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Today the Mississippi State Department of Health (MSDH) reports one new case of Zika virus, bringing the 2016 total to nine in Mississippi. The case was a resident from Rankin County who recently traveled to Guatemala. http://msdh.ms.gov/msdhsite/_static/23,17807,341.html

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Zika Confirmed Cases County Cases* Chelan1Clallam1Cowlitz 1King5Kitsap1Mason1Pierce1Skagit1Snohomish 2Washington State Total 14* Confirmed travel-associated cases in WA as of 7/14/16 http://www.doh.wa.gov/YouandYourFamily/IllnessandDisease/ZikaVirus

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Health officials confirm first Zika virus case in Pierce CountyPOSTED 2:38 PM, JULY 18, 2016, BY Q13 NEWS STAFF, UPDATED AT 02:39PM, JULY 18, 2016FACEBOOK40TWITTERREDDITGOOGLEPINTERESTEMAIL File photo TACOMA — Health officials on Monday said they have confirmed the first case of Zika virus in Pierce County. According to Tacoma-Pierce County Health, the man in his 20s likely caught the virus while traveling in Puerto Rico, a territory known to have mosquitoes infected with the virus. “The risk of Zika is extremely low in Pierce County. The mosquitoes that carry it are not found here and public health testing and reporting protocols control emerging diseases,” said Nigel Turner, Tacoma-Pierce County Health Department Communicable Disease Division director. “Those considering travel to areas with Zika should take appropriate precautions against the virus,” Turner said. The virus does not spread through “casual contact” with an infected person or from mosquitoes found in Washington, county health officials said. http://q13fox.com/2016/07/18/health-officials-confirm-first-zika-virus-case-in-pierce-county/

Zika Confirmed Cases County Cases* Chelan1Clallam1Cowlitz 1King5Kitsap1Mason1Pierce1Skagit1Snohomish 2Washington State Total 14* Confirmed travel-associated cases in WA as of 7/14/16 http://www.doh.wa.gov/YouandYourFamily/IllnessandDisease/ZikaVirus

Zika Confirmed Cases County Cases* Chelan1Clallam1Cowlitz 1King5Kitsap1Mason1Pierce1Skagit1Snohomish 2Washington State Total 14* Confirmed travel-associated cases in WA as of 7/14/16

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Number of cases reportedCounty/Area TodayYear to Date (7/18/16) Albany03Broome01Clinton01Dutchess05Erie13Lewis01Monroe03Nassau022Niagara01Oneida02Onondaga04Ontario03Orange01Otsego01Putnam01Rockland05St Lawrence01Schenectady01Suffolk028Tompkins01Westchester110NYS (ex NYC)298NYC10346NYS Total Confirmed12444NYS Pregnant Registry022NYS Total14466

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Number of cases reportedCounty/Area TodayYear to Date (7/15/16) Albany03Broome01Clinton01Dutchess05Erie02Lewis01Monroe03Nassau222Niagara01Oneida02Onondaga04Ontario13Orange01Otsego11Putnam01Rockland05St Lawrence01Schenectady01Suffolk128Tompkins01Westchester19NYS (ex NYC)696NYC8336NYS Total Confirmed14432NYS Pregnant Registry022NYS Total14454

Officials investigating 'unique' Zika case in UtahPrintFont [+] [-]Leave a comment »By Daphne Chen, Deseret News Published: Monday, July 18 2016 11:25 a.m. MDT Updated: 1 hour ago Share0 Share0 Tweet0 0 0An Aedes aegypti mosquito is photographed through a microscope at the Fiocruz institute in Recife, Pernambuco state, Brazil, Wednesday, Jan. 27, 2016. Health officials said they are investigating a "unique" case in Utah of a person infected by Zika who has not traveled to a Zika-infected area or had sexual contact with an infected person. Felipe Dana, Associated Press Enlarge photo» SummaryHealth officials said they are investigating a "unique" case in Utah of a person infected by Zika who has not traveled to a Zika-infected area or had sexual contact with an infected person. More CoverageHealth officials report first Zika case in UtahSalt Lake County resident becomes first Zika-related death in continental U.S.SALT LAKE CITY — Health officials are investigating a "unique" case of Zika after a Utah resident who was a "family contact" of the Salt Lake County man who died in June also tested positive for the virus. This is the first example in the U.S. of a person infected with Zika who did not recently travel to an affected area or have sexual contact with an infected person, said Dr. Erin Staples of the Centers for Disease Control and Prevention at a news conference on Monday. The Salt Lake County man who died in June was the first Zika-related death in the U.S. The family contact helped provide care for the now-deceased patient while sick, officials said. Dr. Angela Dunn, Utah Department of Health deputy state epidemiologist, said officials are still trying to determine how the person became infected. The CDC is assisting state public health officials in the investigation, which Dunn emphasized is in its early stages. Officials said at the conference that they are still uncertain about how the person contracted Zika. The mosquito species that carries Zika is not typically found in Utah, according to Dunn. She said health officials are working with mosquito abatement districts to continue to trap and test mosquitos, with a focus on the areas where the deceased man stayed. Because the virus can be found in blood, researchers believe the virus could also theoretically be transmitted through contact with infected blood, according to Staples. Evidence of blood transmission has been seen in some labs, she added. The now-deceased individual also had "unusually high" levels of virus in the blood, according to Dunn, which she said makes this case "a unique situation." Dunn said there is no evidence that the Zika virus can become airborne and said officials do not expect that to be a cause. Health officials do not belive the case poses a threat to the general public. "We do not believe that there is risk of Zika transmission among the general public in Utah based on what we know so far," said Gary Edwards, director of the Salt Lake County Health Department. "We're in the early stages of a public health investigation and working hard to learn more," he added. The case brings the total number of confirmed cases of Zika infection in Utah to eight. With the exception of this person, all the other infected people had recently traveled to a Zika-infected area, Dunn said. Officials are continuing to warn people to take precautions when traveling to Zika-affected areas. Dunn encouraged women who are pregnant or hope to become pregnant to avoid those areas and encouraged men to talk to their health care providers before and after travel. People should also do their part to remove standing water that could attract mosquitos to the area, she said. According to Dunn, the infected family contact experienced a mild illness, as with most Zika patients, and has fully recovered. Email: [email protected] Twitter: DaphneChen_ http://www.deseretnews.com/article/865658254/Officials-investigating-unique-Zika-case-in-Utah.html?pg=all

Utah reports Zika infection in person who cared for man with virusMonday, July 18, 2016 11:38 a.m. CDTBy Julie Steenhuysen CHICAGO (Reuters) - A caregiver for an elderly Utah man who died while infected with Zika tested positive for the virus but has recovered, health officials said on Monday. The U.S. Centers for Disease Control and Prevention said it has confirmed that a person who helped care for the man who died last month while infected with Zika contracted the virus. But, it said the patient recovered quickly. Utah officials said the infected caregiver had not had any recent travel to an area where the Zika virus is being transmitted nor had the person had sex with an infected individual. Utah officials are still investigating how the person became infected. Gary Edwards, director of the Salt Lake County Health Department, said the infected individual is a family contact of the man who died. Edwards would not say how old the family contact was nor release the person's gender. "We know that the patient had contact with the deceased patient while the deceased patient was very ill. The exact nature of that contact, we are still investigating," he said. Edwards said the cause of the deceased person's death is still under investigation, but the man was infected with Zika at the time of death and officials believe the virus was a contributing factor. He contracted Zika on a trip to a country with active transmission. The CDC said in a statement that testing showed extremely high levels of virus in the deceased man's blood, which were more than 100,000 times higher than seen in other samples of infected people. “The new case in Utah is a surprise, showing that we still have more to learn about Zika,” Dr. Erin Staples, CDC's medical epidemiologist who is in Utah leading an investigation. “Fortunately, the patient recovered quickly, and from what we have seen with more than 1,300 travel-associated cases of Zika in the continental United States and Hawaii, non-sexual spread from one person to another does not appear to be common.” Tom Hudachko, director of communications for the Utah Department of Health, said the case is unique because the infected individual does not have any of the known risk factors associated with Zika. Hudachko said state officials are not aware of any mosquitoes known to carry the Zika virus within Utah. He said there were a few Aedes aegypti mosquitoes - the kind that carry Zika - discovered in traps in the southwestern parts of the state several years ago, but there have not been any since. He said the state does not have any Aedes albopictus mosquitoes, the other type that has been found capable of transmitting Zika. "We're looking at all potential contacts between the deceased patient and the new case," he said. "We're also doing mosquito trapping near the residence where these individuals lived to make sure this is not a potential route of transmission," Hudachko said. SKIN LACERATIONS MAY PLAY A ROLE According to the CDC, as of July 13, 2016, 1,306 cases of Zika have been reported in the continental United States and Hawaii; none of these have been the result of local spread by mosquitoes. These cases include 14 believed to be the result of sexual transmission and one that was the result of laboratory exposure. "We know bodily fluids like saliva and urine can harbor the virus, said Dr. Amesh Adalja, a spokesman for the Infectious Diseases Society of America. He said it will be important to know whether the family contact of the deceased man had any skin lacerations or skin disease that might have allowed the virus access to the patient's blood. (Reporting by Julie Steenhuysen; Editing by Bernard Orr and Cynthia Osterman) http://kfgo.com/news/articles/2016/jul/18/utah-reports-zika-infection-in-person-who-cared-for-patient-with-virus/

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Pennsylvania Blood Tests Submitted for Zika TestingInformation updated Mondays at 2 p.m. CDC Confirmed Cases: 44Pending Test Results: 212Last update: 07/18/2016http://www.health.pa.gov/My Health/Diseases and Conditions/U-Z/Zikavirus/Pages/ZikaVirusHomePage.aspx#.V40mjLgrJ-R

Pennsylvania Blood Tests Submitted for Zika TestingInformation updated Mondays at 2 p.m. CDC Confirmed Cases: 44Pending Test Results: 212Last update: 07/18/2016

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July 18, 2016 DEPARTMENT OF HEALTH DAILY ZIKA UPDATE: EIGHT NEW TRAVEL-RELATED CASES TODAYhttp://www.floridahealth.gov/newsroom/2016/07/071816-zika-update.html Contact: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 eight new travel-related cases with four in Broward, three in Miami-Dade and one in Orange counties According to CDC, symptoms associated with the Zika virus last between seven to 10 days. 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 47 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 87 Okaloosa 1 Orange 30 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 276 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 2,307 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 5,045 people for active Zika virus and 1,605 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 47 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 87 Okaloosa 1 Orange 30 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 276 Cases involving pregnant women regardless of symptoms* 43 *Counties of pregnant women will not be shared.

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Son of Utah Man With Zika-Related Death Contracted the VirusAuthorities considering contact with bodily fluids, which hasn’t been identified as possible mode of transmission ENLARGEMosquito-control officials are capturing and testing mosquitoes around the homes of a deceased man in Utah and his son to search for evidence of Aedes mosquitoes and the virus. PHOTO: ASSOCIATED PRESSBy BETSY MCKAYJuly 18, 2016 1:28 p.m. ET0 COMMENTSA son of an elderly Utah man who died last month after becoming infected with Zika also contracted the virus, and health authorities said Monday they are trying to figure out how he was infected. The son hasn’t traveled recently to an area where Zika is being circulated by mosquitoes, he didn’t have sexual contact with an infected person, and the Aedes mosquitoes that can spread Zika aren’t normally found in Utah, Angela Dunn,deputy state epidemiologist with the Utah Department of Health, said in an interview. Utah officials called the case “unique.” The son did help to care for his ailing father, and Dr. Dunn said the elderly man had “a very high level” of Zika virus in his blood. That raises the possibility that the son was infected through contact with bodily fluids of the father while caring for him. That hasn’t been identified before as a possible mode of transmission of Zika, but Dr. Dunn said it is one of the possible routes of transmission that officials are now exploring. How the Zika Virus Spreads From Mother to Fetus 0:00 / 0:00 New studies have shed light on how the Zika virus -- which can cause serious birth defects -- may be transmitted from infected mother to unborn child. Image: Dr. Indira U. Mysorekar, Dr. Bin Cao/Washington University (Originally published May 17, 2016)Dr. Dunn identified the new case as a close family contact who cared for the deceased elderly man, but people familiar with the case confirmed that the contact is the deceased man’s son. He was ill but has recovered, Dr. Dunn said. While the elderly man had Zika, he also had an underlying condition and the cause of his death isn’t known, Salt Lake County officials have said. Public-health officials from Salt Lake County, the state and the Centers for Disease Control and Prevention said Monday they are exploring multiple possible routes of transmission, including contact with bodily fluids. Other family members are also being interviewed and tested, Utah officials said. Dr. Dunn said that mosquito-control officials are capturing and testing mosquitoes around the homes of the deceased man and the son to search for evidence of Aedes mosquitoes and the virus. Salt Lake County actively monitors its mosquito populations and Aedes mosquitoes haven’t been found this year, she said. While officials don’t know how the man was infected, Dr. Dunn said at a news conference Monday that they believe there is no risk to others. “We believe this is a unique case and does not pose a threat to the general Utah public,” she said. Write to Betsy McKay at [email protected] http://www.wsj.com/articles/son-of-utah-man-with-zika-related-death-contracted-the-virus-1468862925

A New Zika Case in Utah Has Experts StumpedAlexandra Sifferlin @acsifferlin 12:55 PM ET It's not clear how the virus was transmitted A person in Utah who did not travel to a Zika-affected country or have sex with someone who did is nevertheless infected with the virus, health authorities in the state confirm. Health officials are investigating how the person could have been infected. The Salt Lake County Health Department has released limited information about the individual, but said the new patient cared for somebody who had been infected with Zika during travel and later died from unknown causes. Labs in Utah and at the U.S. Centers for Disease Control and Prevention (CDC), confirmed the infections. CDC officials are helping Utah experts investigate the case. Currently, local transmission of the Zika virus has not been reported or confirmed anywhere in the United States, though some spread is expected in the country. The new Zika case is the eighth reported in Utah so far. “The investigation is focused on determining how the eighth case became infected after having contact with the deceased patient who had a uniquely high amount of virus in the blood,” the health department said in a statement. Currently, Zika is only known to be transmitted by mosquito bites, or sex with an infected person.Health experts are interviewing the person who is infected as well as family contacts to learn more about the interactions with the person who died with a Zika infection. Samples are also being collected from family members and other people who had contact with the deceased individual. The CDC did not respond immediately to requests for comment. http://time.com/4410890/zika-infection-utah/?xid=tcoshare

Zika Virus Patient Who Died in Utah Infected 1 Otherby MAGGIE FOX SHAREShareTweetShareEmailPrintCommentAn elderly patient who died with a Zika virus infection in Utah infected another person and doctors said Monday they are not sure how it happened. Zika's normally transmitted by mosquitoes and it can also be transmitted sexually. But neither appears to have been the case in Utah, officials in Salt Lake City said. Miami-Dade mosquito control worker Carlos Vargas looks for the Aedes aegypti mosquito larvae at a home in Miami, Florida, on June 08. Rhona Wise / AFP - Getty ImagesThey're not releasing very much information to protect the privacy of the patient and family, only identifying the new case as a "family contact." But it's another new twist in an epidemic that seems to be flummoxing medical experts over and over. "The new case in Utah is a surprise, showing that we still have more to learn about Zika," said Dr. Erin Staples, a Centers for Disease Control and Prevention epidemiologist who's helping in the investigation. "Fortunately, the patient recovered quickly, and from what we have seen with more than 1,300 travel-associated cases of Zika in the continental United States and Hawaii, non-sexual spread from one person to another does not appear to be common." The first patient's death was reported July 8 and it was the first Zika-related death in the continental U.S. An elderly man died from a Zika infection in Puerto Rico in April. "The new case is a family contact who helped care for the individual who died from unknown causes and who had been infected with Zika after traveling to an area with Zika," the Salt Lake County Department of Health said in a statement. "We do believe this is a unique situation," said Dr. Angela Dunn, deputy state epidemiologist at the Utah Department of Health. "WE DO BELIEVE THIS IS A UNIQUE SITUATION."The patient had an unusually high level of Zika virus in his blood, Dunn told a news conference. "Our knowledge of this virus continues to evolve and our investigation is expected to help us better understand how this individual became infected," Dunn added in a statement. "Based on what we know so far about this case, there is no evidence that there is any risk of Zika virus transmission among the general public in Utah." Related: Woman Infects Man With Zika Zika is not normally deadly and it usually is not even very serious. By most reports, only about 20 percent of patients even notice their symptoms, which at worst are rash, fever and muscle aches. Zika is most dangerous to developing fetuses. When a pregnant women is infected, the baby can develop horrendous birth defects. Like many other infections, Zika can also cause a rare paralyzing condition called Guillain-Barré syndrome. "IT HAS GOT TO BE A BODY FLUID TYPE OF TRANSMISSION EVENT HERE."Utah officials say they will be testing mosquitoes in the area just to be sure none of them could be carrying the virus, but Utah is not known to have the Aedes aegypti mosquitoes that usually transmit Zika. They are also testing other close contacts of the patient. It will be important to get more details about the case, said Dr. Amesh Adalja of the University of Pittsburgh Medical School Center for Health Security and a spokesman for the Infectious Diseases Society of America. "It has got to be a body fluid type of transmission event here," Adalja told NBC News. "Was this person drawing blood? Was she assisting in blood draws? Was she exposed to urine? Was she exposed to saliva?" he asked. It's possible it was a so-called needle-stick accident -- when someone administering drugs or drawing blood with a needle gets a puncture and becomes infected. Related: Answers to Your Zika Questions "It's hard to know but we don't know all the details of how this man died," Adalja added. "He was discovered to be positive for Zika post-mortem. We don't know how it contributed to the person's death." Zika has been unusually confusing because until last year, few considered it a dangerous or even an interesting virus. It wasn't until it hit Brazil that it was considered a big threat -- when it began to make many people noticeably ill and then started causing an increase in birth defects. "When you have this sort of large-scale outbreak with so many cases, you are going to find out a lot about the virus," Adalja said. http://www.nbcnews.com/storyline/zika-virus-outbreak/zika-virus-patient-who-died-utah-infected-1-other-n611706