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CDPH Weekly Update on Number of Zika virus Infections in California June 24, 2016 The following table provides the number of travel-associated infections with Zika virus in California residents in 2015 and 2016. CDPH is following CDC testing guidelines. This table is updated every Friday. As of June 24, 2016, there have been 62 travel-associated Zika virus infections in California.  Total infections: 62  Cumulative number of infections in pregnant women: 15*  Cumulative number of infections due to sexual transmission: 1 Zika virus infections in California, 2015-2016§ (as of June 24, 2016) County Travel-associated ¥ Locally acquired † Alameda 5 0 Contra Costa 4 0 Los Angeles 18 0 Marin 1 0 Napa 1 0 Orange 4 0 San Bernardino 3 0 San Diego 14** 0 San Francisco 2 0 San Joaquin 2 0 San Mateo 2 0 Santa Clara 1 0 Solano 1 0 Sonoma 1 0 Stanislaus 1 0 Yolo 2 0 Total 62 0 https://www.cdph.ca.gov/HealthInfo/discond/Documents/TravelAssociatedCasesofZikaVirusinCA.pdf

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Zika Cases in New Jerseyhttp://www.nj.gov/health/cd/zika/case_count.shtml New Jersey County Confirmed Travel-Related Cases Bergen 7 Passaic 6 Burlington 4 Union 4 Camden 3 Monmouth 2 Morris 2 Middlesex 2 Hudson 2 Essex 1 Hunterdon 1 TOTAL 34 Last Updated: June 24, 2016

Zika Cases in New Jersey New Jersey County Confirmed Travel-Related Cases Bergen 7 Passaic 6 Burlington 4 Union 4 Camden 3 Monmouth 2 Morris 2 Middlesex 2 Hudson 2 Essex 1 Hunterdon 1 TOTAL 34 Last Updated: June 24, 2016

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June 24, 2016 DEPARTMENT OF HEALTH DAILY ZIKA UPDATE: SEVEN NEW TRAVEL-RELATED CASES TODAY 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 seven new cases today with two in Miami-Dade, one in Broward, one in Citrus, one in Duval, one in Polk and one in Seminole counties. The Declaration of Public Health Emergency has been amended to include Citrus County. Of the cases confirmed in Florida, 17 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 40, with 10 having met the previous CDC case definition. County Number of Cases (all travel related) Alachua 4 Brevard 4 Broward 31 Citrus 1 Clay 2 Collier 2 Duval 2 Escambia 1 Highlands 1 Hillsborough 5 Lee 5 Martin 1 Miami-Dade 62 Okaloosa 1 Orange 15 Osceola 7 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 180 Cases involving pregnant women regardless of symptoms* 40 *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 2,132 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.Yesterday, 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.Florida currently has the capacity to test 5,658 people for active Zika virus and 2,060 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.Based on CDC guidance released, DOH will now report pregnant women with evidence of Zika virus regardless of symptoms. Prior to new guidance, CDC guidance was only to report cases of Zika if the pregnant women was symptomatic.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. http://www.floridahealth.gov/newsroom/2016/06/062416-zika-update.html

June 24, 2016 DEPARTMENT OF HEALTH DAILY ZIKA UPDATE: SEVEN NEW TRAVEL-RELATED CASES TODAY 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 seven new cases today with two in Miami-Dade, one in Broward, one in Citrus, one in Duval, one in Polk and one in Seminole counties. The Declaration of Public Health Emergency has been amended to include Citrus County. Of the cases confirmed in Florida, 17 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 40, with 10 having met the previous CDC case definition. County Number of Cases (all travel related) Alachua 4 Brevard 4 Broward 31 Citrus 1 Clay 2 Collier 2 Duval 2 Escambia 1 Highlands 1 Hillsborough 5 Lee 5 Martin 1 Miami-Dade 62 Okaloosa 1 Orange 15 Osceola 7 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 180 Cases involving pregnant women regardless of symptoms* 40 *Counties of pregnant women will not be shared.

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Zika Virus – June 24, 2016. Texas has had 47 reported cases of Zika virus disease. Of those, 46 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. http://www.texaszika.org/ Texas Zika Cases by County: CountyCasesBexar6Collin2Dallas9Denton2Ellis1Fort Bend2Grayson1Harris13Lubbock1Medina1Tarrant4Travis2Val Verde1Williamson1Wise1Total47

Zika Virus – June 24, 2016. Texas has had 47 reported cases of Zika virus disease. Of those, 46 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: CountyCasesBexar6Collin2Dallas9Denton2Ellis1Fort Bend2Grayson1Harris13Lubbock1Medina1Tarrant4Travis2Val Verde1Williamson1Wise1Total47

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Health Minister delivery worrying figure of microcephaly in ColombiaThe figures were released by the senior official, during a tour made by the Huila.Flickr CC frankieleon Neiva Zika virus Huila tiger mosquito microcephaly Virology tropical diseases Congenital malformations mosquitos Colombia genetic diseases Pregnancy neurological diseases Reproduction Epidemic Diseases Medicine Wildlife Genetics Health Species Environment biology Natural Sciences ScienceRecommend on Facebook2Send to TwitterSend aGoogle PlusSend to LinkedinPin ItSubmitTo printReport errorvalueinterestingoutrageousfunnycontroversysurprisingboringCaracol Radio24/06/2016 - 13:31On a tour made by the Huila, where he inaugurated two important works in hospitals in Neiva and Pitalito , the health minister, Alejandro Gaviria, said that so far in 2016 there have been 160 cases of microcephaly in the country, but only it has been found that seven were caused by Zika virus. "Of the 160 cases of microcephaly , 140 correspond to newborns and 20 stillbirths. So far they have finished studying 57 cases, of which seven are the result of the virus Zika . However keep doing a very specific and detailed in order to detect possible cases of microcephaly work throughout the country , "said Gaviria. He added that so far this year in Huila two have occurred cases ofmicrocephaly by Zika , and six more are found in studies. He noted saying that according to the most recent laboratory study, inHuila were detected 6,643 cases of suspected zika , of which 871 have been confirmed by health authorities.

He added that so far this year in Huila two have occurred cases ofmicrocephaly by Zika , and six more are found in studies. http://caracol.com.co/radio/2016/06/24/salud/1466767910_831859.html

After the House of Representatives finally passed a Zika funding bill on Thursday—for $1.1 billion (less than the $1.9 billion President Obama originally requested), much of it taken away from Affordable Care Act funding, and remaining Ebola emergency money. Given that, the White House has threatened to veto the bill. Which would mean still no federal funding for what Anne Schuchat, the principal deputy director of the Centers for Disease Control and Prevention, called “the most difficult” emergency response the agency has ever had to do, at the Aspen Ideas Festival on Thursday. Zika is an unprecedented, unique outbreak for several reasons, perhaps the biggest being that it is a disease with two faces. It’s Jekyll and Hyde. For most people, it’s of almost no concern at all. Four out of five people who get infected never have any symptoms, and the symptoms are far milder than its other mosquito-borne cousins, dengue, chikungunya, and yellow fever. “It tends to go away and then you’re done,” said Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases. For most of the population, “it’s not scary at all. If you’re a woman who’s pregnant, who gets infected, particularly in the first trimester, it’s overwhelmingly catastrophic.” Miscarriages, fetal death, microcephaly, and other birth defects are all possible as a result of Zika infection during pregnancy. “It’s a disease that’s very complex because of that dichotomy,” Fauci said. Dispatches from the Aspen Ideas Festival/Spotlight Health Read moreZika also has two very different ways it can spread, further adding to the difficulty in controlling it. It’s a mosquito-borne virus, so it is transmitted by mosquitoes—ones that are “very difficult to control,” Schuchat said—but it can also be transmitted sexually, something public health officials did not know earlier in the outbreak. So prevention requires not only mosquito control, but promoting safe sex practices, making sure people have access to contraception and know how long to wait after getting infected before trying to conceive. Well, “know” is a loose term. We don’t reallyknow how long the virus lingers in the body, but the current recommendations are for women to wait 8 weeks and for men to wait 6 months. (The virus tends to linger in semen.) And because the worst effects of the virus come well after the infection (which is true not just of effects on fetuses, but also of Guillain-Barré, an autoimmune disorder that can come after Zika infection in adults), it’s hard to trace and hard to predict what the ultimate extent will be. I’ve previously written about Zika as a“delayed epidemic”—on this panel, Schuchat called it a “crisis in slow motion,” as opposed to Ebola, for example, which “evolved very dramatically, very suddenly,” she said. One prediction Fauci seemed pretty confident in was that Zika is going to be hardon Puerto Rico. “The vulnerability of the Puerto Rican population to Zika is extraordinary,” he said. There have already been 1,804 locally transmitted cases on the island, which finds itself susceptible due not only to geography, but also to its ongoing financial crisis and dense population. “Unless something dramatic changes, 25 percent of Puerto Rico is going to get Zika.”Fauci said we should expect Zika to act the same way chikungunya did on the island, since they are spread by the same mosquito. “When chikungunya hit Puerto Rico, it infected about 20-25 percent of the population,” he said. “So it is almost certain unless something dramatic changes, 25 percent of Puerto Rico is going to get Zika.” Responding to Zika has also meant dealing with the challenge that, when the outbreak started, we didn’t have much to go on. The commissioner of the Food and Drug Administration, Robert Califf, described the overwhelming feeling. “Imagine getting a call,” he said, and hearing “’Is the blood supply safe? Do we have a diagnostic test? Do we have a vaccine that can prevent the disease? Do we have a treatment that works?’ The answer to all four is ‘No. We have nothing. We’re starting from scratch with this disease.’” There’s been progress on some fronts. Califf said that the FDA has recommended only using blood from non-Zika affected areas. There is now a diagnostic test that can tell if you currently have Zika, though not one that can reliably tell if you hadit in the past. And the first experimental vaccine was just approved to start clinical trials. But the difficulty level of the public health response to this virus is high, and it only underscores the potential cost of the United States dragging its heels on funding.

Zika Is the ‘Most Difficult’ Emergency Health Response Ever, CDC Official SaysHow the virus is spread, its disproportionate danger for pregnant women, and the delay in its worst effects combine to make this outbreak particularly tough. JULIE BECK 7:00 AM ET http://www.theatlantic.com/health/archive/2016/06/zika-is-the-most-difficult-emergency-health-response-ever-says-cdc-official/488579/

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At A Glance - Zika in the U.S.(as of June 22, 2016) North CarolinaTravel-associated Zika virus disease cases reported: 16Locally acquired vectorborne cases reported: 0 http://epi.publichealth.nc.gov/zika/

At A Glance - Zika in the U.S.(as of June 22, 2016) North CarolinaTravel-associated Zika virus disease cases reported: 16Locally acquired vectorborne cases reported: 0 U.S. StatesTravel-associated Zika virus disease cases reported: 756Locally acquired vectorborne cases reported: 0 U.S. TerritoriesTravel-associated cases reported: 4Locally acquired vectorborne cases reported: 1,436

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As of June 23, 201626 confirmed travel-related Zika cases in Georgia http://dph.georgia.gov/

As of June 23, 201626 confirmed travel-related Zika cases in Georgia

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As of June 23, 2016 in South Carolina: http://www.scdhec.gov/Health/DiseasesandConditions/InfectiousDiseases/InsectAnimalBorne/ZikaVirus/\ Travel-associated cases reported: 5Sexually transmitted: 0Pregnant Women: 0 Locally acquired vector-borne cases reported: 0Total cases: 5

As of June 23, 2016 in South Carolina: Travel-associated cases reported: 5Sexually transmitted: 0Pregnant Women: 0 Locally acquired vector-borne cases reported: 0Total cases: 5