerto Rico, where Zika infections are taking off. Earlier 0:00 / 0:00 Florida Gov. Rick Scott said four people in the Miami area are likely the first in the U.S. to have contracted the Zika virus from local mosquitoes — and not as a result of traveling abroad. Photo AP Dr. Schwartzbard and her colleagues took steps to start testing for the virus at their clinic in recent weeks as the threat of Zika’s emergence in Florida increased. Women are pleading to be contacted as soon as they can begin screening, Dr. Schwartzbard said. Outside of Miami, not everyone is as acutely concerned. In the suburb of Hollywood, Fla., Nigel Spier’s patients have questions about Zika when they arrive for appointments but he isn’t receiving anxious calls. Most of his patients live in Hollywood but many work in Miami, said Dr. Spier, an obstetrician-gynecologist at Memorial Regional Hospital. For now, with the advisory limited to Wynwood, he said he doesn’t recommend women avoid all of Miami. “If you’re outside of that area, I don’t think that there is any cause for alarm at this point,” he said. Write to Betsy McKay at [email protected] http://www.wsj.com/articles/florida-identifies-10-additional-zika-cases-in-miami-area-1470067897

Zika jolts Miami neighborhood Alan Gomez, USA TODAY1:10 a.m. EDT August 2, 2016 (Photo: Joe Raedle, Getty Images) MIAMI — In South Florida, the only thing moving faster than the Zika virus is news of the Zika virus. At The Butcher Shop Beer Garden & Grill in the Wynwood neighborhood of this southern city, business is already down 25% since word got out that the area is the first in the nation where local mosquitoes are transmitting Zika. Bernard Goldstein, a manager at The Butcher Shop, said he set out mosquito repellent candles, provided servers with bottles of bug spray and held a staff meeting to explain the dangers of the virus to his 60 employees. But since the front of the restaurant has no wall, Goldstein said there's only so much they can do to protect the open-air establishment. "At first I thought it was South Beach playing a prank on us, trying to get the sales," he said, referring to the tourist mecca a few miles east. "But yeah, I'm worried. I'm not sure what we're going to do." State health officials have pinpointed an area roughly one square mile wide just north of downtown Miami where Zika is being transmitted by mosquitoes. That location didn't shock anybody in Miami, given what a popular destination the zone has become for locals and tourists coming from Latin American countries where the virus has spread. "We have so many people here who are native to countries where this virus is prevalent, a lot of people who travel back and forth, so I'm not surprised," said Miami-Dade County Mayor Carlos Gimenez. Wynwood is an old warehouse district that has turned into an artists' enclave, filled with studios and outdoor restaurants and bars. Many of the the area's buildings are covered in spray-painted murals, drawing crowds of people to pose for pictures under paintings of dragons, Bob Marley, smiling oranges and dismembered manatees. Further north in the Design District, entire blocks have been filled with high-end furniture stores, posh art galleries and storefronts reading Louis Vuitton, Hermes and Prada. The area usually hosts walking tours and traveling wine tastings, events that could suffer from the news of Zika's spread. Some tourists walking around Wynwood on Monday evening shrugged at the threat of the virus. Florangel Quintana said she just moved to South Florida from Venezuela, where she's seen Zika, dengue, chikungunya and other viruses cause widespread panic before petering out. "Yes, you take precautions. But if I see a mosquito on my arm, I'll kill it and go on with my life," said Quintana, 50, as she crossed the street to continue window shopping. Others were more cautious. Juliana Laham, a banker from São Paulo, Brazil, said she canceled her dinner plans in Wynwood on Monday the moment she heard about Zika being transmitted there. Laham said she wasn't worried about any long-term damage from the virus, since she's not pregnant or planning to be. But she looked at her husband and son and explained that she didn't want to deal with any kind of fever while visiting Miami. "We don't want to risk the rest of our vacation," she said. Gimenez said the county has been closely monitoring the outbreak and is following directions from the state Department of Health and the federal Centers for Disease Control and Prevention. He said local officials will hold another meeting Tuesday to see if they need to begin aerial mosquito spraying. That might make citizens feel better, Gimenez said, but he warned that the tactic hasn't proven effective against the type of mosquito that's transmitting the Zika virus, another example of the difficulty of containing mosquito-borne viruses. "Mankind has been at war with the mosquito for thousands of years, and they're still here," he said. For now, he said he's worried about the financial impact Zika would have on local businesses. And he worried that other cities around the state and the country aren't paying as much attention as they should be. "We're not going to be the last one," Gimenez said. "This is going to be a national issue." Back in Wynwood, as a couple locals talked about the virus while waiting for the outdoor bar at Wood Tavern to open, it started to rain. Alexandra Altman looked up, raised her arms and smiled. "Here's my answer," she said. "I'm dancing in the rain." http://www.usatoday.com/story/news/2016/08/01/zika-miami-businesses-suffering/87936568/

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Travel-Related Zika Virus Found in Galveston County A travel-related case of Zika virus was confirmed in Galveston County. By Alex Wukman (Patch Staff) - August 1, 2016 4:17 pm ET ShareTweetGoogle PlusRedditEmailComments0 GALVESTON, TX — A travel-related case of the Zika virus was confirmed in the Bay Area. Galveston County health officials determined that an area resident contracted the Zika virus on a recent trip to Dominica. The Galveston County Health District does not believe that the virus was transmitted to any local mosquitoes or people. The patient who contracted the virus is a male between 60 years-old and 70 years-old, he is expected to make a full recovery. Want more Clear Lake and Bay Area news? Click here for our free daily newsletter and breaking news Get free real-time news alerts from the Clear Lake Patch. SUBSCRIBE There have been 27 additional confirmed cases of Zika virus in the Houston-area, 24 in Harris County and three in Fort bend County. The news of a confirmed case of Zika in Galveston County comes just a few days after researchers at the University of Texas Medical Branch determined that 20 currently FDA approved drugs can treat the virus and about two weeks after a Woodlands biotech firmannounced that it is working on a vaccine for the virus. http://patch.com/texas/clearlake/travel-related-zika-virus-found-galveston-county

A travel-related case of the Zika virus was confirmed in the Bay Area. Galveston County health officials determined that an area resident contracted the Zika virus on a recent trip to Dominica. http://patch.com/texas/clearlake/travel-related-zika-virus-found-galveston-county

Search » U.S. Edition+ CDC issues historic travel warning over Miami Zika outbreak by Sandee LaMotte, CNN Updated 5:43 PM ET, Mon August 1, 2016 Story highlights The CDC issued a travel warning after local transmission was reported in Miami Pregnant women should avoid travel to one Miami neighborhood (CNN)The Centers for Disease Control and Prevention issued an unprecedented travel warning Monday, advising pregnant women and their partners not to travel to a small community just north of downtown Miami, where Zika is actively circulating. This is the first time the CDC has warned people not to travel to an American neighborhood for fear of catching an infectious disease, according to agency spokesman Tom Skinner. The warning came after 10 additional people in Florida were found to have been infected with Zika virus after being bitten by local mosquitoes, bringing the total to 14. Florida Gov. Rick Scott and CDC Director Dr. Tom Frieden announced the development in separate news conferences Monday. The new cases were found by door-to-door surveys of 200 people in their homes and businesses, and they were identified by urine and blood samples that tested positive for the virus or an antibody. 10 more cases of local Zika transmission in Florida Zika in Florida: 10 more cases of local transmission Late last week, Florida state health officials confirmed that four people had obtained Zika from mosquitoes in the same 150-square-meter area. It's a mixed-use development with upscale as well as economically stressed businesses and homes, which Frieden said complicates mosquito control efforts. "New test measurements over the weekend showed a risk of continued active transmission in that area," Frieden said. "Because of this finding, we are advising pregnant women not to travel to that area and if they have traveled there on or after June 15 to visit their health care provider for testing." Zika virus is circulating in a small community north of downtown Miami. Zika virus is circulating in a small community north of downtown Miami. June 15 is the earliest day, said Frieden, that local health officials believe the mosquitoes could have passed the virus, which they obtained by biting a person who had returned to the United States with the disease. Since four out of five people with Zika have no symptoms, it's possible that "person zero" had no idea they were infectious. "With 40 million travelers to and from areas where Zika is actively circulating, many can come back who feel perfectly fine," Frieden said. "But the virus could be hitchhiking in their blood. That's why everyone who travels to one of those areas should use insect repellent for at least three weeks after they return." Additional precautions recommended by the CDC about the Miami outbreak include: Pregnant women who live in or travel to the area should be tested for Zika infection in the first and second trimesters of pregnancy, even if they have no symptoms of the virus. Pregnant women and their male and female partners who live in the area should prevent mosquito bites and use proper sexual protection for the length of the pregnancy, or abstain from sex altogether. Male or female partners of pregnant women who have traveled to this area should use safe sex measures for the rest of the pregnancy. Women and men who have traveled to the affected area should wait eight weeks to conceive after their return, while men with symptoms should wait a full six months. Scott wasted no time in asking for CDC assistance. "Following today's announcement, I have requested that the Centers for Disease Control activate their emergency response team to assist (the Department of Health) in their investigation, research and sample collection efforts," Scott said. "Their team will consist of public health experts whose role is to augment our response efforts to confirmed local transmissions of the Zika virus." CDC personnel are already on the ground in Florida, Frieden said, with more members of the community emergency response team arriving over the next few days. Their first task will be to understand why local mosquito control efforts failed. "In Miami, aggressive control measures are not working as well as we would like," he said. "The mosquitoes could be resistant to the pesticides being used, or the mosquitoes could be hiding in what we call 'cryptic' breeding places that are hard to find, like very small amounts of water where they can hatch. Everything you need to know about Zika Everything you need to know about Zika 01:42 "The Aedes aegypti is a really tough mosquito to control," Frieden added. "When Key West had an outbreak of dengue, which is carried by the same mosquito, that outbreak continued for more than a year. It's a demonstration of how intensive the efforts need to be to control the mosquito." On-the-ground testing could take several weeks, Frieden said, stressing that precautions should continue to be taken by everyone living in the area or traveling to and from it. Those precautions include applying insect repellent containing 25% DEET to uncovered skin, wearing long-sleeved shirts and long pants that are thick enough to repel a mosquito bite, using air conditioning and screens on doors, and removing standing water where mosquitoes lay eggs. Join the conversation See the latest news and share your comments with CNN Health on Facebook and Twitter. U.S. health officials had warned that there would be local transmission of the virus from mosquitoes but say they don't expect it to be widespread, as has been seen in Puerto Rico and throughout the Americas. That's based on outbreaks of two similar mosquito-borne diseases, dengue fever and chikungunya. The reason is largely because of living conditions, including mosquito-control efforts and regular use of air-conditioning. The vast majority of cases of Zika in the United States have been from travel to other countries where the virus is actively circulating, a total of more than 60 countries and territories. Nearly every state is reporting cases of the virus; only Idaho, South Dakota, Wyoming and Alaska have not reported it. Until the announcement Friday in Florida, none of those cases was from local mosquito transmission. Fifteen of those individuals were infected by sexual transmission, and there is one case of a laboratory-acquired infection. http://www.cnn.com/2016/08/01/health/cdc-miami-florida-zika-travel-warning/

NYC Issues Travel Warning After More Zika Cases Reported Around Miami August 1, 2016 5:37 PM Filed Under: CDC, Centers for Disease Control and Prevention, Joan Murray, Zika Virus Robert Muxo, a Miami-Dade County mosquito control inspector, inspects a property for mosquitoes or breeding areas in the Wynwood neighborhood as the county fights to control the Zika virus outbreak on July 30, 2016 in Miami, Florida. (Photo by Joe Raedle/Getty Images) 13 NEW YORK (CBSNewYork/AP) — New York City officials on Monday issued a travel warning for a specific neighborhood in Miami Monday, after Florida Gov. Rick Scott said there are 10 new infections of the Zika virus likely transmitted by mosquitoes. The infections were concentrated in the same square-mile neighborhood of Wynwood in Miami-Dade County, The Mayor’s office announced Monday that the city’s Department of Health and Mental Hygiene has updated its current travel warning for Latin America and the Caribbean to include that Miami neighborhood. “The fact that Zika is spreading locally in this Miami neighborhood means that pregnant women, women trying to conceive, and their sexual partners put themselves and their unborn child at risk of potential Zika infection when visiting this area,” the Mayor’s office advised. The Centers for Disease Control and Prevention also issued a new advisory that says pregnant women should not travel to the Miami Zika “transmission area.” The CDC also said pregnant women who live there should take steps to prevent mosquito bites and sexual spread of the virus. Scott announced the new Zika infections Monday. They brought the total in the state to 14. The Wynwood neighborhood of Miami identified last week as the Zika transmission site. Florida health officials say they believe active transmissions of Zika are occurring only in that area. “All the additional cases are in that one small square-mile geographic area just north of downtown Miami,” Scott said. ZIKA INFORMATION FROM THE CDC: Basics | FAQ | Info For Pregnant Women | Symptoms, Diagnosis & Treatment | More Info | 10 Facts About The Zika Virus As Joan Murray of WFOR-TV, CBS4 in Miami reported, Miami-Dade Mosquito Control was blasting block after block with mosquito killing chemicals Monday to control the spread of Zika. “We have plenty of mosquitoes around here,” said Alberto Carreras of Miami. “But I’m scared, because they say that Zika is here in Wynwood.” Workers were going door-to-door checking for mosquito activity and standing water. Mosquito control agent Larry Smart said he was not finding a lot of stagnant water. “There hasn’t been a lot of rain,” he said, “so you won’t find a lot of that going on right now.” But a resident said mosquitoes are commonplace in the Wynwood area. “The mosquitoes are here because there’s a lot of nature; a lot of trees, and grass, so there’s a lot of places that you find are empty lots like that; there’s nobody living here,” the resident said. Of the 14 Miami cases, two are women and 12 are men. Health officials have warned pregnant women to avoid the trendy arts district that is popular with tourists. The CDC says men and women who have visited this area since June 15 should wait at least eight weeks before trying to conceive. Because Zika infection has been found to linger in sperm for months, men with Zika symptoms should wait at least six months before trying to have a babywith their partner. Scott is calling on the CDC Emergency Response Team to help with collection efforts, lab work and mosquito control. “We’ve done really well with Dengue fever and Chikungunya. We’ve been able to basically control the local transmission of those and so we believe all of us have to work together, but we can do the same thing with this,” Scott said. Meanwhile, Public Health England has advised mothers-to-be to postpone nonessential trips to the entire state of Florida. Zika virus symptoms include fever, rash, joint pain, pink eye, muscle pain, and headaches. But most of the time, those infected show no symptoms. U.S. health officials do not expect widespread outbreaks of the sort seen in Brazil and Latin America. Although most people who get Zika don’t know they’re sick, infection during pregnancy can cause babies to be born with small heads and other defects. New York City officials emphasized that Zika transmission has not been found in the city. Still, the city advised that New Yorkers remove standing outdoor water, use repellent when appropriate, and avoid mosquito-dense areas. More than 1,650 people in the mainland U.S. have been infected with Zika in recent months, nearly all while traveling abroad. (TM and © Copyright 2016 CBS Radio Inc. and its relevant subsidiaries. CBS RADIO and EYE Logo TM and Copyright 2016 CBS Broadcasting Inc. Used under license. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed. The Associated Press contributed to this report.) http://newyork.cbslocal.com/2016/08/01/florida-zika-cdc/

14 Zika cases linked to Miami mosquitoes; CDC cites possible insecticide resistance ? EMAIL BY NSIKAN AKPAN August 1, 2016 at 12:47 PM EDT | Updated: Aug 1, 2016 at 5:22 PM Tourists visit the Wynwood Walls, a popular outdoor graffiti exhibit that also falls in the roughly one-mile area where Florida Gov. Rick Scott announced 14 people may have contracted the Zika virus locally, in Miami, Florida on July 29. Photo by Zachary Fagenson/Reuters Florida Gov. Rick Scott has called on the Centers for Disease Control and Prevention to activate their Emergency Response Team (CERT), after the state’s health officials identified 10 additional cases of Zika virus infection that appear tied to local mosquitoes. That brings the total number of cases believed to be linked to local transmission up to 14. Later, the CDC director Tom Frieden said an eight-member CERT team is assembling by Tuesday in Miami-Dade County, where the local transmissions are occurring. “Their team will consist of public health experts whose role is to augment our response efforts to confirmed local transmissions of the Zika virus,” Scott said. “While I encourage all residents and visitors to continue to use precaution by draining standing water and wearing bug spray, Florida remains safe and open for business.” The new cases are concentrated within the same neighborhood in northern Miami-Dade County, where four initial cases of non-travel-related infections were reported last week. The 10 new cases were linked two people working at two places within a 150-meter area. Six of the cases exhibited no symptoms and were caught by surveillance screening. Health officials are creating a one-mile buffer zone around this area, where they will concentrate public outreach and mosquito control efforts. We’re recommending that women who are considering pregnancy to not get pregnant for up to eight weeks after returning from that area. More than 200 people in Miami-Dade and Broward counties have been tested for the virus; however, this area should not be considered a “ground zero” for the outbreak. “It’s unlikely that we’ll ever know who brought it in and where they brought it in. It’s possible that there are occasional transmissions in local areas that are unapparent,” Frieden said. Echoing the CDC’s official guidance, Frieden recommended anyone traveling from a Zika-afflicted region to use mosquito repellent with DEET for three weeks to protect transmission into local communities. “[Florida Department of Health] has been testing individuals in three locations in Miami-Dade and Broward Counties for possible local transmissions through mosquito bites,” Gov. Scott said in a statement. “Based on DOH’s investigations, two locations have been ruled out for possible local transmissions of the Zika virus. DOH believes local transmissions are still only occurring in the same square mile area of Miami.” The CDC director said every precaution is important because researchers don’t know the long-term impacts of Zika The CDC also issued a travel advisory for the affected area in northern Miami. “We’re advising pregnant women not travel to this area that the Florida Department of Health has identified,” Denise J. Jamieson, co-leader of the pregnancy and birth defects team for the CDC’s Zika response. “In addition, we’re recommending that women who are considering pregnancy to not get pregnant for up to eight weeks after returning from that area.” Men who have traveled in this area should wait at least six months before engaging in sexual intercourse with a partner who is pregnant or who might become pregnant. This travel guidance applies to anyone who visited the neighborhood on or after June 15, Frieden said, the earliest known date when people could have become infected based on information available today. Gov. Scott and the Florida Health Department did not say whether officials had found mosquitoes in the area carrying the Zika virus, one of the standard methods of confirming local transmission. However, Frieden stated early attempts at mosquito control aren’t working as expected, potentially due to insecticide resistance or hard-to-reach breeding areas. Health officials have administered two types of pyrethroids, chemicals that should kill young mosquitoes, to standing water in the neighborhood, but the insect’s larvae have persisted. A CDC expert will conduct tests over the next week to three weeks to determine if Miami’s mosquitoes are resistant to this first line of defense. If resistance is found, other mosquito control tools will be implemented, Frieden said, but the options are limited. Gov. Scott and Frieden asked residents to remain vigilant and practice mosquito control methods to stem the possible spread of the disease, which can cause birth defects and brain inflammation. The CDC director said every precaution is important because researchers don’t know the long-term impacts of Zika, especially for microcephaly-free children born to infected mothers. “These effects may only become apparent months or years in the future,” Frieden said, adding experts expect four symptomless infections for every person who shows signs of Zika. Nsikan Akpan Nsikan Akpan is the digital science producer for PBS NewsHour. http://www.pbs.org/newshour/rundown/florida-governor-says-14-cases-zika-likely-caused-local-mosquitoes/

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--- PRESS RELEASE --- For Immediate Release DCHHS Reports the 22nd Zika Virus Case in Dallas County DALLAS (August 1, 2016) – Dallas County Health and Human Services (DCHHS) is reporting the 22nd case of Zika virus in Dallas County in 2016. The case was confirmed through testing in a private lab. DCHHS has submitted the cases for review to the Texas Department of State Health Services. The 28 year-old patient is a resident of Dallas who was infected with the virus during recent travel to Mexico. For medical confidentiality and personal privacy reasons, DCHHS does not provide additional identifying information. While sexual transmission of Zika virus is possible, it is primarily transmitted to people by Aedes species mosquitoes. The most common symptoms of Zika virus are fever, rash, joint pain, and conjunctivitis (red eyes). The illness is usually mild with symptoms lasting several days to a week. DCHHS advises individuals with symptoms to see a healthcare provider if they visited an area where Zika virus is present or had sexual contact with a person who traveled to an area where Zika virus is present. There is no specific medication available to treat Zika virus and there is not a vaccine. The best ways to avoid Zika virus are to avoid mosquito bites and sexual contact with a person who has Zika virus. There are currently no reports of Zika virus being locally-transmitted by mosquitoes in Dallas County. However, imported cases make local spread by mosquitoes possible because the mosquitoes that can transmit the virus are found locally. DCHHS advises recent travelers with Zika virus symptoms as well as individuals diagnosed with the virus to protect themselves from further mosquito bites. # For additional information, contact: YaMonica Sadberry, Administrative [email protected] 214.819.6070 (office) Zachary Thompson, Director 214.755.9299 (cell)

DALLAS (August 1, 2016) – Dallas County Health and Human Services (DCHHS) is reporting the 22nd case of Zika virus in Dallas County in 2016. The case was confirmed through testing in a private lab. DCHHS has submitted the cases for review to the Texas Department of State Health Services. The 28 year-old patient is a resident of Dallas who was infected with the virus during recent travel to Mexico

week conf discard untested total weekly increase 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

Among the epidemiological weeks 01 to 29, 2016 have been confirmed twenty-one (21) cases associated with microcephaly Zika virus, 92 cases were dismissed, and 207 cases are in study. http://www.ins.gov.co/boletin-epidemiologico/Boletn Epidemiolgico/2016 Boletín epidemiológico semana 29.pdf

Zika Virus – August 1, 2016. Texas has had 88 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 21 Denton 3 Ellis 1 Fort Bend 3 Frio 1 Gray 1 Grayson 1 Hamilton 1 Harris 24 Lubbock 1 Medina 1 Tarrant 13 Travis 3 Val Verde 1 Williamson 2 Wise 1 Total 88