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Zika ††,§§§§ Zika virus congenital infection NA NA NA NN NN NN NN NN Zika virus disease, non-congenital infection 10 1,599 0 NN NN NN NN NN NYC (1 ), MD (2 ), VA (1 ), SC (2 ), TN (1 ), MS (1 ), TX (2 ) 62 Zika cases in 2015

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http://www.texaszika.org/ Zika Virus – July 27, 2016. Texas has had 80 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: CountyCasesBell1Bexar6Collin2Dallas18Denton3Ellis1Fort Bend3Frio1Gray1Grayson1Hamilton1Harris24Lubbock1Medina1Tarrant11Travis2Val Verde1Williamson1Wise1Total80

Age RangeGenderTravel MonthCountry of TravelStatus20 to 29F06/2016MexicoRecovered40-49F04/2016HondurasRecovered<10M02/2016ColombiaMicrocephaly30-39F02/2016ColombiaRecovered30-39M01/2016VenezuelaRecovered40-49M01/2016HondurasRecovered< 10M12/2015El SalvadorRecovered40-49F11/2015El SalvadorRecovered20-29M11/2015El SalvadorRecovered40-49F11/2015El SalvadorRecoveredhttp://publichealth.harriscountytx.gov/Resources/2016-Zika-Virus

HCPH Zika Virus Cases *Please note, these are the most current number of confirmed cases. This list is updated every Thursday by 2pm CST. Locally acquired mosquito-borne cases reported: 0 Travel-associated cases reported: 9 Pregnant woman: 1 Microcephaly: 1 Sexually transmitted: 0 Guillain-Barre syndrome: 0 Age RangeGenderTravel MonthCountry of TravelStatus20 to 29F06/2016MexicoRecovered40-49F04/2016HondurasRecovered<10M02/2016ColombiaMicrocephaly30-39F02/2016ColombiaRecovered30-39M01/2016VenezuelaRecovered40-49M01/2016HondurasRecovered< 10M12/2015El SalvadorRecovered40-49F11/2015El SalvadorRecovered20-29M11/2015El SalvadorRecovered40-49F11/2015El SalvadorRecovered

Zika Virus – July 27, 2016. Texas has had 80 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: CountyCasesBell1Bexar6Collin2Dallas18Denton3Ellis1Fort Bend3Frio1Gray1Grayson1Hamilton1Harris24Lubbock1Medina1Tarrant11Travis2Val Verde1Williamson1Wise1Total80

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Health confirms first cases of microcephaly related zikaThe Ministry of Public Health announced that Paraguay presented the first two cases of microcephaly related Zika virus.16 The cases were confirmed by the Central Laboratory. Photo: @MSPPy. The announcement was made by the Director of Health Surveillance, Águeda Cabello, Wednesday news conference. The cases were confirmed by the Central Laboratory of the State's portfolio. Infants with microcephaly are Paraguarí and Alto Parana and DVS but not give more data to respect the confidentiality of patients. Similarly, according to Cabello, they are in good health. Hair was last week ruled by laboratory studies the case of a baby born with microcephaly also Paraguarí was related to the zika. In this case continue research into the causes, as they may be birth defects, syphilis, HIV, rubella, among others, said Águeda Cabello.

Infants with microcephaly are Paraguarí and Alto Parana and DVS but not give more data to respect the confidentiality of patients. Similarly, according to Cabello, they are in good health. Hair was last week ruled by laboratory studies the case of a baby born with microcephaly also Paraguarí was related to the zika. http://www.ultimahora.com/salud-confirma-primeros-casos-microcefalia-relacionados-zika-n1011142.html

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Health: Eight newborns with microcephaly linked to the Zika virus.- 20 Hours Ago - In Highlights 0 Health Minister, Yolany Batres, revealed that eight babies were born with microcephaly, linked to the Zika virus disease, Of the eight babies, six are from the department of Choluteca and two of Francisco Morazan. Health authorities have reported that cases are under investigation, as there is an outbreak that was expected because for nine months zika the first cases occurred in Honduras. According to the official other tests are done to reconfirm the relationship of microcephaly with Zika virus, "but it is consistent with the gestational age of women". Batres confirmed that the eight children who were born with microcephaly in recent days in at least six cases their mothers showed symptoms of the Zika virus, others had no signs of the disease, however it recalled that this involvement can be asymptomatic. "Pregnant women should wear long-sleeved shirts, use insect repellent and sleep under mosquito nets to protect themselves from mosquito transmitter of the disease, these children should be given them special care, even in schools. As reiterated unfortunately there are eight children currently have registered our surveillance system with microcephaly, "he said. http://lanoticia.hn/destacados/salud-ocho-recien-nacidos-con-microcefalia-ligada-a-virus-del-zika/

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Honduras' health minister says eight babies with severe birth defects linked to the Zika virus have been born in the Central American country. Dr. Yolani Batres said Tuesday at a news conference that five of the babies with microcephaly were born this week. http://www.nytimes.com/aponline/2016/07/26/world/americas/ap-lt-honduras-zika.html?_r=0

Honduras Reports 8 Babies Born With Zika-Related DefectsBy THE ASSOCIATED PRESSJULY 26, 2016, 8:30 P.M. E.D.T. Continue reading the main storyShare This PageShareTweetEmailMoreSaveMEXICO CITY — Honduras' health minister says eight babies with severe birth defects linked to the Zika virus have been born in the Central American country. Dr. Yolani Batres said Tuesday at a news conference that five of the babies with microcephaly were born this week. Batres says there are 493 known cases of pregnant women who have been infected with the Zika virus in Honduras. Zika is mostly spread by mosquitoes, but cases of sexual transmission have also occurred. Some women who contract it during their pregnancies have given birth to babies with microcephaly, which leads to babies with abnormally small heads and improperly developed brains. The Pan-American Health Organization confirmed that through July 14, Honduras had not reported a case of microcephaly linked to Zika.

Honduras' health minister says eight babies with severe birth defects linked to the Zika virus have been born in the Central American country. Dr. Yolani Batres said Tuesday at a news conference that five of the babies with microcephaly were born this week. http://www.nytimes.com/aponline/2016/07/26/world/americas/ap-lt-honduras-zika.html?_r=0

JULY 26, 2016 6:05 PM Travel ruled out in Florida’s two suspected cases of local Zika infectionSouth Florida cases may be nation’s first spread by local mosquitoes State health officials are investigation one case in Miami-Dade, one in Broward Gov. Rick Scott said he’s disappointed Congress has not approved Zika funding How Zika spreads (and who’s to blame) 1:13 FACEBOOK TWITTER EMAIL SHARE FACEBOOK TWITTER EMAIL SHARE 1 of 3The mosquito kills nearly 750,000 people each year. Malaria is the cause for the majority of these deaths, but a Zika outbreak has the Americas scared of this insect. This is how the insect spreads disease to its victims. Sohail Al-Jamea and Meta Viers McClatchyBY DANIEL CHANG [email protected] LINKEDINGOOGLE+PINTERESTREDDITPRINTORDER REPRINT OF THIS STORY Florida epidemiologists have ruled out travel as a possible source for two Zika infections — one in Miami-Dade and one in Broward — suspected of being the nation’s first cases transmitted by local mosquitoes, State Surgeon General Celeste Philip said Tuesday during a meeting with Gov. Rick Scott and health officials. “The individuals do not have travel history themselves,” Philip said at the Broward health department in Fort Lauderdale. “That’s the only mode that we feel pretty certain has been ruled out.” Interactive feature: Daily Florida Zika virus trackerAs state health officials reported six new Zika infections on Tuesday, raising the statewide total to 364 people affected this year, Philip asked for patience while Florida epidemiologists undertake the labor-intensive investigation. She said investigators must identify where the infected individuals live, work and spend their free time — and then track down others who may have come into contact with them. Investigators also are going door-to-door in the Miami-Dade and Broward neighborhoods of the two infected people, interviewing residents and collecting urine samples for testing. “We understand that there is an interest in knowing as much as possible as soon as possible,” Philip said. “But we have to get it right.” She also stressed that researchers are still learning about the ways Zika is transmitted, including a recent report of the first female-to-male sexual transmission and a mysterious case in Utah where an elderly man with an unusually high viral load is suspected of spreading the virus to a caregiver. Philip said the federal Centers for Disease Control and Prevention has dispatched a medical epidemiologist, Marc Fischer, to South Florida to help design studies and collect specimens in the testing areas, whose locations have not been disclosed by the health department. Health department officials also have contacted obstetricians in the areas under investigation and encouraged them to test their pregnant patients for the virus, Philip said. Area blood banks will begin testing blood donations for the Zika virus in a few days, she said. As the number of infections in Florida climbs almost daily, and the state has already reported its first baby born with a Zika-related birth defect, Scott expressed his “disappointment” with Congress for not yet approving emergency funding for states to combat spread of the disease. “We are sort of the tip of the spear for the United States for Zika,” Scott said. “We all have to take this seriously.” Last week, President Barack Obama spoke by phone with Scottabout the first suspected case of local transmission in Miami-Dade. The CDC awarded the state $5.6 million the same week. In June, Scott authorized spending up to $26.2 million in state funds to fight the Zika virus. For questions about Zika, including health impacts, call the Florida health department hotline at 855-622-6735. Daniel Chang: 305-376-2012, @dchangmiami ZIKA INFECTIONS REPORTED IN FLORIDA AS OF JULY 26 County Number of Cases Alachua 5 Brevard 6 Broward ** 53 Charlotte 1 Citrus 2 Clay 3 Collier 4 Duval 6 Escambia 1 Highlands 1 Hillsborough 10 Lake 1 Lee 6 Manatee 1 Martin 1 Miami-Dade ** 96 Okaloosa 2 Okeechobee 1 Orange 38 Osceola 17 Palm Beach 15 Pasco 6 Pinellas 7 Polk 11 Santa Rosa 1 Seminole 11 St. Johns 3 St. Lucie 1 Volusia 5 Total cases not involving pregnant women 315 Cases involving pregnant women regardless of symptoms* 49 * Counties of pregnant women not disclosed. ** Does not include suspected cases of local transmission. Source: Florida Department of Health http://www.miamiherald.com/news/health-care/article91990047.html

JULY 26, 2016 6:05 PM Travel ruled out in Florida’s two suspected cases of local Zika infectionSouth Florida cases may be nation’s first spread by local mosquitoes State health officials are investigation one case in Miami-Dade, one in Broward Gov. Rick Scott said he’s disappointed Congress has not approved Zika funding How Zika spreads (and who’s to blame) 1:13 FACEBOOK TWITTER EMAIL SHARE FACEBOOK TWITTER EMAIL SHARE 1 of 3The mosquito kills nearly 750,000 people each year. Malaria is the cause for the majority of these deaths, but a Zika outbreak has the Americas scared of this insect. This is how the insect spreads disease to its victims. Sohail Al-Jamea and Meta Viers McClatchyBY DANIEL CHANG [email protected] LINKEDINGOOGLE+PINTERESTREDDITPRINTORDER REPRINT OF THIS STORY Florida epidemiologists have ruled out travel as a possible source for two Zika infections — one in Miami-Dade and one in Broward — suspected of being the nation’s first cases transmitted by local mosquitoes, State Surgeon General Celeste Philip said Tuesday during a meeting with Gov. Rick Scott and health officials. “The individuals do not have travel history themselves,” Philip said at the Broward health department in Fort Lauderdale. “That’s the only mode that we feel pretty certain has been ruled out.” Interactive feature: Daily Florida Zika virus trackerAs state health officials reported six new Zika infections on Tuesday, raising the statewide total to 364 people affected this year, Philip asked for patience while Florida epidemiologists undertake the labor-intensive investigation. She said investigators must identify where the infected individuals live, work and spend their free time — and then track down others who may have come into contact with them. Investigators also are going door-to-door in the Miami-Dade and Broward neighborhoods of the two infected people, interviewing residents and collecting urine samples for testing. “We understand that there is an interest in knowing as much as possible as soon as possible,” Philip said. “But we have to get it right.” She also stressed that researchers are still learning about the ways Zika is transmitted, including a recent report of the first female-to-male sexual transmission and a mysterious case in Utah where an elderly man with an unusually high viral load is suspected of spreading the virus to a caregiver. Philip said the federal Centers for Disease Control and Prevention has dispatched a medical epidemiologist, Marc Fischer, to South Florida to help design studies and collect specimens in the testing areas, whose locations have not been disclosed by the health department. Health department officials also have contacted obstetricians in the areas under investigation and encouraged them to test their pregnant patients for the virus, Philip said. Area blood banks will begin testing blood donations for the Zika virus in a few days, she said. As the number of infections in Florida climbs almost daily, and the state has already reported its first baby born with a Zika-related birth defect, Scott expressed his “disappointment” with Congress for not yet approving emergency funding for states to combat spread of the disease. “We are sort of the tip of the spear for the United States for Zika,” Scott said. “We all have to take this seriously.” Last week, President Barack Obama spoke by phone with Scottabout the first suspected case of local transmission in Miami-Dade. The CDC awarded the state $5.6 million the same week. In June, Scott authorized spending up to $26.2 million in state funds to fight the Zika virus. For questions about Zika, including health impacts, call the Florida health department hotline at 855-622-6735. Daniel Chang: 305-376-2012, @dchangmiami ZIKA INFECTIONS REPORTED IN FLORIDA AS OF JULY 26 County Number of Cases Alachua 5 Brevard 6 Broward ** 53 Charlotte 1 Citrus 2 Clay 3 Collier 4 Duval 6 Escambia 1 Highlands 1 Hillsborough 10 Lake 1 Lee 6 Manatee 1 Martin 1 Miami-Dade ** 96 Okaloosa 2 Okeechobee 1 Orange 38 Osceola 17 Palm Beach 15 Pasco 6 Pinellas 7 Polk 11 Santa Rosa 1 Seminole 11 St. Johns 3 St. Lucie 1 Volusia 5 Total cases not involving pregnant women 315 Cases involving pregnant women regardless of symptoms* 49 * Counties of pregnant women not disclosed. ** Does not include suspected cases of local transmission. Source: Florida Department of Health http://www.miamiherald.com/news/health-care/article91990047.html Read more here: http://www.miamiherald.com/news/health-care/article91990047.html#storylink=cpy

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Zika Cases in New Jersey New Jersey County Confirmed Travel-Related Cases Bergen 14 Passaic 14 Middlesex 6 Burlington 5 Hudson 6 Essex 5 Union 5 Camden 3 Morris 4 Monmouth 2 Ocean 1 Hunterdon 1 Mercer 2 TOTAL 68 Last Updated: July 26, 2016 http://www.nj.gov/health/cd/zika/case_count.shtml

Zika Cases in New Jersey New Jersey County Confirmed Travel-Related Cases Bergen 14 Passaic 14 Middlesex 6 Burlington 5 Hudson 6 Essex 5 Union 5 Camden 3 Morris 4 Monmouth 2 Ocean 1 Hunterdon 1 Mercer 2 TOTAL 68 Last Updated: July 26, 2016

July 26, 2016 DEPARTMENT OF HEALTH DAILY ZIKA UPDATE: SIX NEW TRAVEL-RELATED CASES http://www.floridahealth.gov/newsroom/2016/07/072616-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 six new travel-related cases with two in Broward, one in Miami-Dade, one in Hillsborough, one in Orange and one involving a pregnant women. According to CDC, symptoms associated with the Zika virus last between seven to 10 days. The department’s investigations into the possible non-travel related Zika virus cases in Miami-Dade and Broward counties are ongoing and the department will share more details as they become available. Governor Rick Scott and State Surgeon General Dr. Celeste Philip are hosting a Zika roundtable this afternoon in Broward County to discuss with local leaders ongoing Zika preparedness and response needs. 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. 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 49, with 15 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 53 Charlotte 1 Citrus 2 Clay 3 Collier 4 Duval 6 Escambia 1 Highlands 1 Hillsborough 10 Lake 1 Lee 6 Manatee 1 Martin 1 Miami-Dade 96 Okaloosa 2 Okeechobee 1 Orange 38 Osceola 17 Palm Beach 15 Pasco 6 Pinellas 7 Polk 11 Santa Rosa 1 Seminole 11 St. Johns 3 St. Lucie 1 Volusia 5 Total cases not involving pregnant women 315 Cases involving pregnant women regardless of symptoms* 49 *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 2,396 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 4,769 people for active Zika virus and 2,129 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 53 Charlotte 1 Citrus 2 Clay 3 Collier 4 Duval 6 Escambia 1 Highlands 1 Hillsborough 10 Lake 1 Lee 6 Manatee 1 Martin 1 Miami-Dade 96 Okaloosa 2 Okeechobee 1 Orange 38 Osceola 17 Palm Beach 15 Pasco 6 Pinellas 7 Polk 11 Santa Rosa 1 Seminole 11 St. Johns 3 St. Lucie 1 Volusia 5 Total cases not involving pregnant women 315 Cases involving pregnant women regardless of symptoms*

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