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Laboratory results confirm the first travel-associated case of Zika in the Brazos County; health authorities have been and continue to investigate the presence of Zika transmitting mosquitoes in the area. https://www.facebook.com/BrazosCountyHealthDepartment/posts/1097144963689746:0

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The Louisiana Department of Health is reporting five new cases of the Zika virus. The patients sought medical care in Louisiana after traveling to a region with an ongoing Zika transmission. Following the five cases reported this week, there have now been 14 cases of the virus reported in Louisiana. Each patient returned to Louisiana and began to show symptoms of an illness. The patients and their healthcare provider have been notified of the Zika-positive result. http://www.kplctv.com/story/32553853/dhh-reports-five-new-zika-cases-in-louisiana

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Another Travel-Related Zika Case Confirmed in LouisianaJuly 21, 2016The Louisiana Department of Health has received confirmation of one additional case of Zika virus. The patient had travelled to a region with ongoing Zika transmission and sought medical care in Louisiana after returning, where tests confirmed the viral infection. This is the ninth case of travel-associated Zika confirmed in Louisiana. There have been no confirmed cases of local transmission within Louisiana. After travelling to an area with ongoing Zika transmission, the patient returned to Louisiana and began to show symptoms of an illness, prompting the individual to seek treatment. The patient and their health care provider have been notified of the Zika-positive result. http://dhh.louisiana.gov/index.cfm/newsroom/detail/3903

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Three New Zika Virus Cases in Kansas Confirmedby Nick Gosnell on July 27, 2016 at 12:59 PM (5 hours ago) 6ShareTweet0Share0ShareMore Kansans have the Zika virus, according to the Kansas Department of Health and Environment. “There are three additional cases of confirmed Zika virus in Kansas, bringing the total to eight confirmed cases,” said spokeswoman Cassie Sparks. These cases are all travel related. One is in Northeast Kansas, one in South Central Kansas and one in Southeast Kansas. “These are all adults with confirmed cases,” Sparks said. “The patient(s) have a history of travel to a country with local Zika transmission.” KDHE cannot release any more specific details about the patients, including their gender, because of medical privacy concerns. http://www.wibwnewsnow.com/three-new-zika-virus-cases-kansas-confirmed/

Florida Health Dept.: 2 New Possible Locally Acquired Zika CasesJuly 27, 2016 5:19 PMFiled Under: Babies, Health, Women, Zika An Aedes Aegypti mosquito is photographed on human skin in a lab of the International Training and Medical Research Training Center (CIDEIM) on January 25, 2016, in Cali, Colombia. (LUIS ROBAYO/AFP/Getty Images) 11Follow CBSMIAMI.COM: Facebook | Twitter MIAMI (CBSMiami) — Florida health officials say there are two more Zika cases that do not appear to be related to travel. On Wednesday, they said they were trying to find out how the newly reported cases got the virus. The cases raise the possibility that mosquitoes in Broward and Miami-Dade County are spreading the virus -although health officials have yet to reach a conclusion. Zika 101: Prevent Spread By Protecting Yourself The state health department says Miami-Dade and Broward, as of Wednesday, have four possible cases of non-travel related Zika. This week, the Centers for Disease Control and Prevention (CDC) issuedupdated recommendations on how to prevent the spread of the virus which has been linked to birth defects in babies. Health experts say it can spread through sexual contact or infected mosquitoes. Click here for more information on the Zika virus or here for more Zika-related stories. http://miami.cbslocal.com/2016/07/27/florida-health-dept-2-new-possible-locally-acquired-zika-cases/

Wed Jul 27, 2016 5:07pm EDTRelated: U.S., HEALTHFlorida identifies two more Zika cases not related to travelCHICAGO | BY JULIE STEENHUYSEN An anti Zika virus kit, including a bug net, mosquito repellent, condoms, literature and anti mosquito dunks, is pictured in this April 29, 2016 photo illustration.REUTERS/CARLO ALLEGRI//ILLUSTRATION/FILE PHOTO The Florida health department said on Wednesday it is investigating another two cases of Zika not related to travel to a place where the virus is being transmitted, raising the possibility of local Zika transmission in the continental United States. The health department said it has identified an additional case of Zika in Miami-Dade County, where it was already investigating a possible case of Zika not related to travel, and another case in Broward County, where it has been investigating a non-travel related case. "This pattern is consistent with other mosquito-borne virus investigations, such as the 2013 dengue response," health officials said in a statement. To confirm whether Zika is being transmitted locally, epidemiologists must survey households and neighbors within a 150-yard radius around the residence of the person who has Zika, which constitutes the flying range of the mosquitoes that carry the virus. According to the U.S. Zika response plan, Zika transmission is defined as two or more cases not due to travel or sex with an infected person that occur in a 1 mile diameter over the course of a month. Florida heath department officials said investigations into the new cases begins today. The state is urging residents and visitors to participate in requests for urine samples by the department in the areas of investigation. These results will help the department determine the number of people affected. In addition to the possible cases of non-travel related transmission, Florida on Wednesday reported 328 travel-related cases of Zika. The state is monitoring 53 pregnant women who had Zika infections. (Reporting by Julie Steenhuysen; Editing by Bernard Orr) http://www.reuters.com/article/us-health-zika-florida-idUSKCN1072MK?feedType=RSS&feedName=healthNews&utm_source=twitterfeed&utm_medium=twitter&utm_campaign=Feed%3A+reuters%2FhealthNews+(Reuters+Health+News)

Florida identifies two more Zika cases not related to travel July 27, 2016By Julie Steenhuysen CHICAGO, July 27 (Reuters) - The Florida health department said on Wednesday it is investigating another two cases of Zika not related to travel to a place where the virus is being transmitted, raising the possibility of local Zika transmission in the continental United States. The health department said it has identified an additional case of Zika in Miami-Dade County, where it was already investigating a possible case of Zika not related to travel, and another case in Broward County, where it has been investigating a non-travel related case. "This pattern is consistent with other mosquito-borne virus investigations, such as the 2013 dengue response," health officials said in a statement. (Reporting by Julie Steenhuysen; Editing by Bernard Orr) http://www.foxnews.com/health/2016/07/27/2-more-mysterious-zika-infections-reported-in-south-florida.html

2 more mysterious Zika infections reported in South FloridaPublished July 27, 2016 Associated PressFacebook0 Twitter0 livefyre Email Print FILE - In this Jan. 18, 2016 file photo, a researcher holds a container with female Aedes aegypti mosquitoes at the Biomedical Sciences Institute in the Sao Paulo's University in Sao Paulo, Brazil. The spread of the Zika virus in Latin America is giving a boost to a British biotech firm’s proposal to try reducing the threat by deploying a genetically modified version of the mosquito that transmits the disease. (AP Photo/Andre Penner, File) NEW YORK – Florida health officials are investigating two more mysterious cases of Zika infection that do not appear to be related to travel, bringing the total to four. The cases have raised the possibility that mosquitoes in the U.S. have begun to spread the virus, although officials say they are still looking into the cases and have not come to a conclusion. More on this...Up to 1.65M women of childbearing age at risk for ZikaDoctors urged to check pregnant women for Zika at each visitFlorida tests more than 200 residents in Zika probeThe four cases are in neighboring Miami-Dade and Broward counties. The virus is mainly spread by mosquitoes, as well as sex. So far, the 1,400 infections reported in the U.S. have been linked to travel to countries with Zika outbreaks in Latin America or the Caribbean. Zika causes only a mild illness in most people. But scientists recently confirmed that infection during pregnancy can lead to severe brain-related birth defects. http://www.foxnews.com/health/2016/07/27/2-more-mysterious-zika-infections-reported-in-south-florida.html

Florida probes four suspected non-travel cases of ZikaBy AFP | 27 July 2016 | 8:19 pm PHOTO:AFP Florida is investigating two new cases of Zika virus that may not involve people infected while traveling outside the United States, bringing the state’s total number of such cases to four, officials said Wednesday. If any of the cases are confirmed, it would mark the first time that mosquitoes carrying the virus are known to be present in the continental United States. Zika is spread via mosquitoes and by sexual contact. If pregnant women are infected they face a higher risk of bearing an infant with microcephaly, a birth defect that causes an abnormally small head. “The department is expanding its ongoing investigations with two additional possible non-travel-related Zika virus cases in Miami-Dade and Broward counties,” the Florida Department of Health said in a statement. “The investigations into the new cases will begin today, and door-to-door outreach and sample collection are ongoing in all cases,” it added. The department urged residents and visitors to participate if asked for urine samples in the areas being investigated. The results would help determine the number of people affected. Last week, Florida reported its first two cases of Zika virus in people who did not immediately appear to have any travel-related exposure — one in Miami-Dade County and one just to the north, in Broward County. Those investigations are still ongoing, a spokeswoman told AFP. The state has already seen 381 cases of Zika, all involving people who were infected while traveling to parts of the world where the virus is circulating. For Zika to become a homegrown virus in the mainland United States, a mosquito would have to bite a Zika-infected person and then bite another person, passing on the virus. Health officials have warned of possible localized Zika outbreaks in the United States, particularly since the virus has spread quickly throughout Central and South America and the Caribbean in the past two years. However, mosquito control measures such as air conditioning, use of window and door screens and bug repellant are likely to prevent Zika from becoming established in the United States. http://guardian.ng/news/florida-probes-four-suspected-non-travel-cases-of-zika/

Florida probes four suspected non-travel cases of ZikaBy AFP | 27 July 2016 | 8:19 pm PHOTO:AFP Florida is investigating two new cases of Zika virus that may not involve people infected while traveling outside the United States, bringing the state’s total number of such cases to four, officials said Wednesday. If any of the cases are confirmed, it would mark the first time that mosquitoes carrying the virus are known to be present in the continental United States. Zika is spread via mosquitoes and by sexual contact. If pregnant women are infected they face a higher risk of bearing an infant with microcephaly, a birth defect that causes an abnormally small head. “The department is expanding its ongoing investigations with two additional possible non-travel-related Zika virus cases in Miami-Dade and Broward counties,” the Florida Department of Health said in a statement. “The investigations into the new cases will begin today, and door-to-door outreach and sample collection are ongoing in all cases,” it added. The department urged residents and visitors to participate if asked for urine samples in the areas being investigated. The results would help determine the number of people affected. Last week, Florida reported its first two cases of Zika virus in people who did not immediately appear to have any travel-related exposure — one in Miami-Dade County and one just to the north, in Broward County. Those investigations are still ongoing, a spokeswoman told AFP. The state has already seen 381 cases of Zika, all involving people who were infected while traveling to parts of the world where the virus is circulating. For Zika to become a homegrown virus in the mainland United States, a mosquito would have to bite a Zika-infected person and then bite another person, passing on the virus. Health officials have warned of possible localized Zika outbreaks in the United States, particularly since the virus has spread quickly throughout Central and South America and the Caribbean in the past two years. However, mosquito control measures such as air conditioning, use of window and door screens and bug repellant are likely to prevent Zika from becoming established in the United States. http://guardian.ng/news/florida-probes-four-suspected-non-travel-cases-of-zika/

Florida probes four suspected non-travel cases of ZikaJuly 27, 2016Florida is investigating two new cases of Zika virus that may not involve people infected while traveling outside the United States, bringing the state's total number of such cases to four, officials said Wednesday. If any of the cases are confirmed, it would mark the first time that mosquitoes carrying the virus are known to be present in the continental United States. Zika is spread via mosquitoes and by sexual contact. Ifpregnant women are infected they face a higher risk of bearing an infant with microcephaly, a birth defect that causes an abnormally small head. "The department is expanding its ongoing investigations with two additional possible non-travel-related Zika virus cases in Miami-Dade and Broward counties," the Florida Department of Health said in a statement. "The investigations into the new cases will begin today, and door-to-door outreach and sample collection are ongoing in all cases," it added. The department urged residents and visitors to participate if asked for urine samples in the areas being investigated. The results would help determine the number of people affected. Last week, Florida reported its first two cases of Zika virus in people who did not immediately appear to have any travel-related exposure—one in Miami-Dade County and one just to the north, in Broward County. Those investigations are still ongoing, a spokeswoman told AFP. The state has already seen 381 cases of Zika, all involving people who were infected while traveling to parts of the world where the virus is circulating. For Zika to become a homegrown virus in the mainland United States, a mosquito would have to bite a Zika-infected person and then bite another person, passing on the virus. Health officials have warned of possible localized Zika outbreaks in the United States, particularly since the virus has spread quickly throughout Central and South America and the Caribbean in the past two years. However, mosquito control measures such as air conditioning, use of window and door screens and bug repellant are likely to prevent Zika from becoming established in the United States. http://medicalxpress.com/news/2016-07-florida-probes-non-travel-cases-zika.html

New Zika cases suggest Florida may be seeing viral outbreakRICARDO MAZALAN/AP By ANDREW JOSEPH @DrewQJoseph JULY 27, 2016 TwitterFacebookLinkedInEmailRepublishPrint The primary drivers of the virus worldwide are Aedes aegypti mosquitoes, and Florida has been considered among the places most at risk of Zika outbreaks in the United States. It’s one of the few places in the United States that has seen local spread of related mosquito-borne viruses in the past, such as dengue and chikungunya. READ MORESecond case of Zika in Florida may have come from local mosquitoesFlorida has seen more than 380 cumulative travel-related cases of Zika, including 53 in pregnant women. Officials have not released much information about the new cases, only describing them as “possible non-travel related.” They have also not ruled out sexual transmission. In a statement Wednesday, the officials said the pattern of the new cases “is consistent with other mosquito-borne virus investigations,” including adengue outbreak in 2013. All four cases are in Miami-Dade and Broward counties, which are adjacent. Those two counties have seen the most travel-related Zika cases of any Florida counties. The state’s investigation, with which federal health officials are assisting, includes testing other residents near where the patients live and trapping and testing mosquitoes in that area. Officials have not found any Zika-positive mosquitoes since they started their investigation, but experts say that depending on the number of infected mosquitoes, that could be like finding a needle in a haystack. “Residents and visitors are urged to participate in requests for urine samples by the department in the areas of investigation,” Florida officials said in the statement Wednesday. “These results will help the department determine the number of people infected.” READ MOREAn open letter to Olympic athletes about ZikaZika generally only causes a mild illness, but it can cause serious defects in fetuses when it infects pregnant women. It’s not clear if the Florida cases — if they do in fact stem from local mosquitoes — are connected. The primary driver of the virus, Aedes aegypti mosquitoes, only flies a few hundred yards in its lifespan. Local transmission could occur when someone who is infected while traveling returns home and is bitten by a local mosquito. If that mosquito becomes infectious itself, it can then infect other people it bites. Experts do not expect a wide outbreak of Zika in continental United States. Residents are not as exposed to mosquitoes thanks to the use of air conditioning and screens on windows, and cities are not as densely packed as they are in places in Latin America and the Caribbean where Zika has spread widely. https://www.statnews.com/2016/07/27/florida-zika-cases-outbreak/

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4 Non-Travel Related Florida Zika Virus Cases Under ReviewA total of 381 travel-related Zika virus cases have been confirmed in Florida. Four non-travel-related cases are now under investigation.By Sherri Lonon (Patch Staff) - July 27, 2016 3:36 pm ET ShareTweetGoogle PlusRedditEmailComments0 TALLAHASSEE, FL — Florida’s confirmed tally of travel-related Zika virus cases climbed to 381 on Wednesday with the announcement of 17 new patients statewide. The Florida Department of Health also announced it is now investigating four cases that may have been contracted within the state. Zika virus is a mosquito-borne illness that is characterized by a fever, rash and joint pain. While the illness typically resolves within a week, some severe cases may require hospitalization. Wednesday’s new confirmed travel-related cases come from counties scattered across the state. The tally includes three new cases in Palm Beach County, two in Brevard, two in Broward, two in Orange and one each in Polk, Escambia, Osceola and Seminole counties. Four new cases involving pregnant women were also reported by the state. Travel-related cases involve patients who contracted the virus while traveling outside of the state. All told, the state has confirmed 381 travel-related cases, including 53 involving pregnant women. FDOH confirmed earlier this month it was investigating two possible non-travel- related cases. That number climbed to four on Wednesday. Two of the cases involve residents in Miami-Dade County, and two are in Broward County. “The investigations into the new cases will begin today and door-to-door outreach and sample collection are ongoing in all cases,” the state wrote in an email to media Wednesday. “The department will share more details as they become available. Residents and visitors are urged to participate in requests for urine samples by the department in the areas of investigation. These results will help the department determine the number of people affected.” The CDC has confirmed that the Zika virus is responsible for causing severe defects in unborn children, including microcephaly, which leaves babies with abnormally small heads and often with brains that do not develop properly. “Babies with the defect often have a range of problems including developmental delay, intellectual disability, problems with movement and balance, hearing loss and vision problems,” the FDOH said in an email to media. http://patch.com/florida/bloomingdale/s/fu37w/4-non-travel-related-florida-zika-virus-cases-under-review?utm_source=dlvr.it&utm_medium=twitter&utm_term=health+%26+fitness&utm_campaign=recirc&utm_content=aol

2 More Possible Non-Travel-Related Cases Of Zika Investigated In South FloridaBy JULIO OCHOA • 7 MINUTES AGOSHARETwitter Facebook Google+ Email Two more possible non-travel-related cases of Zika virus are being investigated in South Florida, the Florida Department of Health confirmed Wednesday. The new cases are in Miami-Dade and Broward counties, the same areas where health officials began investigating two similar cases last week. The health department began going door-to-door in the area where the cases were found to determine if anyone else is infected. Officials are also collecting mosquitoes in the area for testing. Zika prevention kits are being given out at OBGYN offices and at local health department offices in Broward and Miami. The health department began investigating what could be the first case of non-travel-related Zika on July 19 in Miami-Dade County. Two days later, it began investigating a second case in Broward County. There has been no confirmation whether those cases were actually the first cases of the virus transmitted by mosquitoes in the United States. However, travel was ruled out as a possible source, Florida Surgeon General Celeste Philip said Tuesday, according to the Miami Herald. The health department announced 17 new travel-related cases of Zika on Wednesday: three in Palm Beach, two in Brevard, two in Broward, two in Orange, one in Escambia, one in Osceola, one in Polk and one in Seminole. Four of those cases involve pregnant women. There have now been more than 380 confirmed cases of Zika virus in Florida. http://health.wusf.usf.edu/post/2-more-possible-non-travel-related-cases-zika-investigated-south-florida?utm_content=bufferd78c0&utm_medium=social&utm_source=twitter.com&utm_campaign=buffer#stream/0

The department is expanding its ongoing investigations with two additional possible non-travel related Zika virus cases in Miami-Dade and Broward counties. This pattern is consistent with other mosquito-borne virus investigations, such as the 2013 dengue response. The investigations into the new cases will begin today and door-to-door outreach and sample collection are ongoing in all cases. The department will share more details as they become available. Residents and visitors are urged to participate in requests for urine samples by the department in the areas of investigation. These results will help the department determine the number of people affected. http://www.floridahealth.gov/newsroom/2016/07/072716-zika-update.html

Florida press release cites two more likely mosquito transmissions in Miami-Dade and Broward Counties.

Reported Cases of Zika in New York City as of 7/22/2016 [Español (PDF)] Positive NYC ResidentsCase TypeNumber of CasesLocally acquired mosquito-borne reported†0Travel-associated*376Sexually transmitted: 4Guillain-Barre syndrome: 3Infants with birth defects: 1Laboratory acquired0Total376GenderNumber of CasesFemale270 Pregnant: 42Male106AgeAverage Age (Range)39 (1-74)Positive NYC Resident by BoroughNumber of CasesBronx149Manhattan82Queens74Brooklyn69Staten Island2Unknown0Most Common Countries VisitedNumber of CasesDominican Republic223Puerto Rico29Jamaica25Guyana16Colombia9Saint Lucia8 †Presumed local mosquito-borne transmission *Travelers returning from affected areas, their sexual contacts, or infants infected in utero

July 27, 2016 DEPARTMENT OF HEALTH DAILY ZIKA UPDATE: 17 NEW TRAVEL-RELATED CASES http://www.floridahealth.gov/newsroom/2016/07/072716-zika-update.htmlContact: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 Florida Department of Health will 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. There are 17 new travel-related cases today with three in Palm Beach, two in Brevard, two in Broward, two in Orange, one in Escambia, one in Osceola, one in Polk, one in Seminole and four involving a pregnant women.According to CDC, symptoms associated with the Zika virus last between seven to 10 days. The department is expanding its ongoing investigations with two additional possible non-travel related Zika virus cases in Miami-Dade and Broward counties. This pattern is consistent with other mosquito-borne virus investigations, such as the 2013 dengue response. The investigations into the new cases will begin today and door-to-door outreach and sample collection are ongoing in all cases. The department will share more details as they become available. Residents and visitors are urged to participate in requests for urine samples by the department in the areas of investigation. These results will help the department determine the number of people affected. Zika prevention kits and repellent are being distributed in the areas of investigation, through local OBGYN offices and at both DOH-Broward and DOH-Miami-Dade. Residents and visitors with questions regarding Zika are reminded to call the Zika Virus Information Hotline at 1-855-622-6735. CDC recommends that women who are pregnant or thinking of becoming pregnant postpone travel to Zika affected areas. According to CDC guidance, providers should consider testing all pregnant women with a history of travel to a Zika affected area for the virus. CDC recommends that a pregnant woman with a history of Zika virus and her provider should consider additional ultrasounds. Florida has been monitoring pregnant women with evidence of Zika regardless of symptoms since January. The total number of pregnant women who have been monitored is 53, with 17 having met the previous CDC case definition. The Council of State and Territorial Epidemiologists and CDC released a new case definition for Zika that now includes reporting both asymptomatic and symptomatic cases of Zika. Prior to this change, states reported only symptomatic non-pregnant cases and pregnant cases regardless of symptoms. This change comes as a result of increased availability for testing in commercial laboratories. County Number of Cases (all travel related) Alachua 5 Brevard 6 Broward 55 Charlotte 1 Citrus 2 Clay 3 Collier 4 Duval 6 Escambia 2 Highlands 1 Hillsborough 10 Lake 1 Lee 6 Manatee 1 Martin 1 Miami-Dade 96 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 1 Volusia 5 Total cases not involving pregnant women 328 Cases involving pregnant women regardless of symptoms* 53 *Counties of pregnant women will not be shared. 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 2,409 callers since it launched. The number for the Zika Virus Information Hotline is 1-855-622-6735. All cases are travel-associated. There have been no locally-acquired cases of Zika in Florida. For more information on the Zika virus, click here. 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. More Information on DOH action on Zika: On Feb. 3, Governor Scott directed the State Surgeon General to issue a Declaration of Public Health Emergency for the counties of residents with travel-associated cases of Zika.There have been 29 counties included in the declaration– Alachua, Brevard, Broward, Charlotte, Citrus, Clay, Collier, Duval, Escambia, Highlands, Hillsborough, Lake, Lee, Manatee, Martin, Miami-Dade, Okaloosa, Okeechobee, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Santa Rosa, Seminole, St. Johns, St. Lucie and Volusia – and will be updated as needed. DOH encourages Florida residents and visitors to protect themselves from all mosquito-borne illnesses by draining standing water; covering their skin with repellent and clothing; and covering windows with screens.DOH has a robust mosquito-borne illness surveillance system and is working with CDC, the Florida Department of Agriculture and Consumer Services and local county mosquito control boards to ensure that the proper precautions are being taken to protect Florida residents and visitors.On April 6, Governor Scott and Interim State Surgeon General Dr. Celeste Philip hosted a conference call with Florida Mosquito Control Districts to discuss ongoing preparations to fight the possible spread of the Zika virus in Florida. There were 74 attendees on the call.On May 11, Governor Scott met with federal leaders on the importance of preparing for Zika as we would a hurricane. Governor Scott requested 5,000 Zika preparedness kits from HHS Secretary Sylvia Burwell as well as a plan from FEMA on how resources will be allocated to states in the event an emergency is declared.On June 1, Governor Scott requested for President Obama to provide preparedness items needed in order to increase Florida’s capacity to be ready when Zika becomes mosquito-borne in our state.On June 9, Governor Scott spoke with Health and Human Services Secretary Sylvia Burwell and CDC Director Dr. Tom Frieden on Zika preparedness and reiterated the requests that he has continued to make to the federal government to prepare for the Zika virus once it becomes mosquito-borne in Florida. Governor Scott also requested that the CDC provide an additional 1,300 Zika antibody tests to Florida to allow individuals, especially pregnant women and new mothers, to see if they ever had the Zika virus.On June 23, Governor Scott announced that he will use his emergency executive authority to allocate $26.2 million in state funds for Zika preparedness, prevention and response in Florida.On June 28, the department announced the first confirmed case of microcephaly in an infant born in Florida whose mother had a travel-related case of Zika. The mother of the infant contracted Zika while in Haiti. Following the confirmation of this case, Governor Scott called on CDC to host a call with Florida medical professionals, including OBGYNs and physicians specializing in family medicine, to discuss the neurological impacts of Zika and what precautions new and expecting mothers should take.On July 1, CDC hosted a call with Florida medical professionals, including OBGYNs, pediatricians and physicians specializing in family medicine, to discuss the neurological impacts of Zika and what precautions new and expecting mothers should take. More than 120 clinicians participated.Florida currently has the capacity to test 4,701 people for active Zika virus and 2,111 for Zika antibodies.Federal Guidance on Zika: According to CDC, Zika illness is generally mild with a rash, fever and joint pain. CDC researchers have concluded that Zika virus is a cause of microcephaly and other birth defects.The FDA released guidance regarding donor screening, deferral and product management to reduce the risk of transfusion-transmission of Zika virus. Additional information is available on the FDA website here.CDC has put out guidance related to the sexual transmission of the Zika virus. This includes CDC recommendation that if you have traveled to a country with local transmission of Zika you should abstain from unprotected sex.For more 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.

County Number of Cases (all travel related) Alachua 5 Brevard 6 Broward 55 Charlotte 1 Citrus 2 Clay 3 Collier 4 Duval 6 Escambia 2 Highlands 1 Hillsborough 10 Lake 1 Lee 6 Manatee 1 Martin 1 Miami-Dade 96 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 1 Volusia 5 Total cases not involving pregnant women 328 Cases involving pregnant women regardless of symptoms* 53 *Counties of pregnant women will not be shared.

TABLE I. Provisional cases of selected* infrequently reported notifiable diseases (<1,000 cases reported during the preceding year), United States, week ending July 23, 2016 (WEEK 29)†http://wonder.cdc.gov/mmwr/mmwr_2016.asp?mmwr_year=2016&mmwr_week=29&mmwr_table=1&request=Submit&mmwr_location= Disease Total cases reported for previous years Current weekCum 20165-year weekly average§20152014201320122011States reporting cases during current week (No.29) Anthrax-------1 Arboviral diseases ¶,**: Chikungunya virus ††-528896NNNNNNNN Eastern equine encephalitis virus--0688154 Jamestown Canyon virus §§--011112223 La Crosse virus §§-2155808578130 Powassan virus-207812716 St. Louis encephalitis virus--12310136 Western equine encephalitis virus-------- Botulism, total2973195161152168153 foodborne-240371542724 infant264313812713612397PA (1 ), VA (1 ) other(wound & unspecified)-902019121832 Brucellosis-572126929911479 Chancroid-7011--158 Cholera--025141740 Cyclosporiasis **1913036645388784123151ME (1 ), CT (1 ), NY (2 ), NYC (2 ), OH (1 ), FL (7 ), TX (4 ), AZ (1 ) Diphtheria----1-1- Haemophilus influenzae, invasive disease (age <5 yrs) ¶¶: serotype b-1002940313014 nontypeable serotype-86317412814111593 other serotype-661135266233263230 unknown serotype2125316739343748NY (1 ), TN (1 ) Hansen's disease **12428988818282FL (1 ) Hantavirus Infections **: Hantavirus infection (non-HPS) ††-2-1NNNNNNNN Hantavirus pulmonary syndrome (HPS)-911732213023 Hemolytic uremic syndrome, post-diarrheal **1929274250329274290FL (1 ) Hepatitis B, virus infection perinatal-15137474840NP Influenza-associated pediatric mortality **, ***178113014116052118MD (1 ) Leptospirosis **-1704038NNNNNN Listeriosis827120766769735727870NYC (2 ), PA (1 ), OH (1 ), VA (1 ), FL (1 ), TN (1 ), OR (1 ) Measles †††-43318866718755220 Meningococcal disease, invasive §§§: serogroup ACWY-582120123142161257 serogroup B-4211118999110159 other serogroup-902125172020 unknown serogroup11074120196298260323TX (1 ) Novel influenza A virus infections ¶¶¶-32632131314 Plague--01310443 Poliomyelitis, paralytic--0--1-- Polio virus infection, nonparalytic **-------- Psittacosis **-3048622 Q fever total **:1603156168170135134 acute1522122132137113110TX (1 ) chronic-813436332224 Rabies, human--011216 SARS CoV-------- Smallpox-------- Streptococcal toxic shock syndrome **-1533335259224194168 Syphilis, congenital ****-1697490458348322360 Toxic shock syndrome (staphylococcal) **-1726459716578 Trichinellosis **-501114221815 Tularemia1749314180203149166MO (1 ) Typhoid fever11477367349338354390AZ (1 ) Vancomycin-intermediateStaphylococcus aureus **154318321224813482FL (1 ) Vancomycin-resistant Staphylococcus aureus **---1--2- Viral hemorrhagic Fevers ††††: Crimean-Congo hemorrhagic fever----NPNPNPNP Ebola hemorrhagic fever----4NPNPNP Guanarito hemorrhagic fever----NPNPNPNP Junin hemorrhagic fever----NPNPNPNP Lassa fever----1NPNPNP Lujo virus----NPNPNPNP Machupo hemorrhagic fever----NPNPNPNP Marburg fever----NPNPNPNP Sabia-associated hemorrhagic fever----NPNPNPNP Yellow fever-------- Zika ††,§§§§ Zika virus congenital infectionNANANANNNNNNNNNN Zika virus disease, non-congenital infection101,5990NNNNNNNNNNNYC (1 ), MD (2 ), VA (1 ), SC (2 ), TN (1 ), MS (1 ), TX (2 )[ Export This Table ] [ Next Part ] [ NNDSS Interactive Tables ] [ Mortality Interactive Tables ] -: No reported cases N: Not reportable. NA: Not Available NN: Not Nationally Notifiable. NP: Nationally notifiable but not published. Cum: Cumulative year-to-date counts. * Case counts for reporting years 2015 and 2016 are provisional and subject to change. Data for years 2011 through 2014 are finalized. For further information on interpretation of these data, seehttp://wwwn.cdc.gov/nndss/document/ProvisionalNationaNotifiableDiseasesSurveillanceData20100927.pdf. † This table does not include cases from the U.S. territories. Three low incidence conditions, rubella, rubella congenital, and tetanus, are in Table II to facilitate case count verification with reporting jurisdictions. § Calculated by summing the incidence counts for the current week, the 2 weeks preceding the current week, and the 2 weeks following the current week, for a total of 5 preceding years. Additional information is available athttp://wwwn.cdc.gov/nndss/document/5yearweeklyaverage.pdf. ¶ Includes both neuroinvasive and nonneuroinvasive. Updated weekly reports from the Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases (ArboNET Surveillance). Data for West Nile virus are available in Table II. ** Not reportable in all reporting jurisdictions. Data from states where the condition is not reportable are excluded from this table, except for the arboviral diseases and influenza-associated pediatric mortality. Reporting exceptions are available athttp://wwwn.cdc.gov/nndss/downloads.html. †† Office of Management and Budget approval of the NNDSS Revision #0920-0728 on January 21, 2016, authorized CDC to receive data for these conditions. CDC is in the process of soliciting data for these conditions (except Zika virus, congenital infection). CDC and the U.S. states are still modifying the technical infrastructure needed to collect and transmit data for Zika virus congenital infections. §§ Jamestown Canyon virus and Lacrosse virus have replaced California serogroup diseases. ¶¶ Data for Haemophilus influenzae (all ages, all serotypes) are available in Table II. *** Please refer to the MMWR publication for weekly updates to the footnote for this condition. ††† Please refer to the MMWR publication for weekly updates to the footnote for this condition. §§§ Data for meningococcal disease (all serogroups) are available in Table II. ¶¶¶ Please refer to the MMWR publication for weekly updates to the footnote for this condition. **** Updated weekly from reports to the Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. †††† Please refer to the MMWR publication for weekly updates to the footnote for this condition. §§§§ All cases reported have occurred in travelers returning from affected areas, with their sexual contacts, or infants infected in utero.National Notifiable Diseases Surveillance System (NNDSS) MMWR web application provided by CDC WONDER, http://wonder.cdc.gov