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Dallas County Health and Human Services (DCHHS) is reporting the 16th case of Zika virus in Dallas County in 2016. The case was confirmed through testing in the DCHHS lab. DCHHS has submitted the case for review to the Texas Department of State Health Services. The 49-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.

CDC probing possible first Zika case from US mosquito biteHealth officials in Florida are investigating what could be the first Zika infection from a mosquito bite in the continental United States, involving a resident of the Miami areaJuly 20, 2016, at 4:52 p.m. MIAMI (AP) — Health officials in Florida are investigating whether the Zika infection of a woman in the Miami area could be the first transmission of the virus from a mosquito bite in the continental United States.Lab tests confirmed the Zika infection, according to statements from the U.S. Centers for Disease Control and Prevention and Florida's Department of Health. Health officials said the case had no apparent links to recent travel outside the country. They did not immediately respond Wednesday to questions about ruling out other methods of transmission, such as sex. The patient is an adult woman who lives in Miami-Dade County, according to a health official familiar with the case who wasn't authorized to reveal details beyond the statements of the agencies involved, and thus spoke on condition of anonymity. ADVERTISING No other details about her case were released. More than 1,300 Zika infections have been reported in the U.S., none involving bites from local mosquitoes; 14 of these were sexually transmitted and one lab worker was stuck with a contaminated needle. Miami-Dade County has the most confirmed infections in Florida — 89, but so far all have involved someone who traveled outside the U.S. mainland to areas with Zika outbreaks, such as Latin America and the Caribbean. Health officials predicted the virus would reach U.S. mosquitoes this summer and have mobilized to keep Zika from spreading beyond isolated clusters of cases. According to a CDC response plan, health officials would want to see more than just one unexplained case before declaring that someone has been infected by a mosquito bite in the continental United States. The plan suggests there should be two or more cases within a 1-mile area, in people who do not live together, who did not have sex with Zika-infected people, and who did not recently travel to countries with Zika outbreaks. Evidence of the virus in mosquitoes captured in the same areas also might help investigators declare Zika is spreading, but short of that, it might be difficult to determine with certainty that mosquito transmission has occurred. Mosquito control inspectors in Miami have been going door-to-door in the area under investigation since health authorities alerted them late last week, spraying to kill mosquitoes and emptying containers of the water they need to breed. If the virus is there, they want to keep it from spreading through more mosquito bites. "We're constantly in the area. We're doing hand-held spraying, and we'll do more truck spraying Thursday," said Gayle Love, a spokeswoman for Miami-Dade County Solid Waste Management. Zika prevention kits and mosquito repellent — strongly recommended for women who are pregnant or planning to be — are being distributed in the area and can be picked up at the health department as well. Crews in Utah, meanwhile, are setting traps in old tires and junkyards and dumping mosquito-eating fish into ponds and abandoned pools after a man who cared for his dying father was infected with Zika as well. Since that case doesn't involve travel or sex, it has raised more questions about how the virus might spread. "Our best option is to try find these mosquitoes quickly so that way we can eliminate them prior to their establishment," said Ary Faraji, manager of the Salt Lake City Mosquito Abatement District. "Once they become established, it is extremely difficult to get rid of those species. There is no vaccine for Zika. The main defense is to avoid mosquito bites. Zika also can spread through unprotected sex with someone who is infected. In most people, Zika causes only a mild and brief illness, at worst. But it can cause fetal death and severe brain defects in the children of women infected during pregnancy. ___ Associated Press writers Mike Stobbe in New York and Brady McCombs in Salt Lake City contributed to this report. http://www.usnews.com/news/news/articles/2016-07-20/cdc-florida-probing-possible-zika-case-from-miami-mosquito?src=usn_tw

JULY 19, 2016CDC probing possible first Zika case from US mosquito bite Associated PressMIAMI (WSVN) - MIAMI (AP) — Health officials in Florida are investigating what could be the first Zika infection from a mosquito bite in the continental United States, involving a resident of the Miami area. Lab tests confirmed the Zika infection, according to statements from the U.S. Centers for Disease Control and Prevention and Florida’s Department of Health.Health officials said the person has no apparent links to recent travel outside the country. They did not immediately respond Wednesday to questions about ruling out other methods of transmission, such as sex. The patient is an adult woman who lives in Miami-Dade County, according to a health official familiar with the case who wasn’t authorized to reveal details beyond the statements of the agencies involved, and thus spoke on condition of anonymity. No other details about her case were released. More than 1,300 Zika infections have been reported in the U.S., none involving bites from local mosquitoes; 14 of these were sexually transmitted and one lab worker was stuck with a contaminated needle. Miami-Dade County has the most confirmed infections in Florida so far — 88, but all have involved someone who traveled to areas such as Latin America and the Caribbean where Zika outbreaks are widespread. Health officials predicted the virus would reach U.S. mosquitoes this summer and have mobilized to keep Zika from spreading beyond isolated clusters of cases. Mosquito control inspectors have been going door-to-door in the Miami area under investigation since health authorities alerted them late last week, spraying to kill mosquitoes and emptying containers of the water they need to breed. If the virus is there, they want to keep it from spreading through more mosquito bites. “We’re constantly in the area. We’re doing hand-held spraying, and we’ll do more truck spraying Thursday,” said Gayle Love, a spokeswoman for Miami-Dade County Solid Waste Management. Zika prevention kits and mosquito repellent — strongly recommended for women who are pregnant or planning to be — are being distributed in the area and can be picked up at the health department as well. Crews in Utah, meanwhile, are trapping and testing mosquitoes and checking hotspots after a man who cared for his dying father was infected with Zika as well. That case has raised more questions about how the virus might spread. There is no vaccine for Zika. The main defense is to avoid mosquito bites. Zika also can spread through unprotected sex with someone who is infected. In most people, Zika causes only a mild and brief illness, at worst. But it can cause fetal death and severe brain defects in the children of women infected during pregnancy. Associated Press writer Mike Stobbe in New York contributed to this report. (WSVN) — Officials suggest following these tips in order to help prevent contracting the Zika virus: Drain standing water in and around your homeUse mosquito repellentCover up with clothing by wearing long sleeves and long pants, especially if you work or exercise outsideUse protection when engaging in sexual intercourseThe Florida Department of Health and the Centers for Disease Control and Prevention are investigating this case. Officials have not said what part of the county this potential case may have originated in. For more mosquito control tips from Miami-Dade County, visit this link. http://wsvn.com/news/local/officials-investigate-potential-zika-case-possibly-contracted-in-miami-dade/

Florida may have first non-travel related Zika infection in the U.S., officials sayUpdated: Jul 20, 2016 - 3:53 PM Photo: CDC/James Gathany© 2016 Cox Media Group.220MIAMI-DADE COUNTY, Fla. —Health officials are considering whether one of Florida’s newest Zika patients got infected by a “Florida” mosquito. The case, which was reported in Miami-Dade County, could indicate whether Zika has entered the state’s mosquito population. The case in Miami-Dade County doesn’t appear to be travel related or sexually transmitted, Florida International University infectious disease expert Dr. Aileen Marty said. She expects the investigation by the Florida Health Department and CDC to be meticulous. “All of those things have to definitely be ruled out now in this particular case,” she said. “In addition, they are going to have to do a very careful determination of where the individual lives, where they work and where they have been playing for the last couple of weeks.” Authorities in Central Florida are already taking steps to monitor mosquitos. Orange County Mosquito Control manager Kelly Deutsch has brought on extra staff to help conduct inspections. They employees are checking buckets and garbage cans for standing water, which are breeding grounds for mosquitos. Orange County residents are doing their part too. As part of his day’s yard work, Roger Bates is on the lookout for standing water. His mother lives with him and she’s worried about Zika. “We get inches of rain and then it just sits. So if there’s no way to control it and get it out of your backyard, it’s just going to sit there,” he said. Bates said he installed a new drainage system, but there’s only so much he can do to keep the area dry. The Miami-Dade case is serious because it may be the first non-travel related case in the state. “We haven’t had any confirmed, locally-acquired cases yet and it’s new if we do. That means it’s traveling in the mosquito population,” said Deutsch. Orange County has 33 travel-related cases, the third-highest in Florida. The Mosquito Control unit recently for an extra $95,000 from the state to buy more supplies and hire 10 temporary staffers. “The new people are able to go and do neighborhood inspections by themselves. Now, basically, we can cover a lot more area than we could before,” said Deutsch. The county has helped investigate more than 300 suspected cases since February. Deutsch said that involves reviewing a patient's travel history and checking their neighborhood for standing water. As of July 13, 2016, there have been 1,306 confirmed cases of Zika in the continental U.S. and Hawaii, according to the Centers for Disease Control and Prevention. A Utah man who got Zika while taking care of his infected father has researchers scratching their heads. Until now, experts thought the Zika virus could only be spread by mosquitoes and sexual contact with an infected person. The man’s elderly father died in late June, the CDC said. A blood sample taken after his death showed the amount of virus in his system was more than 100,000 times higher than what has been seen in samples from other infected persons, the CDC said. In Florida, if the Zika infection is found to have been spread by local mosquitoes, the areas where that person may have been bitten will be thoroughly sprayed, Marty said. Florida has one of the best mosquito control programs in the country and this isn’t the first mosquito-borne disease the state has contended with, she said. Get more information on the Zika virus on the WFTV Zika Page. http://www.wftv.com/news/local/florida-may-have-first-non-travel-related-zika-infection-in-the-us-officials-say/407733865

TABLE I. Provisional cases of selected* infrequently reported notifiable diseases (<1,000 cases reported during the preceding year), United States, week ending July 16, 2016 (WEEK 28)†http://wonder.cdc.gov/mmwr/mmwr_2016.asp?mmwr_year=2016&mmwr_week=28&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.28) Anthrax-------1 Arboviral diseases ¶,**: Chikungunya virus ††-528896NNNNNNNN Eastern equine encephalitis virus--0688154 Jamestown Canyon virus §§--111112223 La Crosse virus §§-2155808578130 Powassan virus-207812716 St. Louis encephalitis virus--12310136 Western equine encephalitis virus-------- Botulism, total-913195161152168153 foodborne-240371542724 infant-59313812713612397 other(wound & unspecified)-802019121832 Brucellosis2563126929911479FL (2 ) Chancroid-7011--158 Cholera--025141740 Cyclosporiasis **169332645388784123151CT (1 ), NY (1 ), NYC (1 ), IA (1 ), NE (1 ), MD (1 ), FL (6 ), TX (4 ) Diphtheria----1-1- Haemophilus influenzae, invasive disease (age <5 yrs) ¶¶: serotype b-902940313014 nontypeable serotype-85317412814111593 other serotype-651135266233263230 unknown serotype4121316739343748MD (1 ), VA (1 ), GA (1 ), FL (1 ) Hansen's disease **-2328988818282 Hantavirus Infections **: Hantavirus infection (non-HPS) ††-2-1NNNNNNNN Hantavirus pulmonary syndrome (HPS)-911732213023 Hemolytic uremic syndrome, post-diarrheal **1879275250329274290KY (1 ) Hepatitis B, virus infection perinatal-15137474840NP Influenza-associated pediatric mortality **, ***177113014116052118ND (1 ) Leptospirosis **-1704038NNNNNN Listeriosis325319766769735727870PA (1 ), OH (1 ), MD (1 ) Measles †††147418866718755220FL (1 ) Meningococcal disease, invasive §§§: serogroup ACWY-582120123142161257 serogroup B-4211118999110159 other serogroup-902125172020 unknown serogroup11044120196298260323TX (1 ) Novel influenza A virus infections ¶¶¶-31632131314 Plague--01310443 Poliomyelitis, paralytic--0--1-- Polio virus infection, nonparalytic **-------- Psittacosis **-3-48622 Q fever total **:2543158168170135134 acute2462123132137113110NE (1 ), TX (1 ) chronic-803536332224 Rabies, human--011216 SARS CoV-------- Smallpox-------- Streptococcal toxic shock syndrome **-1464335259224194168 Syphilis, congenital ****-1658490458348322360 Toxic shock syndrome (staphylococcal) **-1616659716578 Trichinellosis **1501114221815OH (1 ) Tularemia3649314180203149166MO (2 ), NE (1 ) Typhoid fever51417367349338354390PA (1 ), WA (4 ) Vancomycin-intermediate Staphylococcus aureus **-53318321224813482 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 infection51,3420NNNNNNNNNNPA (1 ), DE (1 ), FL (1 ), CO (1 ), WA (1 )[ 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, see http://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 at http://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 at http://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

58 cases in 2015 Zika ††,§§§§ Zika virus congenital infectionNANANANNNNNNNNNN Zika virus disease, non-congenital infection51,3420NNNNNNNNNNPA (1 ), DE (1 ), FL (1 ), CO (1 ), WA (1 )

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July 20, 2016 DEPARTMENT OF HEALTH DAILY ZIKA UPDATE: ONE NEW TRAVEL-RELATED CASE TODAY IN MIAMI-DADE COUNTY http://www.floridahealth.gov/newsroom/2016/07/072016-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 is one new travel-related case in Miami-Dade County. According to CDC, symptoms associated with the Zika virus last between seven to 10 days. The department’s investigation into the possible non-travel related Zika virus case in Miami-Dade County is ongoing and the department will share more details as they become available. 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 43, with 12 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 50 Charlotte 1 Citrus 2 Clay 3 Collier 4 Duval 6 Escambia 1 Highlands 1 Hillsborough 7 Lake 1 Lee 6 Manatee 1 Martin 1 Miami-Dade 89 Okaloosa 1 Orange 33 Osceola 15 Palm Beach 13 Pasco 5 Pinellas 7 Polk 10 Santa Rosa 1 Seminole 9 St. Johns 2 St. Lucie 1 Volusia 3 Total cases not involving pregnant women 284 Cases involving pregnant women regardless of symptoms* 43 *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 2,329 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 28 counties included in the declaration– Alachua, Brevard, Broward, Charlotte, Citrus, Clay, Collier, Duval, Escambia, Highlands, Hillsborough, Lake, Lee, Manatee, Martin, Miami-Dade, Okaloosa, 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 4,933 people for active Zika virus and 1,518 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. The department 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 50 Charlotte 1 Citrus 2 Clay 3 Collier 4 Duval 6 Escambia 1 Highlands 1 Hillsborough 7 Lake 1 Lee 6 Manatee 1 Martin 1 Miami-Dade 89 Okaloosa 1 Orange 33 Osceola 15 Palm Beach 13 Pasco 5 Pinellas 7 Polk 10 Santa Rosa 1 Seminole 9 St. Johns 2 St. Lucie 1 Volusia 3 Total cases not involving pregnant women 284 Cases involving pregnant women regardless of symptoms* 43 *Counties of pregnant women will not be shared.

Latest Facts and Advisories as of 7/15/2016 [Español (PDF)]Reported cases of Zika in New York City http://www1.nyc.gov/site/doh/health/health-topics/zika-virus.page Case TypeNumber of CasesLocally acquired mosquito-borne reported†0Travel-associated*309 Pregnant: 36Sexually transmitted: 3Guillain-Barre syndrome: 3Laboratory acquired0Total309CharacteristicsAverage Age (Range)39 (0-74)Most Common Countries VisitedCountryNumber of CasesDominican Republic190Puerto Rico26Jamaica18Guyana16Colombia9Borough BreakdownBoroughNumber of CasesBronx127Manhattan66Queens58Brooklyn57Staten Island1 †Presumed local mosquito-borne transmission *Travelers returning from affected areas, their sexual contacts, or infants infected in utero

Zika VirusTravel Alerts on Zika VirusThe CDC has issued a Health Advisory on Zika Virus infections for returning travelers from Central America, South America, the Caribbean, and Mexico. For maps of the latest affected areas, visit the websites for the Center for Disease Control and Prevention (CDC) and the Pan American Health Organization (PAHO). Read the travel warning for those who are pregnant or thinking about becoming pregnant. Read Zika: Do I Need to Get Tested? (PDF) Other Languages:[Español] Providers looking for the latest information, including laboratory test instructions and forms, health alerts, and latest guidance, click here. Latest Facts and Advisories as of 7/15/2016 [Español (PDF)]Reported cases of Zika in New York City Case TypeNumber of CasesLocally acquired mosquito-borne reported†0Travel-associated*309 Pregnant: 36Sexually transmitted: 3Guillain-Barre syndrome: 3Laboratory acquired0Total309CharacteristicsAverage Age (Range)39 (0-74)Most Common Countries VisitedCountryNumber of CasesDominican Republic190Puerto Rico26Jamaica18Guyana16Colombia9Borough BreakdownBoroughNumber of CasesBronx127Manhattan66Queens58Brooklyn57Staten Island1 †Presumed local mosquito-borne transmission *Travelers returning from affected areas, their sexual contacts, or infants infected in utero

Florida health officials probe 1st possible Zika case from Miami mosquito biteBy Jennifer Kay The Associated Press 5 more In this Jan. 27, 2016, file photo, an Aedes aegypti mosquito is photographed through a microscope at the Fiocruz institute in Recife, Pernambuco state, Brazil. AP Photo/Felipe Dana- A A +ListenMIAMI – Health officials in Florida were investigating Wednesday what could be the first Zika infection from a mosquito bite in the continental United States. Lab tests confirmed that the person in the Miami area has the Zika virus, according to statements from the U.S. Centers for Disease Control and Prevention and Florida’s Department of Health. More than 1,300 Zika infections have been reported in the U.S., but none involved bites from local mosquitoes, according to the CDC. Fourteen cases were sexually transmitted and one lab worker was stuck with a contaminated needle.Health officials said the person has no apparent links to recent travel outside the country, but no additional information was released. They did not immediately respond Wednesday to questions about why they believe the infection is not travel-related, and whether the possibility of sexual transmission has been ruled out. READ MORE: Scientists map mom to fetus transmission in 1st detailed explanation Miami-Dade County has the most confirmed infections in Florida so far – 88, but all have been found to be travel-related. Mosquito control inspectors have been going door-to-door in the area under investigation since health authorities alerted them late last week, spraying to kill mosquitoes and emptying containers of the water they need to breed. If the virus is there, they want to keep it from spreading through more mosquito bites. “We’re constantly in the area. We’re doing hand-held spraying, and we’ll do more truck spraying Thursday,” said Gayle Love, a spokeswoman for Miami-Dade County Solid Waste Management. Zika prevention kits and mosquito repellent – strongly recommended for women who are pregnant or planning to be pregnant – are being distributed in the area and can be picked up at the health department as well. In most people, Zika causes only a mild and brief illness, at worst. But it can cause fetal death and severe brain defects in the children of women infected during pregnancy. READ MORE: First international clinical study on Zika virus vaccine set for Quebec City There is no vaccine. In outbreak areas, the main defence is to avoid mosquito bites. Zika also can be spread through unprotected sex with someone who is infected. Health officials worldwide have advised pregnant women not to travel to areas where Zika is spreading. The CDC also recommends that women wait at least eight weeks after a Zika illness, or possible exposure to the virus, before trying to conceive. Men who had symptoms should wait at least six months before trying. http://globalnews.ca/news/2836891/florida-health-officials-probe-1st-possible-zika-case-from-miami-mosquito-bite/?utm_source=twitterfeed&utm_medium=twitter

Florida Officials Probe Zika Case That May Not Be Related To TravelFacebookTwitterGoogle+EmailJuly 20, 201611:41 AM ETROB STEIN TwitterFacebookA Broward County, Fla., employee takes water samples in a yard to test for mosquito larvae in June. It's part of the county's mosquito control program. Lynne Sladky/APHealth officials are investigating a Zika virus infection in Florida that could be the first case in which someone caught the virus by being bitten by a mosquito in the United States. In a statement posted on its website Tuesday, the Florida Department of Health says the "possible non-travel related case of Zika" occurred in Miami-Dade County. That means it's possible that the infected person did not catch the virus while traveling in another country where the virus is spreading. Rather, the infection might have been acquired from an infected mosquito. But there's also the possibility that the Florida case may have occurred another way, such as sexual contact. The statement does not mention sexual transmission, and officials did not provide any additional information in response to a request from Shots. "We do not have additional information to share at this time," Brad Dalton, deputy press secretary in the department's office of communications, said in an email. He added that the investigation is ongoing. The federal Centers for Disease Control and Prevention said in an email that the agency "has been informed" of the case and is "closely coordinating" with Florida officials in the investigation. Health authorities have been expecting that Zika could eventually spread by mosquitoes in parts of the United States. But they have repeatedly said they are confident they could prevent any large outbreaks from occurring. More than 1,300 cases of Zika have been reported in the the continental United States and Hawaii. So far none have occurred by being bitten by a mosquito in this country. Most have been in travelers returning from countries where the virus is spreading. At least 14 are believed to have occurred through sexual contact with someone who was infected elsewhere. Zika can cause serious birth defects when pregnant women get infected, and can cause neurological complications in adults in rare cases. http://www.npr.org/sections/health-shots/2016/07/20/486737908/florida-officials-probe-zika-case-that-may-not-be-travel-related

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Zika Virus Update:Last Update: Daily (5 pm EST)Total Human Cases Related to International Travel: 14Locally Acquired Mosquito Borne Cases: 0http://doh.dc.gov/publication/zika-virus-information

Zika Virus Update:Last Update: Daily (5 pm EST)Total Human Cases Related to International Travel: 14Locally Acquired Mosquito Borne Cases: 0

Florida investigates first possible Zika infection within the United States Samples of Aedes aegypti mosquitoes, responsible for transmitting dengue and Zika CREDIT: FELIPE DANA Harriet Alexander, new york 20 JULY 2016 • 1:13AMFlorida health officials are investigating what they believe could be the first case of the Zika virus being transmitted by a mosquito within the United States. Until now, all of the 1,306 confirmed cases of Zika in the US have been in people who travelled to infected areas – except for 14 who caught it sexually, and one person infected in a lab. On Monday, however, the first possible case of non-sexual human-to-human transmission was being investigated. Health experts in Utah were puzzling over the case of a person who tested positive for the virus, having cared for an elderly Zika-infected relative who died in June. Neither of the two types of mosquito known to carry Zika - Aedes aegypti and Aedes albopictus - are found in Salt Lake County, and there was no sexual contact. Zika outbreak: how the virus has spread - in 90 secondsPlay!01:32 The Florida department of health said in a statement, issued on Tuesday evening: “Today the Florida Department of Health announced that it is conducting an investigation into a possible non-travel related case of Zika virus in Miami-Dade County. “The department is actively conducting an epidemiological investigation, is collaborating with the Centers for Disease Control and will share additional details as they become available.” If the Florida case is confirmed, it will mark a worrying milestone in the progression of a virus which has caused more than 1,500 birth defects – mainly in Brazil. Cuba, 90 miles from the coast of Florida, has confirmed 14 cases of locally-transmitted Zika, but the last infection was in March, thanks to an aggressive policy of spraying to kill the mosquitoes. Health experts in the US have been predicting the arrival of Zika-carrying mosquitoes on its shores for many months, and have begun information campaigns and spraying of water-logged sites to kill the insects. But Congress has risen for the seven-week summer recess without approving President Barack Obama’s $1.1 billion plan, announced in February, to fight the virus. Democrats have blocked the bill after Republicans insisted that a cut to Planned Parenthood funding be included in it. Thomas Frieden, director of the Center for Disease Control, described the political stalemate as “no way to fight an epidemic.” “Mosquitoes don't go on summer break,” he said. “We would like to begin really important activities that will help us, for instance, better understand the long-term impact on infants born to mothers who are infected over the long term. We would like to improve our ability to diagnose Zika. We’d like to have better ways to control mosquitoes. “Those are all going to take significant effort and significant time, and we are not able to get the aggressive start on them we would like to.” http://www.telegraph.co.uk/news/2016/07/20/florida-health-department-investigates-possible-first-non-travel/

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Get AP Mobile for your phone at GetAPMobile.comCDC, Florida probing possible Zika case from Miami mosquito By JENNIFER KAY Published: 52 minutes ago MIAMI (AP) - The CDC is working with Florida health officials to investigate what could be the first Zika infection from a mosquito in the continental United States. They say lab tests confirm a person in the Miami area is infected with the Zika virus, and there may not be any connection to someone traveling outside the country. The U.S. Centers for Disease Control and Prevention says none of the more than 1,300 Zika infections in the United States to date were from local mosquitoes. Fourteen were sexually transmitted and one involved laboratory exposure. Mosquito control inspectors were at work in Miami-Dade County on Wednesday. Spokeswoman Gayle Love said they've been going door-to-door since health authorities alerted them late last week, spraying to kill mosquitoes and emptying any containers holding water.

MIAMI (AP) - The CDC is working with Florida health officials to investigate what could be the first Zika infection from a mosquito in the continental United States. They say lab tests confirm a person in the Miami area is infected with the Zika virus, and there may not be any connection to someone traveling outside the country. http://m.apnews.com/ap/db_268748/contentdetail.htm?contentguid=sP7HWP9G

Suspect Zika case in Miami-Dade County Florida has been confirmed (route or infection under investigation).

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Texas Zika Cases by County: CountyCasesBell1Bexar6Collin2Dallas15Denton2Ellis1Fort Bend3Gray1Grayson1Hamilton1Harris20Lubbock1Medina1Tarrant9Travis2Val Verde1Williamson1Wise1Total69 http://www.texaszika.org/

Zika Virus – July 20, 2016. Texas has had 69 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: CountyCasesBell1Bexar6Collin2Dallas15Denton2Ellis1Fort Bend3Gray1Grayson1Hamilton1Harris20Lubbock1Medina1Tarrant9Travis2Val Verde1Williamson1Wise1Total69

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