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Dominican Republic reported the second case of baby with microcephalyBy Agencia EFE07/22/2016 | 09: 51 pm Twitter At the moment, the newborn was performed a neurological evaluation to determine the category of the case of microcephaly. (Archive) The National Epidemiological Surveillance System (MOH), Ministry of Dominican Health reported the second case with morphological features compatible with microcephaly, said Friday the Department of Maternal and Child Health and Adolescent (DIGEMIA). This is a girl 6.5lbs who was born on July 17, in good general condition in the San Bartolomé hospital, Neiba province Baoruco, with head circumference compatible with microcephaly, said the director of DIGEMIA, José Mordán, through a statement posted on the website of the Ministry. The mother did not present history of virus infection during pregnancy, so the hospital authorities sent the sample to the reference laboratory and awaiting results of tests to establish any link with the disease. At the moment, the newborn was performed a neurological evaluation to determine the category of the case of microcephaly. The small and her mother were admitted to the pediatric services and obstetrics hospital, respectively, where they remain under medical supervision. At the end of last June a case of microcephaly was recorded in the municipality of La Discovered, Independencia province, very near the town of Neiba, Baoruco province, about 250 kilometers. They are not yet available the results of clinical tests to establish whether or not the case is linked to the Zika virus. In order to prevent births of children with this malformation, since there was international health alert last January, the Ministry of Health asked women of childbearing age and their partners to postpone pregnancy until lower the epidemic curve the zika .

The National Epidemiological Surveillance System (MOH), Ministry of Dominican Health reported the second case with morphological features compatible with microcephaly, said Friday the Department of Maternal and Child Health and Adolescent (DIGEMIA). This is a girl 6.5lbs who was born on July 17, in good general condition in the San Bartolomé hospital, Neiba province Baoruco, with head circumference compatible with microcephaly, said the director of DIGEMIA, José Mordán, through a statement posted on the website of the Ministry. The mother did not present history of virus infection during pregnancy, so the hospital authorities sent the sample to the reference laboratory and awaiting results of tests to establish any link with the disease. At the moment, the newborn was performed a neurological evaluation to determine the category of the case of microcephaly. http://www.primerahora.com/noticias/mundo/nota/republicadominicanareportaelsegundocasodebebeconmicrocefalia-1166156/

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The San Antonio Metropolitan Health District reports a new confirmed Zika case. Currently, the total count of confirmed Zika cases in San Antonio is eight. All cases acquired the infection while traveling abroad. http://www.kens5.com/news/local/metro-health-confirms-new-zika-case-in-bexar-county/278120885

Miami Steps Up Mosquito Control Efforts After Suspected Zika CasesListen·3:453:45QueueDownloadEmbedTranscriptFacebookTwitterGoogle+EmailJuly 22, 20166:35 PM ETHeard on All Things ConsideredGREG ALLEN TwitterLarry Smart, a Miami-Dade County mosquito control inspector, uses a fogger to spray pesticide to kill mosquitoes in an effort to stop a possible Zika outbreak in Miami. Joe Raedle/Getty ImagesIn a well-kept neighborhood in Miami with lush gardens, Larry Smart, a county mosquito control inspector, holds a turkey baster up to the light. "If you look closely, you'll see some moving fast. They're wriggling around," he says. "That's actually mosquito larvae." Smart uses the turkey baster to sample standing water in hard-to-reach places. Florida is home to dozens of mosquito species, but the one officials are most concerned about now is Aedes aegypti, the main species that carries the Zika virus. These mosquitoes typically live near people and can breed in as little as a teaspoonful of stagnant water. Health officials are worried that Zika may have a foothold in South Florida. They're investigating two cases of Zika that may have been contracted from mosquitoes in Florida, not by people traveling abroad. At this Miami home, Smart found mosquito larvae in water held in the leaves of a bromeliad, a flowering plant common in South Florida yards. Mosquitoes like to breed in the pooled water in plants like this bromeliad. Joe Raedle/Getty Images"They'll breed in there and become adults," he says. "A lot of people don't realize that a plant like that is renowned for mosquitoes." With a handheld fogging machine, Smart mists the foliage with an insecticide. He also drops pellets that kill mosquito larvae into the plant. Officials say going door-to-door and spraying by hand is the most efficient way to stop the Aedes aegypti mosquito and the spread of Zika. Over the past week, Miami's mosquito control activity has been focused on oneparticular neighborhood. It's near the home of a person health officials say may have contracted Zika locally from a Florida mosquito. There are actually two cases of suspected local transmission now, one in Miami and one just north in Florida's Broward County. But Lilian Rivera, the head of Miami-Dade County's Health Department, says there are few details she can share. "We are in an active investigation stage, not only in Miami but also in Broward," she says. Her message for the media and the public? "Just to have patience." Florida's Department of Health is working with the Centers for Disease Control and Prevention to rule out other ways the two individuals could have contracted Zika, such as through travel or sexual transmission. The department is also trapping mosquitoes and testing them for the Zika virus. So far, none have come back positive. Miami took similar measures in 2010 when the city saw a number of dengue cases. Because it can cause birth defects including microcephaly, Zika is even more worrying. Miami's head of mosquito control, Chalmers Vasquez, says he really wasn't surprised when health officials began investigating a possible locally acquired Zika case, because of the city's close contacts with the Caribbean and Latin America. He says: "The virus is flowing through Miami International Airport every day. There are thousands and thousands of people coming back into our area from those countries that may be affected, they may not be." Vasquez says, "We're trying to be as aggressive as possible." Officials in Florida are concerned about how much the Zika response will cost. This week, the White House announced it was sending $60 million in Zika funding to the states, including $5.6 million for Florida. Much more will be needed, says Peter Hotez, dean of the National School of Tropical Medicine at Baylor University. He's concerned Zika may already be established in mosquitoes in Florida, Texas and other states along the Gulf Coast. But so far, funds haven't been made available for intensive testing and surveillance. "You have to have teams of people going into affected communities, community health centers, asking about fever and rash, and then taking a blood sample and testing it," Hotez says. "That requires some resources and it's not being done. I'm worried that we could be seeing quite a bit of Zika happening now. It's just that no one's looking." The Obama administration is asking Congress for $1.9 billion to fund the fight against Zika, so far without success. And, at the height of mosquito season on the Gulf Coast, Congress has adjourned until after Labor Day. http://www.npr.org/sections/health-shots/2016/07/22/487078904/miami-steps-up-mosquito-control-efforts-after-suspected-zika-cases

Health Officials Investigate Two Possible Cases Of Zika Virus Outbreak In FloridaJuly 24, 20167:48 AM ETHeard on Weekend Edition Sunday Federal officials investigate the first two cases of Zika that may have been contracted in southern Florida. NPR's Elise Hu and Michaeleen Doucleff discuss the new findings and their possible impact. Audio at: http://www.npr.org/2016/07/24/487237222/health-officials-investigate-two-possible-cases-of-zika-virus-outbreak-in-florid?utm_source=twitter.com&utm_campaign=health&utm_medium=social&utm_term=nprnews

Health Officials Investigate Two Possible Cases Of Zika Virus Outbreak In FloridaJuly 24, 20167:48 AM ETHeard on Weekend Edition Sunday Federal officials investigate the first two cases of Zika that may have been contracted in southern Florida. NPR's Elise Hu and Michaeleen Doucleff discuss the new findings and their possible impact. Audio at: http://www.npr.org/2016/07/24/487237222/health-officials-investigate-two-possible-cases-of-zika-virus-outbreak-in-florid?utm_source=twitter.com&utm_campaign=health&utm_medium=social&utm_term=nprnews

Health Officials Investigate Two Possible Cases Of Zika Virus Outbreak In FloridaJuly 24, 20167:48 AM ETHeard on Weekend Edition Sunday Federal officials investigate the first two cases of Zika that may have been contracted in southern Florida. NPR's Elise Hu and Michaeleen Doucleff discuss the new findings and their possible impact. Audio at: http://www.npr.org/2016/07/24/487237222/health-officials-investigate-two-possible-cases-of-zika-virus-outbreak-in-florid?utm_source=twitter.com&utm_campaign=health&utm_medium=social&utm_term=nprnews

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A Midwestern man visiting Sitka tested positive for the Zika virus this month, the first confirmed case of the illness in Alaska. According to a press release from the Alaska Division of Public Health, the man contracted the virus while visiting Central America. The patient, who was not identified, was visiting Sitka for work and is not a resident. The man was evaluated at Sitka's Mt. Edgecumbe Hospital after developing symptoms that included a full-body rash, fever and red eyes. A blood specimen collected July 18 later confirmed the patient was infected with Zika. The patient was hospitalized and is now back home in the Midwest, according to the release. http://www.adn.com/alaska-news/2016/07/22/alaskas-first-zika-case-confirmed-in-sitka/

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Test results confirm 1st case of Zika in Knox CountyPosted: Jul 23, 2016 1:49 PM EDTUpdated: Jul 23, 2016 1:49 PM EDTBy WBIR (KNOXVILLE) - The Knox County Health Department announced Friday it has received lab results confirming Knox County's first Zika virus case. The individual recently returned from a trip overseas to an area with mosquito-borne transmission of Zika, according to a health department press release. The individual is expected to fully recovery, the health department said. “We’ve been expecting a travel-associated case of Zika virus and believe more are likely as people travel to and from areas with active Zika transmission,” said KCHD Director Dr. Martha Buchanan. Friday's announcement is the fifteenth confirmed case in Tennessee. The first case in the state was confirmed in East Tennessee back in early February. However, none of the Tennessee cases so far were the result of local spread by mosquitos. “It’s important for the public to know that we still have not seen local transmission in the continental U.S.," Dr. Buchanan said, "However, it’s also crucial for the public to know that they play a major role in preventing local transmission by taking precautions to prevent mosquito bites and by eliminating mosquito habitats on their properties and at their businesses.” Knox County Health Department staff will work closely with the local Zika casa, including their family members and others in the household, to prevent the virus from spreading, according to Deputy Director Mark Miller. Staff will also be conducting door-to-door education in the community where the individual with Zika lives. Zika virus during pregnancy can cause birth defects. The CDC recommends all pregnant women consider postponing travel to areas where Zika virus transmission has been reported. Experts say preventing mosquito bites, while at home and traveling, is important to avoid the spread of disease. Officials recommend the following: Apply repellants to skin often; these can include lotions, liquids or sprays. The CDC recommends the use of repellants that contain DEET, Picaridin, oil of lemon eucalyptus or para-menthane 3, 8-diol and IR3535. The duration of protection varies by repellant; read labels on products to determine when reapplications are necessary for optimal protection.Wear long, loose and light-colored shirts and pants and wear socks.Treat clothing with permethrin or purchase pretreated permethrin clothing.Dispose of, regularly empty, or turn over any water holding containers on your property such as tires, cans, flower pots, children’s toys or trash cans.Fill in hollow tree stumps and rot holes, a common breeding ground for the Aedes mosquito, with sand or concrete.To prevent breeding in large water-holding devices, including bird baths or garden pools, use larvicides such as mosquito torpedoes or mosquito dunks. If used properly, larvicides will not harm animals.Check the CDC’s travel webpage before traveling outside the U.S. because it’s important to be aware of the diseases impacting your destination(s), including those spread by mosquitoes, and take steps to prevent infection.

The Knox County Health Department announced Friday it has received lab results confirming Knox County's first Zika virus case. The individual recently returned from a trip overseas to an area with mosquito-borne transmission of Zika, according to a health department press release. The individual is expected to fully recovery, the health department said. “We’ve been expecting a travel-associated case of Zika virus and believe more are likely as people travel to and from areas with active Zika transmission,” said KCHD Director Dr. Martha Buchanan. Friday's announcement is the fifteenth confirmed case in Tennessee. The first case in the state was confirmed in East Tennessee back in early February. http://www.wrcbtv.com/story/32513866/test-results-confirm-1st-case-of-zika-in-knox-county

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The first instance of laboratory-confirmed infection with Zika virus in Lexington was recently identified in a Fayette County infant born to a woman who had travelled during pregnancy to an area where the virus is circulating. Test results from the Centers for Disease Control and Prevention (CDC) indicate that the infant was exposed to the virus in the womb. Although the infant’s mother never described symptoms of illness, antibodies against Zika found in her infant suggest maternal infection during an early stage of the pregnancy. Neither mother nor child is presently capable of spreading the virus to others or to mosquitoes in the area. “The Lexington-Fayette County Health Department strongly advises pregnant women or women planning to become pregnant in the near future to consider cancelling or delaying travel to Zika-affected areas of the world,” said Dr. Kraig Humbaugh, Commissioner of Health. However, “anyone planning to travel to countries where the Zika virus is circulating among mosquitoes should take steps to protect themselves. This includes being knowledgeable about where the virus is spreading, consulting with a healthcare provider, and most importantly, following public health’s recommendations to avoid mosquito bites.” http://www.lexingtonhealthdepartment.org/

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Zika virus cases in Canada, as of July 21, 2016CountryLocally acquired through sexual transmissionTravel-relatedCanada1161 http://www.healthycanadians.gc.ca/diseases-conditions-maladies-affections/disease-maladie/zika-virus/surveillance-eng.php?id=zikacases#s1

Zika virus cases in Canada, as of July 21, 2016CountryLocally acquired through sexual transmissionTravel-relatedCanada1161

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Number of laboratory-confirmed*casesCountries of Travel§96*Aruba, Barbados, Brazil, Columbia, Costa Rica, Dominican Republic, Ecuador, El Salvador, Guatemala, Grenada, Guyana, Haiti, Honduras, Jamaica, Martinique, French West Indies, Mexico, Nicaragua, Panama, South Caribbean, Venezuela*Note: One of the 96 laboratory-confirmed cases of Zika virus in Ontario is non-travel related. http://health.gov.on.ca/en/public/publications/disease/zika.aspx

Number of laboratory-confirmed*casesCountries of Travel§96*Aruba, Barbados, Brazil, Columbia, Costa Rica, Dominican Republic, Ecuador, El Salvador, Guatemala, Grenada, Guyana, Haiti, Honduras, Jamaica, Martinique, French West Indies, Mexico, Nicaragua, Panama, South Caribbean, Venezuela*Note: One of the 96 laboratory-confirmed cases of Zika virus in Ontario is non-travel related.

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