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Zika Virus – April 28, 2016. Texas has had 31 confirmed cases of Zika virus disease. Of those, 30were 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 – 3Dallas – 6Denton – 1Fort Bend – 2Grayson – 1Harris – 12Tarrant – 3Travis – 2Wise – 1

April 28, 2016 DEPARTMENT OF HEALTH DAILY ZIKA UPDATE: NO NEW 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 no new cases today. Of the cases confirmed in Florida, two 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, five 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 1 Collier 1 Hillsborough 3 Lee 4 Miami-Dade 39 Orange 5 Osceola 4 Palm Beach 5 Polk 3 Santa Rosa 1 Seminole 1 St. Johns 1 Cases involving pregnant women* 5 Total 94 *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 1,550 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 15 counties included in the declaration– Alachua, Brevard, Broward, Clay, Collier, Hillsborough, Lee, Miami-Dade, Orange, Osceola, Palm Beach, Polk, Santa Rosa, Seminole and St. Johns – 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.Florida currently has the capacity to test 6,576 people for active Zika virus and 1,405 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. http://www.floridahealth.gov/newsroom/2016/04/042816-zika-update.html

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As of Thursday, April 28, 2016, VDH has reported 13 cases of Zika virus disease in Virginia residents to the CDC (2 in Northwest Region, 5 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. http://www.vdh.virginia.gov/epidemiology/zika-virus-update/

As of Thursday, April 28, 2016, VDH has reported 13 cases of Zika virus disease in Virginia residents to the CDC (2 in Northwest Region, 5 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. *Updated weekly. For Zika virus disease reporting, the week runs Thursday-Wednesday.

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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of April 27, 2016) http://www.cdc.gov/zika/geo/united-states.html StatesTravel-associated cases* No. (%) (N=426)Locally acquired cases† No. (%) (N=0)Alabama2 (<1)0 (0)Arizona1 (<1)0 (0)Arkansas2 (<1)0 (0)California29 (7)0 (0)Colorado2 (<1)0 (0)Connecticut1 (<1)0 (0)Delaware3 (1)0 (0)District of Columbia3 (1)0 (0)Florida90 (21)0 (0)Georgia13 (3)0 (0)Hawaii7 (2)0 (0)Illinois12 (3)0 (0)Indiana6 (2)0 (0)Iowa4 (1)0 (0)Kansas1 (<1)0 (0)Kentucky5 (1)0 (0)Louisiana4 (1)0 (0)Maine2 (<1)0 (0)Maryland11 (3)0 (0)Massachusetts7 (2)0 (0)Michigan3 (1)0 (0)Minnesota14 (3)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 Jersey9 (2)0 (0)New Mexico1 (<1)0 (0)New York77 (18)0 (0)North Carolina10 (2)0 (0)Ohio12 (3)0 (0)Oklahoma4 (1)0 (0)Oregon6 (2)0 (0)Pennsylvania16 (4)0 (0)Tennessee2 (<1)0 (0)Texas30 (8)0 (0)Utah2 (<1)0 (0)Vermont1 (<1)0 (0)Virginia12 (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 April 27, 2016) http://www.cdc.gov/zika/geo/united-states.html StatesTravel-associated cases* No. (%) (N=426)Locally acquired cases† No. (%) (N=0)Alabama2 (<1)0 (0)Arizona1 (<1)0 (0)Arkansas2 (<1)0 (0)California29 (7)0 (0)Colorado2 (<1)0 (0)Connecticut1 (<1)0 (0)Delaware3 (1)0 (0)District of Columbia3 (1)0 (0)Florida90 (21)0 (0)Georgia13 (3)0 (0)Hawaii7 (2)0 (0)Illinois12 (3)0 (0)Indiana6 (2)0 (0)Iowa4 (1)0 (0)Kansas1 (<1)0 (0)Kentucky5 (1)0 (0)Louisiana4 (1)0 (0)Maine2 (<1)0 (0)Maryland11 (3)0 (0)Massachusetts7 (2)0 (0)Michigan3 (1)0 (0)Minnesota14 (3)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 Jersey9 (2)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 April 27, 2016) http://www.cdc.gov/zika/geo/united-states.html StatesTravel-associated cases* No. (%) (N=426)Locally acquired cases† No. (%) (N=0)Alabama2 (<1)0 (0)Arizona1 (<1)0 (0)Arkansas2 (<1)0 (0)California29 (7)0 (0)Colorado2 (<1)0 (0)Connecticut1 (<1)0 (0)Delaware3 (1)0 (0)District of Columbia3 (1)0 (0)Florida90 (21)0 (0)Georgia13 (3)0 (0)Hawaii7 (2)0 (0)Illinois12 (3)0 (0)Indiana6 (2)0 (0)Iowa4 (1)0 (0)Kansas1 (<1)0 (0)Kentucky5 (1)0 (0)Louisiana4 (1)0 (0)Maine2 (<1)0 (0)Maryland11 (3)0 (0)Massachusetts7 (2)0 (0)Michigan3 (1)0 (0)Minnesota14 (3)0 (0)

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Maryland Confirmed Zika Virus Infections (As of April 27, 2016) Travel-AssociatedLocally Acquired Vector-BorneTotal12012 http://phpa.dhmh.maryland.gov/Pages/Zika.aspx

Maryland Confirmed Zika Virus Infections (As of April 27, 2016) Travel-AssociatedLocally Acquired Vector-BorneTotal12012

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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of April 27, 2016) http://www.cdc.gov/zika/geo/united-states.html StatesTravel-associated cases* No. (%) (N=426)Locally acquired cases† No. (%) (N=0)Alabama2 (<1)0 (0)Arizona1 (<1)0 (0)Arkansas2 (<1)0 (0)California29 (7)0 (0)Colorado2 (<1)0 (0)Connecticut1 (<1)0 (0)Delaware3 (1)0 (0)District of Columbia3 (1)0 (0)Florida90 (21)0 (0)Georgia13 (3)0 (0)Hawaii7 (2)0 (0)Illinois12 (3)0 (0)Indiana6 (2)0 (0)Iowa4 (1)0 (0)Kansas1 (<1)0 (0)Kentucky5 (1)0 (0)

As of April 27, 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 – April 27, 2016.US States Travel-associated Zika virus disease cases reported: 426Locally acquired vector-borne cases reported: 0Total: 426Pregnant: 36Sexually transmitted: 8Guillain-Barré syndrome: 1US Territories Travel-associated cases reported: 3Locally acquired cases reported: 596Total: 599Pregnant: 56Guillain-Barré syndrome: 5 Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of April 27, 2016) StatesTravel-associated cases* No. (%) (N=426)Locally acquired cases† No. (%) (N=0)Alabama2 (<1)0 (0)Arizona1 (<1)0 (0)Arkansas2 (<1)0 (0)California29 (7)0 (0)Colorado2 (<1)0 (0)Connecticut1 (<1)0 (0)Delaware3 (1)0 (0)District of Columbia3 (1)0 (0)Florida90 (21)0 (0)Georgia13 (3)0 (0)Hawaii7 (2)0 (0)Illinois12 (3)0 (0)Indiana6 (2)0 (0)Iowa4 (1)0 (0)Kansas1 (<1)0 (0)Kentucky5 (1)0 (0)Louisiana4 (1)0 (0)Maine2 (<1)0 (0)Maryland11 (3)0 (0)Massachusetts7 (2)0 (0)Michigan3 (1)0 (0)Minnesota14 (3)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 Jersey9 (2)0 (0)New Mexico1 (<1)0 (0)New York77 (18)0 (0)North Carolina10 (2)0 (0)Ohio12 (3)0 (0)Oklahoma4 (1)0 (0)Oregon6 (2)0 (0)Pennsylvania16 (4)0 (0)Tennessee2 (<1)0 (0)Texas30 (8)0 (0)Utah2 (<1)0 (0)Vermont1 (<1)0 (0)Virginia12 (3)0 (0)Washington2 (<1)0 (0)West Virginia6 (1)0 (0) Territories(N=3)(N=596)American Samoa0 (0)14 (2)Puerto Rico2 (67)570 (96)US Virgin Islands1 (33)12 (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: April 27, 2016

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As of April 27, 2016 there are no confirmed cases of Zika virus in South Carolina.

Confirmed Zika Cases in Oregon, 2016As of 4/26/2016 Travel-associated cases: 6 Oregon mosquito-acquired cases: 0 Total: 6

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At A Glance - Zika in the U.S.(as of Apr 26, 2016) North CarolinaTravel-associated Zika virus disease cases reported: 11Locally acquired vectorborne cases reported: 0 http://epi.publichealth.nc.gov/zika/

At A Glance - Zika in the U.S.(as of Apr 26, 2016) North CarolinaTravel-associated Zika virus disease cases reported: 11Locally acquired vectorborne cases reported: 0 U.S. StatesTravel-associated Zika virus disease cases reported: 388Locally acquired vectorborne cases reported: 0 U.S. TerritoriesTravel-associated cases reported: 3Locally acquired vectorborne cases reported: 500

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