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Wisconsin Annual Summary Data - 2016Updated June 29, 2016 https://www.dhs.wisconsin.gov/arboviral/zika.htm Confirmed Zika virus cases8Probable* Zika virus cases0Completed testing - Total488* Probable cases have presumptive positive laboratory results without confirmatory CDC testing.

Wisconsin Annual Summary Data - 2016Updated June 29, 2016Confirmed Zika virus cases8Probable* Zika virus cases0Completed testing - Total488* Probable cases have presumptive positive laboratory results without confirmatory CDC testing.

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At A Glance - Zika in the U.S.(as of June 29, 2016) North CarolinaTravel-associated Zika virus disease cases reported: 18Locally acquired vectorborne cases reported: 0 http://epi.publichealth.nc.gov/zika/

At A Glance - Zika in the U.S.(as of June 29, 2016) North CarolinaTravel-associated Zika virus disease cases reported: 18Locally acquired vectorborne cases reported: 0 U.S. StatesTravel-associated Zika virus disease cases reported: 820Locally acquired vectorborne cases reported: 0 U.S. TerritoriesTravel-associated cases reported: 6Locally acquired vectorborne cases reported: 1,854

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Number of cases reportedCounty/Area TodayYear to Date (6/29/16) Albany03Dutchess05Erie01Lewis01Monroe03Nassau017Niagara01Oneida02Onondaga04Ontario01Orange01Putnam01Rockland04St Lawrence01Schenectady01Suffolk021Tompkins01Westchester06NYS (ex NYC)074NYC10270NYS Total10344

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Number of cases reportedCounty/Area TodayYear to Date (6/28/16) Albany13Dutchess05Erie01Lewis01Monroe13Nassau017Niagara01Oneida02Onondaga04Ontario01Orange01Putnam01Rockland04St Lawrence01Schenectady01Suffolk121Tompkins01Westchester06NYS (ex NYC)374NYC7260NYS Total10334

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Laboratory-confirmed travel-related cases of Zika virus in Ontario^ as of June 28, 2016Number of laboratory-confirmed*casesCountries of Travel§82*Aruba, Barbados, Brazil, Columbia, Costa Rica, Dominican Republic, Ecuador, El Salvador, Guatemala, Guyana, Haiti, Honduras, Jamaica, Martinique, French West Indies, Mexico, Nicaragua, Panama, South Caribbean, Venezuela*Note: One of the 82 laboratory-confirmed cases of Zika virus in Ontario is non-travel related. http://health.gov.on.ca/en/public/publications/disease/zika.aspx

Laboratory-confirmed travel-related cases of Zika virus in Ontario^ as of June 28, 2016Number of laboratory-confirmed*casesCountries of Travel§82*Aruba, Barbados, Brazil, Columbia, Costa Rica, Dominican Republic, Ecuador, El Salvador, Guatemala, Guyana, Haiti, Honduras, Jamaica, Martinique, French West Indies, Mexico, Nicaragua, Panama, South Caribbean, Venezuela*Note: One of the 82 laboratory-confirmed cases of Zika virus in Ontario is non-travel related.

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June 29, 2016 DEPARTMENT OF HEALTH DAILY ZIKA UPDATE: FIVE NEW TRAVEL-RELATED CASES http://www.floridahealth.gov/newsroom/2016/06/062916-zika-update.htmlContact:Communications [email protected](850) 245-4111 Tallahassee, Fla.—In an effort to keep Florida residents and visitors safe and aware about the status of the Zika virus, the Florida Department of Health will issue a Zika virus update each week day at 2 p.m. Updates will include a CDC-confirmed Zika case count by county and information to better keep Floridians prepared. There are five new travel-related cases today with three in Miami-Dade, one in Orange and one involving a pregnant woman. Of the cases confirmed in Florida, 16 are still exhibiting symptoms. 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 41, 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 4 Brevard 4 Broward 32 Citrus 1 Clay 2 Collier 3 Duval 2 Escambia 1 Highlands 1 Hillsborough 5 Lee 5 Martin 1 Miami-Dade 68 Okaloosa 1 Orange 16 Osceola 9 Palm Beach 12 Pasco 2 Pinellas 6 Polk 4 Santa Rosa 1 Seminole 7 St. Johns 2 Volusia 2 Total cases not involving pregnant women 191 Cases involving pregnant women regardless of symptoms* 41 *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 2,162 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 24 counties included in the declaration– Alachua, Brevard, Broward, Citrus, Clay, Collier, Duval, Escambia, Highlands, Hillsborough, Lee, Martin, Miami-Dade, Okaloosa, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Santa Rosa, Seminole, St. Johns 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 Rick 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 Centers for Diseases Control (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 Rick 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 Rick Scott called on the Centers for Disease Control and Prevention (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.Florida currently has the capacity to test 5,564 people for active Zika virus and 1,974 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 4 Brevard 4 Broward 32 Citrus 1 Clay 2 Collier 3 Duval 2 Escambia 1 Highlands 1 Hillsborough 5 Lee 5 Martin 1 Miami-Dade 68 Okaloosa 1 Orange 16 Osceola 9 Palm Beach 12 Pasco 2 Pinellas 6 Polk 4 Santa Rosa 1 Seminole 7 St. Johns 2 Volusia 2 Total cases not involving pregnant women 191 Cases involving pregnant women regardless of symptoms* 41 *Counties of pregnant women will not be shared.

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The Illinois Department of Public Health is reporting 23 cases of Zika virus disease statewide. http://www.dph.illinois.gov/topics-services/diseases-and-conditions/zika

The Illinois Department of Public Health is reporting 23 cases of Zika virus disease statewide.

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Latest Facts and Advisories as of 6/29/2016 [Español (PDF)]Reported cases of Zika in New York City: 23324 of the 233 cases were pregnant at the time of diagnosis;All cases contracted Zika while visiting other countries; andAll patients have recovered.

TABLE I. Provisional cases of selected* infrequently reported notifiable diseases (<1,000 cases reported during the preceding year), United States, week ending June 25, 2016 (WEEK 25)†http://wonder.cdc.gov/mmwr/mmwr_2016.asp?mmwr_year=2016&mmwr_week=25&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.25) Anthrax-------1 Arboviral diseases ¶,**: Chikungunya virus ††-475896NNNNNNNN Eastern equine encephalitis virus--0688154 Jamestown Canyon virus §§--011112223 La Crosse virus §§--155808578130 Powassan virus-117812716 St. Louis encephalitis virus--02310136 Western equine encephalitis virus-------- Botulism, total-743195161152168153 foodborne-150371542724 infant-52313812713612397 other(wound & unspecified)-702019121832 Brucellosis-462126929911479 Chancroid-7011--158 Cholera--025141740 Cyclosporiasis **83623645388784123151NYC (5 ), OH (1 ), FL (2 ) Diphtheria----1-1- Haemophilus influenzae, invasive disease (age <5 yrs) ¶¶: serotype b-802940313014 nontypeable serotype184317412814111593MD (1 ) other serotype-581135266233263230 unknown serotype1107316739343748AK (1 ) Hansen's disease **-2118988818282 Hantavirus Infections **: Hantavirus infection (non-HPS) ††-3-1NNNNNNNN Hantavirus pulmonary syndrome (HPS)-911732213023 Hemolytic uremic syndrome, post-diarrheal **-767275250329274290 Hepatitis B, virus infection perinatal215137474840NPMI (1 ), KY (1 ) Influenza-associated pediatric mortality **, ***-71113014116052118 Leptospirosis **-1504038NNNNNN Listeriosis821815766769735727870NY (1 ), NYC (1 ), OH (1 ), MD (1 ), FL (2 ), OR (1 ), HI (1 ) Measles †††2411218866718755220FL (2 ) Meningococcal disease, invasive §§§: serogroup ACWY-513120123142161257 serogroup B-3711118999110159 other serogroup-702125172020 unknown serogroup-914120196298260323 Novel influenza A virus infections ¶¶¶-21632131314 Plague--01310443 Poliomyelitis, paralytic-----1-- Polio virus infection, nonparalytic **-------- Psittacosis **-3048622 Q fever total **:2453158168170135134 acute2383123132137113110TX (1 ), ID (1 ) chronic-703536332224 Rabies, human--011216 SARS CoV-------- Smallpox-------- Streptococcal toxic shock syndrome **11384335259224194168NY (1 ) Syphilis, congenital ****-1477489458348322360 Toxic shock syndrome (staphylococcal) **11416659716578NY (1 ) Trichinellosis **-501114221815 Tularemia2449314180203149166MO (1 ), VA (1 ) Typhoid fever31247367349338354390PA (1 ), OH (1 ), FL (1 ) Vancomycin-intermediate Staphylococcus aureus **150318321224813482MO (1 ) Vancomycin-resistant Staphylococcus aureus **--01--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 infection18760NNNNNNNNNNSC (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, seehttp://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 athttp://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 athttp://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

2015 total up to 59 Zika ††,§§§§ Zika virus congenital infectionNANANANNNNNNNNNN Zika virus disease, non-congenital infection18760NNNNNNNNNNSC (1 )

Zika Virus – June 29, 2016. Texas has had 49 reported cases of Zika virus disease. Of those, 48 were in travelers who were infected abroad and diagnosed after they returned home; one of those travelers was a pregnant woman. One case involved a Dallas County resident who had sexual contact with someone who acquired the Zika infection while traveling abroad. Texas Zika Cases by County: CountyCasesBexar6Collin2Dallas10Denton2Ellis1Fort Bend2Grayson1Harris13Lubbock1Medina1Tarrant5Travis2Val Verde1Williamson1Wise1Total49