niman

Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of May 18, 2016) StatesTravel-associated cases* No. (%) (N=544)Locally acquired cases† No. (%) (N=0)Alabama2 (<1)0 (0)Arizona1 (<1)0 (0)Arkansas2 (<1)0 (0)California44 (8)0 (0)Colorado2 (<1)0 (0)Connecticut1 (<1)0 (0)Delaware3 (1)0 (0)District of Columbia4 (1)0 (0)Florida109 (21)0 (0)Georgia14 (3)0 (0)Hawaii9 (2)0 (0) http://www.cdc.gov/zika/geo/united-states.html

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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of May 18, 2016) StatesTravel-associated cases* No. (%) (N=544)Locally acquired cases† No. (%) (N=0)Alabama2 (<1)0 (0)Arizona1 (<1)0 (0)Arkansas2 (<1)0 (0)California44 (8)0 (0)Colorado2 (<1)0 (0)Connecticut1 (<1)0 (0)Delaware3 (1)0 (0)District of Columbia4 (1)0 (0)Florida109 (21)0 (0)Georgia14 (3)0 (0) http://www.cdc.gov/zika/geo/united-states.html

As of May 18, 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 1, 2015 – May 18, 2016.US States Travel-associated cases reported: 544Locally acquired vector-borne cases reported: 0Total: 544Sexually transmitted: 10Guillain-Barré syndrome: 1US Territories Travel-associated cases reported: 4Locally acquired cases reported: 832Total: 836Guillain-Barré syndrome: 5 Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of May 18, 2016) StatesTravel-associated cases* No. (%) (N=544)Locally acquired cases† No. (%) (N=0)Alabama2 (<1)0 (0)Arizona1 (<1)0 (0)Arkansas2 (<1)0 (0)California44 (8)0 (0)Colorado2 (<1)0 (0)Connecticut1 (<1)0 (0)Delaware3 (1)0 (0)District of Columbia4 (1)0 (0)Florida109 (21)0 (0)Georgia14 (3)0 (0)Hawaii9 (2)0 (0)Illinois16 (3)0 (0)Indiana6 (1)0 (0)Iowa5 (1)0 (0)Kansas1 (<1)0 (0)Kentucky5 (1)0 (0)Louisiana4 (1)0 (0)Maine3 (<1)0 (0)Maryland17 (3)0 (0)Massachusetts11 (2)0 (0)Michigan4 (1)0 (0)Minnesota17 (4)0 (0)Mississippi3 (1)0 (0)Missouri3 (1)0 (0)Montana1 (<1)0 (0)Nebraska2 (<1)0 (0)Nevada6 (<1)0 (0)New Hampshire3 (1)0 (0)New Jersey12 (2)0 (0)New Mexico1 (<1)0 (0)New York114 (21)0 (0)North Carolina11 (2)0 (0)Ohio12 (2)0 (0)Oklahoma4 (1)0 (0)Oregon6 (1)0 (0)Pennsylvania19 (4)0 (0)Rhode Island3 (<1)0 (0)South Carolina1 (<1)0 (0)Tennessee2 (<1)0 (0)Texas35 (6)0 (0)Utah2 (<1)0 (0)Vermont1 (<1)0 (0)Virginia15 (3)0 (0)Washington2 (<1)0 (0)West Virginia6 (1)0 (0) Territories(N=4)(N=832)American Samoa0 (0)14 (2)Puerto Rico3 (67)803 (97)US Virgin Islands1 (33)15 (2)*Travelers returning from affected areas, their sexual contacts, or infants infected in utero †Presumed local mosquito-borne transmission

Tonight at 10 PM EDT Dr. Henry L. Niman, PhDZika Marches Onward

As of May 18, 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 1, 2015 – May 18, 2016.US States Travel-associated cases reported: 544Locally acquired vector-borne cases reported: 0Total: 544Sexually transmitted: 10Guillain-Barré syndrome: 1US Territories Travel-associated cases reported: 4Locally acquired cases reported: 832Total: 836Guillain-Barré syndrome: 5 Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of May 11, 2016) StatesTravel-associated cases* No. (%) (N=503)Locally acquired cases† No. (%) (N=0)Alabama2 (<1)0 (0)Arizona1 (<1)0 (0)Arkansas2 (<1)0 (0)California40 (8)0 (0)Colorado2 (<1)0 (0)Connecticut1 (<1)0 (0)Delaware3 (1)0 (0)District of Columbia4 (1)0 (0)Florida103 (21)0 (0)Georgia13 (3)0 (0)Hawaii7 (2)0 (0)Illinois16 (3)0 (0)Indiana6 (1)0 (0)Iowa5 (1)0 (0)Kansas1 (<1)0 (0)Kentucky5 (1)0 (0)Louisiana4 (1)0 (0)Maine3 (<1)0 (0)Maryland16 (4)0 (0)Massachusetts10 (2)0 (0)Michigan3 (1)0 (0)Minnesota17 (4)0 (0)Mississippi3 (1)0 (0)Missouri3 (1)0 (0)Montana1 (<1)0 (0)Nebraska2 (<1)0 (0)Nevada2 (<1)0 (0)New Hampshire3 (1)0 (0)New Jersey12 (2)0 (0)New Mexico1 (<1)0 (0)New York98 (20)0 (0)North Carolina11 (3)0 (0)Ohio12 (3)0 (0)Oklahoma4 (1)0 (0)Oregon6 (1)0 (0)Pennsylvania18 (4)0 (0)Rhode Island2 (<1)0 (0)South Carolina1 (<1)0 (0)Tennessee2 (<1)0 (0)Texas32 (6)0 (0)Utah2 (<1)0 (0)Vermont1 (<1)0 (0)Virginia15 (3)0 (0)Washington2 (<1)0 (0)West Virginia6 (1)0 (0) Territories(N=3)(N=698)American Samoa0 (0)14 (2)Puerto Rico2 (67)669 (96)US Virgin Islands1 (33)15 (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: May 19, 2016

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Zika virus cases in Canada, as of May 19, 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-relatedCanada183

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May 19, 2016 DEPARTMENT OF HEALTH DAILY ZIKA UPDATE: TWO NEW TRAVEL-RELATED CASES TODAY http://www.floridahealth.gov/newsroom/2016/05/051916-zika-update.htmlContact: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 Broward and one involving a pregnant woman. Of the cases confirmed in Florida, four cases are still exhibiting symptoms. According to CDC, symptoms associated with the Zika virus last between seven to 10 days. Based on CDC guidance, several pregnant women who have traveled to countries with local-transmission of Zika have received antibody testing, and of those, nine have tested positive for the Zika virus. CDC recommends that a pregnant woman with a history of Zika virus and her provider should consider additional ultrasounds. It is recommended that women who are pregnant or thinking of becoming pregnant postpone travel to Zika affected areas. County Number of Cases (all travel related) Alachua 4 Brevard 3 Broward 17 Clay 2 Collier 1 Hillsborough 3 Lee 4 Martin 1 Miami-Dade 45 Orange 9 Osceola 4 Palm Beach 7 Pasco 1 Pinellas 3 Polk 3 Santa Rosa 1 Seminole 2 St. Johns 1 Volusia 2 Cases involving pregnant women* 9 Total 122 *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 1,753 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 6,313 people for active Zika virus and 1,975 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.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.

County Number of Cases (all travel related) Alachua 4 Brevard 3 Broward 17 Clay 2 Collier 1 Hillsborough 3 Lee 4 Martin 1 Miami-Dade 45 Orange 9 Osceola 4 Palm Beach 7 Pasco 1 Pinellas 3 Polk 3 Santa Rosa 1 Seminole 2 St. Johns 1 Volusia 2 Cases involving pregnant women* 9 Total 122

Zika virus cases in Canada, as of May 19, 2016CountryLocally acquired through sexual transmissionTravel-relatedCanada183

Two cases of microcephaly and other neurological abnormalities are currently under verification in Spain and Venezuela (Bolivarian Republic of). http://apps.who.int/iris/bitstream/10665/206537/1/zikasitrep_19May2016_eng.pdf

Two cases of microcephaly and other neurological abnormalities are currently under verification in Spain and Venezuela (Bolivarian Republic of). http://apps.who.int/iris/bitstream/10665/206537/1/zikasitrep_19May2016_eng.pdf

Summary As of 18 May 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, 4 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).Person-to-person transmission:Ten countries have reported evidence of person-to-person transmission of Zika virus, probably via a sexual route.In the week to 18 May 2016, Argentina is the latest country to report mosquito-borne Zika virus transmission. Germany is the latest country to report person-to-person Zika virus transmission.Microcephaly, and other fetal malformations potentially associated with Zika virus infection or suggestive of congenital infection, have been reported in eight countries or territories. Puerto Rico is the latest territory to report a case of microcephaly associated with Zika virus.Two cases of microcephaly and other neurological abnormalities are currently under verification in Spain and Venezuela (Bolivarian Republic of).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. One GBS case associated with Zika virus infection in a returning traveller to the Netherlands has been reported.Based on research to date, there is scientific consensus that Zika virus is a cause of microcephaly and GBS.The global prevention and control strategy launched by the World Health Organization (WHO) as a Strategic Response Framework encompasses surveillance, response activities and research. Key interventions are being undertaken jointly by WHO and international, regional and national partners in response to this public health emergency. A draft of the Strategic Response Framework for the second half of 2016 will be shared with partners mid-May and finalized by 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. Enlarge imageDownload the image pdf, 3.49Mb

Zika situation report19 May 2016Zika virus, Microcephaly and Guillain-Barré syndromehttp://www.who.int/emergencies/zika-virus/situation-report/19-may-2016/en/

Maryland Confirmed Zika Virus Infections (As of May 18, 2016) Travel-AssociatedLocally Acquired Vector-BorneTotal17017

Zika Virus – May 19, 2016. Texas has had 35 confirmed cases of Zika virus disease. Of those, 34 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 – 3Collin – 1Dallas – 6Denton – 2Fort Bend – 2Grayson – 1Harris – 12Tarrant – 3Travis – 2Val Verde – 1Williamson – 1Wise – 1

As of Thursday, May 19, 2016, VDH has reported 15 cases of Zika virus disease in Virginia residents to the CDC (2 in Northwest Region, 7 in Northern Region, 1 in Eastern Region, 3 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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Zika Confirmed Cases County Cases* Clallam1Cowlitz 1King 1Mason1Washington State Total 4* Confirmed travel-associated cases in WA as http://www.doh.wa.gov/YouandYourFamily/IllnessandDisease/ZikaVirus

Zika Confirmed Cases County Cases* Clallam1Cowlitz 1King 1Mason1Washington State Total 4* Confirmed travel-associated cases in WA as of 5/18/16