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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of June 15, 2016) http://www.cdc.gov/zika/geo/united-states.html StatesTravel-associated cases* No. (%) (N=755)Locally acquired cases† No. (%) (N=0)Alabama2 (<1)0 (0)Arizona2 (<1)0 (0)Arkansas5 (1)0 (0)California48 (6)0 (0)Colorado5 (1)0 (0)Connecticut1 (<1)0 (0)Delaware4 (1)0 (0)District of Columbia6 (1)0 (0)Florida141 (19)0 (0)Georgia20 (3)0 (0)Hawaii10 (1)0 (0)Illinois19 (3)0 (0)Indiana10 (1)0 (0)Iowa7 (1)0 (0)Kansas2 (<1)0 (0)Kentucky6 (1)0 (0)Louisiana6 (1)0 (0)

SummaryAs of 15 June 2016, 60 countries and territories report continuing mosquito-borne transmission of which:46 countries are experiencing a first outbreak of Zika virus since 2015, with no previous evidence of circulation, and with ongoing transmission by mosquitos.14 countries reported evidence of Zika virus transmission between 2007 and 2014, with ongoing transmission.In addition, four countries or territories have reported evidence of Zika virus transmission between 2007 and 2014, without ongoing transmission: Cook Islands, French Polynesia, ISLA DE PASCUA – Chile and YAP (Federated States of Micronesia).Ten countries have reported evidence of person-to-person transmission of Zika virus, probably via a sexual route.In the week to 15 June 2016, no new country reported mosquito-borne or person-to-person Zika virus transmission.As of 15 June 2016, microcephaly and other central nervous system (CNS) malformations potentially associated with Zika virus infection or suggestive of congenital infection have been reported by twelve countries or territories. Three of those reported microcephaly cases borne from mothers with a recent travel history to Brazil (Slovenia, United States of America), the Bolivarian Republic of Venezuela and Colombia (Spain), for one additional case the precise country of infection is not determined (as the case travelled to 3 known affected countries in Latin America).A first case of microcephaly associated with Zika infection was confirmed in El Salvador.A case of microcephaly and other neurological abnormalities, from a mother with recent travel to Honduras, is currently under verification for Zika virus in the United States of America.As of 15 June, Cabo Verde has reported a total of six cases of microcephaly and/or other neurological abnormalities with serological indication of previous Zika infection.In the context of Zika virus circulation, 13 countries and territories worldwide have reported an increased incidence of Guillain-Barré syndrome (GBS) and/or laboratory confirmation of a Zika virus infection among GBS cases.Zika infection was diagnosed in 3 patients with a severe neurological condition in Guadeloupe.Sequencing of the virus that causes the Zika outbreak in Cabo Verde showed that the virus is of the Asian lineage and the same as the one that circulates in Brazil. The precise implication of this finding is yet to be determined.Based on research to date, there is scientific consensus that Zika virus is a cause of microcephaly and GBS.The global Strategic Response Framework launched by the World Health Organization (WHO) in February 2016 encompasses surveillance, response activities and research. An interim report has been published on some of the key activities being undertaken jointly by WHO and international, regional and national partners in response to this public health emergency. A revised strategy for the period July 2016 to December 2017 is currently being developed with partners and will be published in mid-June.WHO has developed new advice and information on diverse topics in the context of Zika virus. WHO’s latest information materials, news and resources to support corporate and programmatic risk communication, and community engagement are available online. Download the image pdf, 3.49Mb Share PrintZika virus and complications » This page links all WHO information to its response on the Public Health Emergency of International Concern. All situation reportsZika virus digital timelineRelated linksZika virusFact sheet: Zika virusQ&A: Zika virusMore on Zika virusMicrocephalyKey facts: MicrocephalyMore on MicrocephalyGuillain–Barré syndromeFact sheet: Guillain–Barré syndromeMore on Guillain–Barré syndromeInformation in PortugueseZika virusWomen in the context of microcephaly and Zika virus diseaseEpidemiological Update: Region of the AmericasNeurological syndrome, congenital anomalies, and Zika virus infection

Zika situation report16 June 2016Zika virus, Microcephaly and Guillain-Barré syndromeRead the full situation report The third meeting of the Emergency Committee (EC) regarding microcephaly and other neurological disordersThe third meeting of the Emergency Committee (EC) convened by the Director-General under the International Health Regulations (2005) regarding microcephaly, other neurological disorders and Zika virus was held by teleconference on 14 June 2016. The committee concurred with the international scientific consensus that Zika virus is a cause of microcephaly and GBS, and, consequently, that Zika virus infection and its associated congenital and other neurological disorders is a Public Health Emergency of International Concern (PHEIC). Based on the existing evidence from the current Zika virus outbreak, it is known that this virus can spread internationally and establish new transmission chains in areas where the vector is present. Focusing on the potential risks associated with the Olympic and Paralympic Games, the Committee reviewed information provided by Brazil and Advisors specializing in arboviruses, the international spread of infectious diseases, travel medicine, mass gatherings and bioethics. The Committee concluded that there is a very low risk of further international spread of Zika virus as a result of the Olympic and Paralympic Games as Brazil will be hosting the Games during the Brazilian winter when the intensity of autochthonous transmission of arboviruses, such dengue and Zika viruses, will be minimal and is intensifying vector-control measures in and around the venues for the Games which should further reduce the risk of transmission. http://www.who.int/emergencies/zika-virus/situation-report/16-june-2016/en/

Three women in the U.S. mainland infected with the Zika virus have delivered infants with birth defects and three others have lost or terminated pregnancies because their fetuses suffered brain damage from the virus, the Centers for Disease Control and Prevention said Thursday. The agency said it was not providing details about where the births occurred to protect the privacy of the women and children affected by the mosquito-borne virus. The information released Thursday is the first time the agency has provided a total number of Zika-related birth defects since the start of the U.S. response earlier this year. The problems include a rare and severe birth defect known as microcephaly, which is characterized by abnormally small heads and often underdeveloped brains, as well as an array of other fetal abnormalities. Other complications include calcium deposits in the brain indicating possible brain damage; excess fluid in the brain cavities and surrounding the brain; missing or poorly formed brain structures; abnormal eye development; and other problems resulting from damage to the brain that affects nerves, muscles and bones, such as clubfoot or inflexible joints, officials said. The problems are consistent with the damage caused by Zika virus infections reported in other countries with Zika outbreaks, including Brazil and Colombia. The information released Thursday provides additional details about the impact of the virus on pregnant women in the United States. The agency is monitoring 234 pregnant women with Zika on the U.S. mainland who contracted the virus through travel or an infected partner; another 189 are being monitored in Puerto Rico and other U.S. territories. Widespread local transmission already is occurring in Puerto Rico, and officials expect that about 20 percent of the island’s 3.5 million residents could become infected.In the coming weeks, the CDC will begin reporting Zika-linked pregnancy outcomes in the U.S. territories. In February, the CDC detailed what happened to nine pregnant women in the United States who had been infected with Zika. Two of those women chose to have abortions; two others suffered miscarriages; one gave birth to an infant with serious birth defects; and two others delivered healthy infants. At the time, two were still pregnant. Officials said the outcomes reported in February did not necessarily have birth defects. Last month, the CDC announced it was monitoring about 300 pregnant women with possible Zika infection but declined to provide details about the pregnancy outcomes. Since then, the agency has received many requests for that information from federal, state and local health officials, as well as from health-care providers, pregnant women and their families.Earlier in the year, there were only a few known cases of microcephaly in the United States. With the information about these six cases, "we feel we can report in aggregate without reporting specifics and where the outcomes are occurring," said Denise Jamieson, the chief of CDC's women's health and fertility branch, in an interview. A baby with microcephaly was born to a Zika-infected woman in Hawaii in January. The mother had lived in Brazil last year and probably was infected by a mosquito early in her pregnancy, the Hawaii state health department has said. Last month, a baby with severe microcephaly and other birth defects was born in New Jersey to a Honduran woman. The girl was the first to be born to a Zika-infected mother on the U.S. mainland. Not only does the baby have microcephaly, doctors said, but she is also suffering from intestinal issues and “structural abnormalities of the eye.” [Doctors detail story of devastated mom of first Zika-affected baby born in NY area] The CDC said the agency is providing additional information now so people will have the most up-to-date information about pregnancy risks associated with Zika virus infection during pregnancy. Recent studies have detailed increasing evidence about the potentially devastating consequences for Zika-infected pregnant women. A troubling finding released Wednesday by researchers studying the Zika outbreak in Colombia reported that even pregnant women who don't show symptoms of infection are at risk of having babies with microcephaly. [Zika can cause microcephaly even if moms have no symptoms] In Brazil, pregnant women infected with Zika during their first trimester face as high as a 13 percent chance that their fetus will develop microcephaly, researchers reported last month. "What we're seeing is a very consistent pattern underscoring the fact that Zika causes microcephaly and other severe brain abnormalities," Jamieson said. "This highlights the importance of preventing unintended pregnancies, avoiding mosquito bites and for pregnant women to avoid traveling to areas with ongoing Zika virus transmission." U.S. officials are anticipating local cases of Zika infection because the mosquito that is the primary vector, Aedes aegypti, is found throughout the South as well as in parts of the Southwest and even Midwest. But they do not expect an explosion of cases, as has been seen in Puerto Rico and some countries in the Caribbean and South America.

CDC: 6 pregnancies in Zika-infected women resulted in birth defects (CDC)Despite dire warnings from public health officials and experts about the spread of the virus this summer, Congress has balked at approving the Obama administration’s $1.9 billion request for Zika funding. The Senate approved $1.1 billion in funding in May. The House passed legislation that would provide $622 million, which would be drawn from money already set aside for Ebola programs. In April, the administration redirected more than $500 million from Ebola funds to get geared up for Zika, but CDC Director Tom Frieden and other experts say Congress needs to act immediately so expanded measures can be put into place and be most effective when cases surface. In particular, Frieden has said the funds are needed to allow more people, especially pregnant women, to more easily get tested and get a prompt result, and to conduct ongoing studies about Zika's long-term developmental impact on children. https://www.washingtonpost.com/news/to-your-health/wp/2016/06/16/cdc-6-zika-infected-u-s-babies-have-had-birth-defects/

Six Babies and Fetuses in U.S. Had Birth Defects Tied to ZikaCenters for Disease Control and Prevention reports data as of June 9 A mosquito of the Aedes Aegypti type that can carry the Zika virus photographed in a lab in Cali, Colombia. PHOTO: AGENCE FRANCE-PRESSE/GETTY IMAGESBy BETSY MCKAYJune 16, 2016 2:27 p.m. ET6 COMMENTSZika has been tied to birth defects in the babies and fetuses of six women in the U.S. infected with the virus during their pregnancies, the Centers for Disease Control and Prevention reported Thursday. Three women have given birth to infants with birth defects tied to Zika, such as microcephaly and brain damage, the CDC said, citing data reported to its U.S. Zika pregnancy registry as of June 9. Three others lost babies with birth defects, either through miscarriage, stillbirths or termination of their pregnancies. The data are collected from U.S. states and the District of Columbia. How the Zika Virus Spreads From Mother to Fetus 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 UniversityThe CDC has said Zika can cause congenital abnormalities that include severe brain damage such as absent or malformed brain structures, calcium deposits that signal inflammation in the brain, abnormal eye development and other damage that affects nerves, muscles and bones. Such birth defects have been documented in Brazil, Colombia and other countries as well as Puerto Rico. Denise Jamieson, co-lead of a pregnancy and birth-defects task force for the CDC’s Zika response, called the findings “concerning” and said they serve as a reminder that pregnant women should avoid travel to areas where Zika is circulating. “U.S. travelers are at risk for these outcomes,” she said. “The pattern that we’re seeing here is very similar to the pattern that we’re seeing other places.” Write to Betsy McKay at [email protected] http://www.wsj.com/articles/six-babies-and-fetuses-in-u-s-had-birth-defects-tied-to-zika-1466101655

CDC: 3 Babies Born in US With Birth Defects Caused by ZikaBy MIKE STOBBE, AP MEDICAL WRITERNEW YORK — Jun 16, 2016, 2:46 PM ET SHARE Email Three babies with birth defects caused by Zika have been born in the U.S., the government reported Thursday in its first accounting of pregnancy outcomes involving the virus. Birth defects from Zika were also seen in three other pregnancies that ended. The Centers for Disease Control and Prevention has been tracking the pregnancies of women with Zika infections since the beginning of the year. So far, 234 pregnant women — residents and visitors — have been diagnosed with Zika. Some babies have been born with no immediate signs of problems, according to the CDC's Dr. Denise Jamieson, but she would not say how many. Most of the pregnancies are ongoing. All the cases are connected to travel to areas with outbreaks of the mosquito-borne virus, primarily Latin America and the Caribbean. There's been no local spread of Zika in the U.S. The health agency provided few details about the women, their pregnancies, the birth defects or their severity. Three cases ended in "pregnancy loss" but the CDC did not say whether it was from miscarriage, stillbirth or abortion. Jamieson said the six cases of birth defects involved some women who had not experienced Zika symptoms. Most people infected never develop symptoms. Others get a fever, rash, joint pain, or red eyes, and recover within a week. But during the Zika epidemic in Brazil, the virus was identified as a cause of fetal deaths and potentially devastating birth defects. In its birth defects numbers, the CDC is counting a range of conditions. Chief among them is microcephaly, a severe birth defect in which a baby's skull is much smaller than expected because the brain hasn't developed properly. But also in the count are calcium deposits in the brain; excess fluid in and around the brain; abnormal eye development; and other problems resulting from damage to the brain that can include clubfoot or inflexible joints. The CDC's Jamieson said the numbers are concerning but consistent with what's been seen in other countries affected by Zika outbreaks. Researchers estimate that for every 100 pregnancies involving women infected early in their pregnancy, 1 percent to 15 percent will develop severe birth defects. The CDC report appears to include the two known cases of babies born in the U.S. with Zika-caused birth defects. One was a baby girl born to a Honduran woman at a New Jersey hospital. The other was born in Hawaii to a woman who had lived in Brazil. Jamieson wouldn't confirm the two were included, but said the cases meet the criteria. The virus is spread mainly through the bite of a tropical mosquito called Aedes aegypti. It can be found in the southern United States, but there's no evidence that they've been spreading the virus in the U.S. yet. Overall, 756 cases of Zika have been reported in the 50 states and theDistrict of Columbia. All were people who had traveled to outbreak areas, or who had sex with someone who did. In Puerto Rico and other U.S. territories, 189 pregnant women are among those infected with Zika; the CDC did not report on birth defects there. ——— Online: CDC Zika page: http://www.cdc.gov/zika/index.html http://abcnews.go.com/Health/wireStory/cdc-babies-born-us-birth-defects-caused-zika-39910031

HEALTH ZIKA VIRUS OUTBREAK JUN 16 2016, 1:56 PM ETSix Cases of Zika Virus-Linked Birth Defects in US, CDC Saysby MAGGIE FOX SHARE Three babies have been born with birth defects linked to the Zika virus in the United States, and three more have been lost to miscarriages or aborted because of the birth defects, federal health officials said Thursday. All of the women were infected with Zika by travel, the Centers for Disease Control and Prevention said. But the CDC also expects localized outbreaks of Zika in the U.S. as mosquito season starts. Puerto Rico already has an epidemic and has also reported at least one Zika-associated birth defect. Nancy Trinidad, who is 32 weeks pregnant, listens to the explanation of a doctor about how to prevent Zika, Dengue and Chikungunya viruses at a public hospital in San Juan, Puerto Rico, February 3, 2016. REUTERS/Alvin Baez ALVIN BAEZ / Reuters"The poor birth outcomes reported include those that have been detected in infants infected with Zika before or during birth, including microcephaly, calcium deposits in the brain indicating possible brain damage, excess fluid in the brain cavities and surrounding the brain, absent or poorly formed brain structures, abnormal eye development, or other problems resulting from damage to brain that affects nerves, muscles and bones, such as clubfoot or inflexible joints," the CDC said in a statement. Related: CDC Follows Pregnant U.S. Women With Zika "These numbers are not real time estimates. They will reflect the outcomes of pregnancies reported with any laboratory evidence of possible Zika virus infection as of 12 noon every Thursday the week prior; numbers will be delayed one week." "UNFORTUNATELY I THINK IT IS NOT SURPRISING."The CDC says 234 pregnant women in the United States, both residents and visitors, have been diagnosed with Zika. Another 189 cases have been reported in U.S. territories, mostly Puerto Rico. Thursday's six cases do not include Puerto Rico or other territories, CDC said. Related: CDC Confirms Birth Defects in Puerto Rico Fetus "Unfortunately I think it is not surprising. I think it is consistent with what we have seen in Brazil and Colombia," said the CDC's Dr. Denise Jamieson, who is heading up the agency watch on Zika-affected pregnancies. "Some, but not all, of the infants have had evidence of Zika virus infection," Jamieson told NBC News. "What we are reporting is moms who had laboratory evidence of Zika virus infection and the baby had birth defects consistent with Zika virus infection." Related: Pregnancy and the Zika Virus CDC and the World Health Organization now say there is no doubt that Zika causes birth defects. They also say there's no doubt that, like many other infections, it can cause rare neurological complications including Guillain-Barre syndrome. "WHAT WE ARE REPORTING IS MOMS WHO HAD LABORATORY EVIDENCE OF ZIKA VIRUS INFECTION AND THE BABY HAD BIRTH DEFECTS CONSISTENT WITH ZIKA VIRUS INFECTION.""Although these outcomes occurred in pregnancies with laboratory evidence of Zika virus infection, we do not know whether they were caused by Zika virus infection or other factors," CDC said. The CDC did not identify the cases in any way but two cases of Zika-affected babies are known about: a Honduran woman who gave birth in New Jersey last month and a woman in Hawaii whose baby was born with microcephaly. The CDC advises pregnant women, or women who might become pregnant, to stay away from areas where Zika's spreading. And anyone in a Zika-affected area is advised to prevent mosquito bites with clothing, repellent and by staying indoors. Because Zika can also be sexually transmitted, CDC says any man who may have been infected, even if he doesn't have symptoms, needs to take care not to infect sexual partners who could be pregnant or become pregnant. MAGGIE FOXTWITTERFACEBOOKGOOGLE PLUS http://www.nbcnews.com/storyline/zika-virus-outbreak/six-cases-zika-virus-linked-birth-defects-us-cdc-says-n593866

Pregnant Women with Any Laboratory Evidence of Possible Zika Virus Infection in the United States and Territories, 2016Language:EnglishEspañolPortuguêsRecommend on FacebookTweet Pregnant Women with Any Laboratory Evidence of Possible Zika Virus InfectionUS States and the District of Columbia*234*Includes aggregated data reported to the US Zika Pregnancy Registry as of June 9, 2016 US Territories**189**Includes aggregated data from the US territories reported to the US Zika Pregnancy Registry and data from Puerto Rico reported to the Zika Active Pregnancy Surveillance System as of June 9, 2016 About These NumbersWhat these updated numbers show These updated numbers reflect counts of pregnant women in the United States with any laboratory evidence of possible Zika virus infection, with or without symptoms. Pregnant women with laboratory evidence include those in whom viral particles have been detected and those with evidence of an immune reaction to a recent virus that is likely to be Zika.This information will help healthcare providers as they counsel pregnant women affected by Zika and is essential for planning at the federal, state, and local levels for clinical, public health, and other services needed to support pregnant women and families affected by Zika.What these new numbers do not show These new numbers are not comparable to the previous reports. These updated numbers reflect a different, broader population of pregnant women.These updated numbers are not real time estimates. They will reflect the number of pregnant women reported with any laboratory evidence of possible Zika virus infection as of 12 noon every Thursday the week prior; numbers will be delayed one week.Where do these numbers come from? These data reflect pregnant women in the US Zika Pregnancy Registry and the Zika Active Pregnancy Surveillance System in Puerto Rico. CDC, in collaboration with state, local, tribal and territorial health departments, established these registries for comprehensive monitoring of pregnancy and infant outcomes following Zika virus infection. The data collected through these registries will be used to update recommendations for clinical care, to plan for services and support for pregnant women and families affected by Zika virus, and to improve prevention of Zika virus infection during pregnancy. What are the outcomes for these pregnancies? Visit CDC’s webpage for updated counts of poor pregnancy outcomes related to Zika. Most of the pregnancies monitored by these systems are ongoing. CDC will not report outcomes until pregnancies are complete. Page last reviewed: May 20, 2016Page last updated: June 15, 2016

BREAKING NEWSThree US infants have been born with Zika-related birth defects, CDC saysBy HELEN BRANSWELL @HelenBranswell JUNE 16, 2016 Three infants in the United States have been born with birth defects linked to the Zika virus, the Centers for Disease Control and Prevention reported Thursday. Three other pregnancies in the US have also been affected but they were not carried to term, the agency said. It listed them as “pregnancy losses” and did not specify if the pregnancies ended in miscarriage or were terminated. It was not immediately clear how or where the mothers in each case were infected. The CDC has not yet reported any cases of local transmission of Zika in the US. The figures were posted on the CDC’s website on Thursday, the first time the agency has provided a tally of Zika-linked pregnancies and birth defects in the United States. The CDC reported that, as of June 9, 234 pregnant women in the US and 189 women in US territories have been diagnosed with the Zika virus. Zika infection during pregnancy can cause significant birth defects in the developing fetus including microcephaly, a condition in which infants are born with abnormally small heads and sometimes underdeveloped brains. Some of these cases have already been reported publicly. In January, a woman in Hawaii who had been infected with Zika in Brazil early in her pregnancy gave birth to a baby with severe microcephaly. And the CDC reported in February that two women had miscarried after having contracted Zika abroad. Testing of the fetuses confirmed Zika infection. It is not clear if the figures include a woman who recently gave birth in New Jersey. The woman, believed to be from Honduras, gave birth in the US to a baby with microcephaly. Helen Branswell can be reached at [email protected] Follow Helen on Twitter @HelenBranswell https://www.statnews.com/2016/06/16/zika-virus-birth-defects/

Outcomes of Pregnancies with Laboratory Evidence of Possible Zika Virus Infection in the United States, 2016Language:EnglishEspañolPortuguêsRecommend on FacebookTweet Pregnancy Outcomes in the United States and the District of ColumbiaLiveborn infants with birth defects*3Includes aggregated data reported to the US Zika Pregnancy Registry as of June 9, 2016 Pregnancy losses with birth defects**3Includes aggregated data reported to the US Zika Pregnancy Registry as of June 9, 2016 What these numbers show These numbers reflect poor outcomes among pregnancies with laboratory evidence of possible Zika virus infection reported to the US Zika Pregnancy Registry.The number of live-born infants and pregnancy losses with birth defects are combined for the 50 US states and the District of Columbia. To protect the privacy of the women and children affected by Zika, CDC is not reporting individual state, tribal, territorial or jurisdictional level data.The poor birth outcomes reported include those that have been detected in infants infected with Zika before or during birth, including microcephaly, calcium deposits in the brain indicating possible brain damage, excess fluid in the brain cavities and surrounding the brain, absent or poorly formed brain structures, abnormal eye development, or other problems resulting from damage to brain that affects nerves, muscles and bones, such as clubfoot or inflexible joints.What these new numbers do not show These numbers are not real time estimates. They will reflect the outcomes of pregnancies reported with any laboratory evidence of possible Zika virus infection as of 12 noon every Thursday the week prior; numbers will be delayed one week.These numbers do not reflect outcomes among ongoing pregnancies.Although these outcomes occurred in pregnancies with laboratory evidence of Zika virus infection, we do not know whether they were caused by Zika virus infection or other factors.Where do these numbers come from? These data reflect pregnancies reported to the US Zika Pregnancy Registry. CDC, in collaboration with state, local, tribal and territorial health departments, established this registry for comprehensive monitoring of pregnancy and infant outcomes following Zika virus infection. The data collected through this system will be used to update recommendations for clinical care, to plan for services and support for pregnant women and families affected by Zika virus, and to improve prevention of Zika virus infection during pregnancy.* Includes microcephaly, calcium deposits in the brain indicating possible brain damage, excess fluid in the brain cavities and surrounding the brain, absent or poorly formed brain structures, abnormal eye development, or other problems resulting from damage to brain that affects nerves, muscles and bones, such as clubfoot or inflexible joints. **Includes miscarriage, stillbirths, and terminations with evidence of the birth defects mentioned above Page last reviewed: June 15, 2016Page last updated: June 15, 2016Content source: Centers for Disease Control and Prevention National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) Division of Vector-Borne Diseases (DVBD)

CDC has started posting Zika linked microcpehaly or other birth defect infants in the United States. Initial report cites 3 live births and 3 terminations with birth defects. http://www.cdc.gov/zika/geo/pregnancy-outcomes.html

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

Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of June 15, 2016) http://www.cdc.gov/zika/geo/united-states.html StatesTravel-associated cases* No. (%) (N=755)Locally acquired cases† No. (%) (N=0)Alabama2 (<1)0 (0)Arizona2 (<1)0 (0)Arkansas5 (1)0 (0)California48 (6)0 (0)Colorado5 (1)0 (0)Connecticut1 (<1)0 (0)Delaware4 (1)0 (0)District of Columbia6 (1)0 (0)Florida141 (19)0 (0)Georgia20 (3)0 (0)Hawaii10 (1)0 (0)Illinois19 (3)0 (0)Indiana10 (1)0 (0)

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

Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of June 15, 2016) http://www.cdc.gov/zika/geo/united-states.html StatesTravel-associated cases* No. (%) (N=755)Locally acquired cases† No. (%) (N=0)Alabama2 (<1)0 (0)Arizona2 (<1)0 (0)Arkansas5 (1)0 (0)California48 (6)0 (0)Colorado5 (1)0 (0)Connecticut1 (<1)0 (0)Delaware4 (1)0 (0)District of Columbia6 (1)0 (0)Florida141 (19)0 (0)Georgia20 (3)0 (0)Hawaii10 (1)0 (0)Illinois19 (3)0 (0)

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

Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of June 15, 2016) http://www.cdc.gov/zika/geo/united-states.html StatesTravel-associated cases* No. (%) (N=755)Locally acquired cases† No. (%) (N=0)Alabama2 (<1)0 (0)Arizona2 (<1)0 (0)Arkansas5 (1)0 (0)California48 (6)0 (0)Colorado5 (1)0 (0)

Maryland Confirmed Zika Virus Infections (As of June 8, 2016) Travel-AssociatedLocally Acquired Vector-BorneTotal25025 http://phpa.dhmh.maryland.gov/Pages/Zika.aspx'

As of June 15, 2016 (5 am EST) Zika virus disease and Zika virus congenital infection are nationally notifiable conditions.This update from the CDC Arboviral Disease Branch includes provisional data reported to ArboNET for January 01, 2015 – June 15, 2016.US States Locally acquired mosquito-borne cases reported: 0Travel-associated cases reported: 755Laboratory acquired cases reported: 1Total: 756Sexually transmitted: 11Guillain-Barré syndrome: 3US Territories Locally acquired cases reported: 1,436Travel-associated cases reported: 4Total: 1,440Guillain-Barré syndrome: 6 Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of June 15, 2016) StatesTravel-associated cases* No. (%) (N=755)Locally acquired cases† No. (%) (N=0)Alabama2 (<1)0 (0)Arizona2 (<1)0 (0)Arkansas5 (1)0 (0)California48 (6)0 (0)Colorado5 (1)0 (0)Connecticut1 (<1)0 (0)Delaware4 (1)0 (0)District of Columbia6 (1)0 (0)Florida141 (19)0 (0)Georgia20 (3)0 (0)Hawaii10 (1)0 (0)Illinois19 (3)0 (0)Indiana10 (1)0 (0)Iowa7 (1)0 (0)Kansas2 (<1)0 (0)Kentucky6 (1)0 (0)Louisiana6 (1)0 (0)Maine6 (1)0 (0)Maryland25 (3)0 (0)Massachusetts27 (4)0 (0)Michigan7 (1)0 (0)Minnesota19 (3)0 (0)Mississippi3 (<1)0 (0)Missouri4 (1)0 (0)Montana1 (<1)0 (0)Nebraska2 (<1)0 (0)Nevada7 (1)0 (0)New Hampshire4 (1)0 (0)New Jersey17 (2)0 (0)New Mexico3 (<1)0 (0)New York174 (23)0 (0)North Carolina15 (2)0 (0)Ohio14 (2)0 (0)Oklahoma6 (1)0 (0)Oregon7 (1)0 (0)Pennsylvania††23 (3)0 (0)Rhode Island8 (1)0 (0)South Carolina1 (<1)0 (0)Tennessee4 (1)0 (0)Texas42 (6)0 (0)Utah2 (<1)0 (0)Vermont1 (<1)0 (0)Virginia26 (3)0 (0)Washington5 (1)0 (0)West Virginia6 (1)0 (0)Wisconsin2 (<1)0 (0) Territories(N=4)(N=1,436)American Samoa0 (0)29 (2)Puerto Rico3 (75)1,386 (97)US Virgin Islands1 (25)21 (1)*Travelers returning from affected areas, their sexual contacts, or infants infected in utero †Presumed local mosquito-borne transmission †† One additional case acquired through laboratory transmission Page last reviewed: February 4, 2016Page last updated: June 16, 2016

Maryland Confirmed Zika Virus Infections (As of June 8, 2016) Travel-AssociatedLocally Acquired Vector-BorneTotal25025

Tonight 10 PM EDT Dr. Henry L. Niman, PhDZika Update