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Zika virus cases in Canada, as of June 9, 2016CountryLocally acquired through sexual transmissionTravel-relatedCanada1114

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Table 3. Countries, territories and areas reporting microcephaly and /or CNS malformation cases potentially associated with Zika virus infection Reporting country or territory Number of microcephaly and /or CNS malformation cases suggestive of congenital infections or potentially associated with a Zika virus infection Probable location of infection Brazil 15516 Brazil Cabo Verde 6 Cabo Verde Colombia 7 Colombia French Polynesia 8 French Polynesia Marshall Islands 1 Marshall Islands Martinique 4 7 Martinique Panama 5 Panama Puerto Rico 1 Puerto Rico Slovenia8 1 Brazil Spain 1 Colombia United States of America9,10 2 Brazil; Mexico, Belize or Guatemala (undetermined)

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Table 3. Countries, territories and areas reporting microcephaly and /or CNS malformation cases potentially associated with Zika virus infection Reporting country or territory Number of microcephaly and /or CNS malformation cases suggestive of congenital infections or potentially associated with a Zika virus infection Probable location of infection Brazil 15516 Brazil Cabo Verde 6 Cabo Verde Colombia 7 Colombia French Polynesia 8 French Polynesia Marshall Islands 1 Marshall Islands Martinique 4 7 Martinique Panama 5 Panama Puerto Rico 1 Puerto Rico Slovenia8 1 Brazil Spain 1 Colombia United States of America9,10 2 Brazil; Mexico, Belize or Guatemala (undetermined) http://apps.who.int/iris/bitstream/10665/208877/1/zikasitrep_9Jun2016_eng.pdf

Summary As of 8 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 8 June 2016, no new country reported mosquito-borne or person-to-person Zika virus transmission.As of 8 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 eleven countries or territories. Three of those reported microcephaly borne from mothers with a recent travel history to Brazil (Slovenia, United States of America) and Colombia (Spain), for one additional case the precise country of travel in Latin America is not determined.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.As of 8 June, Cabo Verde has reported a total of six cases of microcephaly and other neurological abnormalities with serological indication of previous Zika infection.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

Zika situation report9 June 2016Zika virus, Microcephaly and Guillain-Barré syndromeRead the full situation reporthttp://www.who.int/emergencies/zika-virus/situation-report/9-june-2016/en/

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Maryland Confirmed Zika Virus Infections (As of June 8, 2016) Travel-AssociatedLocally Acquired Vector-BorneTotal21021http://phpa.dhmh.maryland.gov/Pages/Zika.aspx

Maryland Confirmed Zika Virus Infections (As of June 8, 2016) Travel-AssociatedLocally Acquired Vector-BorneTotal21021

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As of Thursday, June 9, 2016, VDH has reported 25 cases of Zika virus disease in Virginia residents to the CDC (3 in Northwest Region, 14 in Northern Region, 1 in Eastern Region, 5 in Central Region and 2 in Southwest Region). CDC has issued a travel alert (Level 2-Practice Enhanced Precautions) for people traveling to regions and certain countries where Zika virus transmission is ongoing. http://www.vdh.virginia.gov/epidemiology/zika-virus-update/

As of Thursday, June 9, 2016, VDH has reported 25 cases of Zika virus disease in Virginia residents to the CDC (3 in Northwest Region, 14 in Northern Region, 1 in Eastern Region, 5 in Central Region and 2 in Southwest Region). CDC has issued a travel alert (Level 2-Practice Enhanced Precautions) for people traveling to regions and certain countries where Zika virus transmission is ongoing.

Zika virus swamps embattled Puerto RicoPublished June 09, 2016 The Wall Street JournalFacebook0 Twitter15 livefyre Email Print People read information on Zika virus and other mosquito-borne diseases at the Department of Health in San Juan, January 27, 2016. Puerto Rico is to release a report on Zika cases on the island this week which will show that around 18 cases are confirmed, the U.S. territory's health secretary Ana Rius told reporters on Tuesday. REUTERS/Alvin Baez - RTX24BP6 SAN JUAN, Puerto Rico—The Zika virus is creeping north toward the continental U.S., and Alberto de la Vega has started to detect its signs. In ultrasounds he gives pregnant women who are infected with the virus in this American territory, he has seen a 22-week-old fetus with serious brain damage and two others with stunted growth. He is bracing for more. “If you ask me in a month,” says Dr. de la Vega, an obstetrician-gynecologist and chief of a high-risk-pregnancy unit at the capital’s University Hospital, “we may have 10 times the detection rate.” Zika has blanketed three-quarters of this lush island over the past six months, say health authorities, who expect it to keep spreading now that it is prime mosquito season. More than 1,350 people have tested positive for Zika since the beginning of the epidemic here, including 168 pregnant women. One patient died. Thousands more are likely infected without symptoms, health authorities say.

The Zika virus is creeping north toward the continental U.S., and Alberto de la Vega has started to detect its signs. In ultrasounds he gives pregnant women who are infected with the virus in this American territory, he has seen a 22-week-old fetus with serious brain damage and two others with stunted growth. He is bracing for more. “If you ask me in a month,” says Dr. de la Vega, an obstetrician-gynecologist and chief of a high-risk-pregnancy unit at the capital’s University Hospital, “we may have 10 times the detection rate.” http://www.foxnews.com/health/2016/06/09/zika-virus-swamps-embattled-puerto-rico.html

Officials confirm case of Zika virus in Albany CountyBy Noel McLarenPublished: June 8, 2016, 11:49 am Updated: June 8, 2016, 8:35 pmClick to share on Twitter (Opens in new window) Click to share on Google+ (Opens in new window) Share on Facebook (Opens in new window) Click to share on Pinterest (Opens in new window) Related CoverageGov. Cuomo announces multi-platform Zika awareness campaign Vermont traveler confirmed to have Zika virus UN asking expert panel to assess Zika risk at Rio Olympics New Jersey doc: Baby born to mom with Zika looks ‘affected’ US cyclist withdraws from Rio consideration citing Zika Urine test could simplify Zika virus detection ALBANY, N.Y. (NEWS10) – There are currently 189 recorded cases of the Zika virus in New York State. New York City has the most at 135 cases. Until Thursday, a case of Zika virus in Schenectady County was the only case in the Capital Region. But officials confirmed a case had been diagnosed in Albany County. The New York State Health Department said the affected woman had recently traveled to a Zika affected region. They said she is not pregnant, which is an important concern since Zika can impact the brain development of an unborn baby. Local doctors told NEWS10 ABC they were not too concerned about the newest case in Albany County. “You should be more worried about going onto the Northway and getting hit by a drunk driver,” pediatrician Dr. James Saperstone said. Saperstone said he won’t be concerned until mosquitoes carrying Zika are found in the United States. “No one in this area, or really any area of this country, needs to worry about being bitten by a mosquito that carries the virus because we don’t have any evidence that the virus has infected mosquitoes that are in this country,” he said. Saperstone also said there is a low likelihood of Zika-carrying mosquitoes coming to the Capital Region. “The type of mosquito is very sensitive to cold weather, and we think that mosquito won’t go past New York City,” he said. But Saperstone urged that anyone who is planning to have a family or is already pregnant to avoid traveling to Zika infected countries. If you have already made the trip, he suggested getting tested for the virus since it’s difficult to detect. Studies also show Zika may also be transmitted sexually. Saperstone said to always use protection if you are being intimate with someone who visited an area affected by the virus. “Use protection,” he said. “We know that it’s transmitted by blood, and generally infectious diseases that are transmitted by blood can be transmitted through sexual contact, so it’s common sense.” The areas that have the mosquitoes carrying the virus include the Caribbean, parts of Central America and South America, and the Pacific Islands. New York State has also established a Zika Information Helpline (1-888-364-4723), and a dedicated informational website. Zika cases by county/area:NYC: 135Albany: 1Dutchess: 3Erie: 1Lewis: 1Monroe: 2Nassau: 13Niagara: 1Oneida: 2Onondaga: 2Ontario: 1Orange: 1Putnam: 1Rockland: 2Schenectady: 1Suffolk: 16Tompkins: 1Westchester: 5http://news10.com/2016/06/08/officials-confirm-case-of-zika-virus-in-albany-county/

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Wisconsin Annual Summary Data - 2016Updated June 8, 2016 https://www.dhs.wisconsin.gov/arboviral/zika.htm Confirmed Zika virus cases4Probable* Zika virus cases1Completed testing - Total429* Probable cases have presumptive positive laboratory results without confirmatory CDC testing

Wisconsin Annual Summary Data - 2016Updated June 8, 2016Confirmed Zika virus cases4Probable* Zika virus cases1Completed testing - Total429* Probable cases have presumptive positive laboratory results without confirmatory CDC testing

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Zika Confirmed Cases County Cases* Chelan1Clallam1Cowlitz 1King2Mason1Washington State Total 6* Confirmed travel-associated cases in WA as of 6/8/16 http://www.doh.wa.gov/YouandYourFamily/IllnessandDisease/ZikaVirus

Zika Confirmed Cases County Cases* Chelan1Clallam1Cowlitz 1King2Mason1Washington State Total 6* Confirmed travel-associated cases in WA as of 6/8/16