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Zika virus outbreak global responseInterim reportShare PrintAuthors: World Health Organization Publication detailsNumber of pages: 14 Publication date: 27 May 2016 Languages: English WHO reference number: WHO/ZIKV/SRF/1.2 DownloadsRead the reporthttp://who.int/emergencies/zika-virus/response/report/en/

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Houston County Resident Confirmed Recent Zika CaseBy Press Release: AL Dept. of Public Health | Posted: Fri 6:22 PM, May 27, 2016 | Updated: Fri 9:34 PM, May 27, 2016 ALABAMA (WTVY) The Alabama Department of Public Health reports the fourth and fifth travel-related cases of the Zika virus in Alabama residents. The positive specimens were from residents of Houston and Jefferson counties. In February and March, Zika cases were reported in residents of Morgan, Jefferson and Shelby counties. State Health Officer Dr. Tom Miller said, "We will implement enhanced surveillance with these two cases. The Department's Bureau of Clinical Laboratories in Montgomery can now perform Zika testing, so we have a greater opportunity to prevent transmission of the disease because test results are received much faster. We continue to work with the medical community to identify high-risk individuals." Enhanced surveillance means that the individuals with Zika will be asked to provide the names of their household and sexual contacts. In turn, these contacts will be asked if they have Zika symptoms. These persons will be asked to use insect repellents to prevent mosquito bites that could lead to possible disease transmission. Zika virus is transmitted primarily through the bites of Aedes species mosquitoes. These mosquito species are the same ones that transmit dengue and chikungunya viruses which have also been associated with travel-related illness over the past few years. Zika virus is also spread through blood transfusion and sexual contact.Infection with the Zika virus causes only mild symptoms in the majority of the cases, but it is now known to cause birth defects and other poor pregnancy-related outcomes if infection occurs during pregnancy. All pregnant women with a history of travel to an area with Zika virus transmission should be evaluated. Pregnant women reporting clinical illness consistent with Zika virus disease during or within 2 weeks of travel should be tested for Zika virus infection. In addition, pregnant women without any symptoms who have traveled to Zika-affected areas should be tested for the Zika-virus between 2-12 weeks post travel. http://www.wtvy.com/content/news/Hosuton-County-Resident-Confirmed-Recent-Zika-Case-381169971.html

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May 27, 2016 DEPARTMENT OF HEALTH DAILY ZIKA UPDATE: TWO NEW TRAVEL-RELATED CASES TODAYContact: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 Collier 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 37, 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 48 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 123 Cases involving pregnant women regardless of symptoms* 37 *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 1,876 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 6,216 people for active Zika virus and 1,904 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 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/2016/05/052716-zika.html

The total number of pregnant women who have been monitored is 37, 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 48 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 123 Cases involving pregnant women regardless of symptoms* 37 *Counties of pregnant women will not be shared.

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New Zika Virus case reported7 cases confirmed; more than 20 under investigationBy Mary Claire Patton - Digital Content CuratorPosted: 11:25 AM, May 27, 2016Updated: 3:23 PM, May 27, 2016995 995Copyright 2016 Cable News Network/Turner Broadcasting System, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.SAN ANTONIO - The San Antonio Metropolitan Health District has reported there are now seven confirmed Zika cases in the Alamo City. The most recent infection was contracted while the individual was traveling abroad. More Health HeadlinesGOP leaves for holiday without passing Zika fundsState health agency preparing for large-scale Zika virus outbreakConsumer Reports tests repellents for warding off Zika virusHouse passes Zika measure designed to remove red tapeZika result of 'massive' policy failures, World Health Organization saysMetro Health confirms 2 new cases of Zika virus in San Antonio residentsThere are currently 23 people in San Antonio who are under investigation for possible infection. All confirmed cases of the Zika virus in San Antonio have been acquired while traveling outside the U.S. SAMHD continues to ask for the community’s help in preventing mosquitoes. Remember to empty, turn over or throw out containers that hold water at least once a week. These containers include: VasesWater bowls for petsFlowerpot saucersDiscarded tiresBucketsPool coversBirth bathsTrash cansRain barrels Any water that must be stored needs to be covered with a tight, secure lid to prevent mosquitoes from getting inside and laying eggs. Protect yourself from potential mosquito bites by covering up with long pants and sleeves during the daylight hours. Make sure all the doors in your home have screens and choose insect repellents that contain DEET or Picaridin. The Zika virus is part of the same family as the viruses that cause yellow fever, West Nile, chikungunya and dengue. Symptoms of the virus typically begin two to seven days after being bitten and include fever, rash, joint pain or red eyes, Metro Health said. The illness is usually mild and people might not realize they are infected.

The San Antonio Metropolitan Health District has reported there are now seven confirmed Zika cases in the Alamo City. The most recent infection was contracted while the individual was traveling abroad. http://www.ksat.com/health/seven-confirmed-zika-cases-in-san-antonio-reported

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FOURTH IMPORTED ZIKA CASE CONFIRMED IN TARRANT COUNTY Tarrant County - Home > Public Health > News Releases > News Releases 2016 > Fourth Imported Zika Case Confirmed in Tarrant CountyFOR IMMEDIATE RELEASE Kelly Hanes Senior Public Information Officer Tarrant County Public Health 817-321-5306 direct 817-401-5967 mobile Fourth Imported Zika Case Confirmed in Tarrant CountyNo local transmission reported at this time May 27, 2016 (Tarrant County, TX) – Tarrant County Public Health (TCPH) has identified a fourth imported case of Zika virus in the county. Local transmission has not been reported and surveillance continues. TCPH’s North Texas Regional Laboratory received the sample on Thursday and performed the test. This is the second imported case with travel history to Puerto Rico. The previous cases traveled to El Salvador and St. Martin. All areas have known local transmission of the disease. No other health information will be released at this time to protect the identity of the patients. Zika virus is spread to people primarily through the bite of an infected Aedes species mosquito, a known aggressive daytime biter. Sexual transmission has been reported in a small number of cases. The most common symptoms of Zika are fever, rash, joint pain, and conjunctivitis (red eyes). The illness is typically mild with symptoms lasting no more than seven days. TCPH continues to distribute Zika Home Care Kits to Tarrant County residents being evaluated for Zika. The kit includes mosquito repellant, mosquito dunks, educational materials and other items. The kits are not being offered to the general public. Reducing mosquito breeding sites is one of the best ways residents can protect themselves and their neighbors. They should: Routinely dump standing water on their property,Overturn all small containers,Dispose of any trash or debris that can contains small amounts of water.TCPH’s Zika Hotline (817-248-6299) is available to help answer any questions residents may have about this disease. For more information on Zika virus and for other useful tips. TCPH has produced a video to help residents Eliminate Mosquito Breeding Sites.

Tarrant County Public Health (TCPH) has identified a fourth imported case of Zika virus in the county. Local transmission has not been reported and surveillance continues.TCPH’s North Texas Regional Laboratory received the sample on Thursday and performed the test.This is the second imported case with travel history to Puerto Rico. The previous cases traveled to El Salvador and St. Martin. http://access.tarrantcounty.com/en/public-health/news/2016/fourth-imported-zika-case-confirmed-in-tarrant-county.html

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Second Zika case confirmed in WisconsinSecond case reported in Dane CountyMatt Campbell4:31 PM, May 27, 20164:35 PM, May 27, 2016Autoplay:X1-Dead After Milwaukee Vehicle Wreck, Several Injured TMJ4SHOW CAPTIONWisconsin now has two confirmed cases of the Zika virus. Dane County has confirmed its first known case of the Zika virus. The first Wisconsin case was confirmed in Milwaukee County,May 18 after a woman returned from Honduras. Public Health Madison and Dane County (PHMDC ) says the second victim is a woman who lives in Dane County and is not pregnant. She recently traveled to Colombia, where Zika infected mosquitoes are present.Southeast Wisconsin Memorial Day Weekend Events Guide“Travelers are highly encouraged to follow prevention recommendations to avoid becoming infected with Zika virus,” said Janet Heinrich, Director of Public Health Madison and Dane County (PHMDC). “PHMDC has been advising healthcare providers to monitor patients who have been traveling for possible Zika symptoms, and we will continue to monitor the local mosquito population.” The virus is linked to neurological defects in newborns and that's why pregnant women in the area are worried the infection is getting too close to home. The virus can be spread through sexual contact. http://www.tmj4.com/news/local-news/dane-county-confirm-its-first-zika-virus-case

Dane County has confirmed its first known case of the Zika virus. The first Wisconsin case was confirmed in Milwaukee County,May 18 after a woman returned from Honduras. Public Health Madison and Dane County (PHMDC ) says the second victim is a woman who lives in Dane County and is not pregnant. She recently traveled to Colombia, where Zika infected mosquitoes are present.http://www.tmj4.com/news/local-news/dane-county-confirm-its-first-zika-virus-case

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First confirmed case of Zika virus in Solano County The Solano County Department of Health and Social Services confirmed the first case of the Zika virus in the county. ABC10 news at 5/27/16. Staff, ABC10 , KXTV 5:56 PM. PDT May 27, 20161391CONNECT TWEET LINKEDIN GOOGLE+ PINTERESTThe first case of Zika virus has been confirmed in Solano County, according to the county's Department of Health and Social Services. The patient had recently traveled to Central America, an area active with the Zika virus, the Solano County Department of Health and Social Services said. However, there is no immediate danger of residents getting the Zika virus. "We want the public to know that at this time the Zika virus poses no risk to Solano County residents," Solano County Deputy Health Officer Dr. Michael Stacey said. "The virus, which is primarily transmitted by two species of invasive mosquitos...are not native to the Bay area and have no established population here." Zika, which is transmitted by an infected mosquito, causes mild symptoms, including fever, rash and joint pain. But the virus has led to birth defects in pregnant women. The best way to prevent Zika virus infection is to avoid traveling to places where there is active Zika transmission, Dr. Stacey said. According to the Centers for Disease Control and Prevention, there are travel notices for the Caribbean, Central America, the Pacific Islands, and South America. Since Jan. 2015, there have been 591 travel-associated cases in the United States. http://www.abc10.com/news/local/california/first-confirmed-case-of-zika-virus-in-solano-county/218097138

CDPH Weekly Update on Number of Zika Cases in California May 27, 2016 The following table provides the number of travel-associated cases of Zika in California residents in 2015 and 2016. CDPH is following CDC testing guidelines. This table is updated every Friday. As of May 27, 2016, there have been 50 travel-associated cases of Zika in California. • Total cases: 50 • Cumulative number of cases in pregnant women: 11* • Cumulative number of cases due to sexual transmission: 1 Cases of Zika in California, 2015-2016§ (as of May 27, 2016) County Travel-associated cases¥ Locally acquired cases† Alameda 4 0 Contra Costa 3 0 Los Angeles 13 0 Marin 1 0 Napa 1 0 Orange 2 0 San Bernardino 3 0 San Diego 12** 0 San Francisco 2 0 San Joaquin 2 0 San Mateo 2 0 Santa Clara 1 0 Solano 1 0 Sonoma 1 0 Yolo 2 0 Total 50 0 https://www.cdph.ca.gov/HealthInfo/discond/Documents/TravelAssociatedCasesofZikaVirusinCA.pdf

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As of May 27, 201617 confirmed travel-related Zika cases in Georgia http://dph.georgia.gov/