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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of June 08, 2016) http://www.cdc.gov/zika/geo/united-states.html StatesTravel-associated cases* No. (%) (N=691)Locally acquired cases† No. (%) (N=0)Alabama2 (<1)0 (0)Arizona2 (<1)0 (0)Arkansas5 (1)0 (0)California48 (7)0 (0)Colorado4 (1)0 (0)Connecticut1 (<1)0 (0)Delaware4 (1)0 (0)District of Columbia6 (1)0 (0)Florida132 (19)0 (0)Georgia17 (3)0 (0)Hawaii10 (2)0 (0)Illinois16 (2)0 (0)Indiana7 (1)0 (0)Iowa7 (1)0 (0)Kansas2 (<1)0 (0)Kentucky6 (1)0 (0)Louisiana4 (1)0 (0)Maine6 (1)0 (0)Maryland21 (3)0 (0)Massachusetts20 (3)0 (0)Michigan7 (1)0 (0)

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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of June 08, 2016) http://www.cdc.gov/zika/geo/united-states.html StatesTravel-associated cases* No. (%) (N=691)Locally acquired cases† No. (%) (N=0)Alabama2 (<1)0 (0)Arizona2 (<1)0 (0)Arkansas5 (1)0 (0)California48 (7)0 (0)Colorado4 (1)0 (0)Connecticut1 (<1)0 (0)Delaware4 (1)0 (0)District of Columbia6 (1)0 (0)Florida132 (19)0 (0)Georgia17 (3)0 (0)Hawaii10 (2)0 (0)Illinois16 (2)0 (0)Indiana7 (1)0 (0)Iowa7 (1)0 (0)Kansas2 (<1)0 (0)Kentucky6 (1)0 (0)Louisiana4 (1)0 (0)Maine6 (1)0 (0)Maryland21 (3)0 (0)Massachusetts20 (3)0 (0)

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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of June 08, 2016) http://www.cdc.gov/zika/geo/united-states.html StatesTravel-associated cases* No. (%) (N=691)Locally acquired cases† No. (%) (N=0)Alabama2 (<1)0 (0)Arizona2 (<1)0 (0)Arkansas5 (1)0 (0)California48 (7)0 (0)Colorado4 (1)0 (0)Connecticut1 (<1)0 (0)Delaware4 (1)0 (0)District of Columbia6 (1)0 (0)Florida132 (19)0 (0)Georgia17 (3)0 (0)Hawaii10 (2)0 (0)Illinois16 (2)0 (0)Indiana7 (1)0 (0)Iowa7 (1)0 (0)Kansas2 (<1)0 (0)Kentucky6 (1)0 (0)Louisiana4 (1)0 (0)Maine6 (1)0 (0)

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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of June 08, 2016) http://www.cdc.gov/zika/geo/united-states.html StatesTravel-associated cases* No. (%) (N=691)Locally acquired cases† No. (%) (N=0)Alabama2 (<1)0 (0)Arizona2 (<1)0 (0)Arkansas5 (1)0 (0)California48 (7)0 (0)Colorado4 (1)0 (0)Connecticut1 (<1)0 (0)Delaware4 (1)0 (0)District of Columbia6 (1)0 (0)Florida132 (19)0 (0)Georgia17 (3)0 (0)Hawaii10 (2)0 (0)

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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of June 08, 2016) http://www.cdc.gov/zika/geo/united-states.html StatesTravel-associated cases*No. (%)(N=691)Locally acquired cases†No. (%)(N=0)Alabama2 (<1)0 (0)Arizona2 (<1)0 (0)Arkansas5 (1)0 (0)California48 (7)0 (0)Colorado4 (1)0 (0)Connecticut1 (<1)0 (0)Delaware4 (1)0 (0)

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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of June 08, 2016) http://www.cdc.gov/zika/geo/united-states.html StatesTravel-associated cases* No. (%) (N=691)Locally acquired cases† No. (%) (N=0)Alabama2 (<1)0 (0)Arizona2 (<1)0 (0)Arkansas5 (1)0 (0)California48 (7)0 (0)Colorado4 (1)0 (0)

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As of June 08, 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 08, 2016.US States Travel-associated cases reported: 691Locally acquired vector-borne cases reported: 0Total: 691Sexually transmitted: 11Guillain-Barré syndrome: 2US Territories Travel-associated cases reported: 4Locally acquired cases reported: 1,301Total: 1,305Guillain-Barré syndrome: 7 Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of June 08, 2016) StatesTravel-associated cases* No. (%) (N=691)Locally acquired cases† No. (%) (N=0)Alabama2 (<1)0 (0)Arizona2 (<1)0 (0)Arkansas5 (1)0 (0)California48 (7)0 (0)Colorado4 (1)0 (0)Connecticut1 (<1)0 (0)Delaware4 (1)0 (0)District of Columbia6 (1)0 (0)Florida132 (19)0 (0)Georgia17 (3)0 (0)Hawaii10 (2)0 (0)Illinois16 (2)0 (0)Indiana7 (1)0 (0)Iowa7 (1)0 (0)Kansas2 (<1)0 (0)Kentucky6 (1)0 (0)Louisiana4 (1)0 (0)Maine6 (1)0 (0)Maryland21 (3)0 (0)Massachusetts20 (3)0 (0)Michigan7 (1)0 (0)Minnesota17 (3)0 (0)Mississippi3 (<1)0 (0)Missouri4 (1)0 (0)Montana1 (<1)0 (0)Nebraska2 (<1)0 (0)Nevada6 (1)0 (0)New Hampshire4 (1)0 (0)New Jersey17 (3)0 (0)New Mexico3 (<1)0 (0)New York164 (24)0 (0)North Carolina11 (2)0 (0)Ohio14 (2)0 (0)Oklahoma5 (1)0 (0)Oregon6 (1)0 (0)Pennsylvania23 (3)0 (0)Rhode Island4 (1)0 (0)South Carolina1 (<1)0 (0)Tennessee4 (1)0 (0)Texas40 (6)0 (0)Utah2 (<1)0 (0)Vermont1 (<1)0 (0)Virginia20 (3)0 (0)Washington4 (1)0 (0)West Virginia6 (1)0 (0)Wisconsin2 (<1)0 (0) Territories(N=4)(N=1,301)American Samoa0 (0)21 (2)Puerto Rico3 (75)1,259 (97)US Virgin Islands1 (25)21 (2)*Travelers returning from affected areas, their sexual contacts, or infants infected in utero †Presumed local mosquito-borne transmission Page last reviewed: February 4, 2016Page last updated: June 9, 2016

Woman infected with Zika in Pittsburgh lab accident Liz Szabo, USA TODAY3:07 p.m. EDT June 9, 2016(Photo: John Moore) 6CONNECTTWEET 1LINKEDINCOMMENTEMAILMOREA female lab researcher in the University of Pittsburgh area has been infected with the Zika virus from an accidental needle stick, in what federal health officials believe may be the U.S.'s first case of the disease contracted through a laboratory. The needle stick occurred May 23, according to a university statement. The woman developed symptoms of Zika June 1, including a fever. Symptoms of Zika can include fever, rash, joint pain, headache and pink eye. The university learned that the blood test was positive for Zika virus June 8. The woman's fever disappeared June 6, and she returned to work the same day, according to the University of Pittsburgh. Zika primarily spreads through the bite of infected Aedes aegypti or Aedes albopictus mosquitoes. The woman has agreed to wear long sleeves, pants and insect repellent for three weeks to prevent mosquitoes from biting her, according to the university. The woman doesn't pose a health risk to her coworkers, because the virus doesn't spread from person to person through casual contact, like a cold. Although men can transmit the virus through sex, it's not known if women can transmit the virus through sex. In order for the woman to spread the virus, an Aedes mosquito would have to bite her, incubate the virus for several days, then bite someone else, said Amesh Adalja, a senior associate the Center for Health Security at the University of Pittsburgh Medical Center who has no personal knowledge of the woman's case. A mosquito who bites an infected person is not immediately contagious. Most people face no serious risk from Zika infections. Only 20% of patients develop any symptoms, which are usually mild, according to the Centers for Disease Control and Prevention. In rare cases, Zika can cause Guillain-Barre syndrome, a type of paralysis that occurs when the body's immune system attacks the nerves. Zika also can cause devastating birth defects in fetuses. The woman's case appears to be the first time that a U.S. lab worker has been infected with Zika during the current outbreak, according to the CDC. More than 600 Americans in the continental U.S. have been infected with Zika, including 195 cases in pregnant women. All of those cases were related to travel to an outbreak area or sex with an infected traveler. More than 1,100 people have been diagnosed with Zika in Puerto Rico, including 146 pregnant women, where the disease is spreading among local mosquitoes, according to the CDC. http://www.usatoday.com/story/news/2016/06/09/woman-infected-zika-pittsburgh-area-lab-accident/85655060/

June 9, 2016 DEPARTMENT OF HEALTH DAILY ZIKA UPDATE: NO NEW 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 no new cases today. Of the cases confirmed in Florida, six 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 38, with 9 having met the previous CDC case definition. County Number of Cases (all travel related) Alachua 4 Brevard 3 Broward 19 Clay 2 Collier 2 Escambia 1 Hillsborough 4 Lee 5 Martin 1 Miami-Dade 51 Orange 11 Osceola 6 Palm Beach 8 Pasco 1 Pinellas 4 Polk 3 Santa Rosa 1 Seminole 4 St. Johns 2 Volusia 2 Total cases not involving pregnant women 134 Cases involving pregnant women regardless of symptoms* 38 *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 1,997 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 20 counties included in the declaration– Alachua, Brevard, Broward, Clay, Collier, Escambia, Hillsborough, Lee, Martin, Miami-Dade, 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.Florida currently has the capacity to test 6,015 people for active Zika virus and 1,754 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/2016/06/060916-zika-update.html

Pitt Researcher Contracts Zika Virus After Being Stuck With Needle In LabJune 9, 2016 1:50 PMFiled Under: Allgheny County, Pittsburgh, Zika, Zika Virus 16PITTSBURGH (KDKA) — A University of Pittsburgh researcher contracted the Zika virus after accidentally sticking herself with a needle. The Allegheny County Health Department confirms that she is the fourth confirmed case of Zika virus in the county. It’s a unique case because the woman did not travel to an affected area, nor was she infected through sexual transmission. Pitt says the researcher stuck herself with the needle on May 23, and then developed symptoms on June 1. “We want to remind residents that, despite this rare incident, there is still no current risk of contracting Zika from mosquitos in Allegheny County. For those traveling to countries affected by Zika, we urge caution. Pregnant women particularly should avoid travel to affected countries.” said Dr. Karen Hacker, Director of the Allegheny County Health Department.” The researcher was free of fever by June 6 and returned to work on that date. On advice of the ACHD, the researcher is complying with a request to wear long sleeves and pants and wear insect repellent for three weeks from the date of contact. The Zika virus is primarily transmitted through the bite of an infected Aedes species mosquito, which is common in warm climates. The most common symptoms of Zika are fever, rash, joint pain, and conjunctivitis (red eyes). The illness is usually mild with symptoms lasting for several days to a week, although the majority of persons infected with the virus do not have any symptoms. Join The Conversation On The KDKA Facebook Page Stay Up To Date, Follow KDKA On Twitter Zika virus infection has been linked to fetal malformations. There is no vaccine to prevent, or medicine to treat, Zika virus infection. http://pittsburgh.cbslocal.com/2016/06/09/woman-contracts-zika-after-being-stuck-with-needle-in-lab/

Pitt laboratory worker contracts Zika from needle stick Photo by Courtesy of James Gathany/CDC By Ben Schmitt | Thursday, June 9, 2016, 1:27 p.m. Email NewslettersSign up for one of our email newsletters. Updated 22 minutes ago A University of Pittsburgh researcher contracted Zika while working with the virus in a laboratory, Pitt and Allegheny County health officials reported Thursday. Officials would not identify the worker, which becomes the fourth confirmed case of Zika in the county. Pitt officials said the female researcher stuck herself with a needle May 23 while conducting an experiment with the virus. County health officials called the case unique because the person has not traveled to a Zika-affected area. Zika is generally transmitted through a bite from the Aedes aegypti species of mosquito, the primary carrier of the virus, and sexual intercourse. The worker developed symptoms of the infection June 1 and a blood sample tested positive for Zika on Wednesday, said Joe Miksch, a Pitt spokesman. “The researcher was free of fever by June 6 and returned to work on that date,” Miksch said. The Centers for Disease Control and Prevention said it is aware of the incident. “This may be the first instance where Zika has been transmitted in a laboratory during this outbreak and we want to reiterate the importance of laboratory workers adhering to our guidelines to prevent transmission in these settings,” said CDC Spokesman Tom Skinner. County officials said the worker is doing well. “We want to remind residents that, despite this rare incident, there is still no current risk of contracting Zika from mosquitoes in Allegheny County. For those traveling to countries affected by Zika, we urge caution. Pregnant women particularly should avoid travel to affected countries.” said Dr. Karen Hacker, the county health director. Pitt's Graduate School of Public Health last month launched an international alliance “Cura Zika,” with counterparts in Brazil, as a way to as a way to speed up fundraising for research into the mosquito-borne virus. The association began with about $1 million from anonymous donors and matching funds. The most common symptoms of Zika are fever, rash, joint pain, and conjunctivitis (red eyes). The illness is usually mild with symptoms lasting for several days to a week, although the majority of persons infected with the virus do not have any symptoms. Zika virus infection has been linked to birth defects. The CDC confirmed in April that Zika can cause microcephaly, a condition in which babies are born with smaller than normal heads and often improperly developed brains. There is no vaccine to prevent, or medicine to treat Zika virus infection. Local mosquito transmission of Zika has not been documented in Pennsylvania, health officials have said. The Zika virus is affecting large parts of Latin America and the Caribbean, with Brazil the hardest hit. The CDC has reported 618 cases of the virus in the United States, all of them travel-related. Nineteen of the cases have been among Pennsylvania residents. http://triblive.com/news/adminpage/10606799-74/zika-virus-county

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Health Department reports fourth confirmed case of Zika in Allegheny CountyVirus Contracted in an Isolated Lab IncidentPublished 1:05 PM EDT Jun 09, 2016NEXT STORY City rounding up couches, other 'fuel,' before possible Stanley Cup celebrations Text Size:AAA PITTSBURGH —The Allegheny County Health Department (ACHD) today reported the fourth confirmed case of the Zika virus (Zika) in the county. The person who contracted Zika is a female. This is a unique case in that the individual has not traveled to an affected area, nor was she infected through sexual transmission. She contracted the virus from a needle stick while working with the Zika virus on an experiment in a laboratory. Her symptoms have resolved and she is doing well. RELATED Pirates rout Marlins as Locke tosses shutout Pirates series in Puerto Rico moved to Miami over Zika AP source: Games in Puerto Rico likely to be moved because of Zika Liriano, Jaso help Pirates win 6th straight, beat Reds First Allegheny County resident tests positive for Zika virus“We want to remind residents that, despite this rare incident, there is still no current risk of contracting Zika from mosquitos in Allegheny County. For those traveling to countries affected by Zika, we urge caution. Pregnant women particularly should avoid travel to affected countries.” said Dr. Karen Hacker, Director of the Allegheny County Health Department.” The Zika virus is primarily transmitted through the bite of an infected Aedes species mosquito, which is common in warm climates. The most common symptoms of Zika are fever, rash, joint pain, and conjunctivitis (red eyes). The illness is usually mild with symptoms lasting for several days to a week, although the majority of persons infected with the virus do not have any symptoms. Zika virus infection has been linked to fetal malformations. There is no vaccine to prevent, or medicine to treat, Zika virus infection. While local mosquito transmission of Zika has not been documented in Allegheny County or Pennsylvania, residents are still urged to protect themselves from insect borne infections as the weather gets warmer. Insect repellant containing DEET should be used, and removing standing water from property can also help to alleviate mosquito breeding. Ongoing updates on additional confirmed cases will be posted on the Health Department’s website. Additional resources, including links to the PA Department of Health and the Centers for Disease Control and Prevention, may also be found on the site. The page also contains information on the number of residents tested, and the number of confirmed cases of the virus. A total of 109 residents have been approved for Zika testing to date. Individuals who have traveled to affected areas who have symptoms of Zika or are pregnant should contact their primary physician, or may call the Allegheny County Health Department at 412-687-ACHD (2243).

The Allegheny County Health Department (ACHD) today reported the fourth confirmed case of the Zika virus (Zika) in the county. The person who contracted Zika is a female. This is a unique case in that the individual has not traveled to an affected area, nor was she infected through sexual transmission. She contracted the virus from a needle stick while working with the Zika virus on an experiment in a laboratory. Her symptoms have resolved and she is doing well. http://www.wtae.com/news/health-department-reports-fourth-confirmed-case-of-zika-in-allegheny-county/39979962

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Zika virus cases in Canada, as of June 9, 2016 http://www.healthycanadians.gc.ca/diseases-conditions-maladies-affections/disease-maladie/zika-virus/surveillance-eng.php?id=zikacases#s1 CountryLocally acquired through sexual transmissionTravel-relatedCanada1114