niman

Zika virus cases in Ohio:

Zika virus cases in Ohio:

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

Wisconsin Annual Summary Data - 2016Updated June 22, 2016 https://www.dhs.wisconsin.gov/arboviral/zika.htm Confirmed Zika virus cases6Probable* Zika virus cases1Completed testing - Total467* Probable cases have presumptive positive laboratory results without confirmatory CDC testing.

Wisconsin Annual Summary Data - 2016Updated June 22, 2016Confirmed Zika virus cases6Probable* Zika virus cases1Completed testing - Total467* Probable cases have presumptive positive laboratory results without confirmatory CDC testing.

Latest Facts and Advisories as of 6/22/2016 [Español (PDF)]Reported cases of Zika in New York City: 19720 of the 197 cases were pregnant at the time of diagnosis;All cases contracted Zika while visiting other countries; andAll patients have recovered.

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

Current as of June 21, 2016 Table: Travel History of Patients with Positive Test Results byZika Affected Country or Territory Visited - Connecticut, February 15 - June 21, 2016 http://www.ct.gov/dph/cwp/view.asp?a=3136&pm=1&Q=580282 Countries/Territories VisitedZika Positive Flavivirus Positive* Total Aruba 11 Brazil 11 Colombia112 Dominican Republic12 12 El Salvador 11 Guatemala 11 Haiti134 Honduras2 2 Mexico 11 Puerto Rico 3 3Total

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 21, 2016 Table: Travel History of Patients with Positive Test Results byZika Affected Country or Territory Visited - Connecticut, February 15 - June 21, 2016 Countries/Territories VisitedZika Positive Flavivirus Positive* Total Aruba 11 Brazil 11 Colombia112 Dominican Republic12 12 El Salvador 11 Guatemala 11 Haiti134 Honduras2 2 Mexico 11 Puerto Rico 3 3Total 19 928 *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 21, 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

June 22, 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 travel-related cases today with three in Broward, one in Miami-Dade, one in Okaloosa, one in Osceola and one involving a pregnant woman. The declaration of Public Health Emergency has been amended to include Okaloosa County. Of the cases confirmed in Florida, 19 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 11 having met the previous CDC case definition. County Number of Cases (all travel related) Alachua 4 Brevard 4 Broward 30 Clay 2 Collier 2 Duval 1 Escambia 1 Hillsborough 5 Highlands 1 Lee 5 Martin 1 Miami-Dade 60 Okaloosa 1 Orange 15 Osceola 7 Palm Beach 12 Pasco 2 Pinellas 6 Polk 3 Santa Rosa 1 Seminole 6 St. Johns 2 Volusia 2 Total cases not involving pregnant women 173 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 2,115 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 23 counties included in the declaration– Alachua, Brevard, Broward, Clay, Collier, Duval, Escambia, Hillsborough, Highlands, 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.Florida currently has the capacity to test 5,739 people for active Zika virus and 2,091 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 onFacebook. For more information about the Florida Department of Health, please visitwww.FloridaHealth.gov. http://www.floridahealth.gov/newsroom/2016/06/062216-zika-update.html

The total number of pregnant women who have been monitored is 40, with 11 having met the previous CDC case definition. County Number of Cases (all travel related) Alachua 4 Brevard 4 Broward 30 Clay 2 Collier 2 Duval 1 Escambia 1 Hillsborough 5 Highlands 1 Lee 5 Martin 1 Miami-Dade 60 Okaloosa 1 Orange 15 Osceola 7 Palm Beach 12 Pasco 2 Pinellas 6 Polk 3 Santa Rosa 1 Seminole 6 St. Johns 2 Volusia 2 Total cases not involving pregnant women 173 Cases involving pregnant women regardless of symptoms* 40

TABLE I. Provisional cases of selected* infrequently reported notifiable diseases (<1,000 cases reported during the preceding year), United States, week ending June 18, 2016 (WEEK 24)† Disease Total cases reported for previous years Current weekCum 20165-year weekly average§20152014201320122011States reporting cases during current week (No.24) Anthrax-------1 Arboviral diseases ¶,**: Chikungunya virus ††-455896NNNNNNNN Eastern equine encephalitis virus--0688154 Jamestown Canyon virus §§--111112223 La Crosse virus §§--155808578130 Powassan virus-117812716 St. Louis encephalitis virus--02310136 Western equine encephalitis virus-------- Botulism, total1623195161152168153 foodborne-50371542724 infant151313812713612397MT (1 ) other(wound & unspecified)-602019121832 Brucellosis1472126929911479TX (1 ) Chancroid-7011--158 Cholera--025141740 Cyclosporiasis **12418645388784123151ME (1 ) Diphtheria----1-1- Haemophilus influenzae, invasive disease (age <5 yrs) ¶¶: serotype b-802940313014 nontypeable serotype281317412814111593OH (1 ), TX (1 ) other serotype1561135266233263230NE (1 ) unknown serotype1101416839343748FL (1 ) Hansen's disease **22118988818282NYC (1 ), FL (1 ) Hantavirus Infections **: Hantavirus infection (non-HPS) ††-3-1NNNNNNNN Hantavirus pulmonary syndrome (HPS)-511732213023 Hemolytic uremic syndrome, post-diarrheal **2706272250329274290AR (2 ) Hepatitis B, virus infection perinatal114139474840NPCA (1 ) Influenza-associated pediatric mortality **, ***-71113014116052118 Leptospirosis **-1504038NNNNNN Listeriosis819914766769735727870NY (2 ), NYC (1 ), PA (1 ), OH (2 ), FL (1 ), AR (1 ) Measles †††-391318866718755220 Meningococcal disease, invasive §§§: serogroup ACWY-483120123142161257 serogroup B-3411118999110159 other serogroup-702125172020 unknown serogroup4914120196298260323NYC (1 ), VA (1 ), TN (1 ), CA (1 ) Novel influenza A virus infections ¶¶¶-20632131314 Plague--01310443 Poliomyelitis, paralytic-----1-- Polio virus infection, nonparalytic **-------- Psittacosis **-3048622 Q fever total **:-434158168170135134 acute-363123132137113110 chronic-703536332224 Rabies, human--011216 SARS CoV-------- Smallpox-------- Streptococcal toxic shock syndrome **-1304335259224194168 Syphilis, congenital ****-1318489458348322360 Toxic shock syndrome (staphylococcal) **-1316659716578 Trichinellosis **-501114221815 Tularemia-399314180203149166 Typhoid fever11237367349338354390NY (1 ) Vancomycin-intermediate Staphylococcus aureus **249318521224813482FL (2 ) 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 infection17610NNNNNNNNNNFL (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 http://wonder.cdc.gov/mmwr/mmwr_2016.asp?mmwr_year=2016&mmwr_week=24&mmwr_table=1&request=Submit&mmwr_location=

Zika cases from 2015 is 58 based on week 23 report Zika ††,§§§§ Zika virus congenital infectionNANANANNNNNNNNNN Zika virus disease, non-congenital infection17610NNNNNNNNNNFL (1 )

Alabama Residents Tested for Zika Virus as of June 21, 2016 Number Tested PositiveNumber of SubmissionsNumber with Results Pending6 91 7

Zika Virus – June 22, 2016. Texas has had 46 reported cases of Zika virus disease. Of those, 45 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 Bend2Grayson1Harris13Lubbock1Tarrant4Travis2Val Verde1Williamson1Wise1Total46 Note: Zika case data for Texas will be updated each weekday no later than 11 a.m

Registration Date: 06/22/2016 09:06:31 the amended 06/22/2016 9:06:19 theREPORT CARD Ministry of Health confirmed 1,616 cases of microcephaly nationwideThe report gathers information sent weekly by state health departments until 18 June. Since the beginning of the investigation, 8,049 suspected cases were reportedThe Ministry of Health announced, on Wednesday (22), microcephaly new data. Until 18 June, it was confirmed 1,616 cases of microcephaly and other nervous system disorders, suggestive of congenital infection throughout the country. Since the beginning of the investigation, in October last year, 8,039 suspected cases were reported to the Ministry of Health. Of the total reported, 3,416 cases were discarded because of normal tests, or because they have microcephaly or malformations confirmed because noninfectious. They were also discarded by do not meet the case definition. Other 3007 remain under investigation. Of the total confirmed cases, 233 were confirmed by specific laboratory criteria for Zika virus. The Ministry of Health, however, points out that this figure does not represent adequately the total number of cases related to the virus. The folder considers that there was infection Zika most of the mothers who had babies with a final diagnosis of microcephaly. The 1,616 confirmed cases in Brazil occurred in 576 municipalities located in all Brazilian states and the Federal District. The mortality rate in the same period, there were 324 suspected deaths of microcephaly and / or alteration of the central nervous system after childbirth or during pregnancy (miscarriage or stillbirth) in the country. This represents 4% of reported cases. Of these, 86 were confirmed to microcephaly and / or alteration of the central nervous system.Other 182 remain under investigation and 56 were discarded. The Ministry of Health says it is investigating all cases of microcephaly and other disorders of the central nervous system informed by the states, as well as possible relationship with the Zika virus and other congenital infections. Microcephaly may be caused by , various infectious agents beyond Zika as Syphilis, Toxoplasmosis, Other Infectious Agents, Rubella, Cytomegalovirus and Herpes Viral. The folder guides pregnant women adopt measures to reduce the presence of Aedes aegypti, the elimination of breeding, and protect themselves from mosquito exposure, keeping doors and windows closed or screened, wear pants and long sleeved shirts and use repellents allowed to pregnant women. Distribution of reported cases of microcephaly by UF until June 18, 2016 Regions and Federative Units Microcephaly cases and / or malformations suggestive of congenital infection Total accumulated 1 of reported cases from 2015 to 2016 research confirmed 2.3 discarded 4 Brazil 3,007 1,616 3,416 8,039 Alagoas 68 74 176 318 Bahia 648 263 243 1,154 Ceará 177 123 209 509 Maranhão 76 130 61 267 Paraíba 287 143 457 887 Pernambuco 477 366 1,165 2,008 Piauí 9 87 73 169 large northern river 258 113 64 435 Sergipe 70 111 54 235 Northeast 2,070 1,410 2,502 5,982 Holy Spirit 83 13 61 157 Minas Gerais 59 3 55 117 Rio de Janeiro 282 72 146 500 Sao Paulo 211th 10 b 173 394 Southeast region 635 98 435 1,168 Acre 11 two 27 40 Amapá 1 7 3 11 Amazon 12 7 5 24 For 43 1 0 44 Rondônia 5 5 7 17 Roraima 5 10 11 26 Tocantins 53 17 85 155 North region 130 49 138 317 Federal district 5 5 36 46 Goiás 47 14 79 140 Mato Grosso 85 27 119 231 Mato Grosso do Sul two 3 14 19 Midwest region 139 49 248 436 Paraná 3 4 30 37 Santa Catarina 1 1 5 7 Rio Grande do Sul 29 5 58 92 South region 33 10 93 136 1 Cumulative number of reported cases that met the definition of previous operating case (33 cm), and the definitions adopted in Surveillance Protocol (from 12/09/2015) that defined the Head Circumference 32 cm for newborns 37 or more weeks of gestation and other protocol definitions. 2Apresentam typical changes: indicative of congenital infection, such as intracranial calcifications, dilation of cerebral ventricles or changes in posterior fossa and other clinical signs observed by any imaging method or identification of Zika virus in laboratory tests. 3Foram confirmed 233 cases by specific laboratory criteria for Zika (PCR and serology technique) virus. 4Descartados to present normal exams by presenting microcephaly and / or congenital malformations confirmed by non-infectious causes or does not meet the case definitions. The. As reported by the Epidemiological Surveillance Center "Prof. Alexandre Vranjac ", the State Secretary of Health of São Paulo 211 cases are under investigation for congenital infection. Of these, 38 are possibly associadoscom infection Zika virus, but have not yet been finalized investigations. B. 01 confirmed case of microcephaly Virus Zika in newborn with suspected infection site in another UF. Agency Health Care to the press (61) 3315-3435 / 3580

Registration Date: 06/22/2016 09:06:31 the amended 06/22/2016 9:06:19 theREPORT CARD Ministry of Health confirmed 1,616 cases of microcephaly nationwideThe report gathers information sent weekly by state health departments until 18 June. Since the beginning of the investigation, 8,049 suspected cases were reported http://portalsaude.saude.gov.br/index.php/cidadao/principal/agencia-saude/24202-ministerio-da-saude-confirma-1-616-casos-de-microcefalia-em-todo-o-pais

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

SIXTH IMPORTED ZIKA CASE CONFIRMED IN TARRANT COUNTY Tarrant County - Home > Public Health > News Releases > News Releases 2016 > Sixth Imported Zika Case Confirmed in Tarrant CountyFOR IMMEDIATE RELEASE Kelly Hanes Senior Public Information Officer Tarrant County Public Health 817-321-5306 direct 817-401-5967 mobile Sixth Imported Zika Case Confirmed in Tarrant CountyNo local transmission reported at this time June 21, 2016 (Tarrant County, TX) – Tarrant County Public Health (TCPH) has identified a sixth imported case of Zika virus in the county. Local transmission has not been detected and surveillance continues.TCPH’s North Texas Regional Laboratory received the sample on Monday and performed the test.This is the first imported case with a travel history to the Dominican Republic. The previous cases traveled to El Salvador, Puerto Rico (2), St. Lucia and St. Martin. All areas have known local transmission of the disease. No other health information will be released at this time to protect the identity of the patients. Zika virus is spread to people primarily through the bite of an infected Aedes species mosquito, a known aggressive daytime biter. Sexual transmission has been reported in a small number of cases. The most common symptoms of Zika are fever, rash, joint pain, and conjunctivitis (red eyes). The illness is typically mild with symptoms lasting no more than seven days. TCPH continues to distribute Zika Home Care Kits to Tarrant County residents being evaluated for Zika. The kit includes mosquito repellant, mosquito dunks, educational materials and other items. The kits are not being offered to the general public. Reducing mosquito breeding sites is one of the best ways residents can protect themselves and their neighbors. They should: Routinely dump standing water on their property,Overturn all small containers,Dispose of any trash or debris that can contains small amounts of water.TCPH’s Zika Hotline (817-248-6299) is available to help answer any questions residents may have about this disease. For more information on Zika virus and for other useful tips. TCPH has produced a video to help residents Eliminate Mosquito Breeding Sites.

Tarrant County Public Health (TCPH) has identified a sixth imported case of Zika virus in the county. Local transmission has not been detected and surveillance continues.TCPH’s North Texas Regional Laboratory received the sample on Monday and performed the test.This is the first imported case with a travel history to the Dominican Republic. The previous cases traveled to El Salvador, Puerto Rico (2), St. Lucia and St. Martin. http://access.tarrantcounty.com/en/public-health/news/2016/sixth-imported-zika-case-confirmed-in-tarrant-county.html

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

First case of Zika virus in ChescoPublished: Wednesday, June 22, 2016 0By Candice [email protected]@CMonhollanDLN on Twitter WEST CHESTER >> The Zika virus has reached Chester County.The Centers for Disease Control and Prevention notified the Chester County Health Department of a confirmed case late Monday, with county officials making the announcement on Tuesday.The patient is a resident of the county, who recently traveled to the Dominican Republic, an area affected with mosquitos carrying the virus. She was not hospitalized and has recovered, according to Chester County spokeswoman Rebecca Brain.The woman, who is not pregnant, is the 23rd case of travel-associated Zika virus in Pennsylvania. There have not been any locally-acquired cases, though the CDC warns imported cases could result in local spread.“For anyone traveling to countries affected by the Zika virus, we urge caution and note that pregnant women, in particular, should avoid travel to affected countries,” Jeanne Casner, director of the county Health Department, said in a release.Recently, Rep. Ryan Costello, a Republican who represents Pennsylvania’s 6th Congressional District, and Congresswoman Susan Brooks, a Republican from Indiana, met with Chester County officials to discuss the virus.At the meeting on June 11, Casner said the department fields about a dozen calls a week from people who are concerned they may have the virus, though at that time, none were confirmed.After receiving confirmation from the CDC, the woman was advised by the county Health Department of protective measures to reduce the risk of further mosquito bites.“Here in Chester County, mosquito prevention starts with each and every one of us,” Casner said. “Protect yourself, your family and your community from Zika and other viruses by using screens on the exterior of your home, use insect repellent, eliminate standing water inside and outside your home and wear long-sleeved shirts and pants.”According to the CDC, the Zika virus spreads to people primarily through the bite of an infected Aedes species mosquito, though people can also get the virus through sex with an infected man and can be passed from a pregnant woman to the fetus and cause microcephaly, a serious birth defect, and other severe brain defects.The mosquitos, which spread the Zika virus by biting humans mostly during the daytime, can also spread dengue and chikungunya viruses.The most common symptoms are fever, rash, joint pain and conjunctivitis. It is usually mild with the symptoms lasting up to a week after being bitten. Generally, people aren’t sick enough to require hospitalization and very rarely die from it.There is no vaccine to prevent the virus.The Zika virus was discovered in 1947, and the first human cases were found in 1952.Before 2007, according to the CDC, 14 cases were documented, although other cases were likely not reported.The Pan American Health Organization issued an alert in May 2015 after confirmation of the virus in Brazil. It has since spread to multiple countries, and in February 2016 the World Health Organization declared a Public Health Emergency of International Concern.Cases of the Zika virus were confirmed in nearby Philadelphia and Montgomery County earlier this year.Pennsylvania’s neighboring states have all had confirmed cases of the virus: Delaware has had four cases, New Jersey 17, New York 174, Maryland 25, West Virginia six and Ohio 14.Due to the local case of the virus being travel-associated, Brain said there is no high alert for Chester County, though the Health Department continues to urge residents to take preventative measures, such as using Environmental Protection Agency-registered insect repellents and staying in places with air conditioning and window and door screens. http://www.mainlinemedianews.com/articles/2016/06/22/main_line_suburban_life/news/doc5769ee289d58b231675055.txt?viewmode=fullstory

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