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Zika virus cases in Canada, as of June 2, 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-relatedCanada1109

Zika virus cases in Canada, as of June 2, 2016CountryLocally acquired through sexual transmissionTravel-relatedCanada1109

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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of June 01, 2016) http://www.cdc.gov/zika/geo/united-states.html StatesTravel-associated cases* No. (%) (N=618)Locally acquired cases† No. (%) (N=0)Alabama2 (<1)0 (0)Arizona3 (1)0 (0)Arkansas4 (1)0 (0)California44 (7)0 (0)Colorado2 (<1)0 (0)Connecticut1 (<1)0 (0)Delaware3 (1)0 (0)District of Columbia6 (1)0 (0)Florida128 (21)0 (0)Georgia17 (3)0 (0)Hawaii8 (1)0 (0)Illinois16 (3)0 (0)Indiana7 (1)0 (0)Iowa6 (1)0 (0)Kansas2 (<1)0 (0)Kentucky5 (1)0 (0)Louisiana4 (1)0 (0)Maine5 (1)0 (0)Maryland19 (3)0 (0)Massachusetts17 (3)0 (0)Michigan6 (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 Jersey14 (2)0 (0)New Mexico1 (<1)0 (0)New York130 (21)0 (0)North Carolina12 (2)0 (0)Ohio12 (2)0 (0)Oklahoma4 (1)0 (0)Oregon6 (1)0 (0)Pennsylvania19 (3)0 (0)Rhode Island4 (1)0 (0)South Carolina1 (<1)0 (0)Tennessee4 (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 01, 2016) http://www.cdc.gov/zika/geo/united-states.html StatesTravel-associated cases* No. (%) (N=618)Locally acquired cases† No. (%) (N=0)Alabama2 (<1)0 (0)Arizona3 (1)0 (0)Arkansas4 (1)0 (0)California44 (7)0 (0)Colorado2 (<1)0 (0)Connecticut1 (<1)0 (0)Delaware3 (1)0 (0)District of Columbia6 (1)0 (0)Florida128 (21)0 (0)Georgia17 (3)0 (0)Hawaii8 (1)0 (0)Illinois16 (3)0 (0)Indiana7 (1)0 (0)Iowa6 (1)0 (0)Kansas2 (<1)0 (0)Kentucky5 (1)0 (0)Louisiana4 (1)0 (0)Maine5 (1)0 (0)Maryland19 (3)0 (0)Massachusetts17 (3)0 (0)Michigan6 (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 01, 2016) http://www.cdc.gov/zika/geo/united-states.html StatesTravel-associated cases* No. (%) (N=618)Locally acquired cases† No. (%) (N=0)Alabama2 (<1)0 (0)Arizona3 (1)0 (0)Arkansas4 (1)0 (0)California44 (7)0 (0)Colorado2 (<1)0 (0)Connecticut1 (<1)0 (0)Delaware3 (1)0 (0)District of Columbia6 (1)0 (0)Florida128 (21)0 (0)Georgia17 (3)0 (0)Hawaii8 (1)0 (0)Illinois16 (3)0 (0)Indiana7 (1)0 (0)Iowa6 (1)0 (0)Kansas2 (<1)0 (0)Kentucky5 (1)0 (0)Louisiana4 (1)0 (0)Maine5 (1)0 (0)Maryland19 (3)0 (0)Massachusetts17 (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 01, 2016) http://www.cdc.gov/zika/geo/united-states.html StatesTravel-associated cases*No. (%)(N=618)Locally acquired cases†No. (%)(N=0)Alabama2 (<1)0 (0)Arizona3 (1)0 (0)Arkansas4 (1)0 (0)California44 (7)0 (0)Colorado2 (<1)0 (0)Connecticut1 (<1)0 (0)Delaware3 (1)0 (0)District of Columbia6 (1)0 (0)Florida128 (21)0 (0)Georgia17 (3)0 (0)Hawaii8 (1)0 (0)Illinois16 (3)0 (0)Indiana7 (1)0 (0)

As of June 01, 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 01, 2016.US States Travel-associated cases reported: 618Locally acquired vector-borne cases reported: 0Total: 618Sexually transmitted: 11Guillain-Barré syndrome: 1US Territories Travel-associated cases reported: 4Locally acquired cases reported: 1,110Total: 1,114Guillain-Barré syndrome: 8 Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of June 01, 2016) StatesTravel-associated cases* No. (%) (N=618)Locally acquired cases† No. (%) (N=0)Alabama2 (<1)0 (0)Arizona3 (1)0 (0)Arkansas4 (1)0 (0)California44 (7)0 (0)Colorado2 (<1)0 (0)Connecticut1 (<1)0 (0)Delaware3 (1)0 (0)District of Columbia6 (1)0 (0)Florida128 (21)0 (0)Georgia17 (3)0 (0)Hawaii8 (1)0 (0)Illinois16 (3)0 (0)Indiana7 (1)0 (0)Iowa6 (1)0 (0)Kansas2 (<1)0 (0)Kentucky5 (1)0 (0)Louisiana4 (1)0 (0)Maine5 (1)0 (0)Maryland19 (3)0 (0)Massachusetts17 (3)0 (0)Michigan6 (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 Jersey14 (2)0 (0)New Mexico1 (<1)0 (0)New York130 (21)0 (0)North Carolina12 (2)0 (0)Ohio12 (2)0 (0)Oklahoma4 (1)0 (0)Oregon6 (1)0 (0)Pennsylvania19 (3)0 (0)Rhode Island4 (1)0 (0)South Carolina1 (<1)0 (0)Tennessee4 (1)0 (0)Texas36 (6)0 (0)Utah2 (<1)0 (0)Vermont1 (<1)0 (0)Virginia18 (3)0 (0)Washington4 (1)0 (0)West Virginia6 (1)0 (0)Wisconsin2 (<1)0 (0) Territories(N=4)(N=1,110)American Samoa0 (0)17 (2)Puerto Rico3 (75)1,072 (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 2, 2016Content source: Centers for Disease Control and Prevention National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) Division of Vector-Borne Diseases (DVBD)

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Zika Confirmed Cases County Cases* Clallam1Cowlitz 1King 2Mason1Washington State Total 5* Confirmed travel-associated cases in WA as of 6/1/16 http://www.doh.wa.gov/YouandYourFamily/IllnessandDisease/ZikaVirus

Zika Confirmed Cases County Cases* Clallam1Cowlitz 1King 2Mason1Washington State Total 5* Confirmed travel-associated cases in WA as of 6/1/16

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As of Thursday, June 2, 2016, VDH has reported 20 cases of Zika virus disease in Virginia residents to the CDC (2 in Northwest Region, 11 in Northern Region, 1 in Eastern Region, 4 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 2, 2016, VDH has reported 20 cases of Zika virus disease in Virginia residents to the CDC (2 in Northwest Region, 11 in Northern Region, 1 in Eastern Region, 4 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.

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Maryland Confirmed Zika Virus Infections (As of June 1, 2016) Travel-AssociatedLocally Acquired Vector-BorneTotal19019 http://phpa.dhmh.maryland.gov/Pages/Zika.aspx

Maryland Confirmed Zika Virus Infections (As of June 1, 2016) Travel-AssociatedLocally Acquired Vector-BorneTotal19019

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Zika Virus Update:http://doh.dc.gov/publication/zika-virus-information Last Update: DC Human Cases Related to International TravelLocally Acquired Mosquito Borne CasesDaily (5 pm EST) 6 0

Zika Virus Update: Last Update: DC Human Cases Related to International TravelLocally Acquired Mosquito Borne CasesDaily (5 pm EST) 6 0