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As of June 8, 2016 there is one confirmed travel-associated case of Zika virus in South Carolina.

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Confirmed Zika Casesin Oregon, 2016As of 6/7/2016 Travel-associated cases: 8Oregon mosquito-acquired cases: 0Total: 8 https://public.health.oregon.gov/newsadvisories/Pages/zika.aspx

Confirmed Zika Cases in Oregon, 2016As of 6/7/2016 Travel-associated cases: 8 Oregon mosquito-acquired cases: 0 Total: 8

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Zika Cases in New Jersey New Jersey County Confirmed Travel-Related Cases Bergen 7 Burlington 3 Morris 2 Passaic 2 Essex 1 Monmouth 1 Camden 1 Hunterdon 1 Union 1 Hudson 1 TOTAL 20 Last Updated: June 7, 2016 http://www.nj.gov/health/cd/zika/case_count.shtml

Zika Cases in New Jersey New Jersey County Confirmed Travel-Related Cases Bergen 7 Burlington 3 Morris 2 Passaic 2 Essex 1 Monmouth 1 Camden 1 Hunterdon 1 Union 1 Hudson 1 TOTAL 20 Last Updated: June 7, 2016

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As of June 7, 201618 confirmed travel-related Zika cases in Georgia http://dph.georgia.gov/

As of June 7, 201618 confirmed travel-related Zika cases in Georgia

TABLE I. Provisional cases of selected* infrequently reported notifiable diseases (<1,000 cases reported during the preceding year), United States, week ending June 4, 2016 (WEEK 22)† Disease Total cases reported for previous years Current weekCum 20165-year weekly average§20152014201320122011States reporting cases during current week (No.22) Anthrax-------1 Arboviral diseases ¶,**: Chikungunya virus ††-403897NNNNNNNN Eastern equine encephalitis virus--0688154 Jamestown Canyon virus §§--011112223 La Crosse virus §§--055808578130 Powassan virus-117812716 St. Louis encephalitis virus--02310136 Western equine encephalitis virus-------- Botulism, total1543195161152168153 foodborne-40371542724 infant145213812713612397OH (1 ) other(wound & unspecified)-502019121832 Brucellosis1412127929911479AR (1 ) Chancroid-7011--158 Cholera--0125141740 Cyclosporiasis **1166645388784123151CA (1 ) Diphtheria----1-1- Haemophilus influenzae, invasive disease (age <5 yrs) ¶¶: serotype b-702940313014 nontypeable serotype175315012814111593TX (1 ) other serotype-502128266233263230 unknown serotype392419939343748FL (1 ), TN (1 ), OK (1 ) Hansen's disease **21918888818282NYC (1 ), PA (1 ) Hantavirus Infections **: Hantavirus infection (non-HPS) ††-1-1NNNNNNNN Hantavirus pulmonary syndrome (HPS)-411732213023 Hemolytic uremic syndrome, post-diarrheal **2615273250329274290KS (1 ), TN (1 ) Hepatitis B, virus infection perinatal212137474840NPAL (2 ) Influenza-associated pediatric mortality **, ***270113014116052118FL (1 ), TX (1 ) Leptospirosis **-1603838NNNNNN Listeriosis117613766769735727870PA (1 ) Measles †††2281618866718755220FL (1 ), AZ (1 ) Meningococcal disease, invasive §§§: serogroup ACWY-433105123142161257 serogroup B-3221048999110159 other serogroup-602025172020 unknown serogroup3814143196298260323PA (1 ), VA (1 ), CA (1 ) Novel influenza A virus infections ¶¶¶-20632131314 Plague--01310443 Poliomyelitis, paralytic-----1-- Polio virus infection, nonparalytic **-------- Psittacosis **-2048622 Q fever total **:-344156168170135134 acute-303122132137113110 chronic-403436332224 Rabies, human--011216 SARS CoV-------- Smallpox-------- Streptococcal toxic shock syndrome **-1154335259224194168 Syphilis, congenital ****-1168489458348322360 Toxic shock syndrome (staphylococcal) **11216459716578TN (1 ) Trichinellosis **1501114221815TX (1 ) Tularemia-278314180203149166 Typhoid fever21067367349338354390VA (1 ), SC (1 ) Vancomycin-intermediate Staphylococcus aureus**-43318421224813482 Vancomycin-resistant Staphylococcus aureus **------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 infection1632-NNNNNNNNNNCO (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=22&mmwr_table=1&request=Submit&mmwr_location=

2015 Zika cases were 56: Zika ††,§§§§ Zika virus congenital infectionNANANANNNNNNNNNN Zika virus disease, non-congenital infection1632-NNNNNNNNNNCO (1 )

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Table: Travel History of Patients with Positive Test Results byZika Affected Country or Territory Visited - Connecticut, February 15 - June 7, 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 Republic9 9 El Salvador 11 Haiti123 Honduras2 2 Mexico 11 Puerto Rico 2 2Total 15 722

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 7, 2016 Table: Travel History of Patients with Positive Test Results byZika Affected Country or Territory Visited - Connecticut, February 15 - June 7, 2016 Countries/Territories VisitedZika Positive Flavivirus Positive* Total Aruba 11 Brazil 11 Colombia112 Dominican Republic9 9 El Salvador 11 Haiti123 Honduras2 2 Mexico 11 Puerto Rico 2 2Total 15 722 *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 7, 2016 Tests Performed for Diagnosis of Zika Virus Infection

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Laboratory-confirmed travel-related cases of Zika virus in Ontario^ as of June 7, 2016Number of laboratory-confirmed*casesCountries of Travel§68*Aruba, Barbados, Brazil, Columbia, Costa Rica, Dominican Republic, El Salvador, Guatemala, Guyana, Haiti, Honduras, Jamaica, Martinique, French West Indies, Mexico, Nicaragua, Panama, South Caribbean, Venezuela*Note: One of the 68 laboratory-confirmed cases of Zika virus in Ontario is non-travel related. http://health.gov.on.ca/en/public/publications/disease/zika.aspx

Laboratory-confirmed travel-related cases of Zika virus in Ontario^ as of June 7, 2016Number of laboratory-confirmed*casesCountries of Travel§68*Aruba, Barbados, Brazil, Columbia, Costa Rica, Dominican Republic, El Salvador, Guatemala, Guyana, Haiti, Honduras, Jamaica, Martinique, French West Indies, Mexico, Nicaragua, Panama, South Caribbean, Venezuela*Note: One of the 68 laboratory-confirmed cases of Zika virus in Ontario is non-travel related.

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June 8, 2016 DEPARTMENT OF HEALTH DAILY ZIKA UPDATE: ONE NEW TRAVEL-RELATED CASE TODAY IN ORANGE COUNTY 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 is one new travel-related case today in Orange County. Of the cases confirmed in Florida, eight 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 1,989 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 6,056 people for active Zika virus and 1,775 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/2016/06/060816-zika-update.html

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.

Tue Jun 7, 2016 2:24pm EDTRelated: SPORTS, HEALTH, BRAZILWHO to consider new evidence on Zika, Olympics next weekGENEVA/CHICAGO | BY STEPHANIE NEBEHAY AND JULIE STEENHUYSEN left3 of 3right2016 Rio Olympics Chief Medical Officer Joao Grangeiro speaks during a briefing on Zika virus for international media in Rio de Janeiro, Brazil, June 7, 2016.REUTERS/SERGIO MORAESleft1 of 3right left2 of 3right left3 of 3right left1 of 3rightThe World Health Organization said on Tuesday it will convene experts next week to discuss the Zika outbreak, including its impact on the Rio Olympics, as new research suggests only a slight risk that more tourists will be infected at the Games. The emergency meeting set for June 14 will be the WHO's third regarding the Zika virus outbreak. Such panels are required to meet every three months to review new evidence and consider whether Zika and its ability to cause a rare birth defect should still be classified as an international health emergency. The meeting comes amid intensifying concerns over holding the Olympics in Brazil, the country hardest hit by Zika. Brazilian authorities have confirmed more than 1,400 cases of microcephaly in babies whose mothers were exposed to Zika during pregnancy. The WHO has advised that pregnant women avoid travel to Zika outbreak areas and that men who have been infected by or exposed to the virus practice safe sex, or abstain from sex, for up to six months. The group of independent experts, who declared an international emergency on Feb. 1 and last convened on March 8, will "look at evidence around the Olympics and most likely review the travel guidance around that," WHO spokesman Christian Lindmeier said. A letter signed by more than 200 bioethicists and health experts has called for the WHO to recommend postponing or moving the Olympics to prevent an acceleration of the epidemic's spread. WHO has rejected the call, saying the Games would not have a significant public health impact. But last week, the agency said it would take up the issue during its emergency committee meeting. "The role of the emergency committee is to review all new science and all new evidence which has come in over the past months and to review their own recommendations, to make new recommendations or give out new guidance," Lindmeier told a news briefing. Several risk experts are predicting that a very small number of travelers to the Olympics would be infected with Zika. The event begins on Aug. 5, during Brazil's winter, when mosquito activity is low. Experts at the U.S. Centers for Disease Control and Prevention, for example, project the Olympics would contribute a 0.25 percent increase in the overall risk of disease spread from travel to and from areas with active Zika transmission. NEW DATA Dr. David Heymann, chair of Britain's Health Protection Agency and leader of the WHO panel of independent experts on Zika, told Reuters last week that postponing the Olympics would create a false sense of security, because travelers are constantly going in and out of Brazil. Brazilian authorities have sought to allay concerns over the Games as well. The local organizing committee for the Olympics said on Tuesday it has not registered a single case of Zika among 17,000 athletes, volunteers and staff during recent test events in Brazil. Scientists are telling the WHO that the risk of global spread of the virus is "not significantly higher" as a consequence of the Games, Lindmeier said. "Of course there is a lot of international concern out there, there is a lot of personal concern out there because it's a new disease," he said. "And the best way for us to react to emotional concerns is to look at our deep science and to give clear guidance as good as we can." New projections obtained by Reuters suggest the risk is small. One Sao Paulo-based research group predicted the Rio Olympics would result in no more than 15 Zika infections among the foreign visitors expected to attend the event. Although Zika causes mild disease in most individuals, it can cause devastating birth defects in babies whose mothers become infected during pregnancy. As a result, all experts say that pregnant women should avoid travel to any country with active Zika transmission. Savannah Guthrie, co-anchor of the popular "Today" show on U.S. television network NBC, plans to heed that advice. She said on Tuesday she is pregnant and will not travel to Brazil to cover the Olympics for NBC due to concerns over Zika. For those who plan to attend the Olympics, WHO and the CDC have recommended precautions to avoid bringing the virus back home where it might be picked up by local mosquitoes and then infect other people. These include wearing protective clothing and using insect repellent. (Reporting by Julie Steenhuysen in Chicago and Stephanie Nebehay in Geneva; Additional reporting by Anna Driver in New York, Paulo Prada in Rio de Janeiro, Nivedita Shankar in Bengaluru; Editing by Michele Gershberg and Bernard Orr) http://www.reuters.com/article/us-olympics-rio-zika-idUSKCN0YT2BA