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Zika virus expected in Europe by late spring, says WHOBy Meera Senthilingam, for CNN Updated 9:49 AM ET, Wed May 18, 2016 The Aedes aegypti can transmit the Zika virus.Story highlightsThe risk of an outbreak across the region is moderate to lowThe highest risk is on the island of Madeira and the north-east coast of the Black Sea Vital Signs is a monthly program bringing viewers health stories from around the world. (CNN)The Zika virus is expected to reach Europe by late spring, according to a new report by the World Health Organization (WHO), but the risk of an outbreak across the region will be low to moderate. The risk will be greatest in countries where the mosquitoes spreading the disease, Aedes aegypti, are found naturally.In the first risk assessment of Zika transmission in Europe, published Wednesday, WHO investigated the risk of an outbreak in the region's 53 member states and identified the highest likelihood of transmission to be on the island of Madeira and the north-eastern coast of the Black Sea. Zika: Cloned virus a step toward vaccineAnother 18 countries (33% of the region) were determined to have a moderate likelihood of an outbreak. These countries, in order of likelihood, are France, Italy, Malta, Croatia, Israel, Spain, Monaco, San Marino, Turkey, Greece, Switzerland, Bulgaria, Romania, Slovenia, Georgia, Albania, Bosnia and Herzegovina and Montenegro."In [these] countries in the European region, especially in the Mediterranean basin, there is a moderate likelihood of local Zika virus transmission," said Dr. Nedret Emiroglu, director of the Communicable Diseases and Health Security Division, WHO Regional Office for Europe. NIH Director: Zika virus unprecedented 02:32The remaining 36 countries were decide to be at low, very low, or no likelihood of a Zika outbreak due to the absence of the mosquito vectors and unsuitable climates for them to survive if the mosquitoes were to spread there.Overall levels of risk across the region were determined using this likelihood of the virus to spread within countries, but also on their existing services and capacity to prevent, or contain, an outbreak if transmission was to occur. Population density, urbanization and any history of transmission of Dengue fever -- which spreads via the same mosquitoes -- were also taken into account. Zika virus: 5 things you need to knowOn combining these factors, the risk was determined to be low to moderate during late spring and summer across the European region."The new evidence published today tells us that there is a risk of spread of Zika virus disease in the European region and that this risk varies from country to country," said Dr. Zsuzsanna Jakab, WHO regional director for Europe, in a statement. "With this risk assessment, we at WHO want to inform and target preparedness work in each European country based on its level of risk."The organization is now calling on countries at highest risk to strengthen their national capacity and prioritize the activities needed to prevent a large Zika outbreak from occurring.Their recommendations include strengthening mosquito control, equipping health teams with the ability to diagnose cases accurately, detect cases early and to spot when transmission of the disease is occurring locally -- meaning infections are spreading from person-to-person and not only occurring in travelers returning from outbreak hotspots. WHO also highlighted the need to inform people to remove any potential breeding sites for mosquitoes, such as shallow water. NASA and NCAR map Zika's potential spread in the U.S."We stand ready to support European countries on the ground in case of Zika virus outbreaks," Emiroglu said. "Our support to countries in the region to prepare for and respond to health risks such as Zika is a key aspect of the reform of WHO's work in emergencies."The Zika virus poses the greatest risk to pregnant women because an infection can cause microcephalyand other birth defects in babies. The world health body is continuing to recommend they, and others at risk, protect themselves from infections, including through sexual transmission.The virus has also been linked to Guillain-Barré Syndrome, a rare disease in which a person's own immune system damages the nerve cells, causing muscular weakness and, in some cases, paralysis."Summer is approaching fast and the risk of Zika spreading to Europe is real," said Jimmy Whitworth, professor of International Public Health at the London School of Hygiene and Tropical Medicine. "WHO reports that most countries in the European region are well prepared...however, countries in Southern Europe, including France and Italy, need to be especially vigilant and it's important that holidaymakers follow public health advice while abroad, "Read: Singapore confirms its first imported case of ZikaAs of May 11 2016, 58 countries and territories are reporting continuing mosquito transmission of the Zika virus.The organization will convene in June to re-examine the risk of an outbreak and identify any gaps in a country's ability to control the Zika virus.http://www.cnn.com/2016/05/18/health/zika-virus-low-moderate-risk-in-europe-by-summer/

Travel advise unchanged at this time. Local transmission could change advice.

Highest risk is France (coastal areas highest) of 18 countries.

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This Media Advisory is being forwarded on behalf of the WHO Regional Office for Europe:> > > MEDIA ADVISORY: Virtual press briefing on WHO assessment of the risk of Zika virus spread in the European Region> > On Wednesday 18 May, WHO will publish its first assessment of the risk of Zika virus spread in the European Region in late spring and summer. The report assesses the risk of a Zika virus outbreak based on the combination of two factors: the likelihood of Zika virus spread and existing national capacity to prevent and/or rapidly contain local transmission. It provides a breakdown of which countries have high, moderate, low, very low or no likelihood of local Zika virus transmission. The report also offers recommendations for countries, based on their likelihood of local transmission.> > We invite you to a participate in a virtual press briefing on Wednesday 18 May at 11:00 CET with the two main authors of the report, along with the Director of Communicable Diseases and Health Security at the WHO Regional Office for Europe. The briefing will provide more details about the assessment and the speakers will take questions about the report’s findings.> > The press briefing speakers will include:> Dr Nedret Emiroglu: Director Communicable Diseases and Health Security, Division of Communicable Diseases & Health Security> Dr Colleen Acosta: Epidemiologist, Alert and Response Operations, Division of Communicable Diseases & Health Security> Dr João Pires: Medical Officer, Alert and Response Operations, Division of Communicable Diseases & Health Security> To join the press briefing dial Arkadin (dial in numbers country by country are attached) and use participant PIN code 51823461#> > Please feel free to contact Cristiana Salvi if you have questions: > > Cristiana Salvi> Communications Officer, WHO Regional Office for Europe> [email protected] > Office: +45 4533 6837> Mobile: +45 2963 4218>

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May 17, 2016 DEPARTMENT OF HEALTH DAILY ZIKA UPDATE: THREE NEW TRAVEL-RELATED CASES IN CLAY, ORANGE AND PINELLAS COUNTIES http://www.floridahealth.gov/newsroom/2016/05/051716-zika-update.html 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 three new travel-related cases today with one in Clay, one in Orange and one in Pinellas counties. Of the cases confirmed in Florida, five cases are still exhibiting symptoms. According to the 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, seven have tested positive for the Zika virus. The 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 2 Broward 15 Clay 2 Collier 1 Hillsborough 3 Lee 4 Martin 1 Miami-Dade 45 Orange 9 Osceola 4 Palm Beach 7 Pasco 1 Pinellas 2 Polk 3 Santa Rosa 1 Seminole 2 St. Johns 1 Volusia 2 Cases involving pregnant women* 7 Total 116 *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 1,725 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 the 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 6,358 people for active Zika virus and 1,999 for Zika antibodies.Federal Guidance on Zika: According to the 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.The CDC has put out guidance related to the sexual transmission of the Zika virus. This includes the 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 2 Broward 15 Clay 2 Collier 1 Hillsborough 3 Lee 4 Martin 1 Miami-Dade 45 Orange 9 Osceola 4 Palm Beach 7 Pasco 1 Pinellas 2 Polk 3 Santa Rosa 1 Seminole 2 St. Johns 1 Volusia 2 Cases involving pregnant women* 7 Total 116

Zika Virus – May 17, 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 May 17, 2016 there is one confirmed travel-associated case of Zika virus in South Carolina.

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Laboratory-confirmed travel-related cases of Zika virus in Ontario^ as of May 10, 2016Number of laboratory-confirmed* casesCountries of Travel§40*Barbados, Brazil, Columbia, Costa Rica, Dominican Republic, El Salvador, Guatemala, Guyana, Haiti, Honduras, Martinique, Mexico, Nicaragua, Panama, Venezuela*Note: One of the 40 laboratory-confirmed cases of Zika virus in Ontario is non-travel related. *Laboratory testing is currently being performed by the National Microbiology Laboratory.§The countries listed are based on the travel history provided by the person tested. In some instances, a person may have travelled to multiple countries prior to infection.The countries listed are based on the travel history provided by cases, however, this listing does not reflect the risk of acquisition of Zika virus. The World Health Organization and the Pan American Health Organization currently list the following countries as having local transmission of Zika virus: American Samoa, Aruba, Barbados, Bolivia (Plurinational State of), Bonaire, Brazil, Cabo Verde, Cambodia, Colombia, Costa Rica, Cuba, Curaçao, Dominica, Dominican Republic, Ecuador, El Salvador, Fiji, French Guiana, French Polynesia, Gabon, Guadeloupe, Guatemala, Guyana, Haiti, Honduras, Indonesia, Jamaica, Lao People, Maldives, Marshall Islands, Martinique, Mexico, Nicaragua, Panama, Paraguay, Philippines, Puerto Rico, Saint Martin, Saint Vincent and the Grenadines, Samoa, Saint Maarten, Solomon Islands, Suriname, Thailand, Tonga, Trinidad & Tobago, Vanuatu, Venezuela (Bolivarian Republic of).^Please note, the ministry will be updating this website each week on Wednesday.http://health.gov.on.ca/en/public/publications/disease/zika.aspx

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Quebec, May 12, there have been 18 confirmed cases, all acquired outside the country. Hoping all useful! Have a good day ! Caroline Gingras Media Relations Ministry of Health and Social Services 1075, chemin Sainte-Foy, 4th Floor Québec (Québec) G1S 2M1

As of April 26, 2016, 16 persons infected Zika virus have been reported in Quebec. All have acquired their infection during a stay on the outside, that is to say, in places where transmission by mosquitoes of Zika virus is known.

Monitoring Zika QuebecIn Quebec, infection Zika virus is not a reportable disease, but it is currently the subject of increased vigilance. The World Health Organization (WHO) has sought the cooperation of all countries to improve scientific knowledge related to this virus. People who are infected with the virus Zika are reported by the public health laboratory of the Quebec regional health authorities that communicate with them to document the manifestations of the disease and the place of purchase. http://www.sante.gouv.qc.ca/chroniques/virus-zika/

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Newfoundland reports Zika virus in person who travelled southHealth file photo. The Canadian Press Published Tuesday, May 17, 2016 7:36AM EDT ST. JOHN'S, N.L. -- Newfoundland and Labrador has confirmed a case of Zika virus in someone who returned home after a trip down south. Health officials say a vacationer came back from an unspecified southern location about a month ago and found they had been infected by the virus. The patient reportedly suffered no complications from the virus and has fully recovered. The news comes a day after Nova Scotia reported its first confirmed case of Zika virus. Frank Atherton, deputy chief medical officer of health, said Monday that the illness was detected in a woman in her 30s after she fell ill upon returning to Nova Scotia. He says she recovered, but adds that it serves as a reminder to people travelling in regions where the virus is flourishing to take precautions. The mosquito-borne Zika virus is an epidemic in Central and Latin America, and the World Health Organization has declared it a global health emergency.