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Newborn Hackensack girl plus: Zika Cases in New Jersey New Jersey County Confirmed Travel-Related Cases Bergen 7 Passaic 3 Morris 2 Hudson 1 Camden 1 Burlington 2 Union 1 Essex 1 TOTAL 18

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THREE new cases were reported today. The total is 183, including 53 outside of NYC. NYC 130 Dutchess 3 Erie 1 Lewis 1 Monroe 2 Nassau 13 Niagara 1 Oneida 2 Onondaga 2 Ontario 1 Orange 1 Putnam 1 Rensselaer 1 Rockland 2 Schenectady 1 Suffolk 16 Tompkins 1 Westchester 4

Zika Cases in New Jersey New Jersey County Confirmed Travel-Related Cases Bergen 7 Passaic 3 Morris 2 Hudson 1 Camden 1 Burlington 2 Union 1 Essex 1 TOTAL 18

Baby born in U.S. to mother infected with Zika has birth defectsA 9-months-old infant, who was born with microcephaly, is held by his mother Mylene on May 29, 2016 in Recife, Brazil (Mario Tama/Getty Images)Ann M. Simmons As Dr. Abdulla Al-Khan pulled the baby from the womb of her mother, he was overcome with emotion. The infant girl was suffering from severe microcephaly, a rare condition linked to Zika virus in which babies are born with unusually small heads. She also exhibited other physical deficiencies. Tests had revealed there were problems with the child, but that did little to prepare Al-Khan for the girl’s arrival. “The baby cried as much as tears came down my eyes,” said Al-Khan, director of the division of maternal fetal medicine and surgery at the Hackensack University Medical Center in New Jersey. “It touched me. As much as I was mentally prepared for this, I was emotionally devastated in the operating room. It just crushed me.” Dr. Abdulla Al-Khan, the doctor who delivered the second known case of a baby born with Zika-related birth defects in the U.S. (AP Photo/Frank Franklin II)The infant, born Tuesday to a Honduran woman who doctors said was infected by the Zika virus, is the second known case of a baby born with Zika-related birth defects in the U.S. The first was born earlier this year in Hawaii to a mother who health officials said had probably contracted the disease while living in Brazil last year, according to local health officials. The mother in the New Jersey case, whose identity has not been released, was visiting the United States and had contracted Zika overseas after being bitten by a mosquito, according to the hospital. Zika is transmitted to people mainly through the bite of an infected Aedes aegypti mosquito, which also spreads diseases such as dengue and yellow fever, according to the U.S. Centers for Disease Control and Prevention. Sexual transmission of Zika from a male partner is also possible, according to the heath agency. The virus has swept several South and Central American countries, including Honduras, one of the poorest countries in Latin America, where in February officials declared a state of emergency after Zika cases soared to more than 3,600, according to local health officials. The Zika-transferring Aedes aegypti mosquito (AP Photo/Felipe Dana)Al-Khan, an obstetrician-gynecologist, said the mother came to the medical center’s Donna A. Sanzari Women’s Hospital on Friday. Doctors performed ultrasound exams and “became concerned that there could be an issue with the baby,” Al-Khan said. The tests revealed that the baby had abnormalities including severe microcephaly, calcification of the brain, bowel problems and restricted growth, he said. The hospital suspected that the woman, who was 35 weeks pregnant, might have contracted Zika, a diagnosis that the CDC confirmed, Al-Khan said. The health agency had been sent a sample of the woman’s blood for testing while she was still in Honduras, the doctor said. It was unclear who sent the blood sample, but “we were very glad the CDC was able to confirm,” he said. Doctors determined that to save the baby’s life they would have perform a caesarean section. Al-Khan said the mother’s life was never at risk. “It’s been a very, very difficult time for her,” Al-Khan said. Chasing an epidemic: On the road with Brazil's Zika detectives Honduras is among at least a half a dozen Latin American and Caribbean countries that outlaw abortion with no exceptions, not even to save a woman’s life, according to reproductive rights advocacy groups. The CDC puts the number of Zika infection cases at 591 nationwide, with 16 of them in New Jersey. All the cases are related to travel that originated overseas, according to the agency. Eleven of the total number of Zika cases were transmitted sexually. As of May 19, there were more than 300 pregnant women infected with Zika across the United States and its territories, including Puerto Rico, according to a national pregnancy registry that is monitoring the expectant mothers. The CDC has warned pregnant women against traveling to areas where Zika virus transmission is ongoing. “The take-home message is that it is time for us as a nation … to do every single thing possible to bring a halt to Zika infection,” Al-Khan said. “This should be an awakening call.” http://www.latimes.com/nation/la-na-zika-baby-20160601-snap-story.html

Baby with Zika-linked microcephaly born in New JerseyFiled Under: ZikaLisa Schnirring | News Editor | CIDRAP News | Jun 01, 2016Share Tweet LinkedIn Email Print & PDFbaby_foot_incubator.jpgkittimages / iStockA Honduran woman infected with Zika virus delivered a baby girl with microcephaly yesterday at a New Jersey hospital, the second such case to be reported in the United States. In other developments, experts from the US Centers for Disease Control and Prevention (CDC) yesterday estimated that more than 216 million traveler-visits are made to the United States each year from Zika-hit countries. Ultrasound revealed birth defectsThe 31-year-old woman was diagnosed in her home country, with test results confirmed by the CDC, then traveled to New Jersey, where she has family, for further treatment, the Associated Press (AP) reported today, citing Abdulla Al-Kahn, MD, director of maternal-fetal medicine at Hackensack University Medical Center, where the woman delivered a baby girl by cesarean section. An ultrasound early in the woman's pregnancy was normal, but a repeat test last week showed birth defects, including microcephaly, Al-Kahn told the AP. He said further testing is needed to confirm the findings in the infant. In January, health officials in Hawaii announced a Zika-linked microcephaly case, the nation's first, involving a baby born to a woman who had lived in Brazil, the outbreak's epicenter, early in her pregnancy. Then in the middle of May, Puerto Rico—one of the areas reporting local transmission—reported its first suspected Zika-linked microcephaly, based on fetal ultrasound findings. The woman turned the fetus over to authorities, and it's not clear if she miscarried or ended her pregnancy. The CDC in February reported on nine pregnant travelers from the United States who had lab-confirmed Zika infections, with outcomes that ranged from early miscarriages to one severe microcephaly case to two healthy pregnancies. Two of the pregnancies were continuing without any known complications. In its latest update on Zika infections in US pregnant women, the CDC said 310 cases have been reported so far, 168 on the US mainland and 142 from affected US territories, most of them in Puerto Rico. Travel patterns between US and Zika zonesThe CDC's estimates of passenger visits from areas reporting local Zika transmission are based on the list of 33 countries and 3 territories that were on the travel notice list as of Mar 8 and data on travel by land, sea, and air for 2014 and 2015. The team detailed its findings yesterday in Public Library of Science (PLoS) Currents Outbreaks. The investigators also made estimates for other patterns, such as cruise trips departing from the United States to destinations reporting Zika transmission. The top five destinations were Mexico, St. Marten, St. Thomas, Jamaica, and Haiti. States with the largest number of arrivals from Zika-affected areas were Texas, by land, and Florida, by sea and air. Of the 216 million annual journeys from Zika areas to the United States, an estimated 51.7 million involved childbearing-aged women, and 2.3 million involved pregnant women. Providing an analysis of travel patterns can be useful for targeting public health interventions and directing resources, the authors concluded. See also: Jun 1 AP story Feb 26 CIDRAP News story "CDC notes Zika in 9 pregnant women, cases of sexual transmission" May 13 CIDRAP News story "CDC funds Zika-risk areas as Puerto Rico reports microcephaly" May 31 PLoS Curr Outbreak report http://www.cidrap.umn.edu/news-perspective/2016/06/baby-zika-linked-microcephaly-born-new-jersey

First baby with Zika-linked microcephaly born in continental USCENTERS FOR DISEASE CONTROL AND PREVENTION Ababy has been born in New Jersey with birth defects believed to be caused by the Zika virus, news outlets in the state reported Tuesday. If confirmed, it would be the first such case in the continental United States. The baby girl was born Tuesday to a woman who was vacationing in the country. Her nationality has not been confirmed, but Foxnews.com reported that the woman had contracted Zika in Honduras and had received prenatal care there. It appears that testing has not yet been done to confirm that the infant’s microcephaly was caused by a Zika infection. Microcephaly — an abnormally small head and often an under-developed brain — can be caused by a number of exposures during pregnancy. Several other viruses can cause the condition, as can alcohol consumption during pregnancy. The Centers for Disease Control and Prevention said Wednesday they will test samples to determine if evidence of Zika infection is present in this case. “CDC is aware of media reports of a case of microcephaly in an infant born in a hospital in New Jersey to a woman who had previously tested positive for Zika virus infection,” the agency told STAT in an email. “We are working with the New Jersey Department of Health and will perform confirmatory testing for Zika infection in the infant after samples are received. We are not able to provide further information at this time.” Other babies have been born with Zika-linked microcephaly elsewhere in the United States and its territories, the CDC has previously confirmed. In January, a woman in Hawaii gave birth to a baby with severe microcephaly. In that case, the woman had been living in Brazil during the early part of her pregnancy. Are you at risk of contracting Zika virus? 0:00/1:32 ALEX HOGAN/STAT A few aspects about where you live can help determine that. ----- March 3rd ----- And in mid-May, Puerto Rico reported that a woman who had been infected with Zika had been found to be carrying a fetus with microcephaly. According to the World Health Organization’s most recent Zika report, 10 countries have reported births of infants with microcephaly or other brain anomalies linked to maternal Zika infection during pregnancy. The Zika virus is transmitted through the bite of infected Aedes aegypti mosquitoes. The virus can also be transmitted sexually. This story has been updated with comments from the CDC. A New Jersey hospital has reported the first case of microcephaly linked to the Zika virus in the continental United States. By HELEN BRANSWELL @HelenBranswell JUNE 1, 2016 TwitterFacebookLinkedInEmailPrint Helen Branswell can be reached at [email protected] Follow Helen on Twitter @HelenBranswell https://www.statnews.com/2016/06/01/zika-microcephaly-new-jersey/

Doctor says baby born in New Jersey appears affected by Zika virusA researcher holds a container with female Aedes aegypti mosquitoes at the Biomedical Sciences Institute in the Sao Paulo's University, in Sao Paulo, Brazil, Monday, Jan. 18, 2016. (AP Photo/Andre Penner) 8 8 The Associated Press Published Wednesday, June 1, 2016 7:57AM EDT Last Updated Wednesday, June 1, 2016 4:43PM EDTA Honduran woman infected with Zika gave birth in New Jersey to a baby girl with birth defects caused by the virus, her doctor said Wednesday. The infant is the second born in the United States with birth defects from the mosquito-borne virus. The first was born in Hawaii to a woman who had lived in Brazil, where the Zika epidemic began in the Americas. The Honduran woman's baby was delivered by cesarean section Tuesday at Hackensack University Medical Center, said Dr. Abdulla Al-Khan, the hospital's director of maternal-fetal medicine and surgery. RELATED STORIESWHO releases new guideline on sexual transmission of ZikaResearchers probing risk of Zika birth defectWHO: 'No public health justification' to postpone Rio Olympics over ZikaThe doctor said the 31-year-old mother was diagnosed with Zika in her native Central American country, where the virus has spread. She travelled to New Jersey, where she has family, to seek further treatment, he said. Al-Khan said the mother had a normal ultrasound early in her pregnancy, and that another one last week showed birth defects, including microcephaly, in which the baby's head is smaller than expected because the brain hasn't developed properly. "It was very sad for us to see a baby born with such a condition," he said. Al-Khan said the prognosis for babies born with microcephaly, which also can signal underlying brain damage, is "generally very poor." The mother is "hanging in there" said Al-Khan. "But of course what human being isn't going to be devastated by this news?" The Zika virus causes only a mild and brief illness, at worst, in most people. In April, the Centers for Disease Control and Prevention said there was enough evidence to declare that Zika causes microcephaly and other brain defects. Ten countries have reported cases of microcephaly linked to Zika, which is spread primarily through mosquito bites and can also be transmitted through sex. The baby born in Hawaii also had microcephaly. The CDC and the World Health Organization have recommended that pregnant women avoid travelling to Zika-affected countries. So far, all the nearly 600 cases of Zika infection reported in the United States have been connected to travel to outbreak areas -- none were locally transmitted. Of that tally, 168 are pregnant women. The CDC has not released details about those pregnancies or any outcome. Scientists are still trying to determine how risky a Zika infection is for pregnant women. In a study last week, CDC researchers estimated that the risk of microcephaly is in the range of 1 per cent to 14 per cent. White House press secretary Josh Earnest said the case underscored the need for Congress to act on President Barack Obama's request for $1.9 billion in emergency funds to battle the virus. Lawmakers still must reach agreement on funding after both houses approved different amounts: $1.1 billion in the Senate and $622 million in the House. Earnest said it was unclear whether the steps the White House has called for would have prevented this case, but said it's a reminder of the seriousness of the situation. http://www.ctvnews.ca/health/doctor-says-baby-born-in-new-jersey-appears-affected-by-zika-virus-1.2926097

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Table: Travel History of Patients with Positive Test Resultsby Zika Affected Country or Territory Visited, February 15 - June 1, 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 Republic8 8 El Salvador 11 Haiti123 Honduras2 2 Mexico 11 Puerto Rico 2 2Total 14 721

Current as of June 1, 2016 Table: Travel History of Patients with Positive Test Resultsby Zika Affected Country or Territory Visited, February 15 - June 1, 2016 Countries/Territories VisitedZika Positive Flavivirus Positive* Total Aruba 11 Brazil 11 Colombia112 Dominican Republic8 8 El Salvador 11 Haiti123 Honduras2 2 Mexico 11 Puerto Rico 2 2Total 14 721 *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.

'Difficult' day for mother who gave birth to baby with Zika-related birth defect A view of Hackensack University Medical Center. On Tuesday, a baby was born there with a birth defect related to the Zika virus. (Myles Ma | NJ Advance Media for NJ.com) ( )PrintEmailBy Tim Darragh | NJ Advance Media for NJ.com Email the author | Follow on Twitter on June 01, 2016 at 2:39 PM, updated June 01, 2016 at 3:24 PM HACKENSACK -The baby born at Hackensack University Medical Center Tuesday with abnormalities related to the Zika virus is being evaluated by teams of specialists concerned about her brain and eye development, doctors said at a press conference Wednesday. But the day-old baby's development isn't the only issue concerning physicians, said Dr. Abdulla Al-Khan, section chief of Maternal Fetal Medicine and Surgery at the center. Al-Khan said the baby's mother, a 31-year-old Honduran woman who came to the United States after she learned she was pregnant and had the virus, is "trying to cope with this emotionally." The day after the baby was delivered by C-section, he said, has been "difficult" for the mother because of the emotional toll. "She has to move on, recover and deal with the emotional part of dealing with a child with a lot of neurological insult," he said. Al-Khan stressed that neither the baby girl nor the mother pose an infectious risk to others. It's too early to prognosticate about the baby's life expectancy, said Dr. Julia A. Piwoz, chief of the Pediatric Infectious Diseases section at Hackensack. Al-Khan and Piwoz downplayed the issue of the woman coming to the United States to receive care for a complicated case. "We will never say no to patient care," he said. Piwoz said the ultimate cost of her care will be determined by how serious the baby's abnormalities are. The doctors stressed the need for local, state and federal health authorities to come together to fight Zika. ""The lesson learned today is how crucial it is for us... to bring a halt to this epidemic," Al-Khan said. The physicians did say the road will likely be a challenge for the family. Children with acquired microcephaly — an underdeveloped brain and skull — can be developmentally delayed and show irritability, Piwoz said. The baby is being fed through an intravenous tube for now, she said, as doctors evaluate her ability to suck and swallow. Troubles with sucking and swelling are common among premature babies, she said. The mother gave birth while visiting extended family in New Jersey, hospital officials said. The baby was delivered at 3 p.m. at the Donna A. Sanzari Women's Hospital, which is part of Hackensack's campus. 1st baby born in N.J. hospital with Zika birth defect The child's mother was exposed to the virus in her native Honduras The baby's mother had been receiving prenatal care in Honduras, said Manny Alvarez, chairman of Obstetrics and Gynecology at Hackensack. The baby's grandmother, a microbiologist, noticed her daughter had developed a rash from mosquito bites and sent a sample of her daughter's blood to the U.S. Centers for Disease Control and Prevention. The test confirmed the expectant mother had been exposed to the Zika virus, he said. On Friday, during a visit to extended family in New Jersey, the pregnant woman came to the hospital for an assessment, Alvarez said. "We quickly identified through the high-risk unit (the baby) was small for her size and microcephalic," he said. When the woman returned to the hospital Tuesday for more tests, the doctors determined the baby was "in distress" and a cesarian section was required, he said. The baby was born at 36 weeks, Alvarez said. 8 important facts to know about the Zika virus An infant girl was born at Hackensack University Hospital Tuesday afternoon to a woman from Honduras. The CDC has urged pregnant women to avoid traveling to more than a dozen countries in South and Central America, along with the Caribbean, including Puerto Rico, where the virus is prevalent. A woman visiting Bergen County from Colombia in January was the first confirmed case of the Zika illness in New Jersey, according to the state Department of Health. The baby born at Hackensack Tuesday is not the first child to be born in the U.S. with Zika-related birth defects. State health officials in Hawaii reported the birth of child with microcephaly at a hospital in Oahu in January. It is believed that the mother who gave birth in Hawaii contracted the virus in Brazil. Mosquitoes carrying the Zika virus are expected to arrive in N.J. in July, according to a entomologist and director of the Invasive and Emerging Disease Vectors Laboratory at Rutgers University. The virus also may be transmitted through sexual intercourse with a partner carrying the virus, according to the CDC. In most people Zika causes only a mild illness lasting just a few days, but for unborn babies, the impact can be catastrophic. There is no vaccine or cure for Zika. http://www.nj.com/healthfit/index.ssf/2016/06/update_on_baby_born_with_zika-related_birth_defect.html

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June 1, 2016 DEPARTMENT OF HEALTH DAILY ZIKA UPDATE: TWO NEW TRAVEL-RELATED 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 two new travel-related cases today with one in Miami-Dade County and one involving a pregnant woman. Of the cases confirmed in Florida, five cases 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 17 Clay 2 Collier 2 Hillsborough 3 Lee 5 Martin 1 Miami-Dade 49 Orange 10 Osceola 5 Palm Beach 7 Pasco 1 Pinellas 4 Polk 3 Santa Rosa 1 Seminole 3 St. Johns 2 Volusia 2 Total cases not involving pregnant women 124 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 1,911 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 19 counties included in the declaration– Alachua, Brevard, Broward, Clay, Collier, 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.Florida currently has the capacity to test 6,174 people for active Zika virus and 1,867 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 Friday, DOH will now report pregnant women with evidence of Zika virus regardless of symptoms. Prior to Friday, 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/2016/06/060116-zika-update.html

County Number of Cases (all travel related) Alachua 4 Brevard 3 Broward 17 Clay 2 Collier 2 Hillsborough 3 Lee 5 Martin 1 Miami-Dade 49 Orange 10 Osceola 5 Palm Beach 7 Pasco 1 Pinellas 4 Polk 3 Santa Rosa 1 Seminole 3 St. Johns 2 Volusia 2 Total cases not involving pregnant women 124 Cases involving pregnant women regardless of symptoms* 38 *Counties of pregnant women will not be shared.

Hackensack University Medical Center23 mins · HackensackUMC confirmed that a baby was born at the Donna A. Sanzari Women’s Hospital yesterday with microcephaly, as a result of the mother contracting the Zika virus internationally. The mother, who is visiting the United States, and her baby are receiving exceptional care. During their treatment, please be reminded that there is no risk to our patients, families, team members and visitors. As per the CDC, Zika is not an airborne virus and is contracted via mosquito bites, sexual transmission, or mother-to-baby transmission. All of our HackensackUMC patients will continue to receive safe, patient-centered care. For more information, visit:www.cdc.gov/zika. https://www.facebook.com/HackensackUMC/

TABLE I. Provisional cases of selected* infrequently reported notifiable diseases (<1,000 cases reported during the preceding year), United States, week ending May 28, 2016 (WEEK 21)† Disease Total cases reported for previous years Current weekCum 20165-year weekly average§20152014201320122011States reporting cases during current week (No.21) Anthrax-------1 Arboviral diseases ¶,**: Chikungunya virus ††-353896NNNNNNNN 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, total-513193161152168153 foodborne-40371542724 infant-42213612713612397 other(wound & unspecified)-502019121832 Brucellosis1332126929911479AR (1 ) Chancroid-7011--158 Cholera--025141740 Cyclosporiasis **2145645388784123151GA (1 ), FL (1 ) Diphtheria----1-1- Haemophilus influenzae, invasive disease (age <5 yrs) ¶¶: serotype b-702940313014 nontypeable serotype172315012814111593TX (1 ) other serotype-471128266233263230 unknown serotype491419939343748OK (1 ), TX (1 ), ID (2 ) Hansen's disease **-1728888818282 Hantavirus Infections **: Hantavirus infection (non-HPS) ††-1-1NNNNNNNN Hantavirus pulmonary syndrome (HPS)-411732213023 Hemolytic uremic syndrome, post-diarrheal **-565273250329274290 Hepatitis B, virus infection perinatal-10137474840NP Influenza-associated pediatric mortality **, ***468113014116052118IA (2 ), NY (1 ), WI (1 ) Leptospirosis **-1403838NNNNNN Listeriosis516712766769735727870OH (2 ), TN (1 ), MS (1 ), TX (1 ) Measles †††9261518766718755220AZ (9 ) Meningococcal disease, invasive §§§: serogroup ACWY-403105123142161257 serogroup B-3221048999110159 other serogroup-502025172020 unknown serogroup2744143196298260323NYC (1 ), OR (1 ) Novel influenza A virus infections ¶¶¶-2-632131314 Plague--01310443 Poliomyelitis, paralytic-----1-- Polio virus infection, nonparalytic **-------- Psittacosis **-2048622 Q fever total **:1264156168170135134 acute-223122132137113110 chronic1413436332224ID (1 ) Rabies, human--011216 SARS CoV-------- Smallpox-------- Streptococcal toxic shock syndrome **-1155335259224194168 Syphilis, congenital ****-1157489458348322360 Toxic shock syndrome (staphylococcal) **-1016459716578 Trichinellosis **-401114221815 Tularemia1216323180203149166NE (1 ) Typhoid fever-967367349338354390 Vancomycin-intermediate Staphylococcus aureus**-43418421224813482 Vancomycin-resistant Staphylococcus aureus **---1--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 infection35620NNNNNNNNNNMD (2 ), TN (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

Week 209 CDC update included 54 cases from 2015 http://wonder.cdc.gov/mmwr/mmwr_2016.asp?mmwr_year=2016&mmwr_week=21&mmwr_table=1&request=Submit&mmwr_location= Zika ††,§§§§ Zika virus congenital infectionNANANANNNNNNNNNN Zika virus disease, non-congenital infection35620NNNNNNNNNNMD (2 ), TN (1 )

Latest Facts and Advisories as of 6/1/2016 [Español (PDF)]Reported cases of Zika in New York City: 12218 of the 122 cases were pregnant at the time of diagnosis;All cases contracted Zika while visiting other countries; andAll patients have recovered.

Zika Virus – June 1, 2016. Texas has had 38 confirmed cases of Zika virus disease. Of those, 37 were in travelers who were infected abroad and diagnosed after they returned home; one of those travelers was a pregnant woman. One case involved a Dallas County resident who had sexual contact with someone who acquired the Zika infection while traveling abroad. Case counts by county: Bexar – 4 Collin – 1 Dallas – 6 Denton – 2 Fort Bend – 2 Grayson – 1Harris – 13 Tarrant – 4 Travis – 2 Val Verde – 1 Williamson – 1 Wise – 1

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

To date, 6 confirmed cases of travel-associated Zika infection have been reported in Dallas County.  An additional 6 pregnant women have been identified with laboratory evidence of possible Zika infection. http://www.dallascounty.org/department/hhs/documents/DCHHSEpiWNVWeeklyReport_5_21_2016.pdf