niman

County Number of Cases (all travel related) Alachua 4 Brevard 4 Broward 33 Charlotte 1 Citrus 2 Clay 2 Collier 3 Duval 3 Escambia 1 Highlands 1 Hillsborough 5 Lee 5 Martin 1 Miami-Dade 69 Okaloosa 1 Orange 18 Osceola 9 Palm Beach 12 Pasco 4 Pinellas 6 Polk 6 Santa Rosa 1 Seminole 8 St. Johns 2 Volusia 2 Total cases not involving pregnant women 203 Cases involving pregnant women regardless of symptoms* 43

Map Update https://www.google.com/maps/d/edit?hl=en&hl=en&authuser=0&authuser=0&mid=1FlIB7hHnVgGD9TlbSx5HwAj-PEQ

Table below does not include most of recent Pregnant Registry cases StatesStatesStatesCDCStatesStatesStatesStatesStatesCDCStates 20-Jun21-Jun22-Jun23-Jun23-Jun24-Jun27-Jun28-Jun29-Jun30-Jun30-JunAL66626666626AR55555555555AZ66636666667CA6060605260626262625562CO55555555588CT23232512525252525130DE55555555559DC66666666666FL199206213162213220223227232182236GA2125252625262626262626HI1010101010101010101010IL1919191619191919231623IN1010101010101010101010IA77777999979KS24424444455KY66666666666LA66677777767MD2525252626262626263131MA2727272828282828283232ME66666666666MI7779999991010MN1919191919191919191919MO66656666656MS33333333333MT11111111111NC1515151615161616181618ND11111111101NE22222222222NH44444444444NJ2829291729353539392139NM33333333333NV77777777777NY265269281198300309324334344236367OH1414161416161616161621OK66666666666OR12121271212121515715PA2424242424242424243131RI8881111111111111515SC11111566666TN44455556688TX6466664266676767674972UT22222222222VA2626262727272727272727VT11111111323WA11111151111111212613WI55527777828WV66666666666 99910191042823107311061125114811729351247

Map Update https://www.google.com/maps/d/edit?hl=en&hl=en&authuser=0&authuser=0&mid=1FlIB7hHnVgGD9TlbSx5HwAj-PEQ

Zika Cases in New Jerseyhttp://www.nj.gov/health/cd/zika/case_count.shtml New Jersey County Confirmed Travel-Related Cases Bergen 10 Passaic 9 Burlington 5 Middlesex 4 Union 4 Hudson 3 Camden 3 Morris 3 Monmouth 2 Essex 2 Mercer 1 Hunterdon 1 TOTAL 47 Last Updated: July 1, 2016

Zika Cases in New Jersey New Jersey County Confirmed Travel-Related Cases Bergen 10 Passaic 9 Burlington 5 Middlesex 4 Union 4 Hudson 3 Camden 3 Morris 3 Monmouth 2 Essex 2 Mercer 1 Hunterdon 1 TOTAL 47 Last Updated: July 1, 2016

Map Update https://www.google.com/maps/d/edit?hl=en&hl=en&authuser=0&authuser=0&mid=1FlIB7hHnVgGD9TlbSx5HwAj-PEQ

Number of cases reportedCounty/Area TodayYear to Date (6/30/16) Albany03Dutchess05Erie01Lewis01Monroe03Nassau017Niagara01Oneida02Onondaga04Ontario01Orange01Putnam01Rockland04St Lawrence01Schenectady01Suffolk021Tompkins01Westchester06NYS (ex NYC)074NYC2272NYS Total Confirmed2346NYS Pregnant Registry021NYS Total2367

21 Pregnant Registry cases in New York State not included in table below

Map Update https://www.google.com/maps/d/edit?hl=en&hl=en&authuser=0&authuser=0&mid=1FlIB7hHnVgGD9TlbSx5HwAj-PEQ

Map Update https://www.google.com/maps/d/edit?hl=en&hl=en&authuser=0&authuser=0&mid=1FlIB7hHnVgGD9TlbSx5HwAj-PEQ

Current as of June 29, 2016 Table: Travel History of Patients with Positive Test Results byZika Affected Country or Territory Visited - Connecticut, February 15 - June 29, 2016 Countries/Territories VisitedZika Positive Flavivirus Positive* Total Aruba 11 Brazil 11 Colombia112 Dominican Republic13 13 El Salvador 11 Guatemala 11 Haiti134 Honduras112 Jamaica1 1 Mexico 11 Puerto Rico 415 St. Lucia1 1Total 22 1133

Surveillance for Zika virus has been ongoing in Connecticut since February 15, 2016. No locally acquired cases have been reported. The following annual statistics are preliminary and are current as of the date shown. Zika Virus Testing, Cumulative Results Current as of June 29, 2016 Table: Travel History of Patients with Positive Test Results byZika Affected Country or Territory Visited - Connecticut, February 15 - June 29, 2016 Countries/Territories VisitedZika Positive Flavivirus Positive* Total Aruba 11 Brazil 11 Colombia112 Dominican Republic13 13 El Salvador 11 Guatemala 11 Haiti134 Honduras112 Jamaica1 1 Mexico 11 Puerto Rico 415 St. Lucia1 1Total 22 1133 *Test results unable to distinguish between Zika virus, a single-stranded RNA virus in the genusFlavivirus, and others that are closely related including dengue, West Nile, Japanese encephalitis, and yellow fever viruses1. A positive test may mean infection with any of these viruses. Figure: Number of Patients with Positive Zika Virus Test Result by Test Type and Month of Specimen Collection - Connecticut, February 15 - June 29, 2016 Tests Performed for Diagnosis of Zika Virus Infection

Map Update https://www.google.com/maps/d/edit?hl=en&hl=en&authuser=0&authuser=0&mid=1FlIB7hHnVgGD9TlbSx5HwAj-PEQ

Map Update https://www.google.com/maps/d/edit?hl=en&hl=en&authuser=0&authuser=0&mid=1FlIB7hHnVgGD9TlbSx5HwAj-PEQ

June 30, 2016 5:03 AMFiled Under: cases, confirmed, Local, Mosquitoes, residents, St. Louis, St. Louis County, West Nile Virus, Zika virus (NELSON ALMEIDA/AFP/Getty Images) 6ST. LOUIS (KMOX) – Three confirmed cases of Zika have now turned up in St. Louis County. However, County Health Director Dr. Faizal Khan points out the three cases they have registered were all the result of local residents returning from “endemic” Zika sites such as Mexico, Brazil or the Caribbean. http://stlouis.cbslocal.com/2016/06/30/zika-virus-cases-confirmed-in-st-louis-county/

Zika Virus Cases Confirmed in St. Louis CountyJune 30, 2016 5:03 AMFiled Under: cases, confirmed, Local, Mosquitoes, residents, St. Louis, St. Louis County, West Nile Virus, Zika virus (NELSON ALMEIDA/AFP/Getty Images) 6ST. LOUIS (KMOX) – Three confirmed cases of Zika have now turned up in St. Louis County. However, County Health Director Dr. Faizal Khan points out the three cases they have registered were all the result of local residents returning from “endemic” Zika sites such as Mexico, Brazil or the Caribbean. http://stlouis.cbslocal.com/2016/06/30/zika-virus-cases-confirmed-in-st-louis-county/

Zika virus: 3 more US babies born with birth defectsPublished time: 1 Jul, 2016 03:33Get short URL© Paulo Whitaker / ReutersAddThis Sharing Buttons152The Centers for Disease Control and Prevention have confirmed that three more American babies have been born with birth defects likely linked to Zika virus infections. The agency also said another lost pregnancy was linked to the virus.According to the health agency’s online Zika pregnancies registry, that brings the total to seven babies with microcephaly born in the US, and five lost pregnancies either from miscarriage, stillbirth or termination as of June 23. View image on Twitter The registry compiles laboratory evidence of possible Zika infection from all 50 states and the District of Columbia. View image on Twitter Zika has caused alarm throughout the Americas since numerous cases of the birth defect microcephaly, linked to the mosquito-borne virus Zika, was reported in Brazil, the country hardest hit by the current outbreak. The rare birth defect is marked by unusually small head size and potentially severe developmental problems. More than 1,400 cases of microcephaly in babies have been confirmed in Brazil. “The poor birth outcomes reported include those that have been detected in infants infected with Zika before or during birth, including microcephaly (unusually small head size and severe developmental problems), excess fluid in the brain cavities and surrounding the brain, absent or poorly formed brain structures… or other problems resulting from damage to the brain that affects nerves, muscles and bones such a clubfoot or inflexible joints,” the CDC said in a statement. View image on Twitter More than 900 Zika cases in the US reported so far have all involved people who contracted the virus outside the country in areas with active Zika outbreaks, or otherwise were infected through unprotected sex with an infected partner. View image on Twitter There have not yet been any cases reported of local transmission of the virus in the US, but health experts expect local transmission to occur with the onset of mosquito season, especially in Gulf Coast states such as Florida and Texas. The CDC plans to issue updated reports each Thursday to ensure that information about pregnancy outcomes linked with the Zika virus is publicly available. The issue of providing funding to counter the Zika virus is ongoing in Congress, which is currently in disagreement. Republicans presented a bill earlier this week to propose $1.1 billion in funding, including efforts to develop a vaccine. The bill’s spending would have been offset by $750 million in savings from unused Ebola funding, cuts to administrative funding at the US Department of Health and Human Services and unused money for healthcare exchanges within the Affordable Care Act. View image on Twitter The bill failed Tuesday in a nearly clean party-line vote of 52-48, falling short of 60 votes necessary for passage. Democrats said they could not support the measure, because it was chock full of unrelated measures and funding restrictions for reproductive health, including limits to funding for healthcare providers of birth control, as well as weakened standards for pesticide use near water sources. The White House and Democrats have backed a proposal that would offer $1.9 billion to fight Zika. President Barack Obama said he would veto the Republican funding plan. Republicans accused Democrats for playing politics in the face of a dangerous virus. https://www.rt.com/usa/349083-3-more-zika-babies-us/

Map Update https://www.google.com/maps/d/edit?hl=en&hl=en&authuser=0&authuser=0&mid=1FlIB7hHnVgGD9TlbSx5HwAj-PEQ

http://www.houstontx.gov/health/Epidemiology/Zika_Virus.html GenderAge RangeTravel HistoryTravel MonthConfirmation DateCase Status by CDCFemale60-64Colombia11/1512/22/2015Confirmed PositiveMale35-39Honduras12/1501/28/2016Confirmed PositiveFemale40-45Honduras12/151/29/2016Confirmed PositiveFemale0-10Honduras1/162/22/2016Confirmed PositiveFemale45-50Guatemala1/162/25/2016Confirmed PositiveFemale60-64El Salvador11/152/26/2016Confirmed PositiveFemale30-34Central America6/166/22/2016Confirmed PositiveFemale25-30Honduras5/165/20/2016Confirmed PositiveMale30-34Puerto Rico6/166/21/2016Confirmed PositiveFemale55-60Venezuelaunknown6/22/2016Confirmed PositiveMale30-34U.S. Virgin Islands6/166/27/2016Confirmed Positive

Map Update https://www.google.com/maps/d/edit?hl=en&hl=en&authuser=0&authuser=0&mid=1FlIB7hHnVgGD9TlbSx5HwAj-PEQ

HCPH Zika Virus Cases *Please note, these are the most current number of confirmed cases. This list is updated every Thursday by 2pm CST. Number of pregnancy related cases: 0 http://publichealth.harriscountytx.gov/Resources/2016-Zika-Virus Age RangeGenderTravel MonthCountry of TravelStatus< 10M12/2015El SalvadorRecovered40-49F11/2015El SalvadorRecovered20-29M11/2015El SalvadorRecovered40-49F11/2015El SalvadorRecovered30-39M01/2016VenezuelaRecovered40-49M01/2016HondurasRecovered40-49F04/2016HondurasRecovered

HCPH Zika Virus Cases *Please note, these are the most current number of confirmed cases. This list is updated every Thursday by 2pm CST. Number of pregnancy related cases: 0 http://publichealth.harriscountytx.gov/Resources/2016-Zika-Virus Age RangeGenderTravel MonthCountry of TravelStatus< 10M12/2015El SalvadorRecovered40-49F11/2015El SalvadorRecovered20-29M11/2015El SalvadorRecovered40-49F11/2015El SalvadorRecovered30-39M01/2016VenezuelaRecovered40-49M01/2016HondurasRecovered40-49F04/2016HondurasRecovered