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Niagara woman diagnosed with zika, after months of symptomsBy Dave Greber, News 4 ReporterPublished: April 22, 2016, 6:51 pmClick to share on Twitter (Opens in new window) Click to share on Google+ (Opens in new window) Share on Facebook (Opens in new window) Click to share on Pinterest (Opens in new window) BUFFALO, N.Y. (WIVB) — The diagnosis for Niagara County’s first confirmed case of zika virus was finally determined early this week, and it put at ease the local woman who’s been suffering symptoms for months. The North Tonawanda woman, who is not being named to protect her identity, went to Haiti on Jan. 1. She was there for just two weeks, and contracted the virus. “I wore mosquito protection, I wore Deep Woods Off everyday, and I still got like 30 mosquito bites,” she said. “And so the day after I got home is when the symptoms started showing up.” Symptoms like high fever, rash, achy joints and muscles and exhaustion, and diarrhea that lasted for so long, she finally went to her primary care doctor. “I said I had been to Haiti,” she said. “So they started doing regular blood testing.” That led to additional blood samples, and a visit to an infectious disease specialist. Then, more waiting; all the while, the symptoms persisted. “The first time that I found out that I had zika was Tuesday,” she said. “So I didn’t hear until three months after I got back. “It was frustrating, because I still had symptoms,” she added. “I still had a fever. The diarrhea and rash are gone, but I still have a fever.” Following several rounds of tests, the answer she feels she’s known for weeks was confirmed. “Kind of relief, that I know what it is,” she said. “It’s not an unknown anymore.” Zika is still relatively new, especially in the United States. Health officials say there may not be a vaccine for it for another six months to a year — and that’s if medical studies are funded. The other reason: Cost. The tests are performed at the state and county level, meaning they’re paid for by taxpayer dollars. Zika is not fatal. And unless the patient is pregnant, there’s no cause for concern. “We’re not going to test everybody in Erie County that has a fever, a rash and conjunctivitis,” said Erie County Health Commissioner Gale Burstein. “You have to have a certain travel history and risk factors. “It wouldn’t be fair to taxpayers to offer the test to everybody,” she added. ” Right now, because there is no vaccine to prevent zika virus and there is no treatment for zika virus, we’re not testing so we can treat anybody. We’re testing for surveillance purposes.” It also depends on how the body reacts. For example, if the body’s antibody count quadruples, that’s a strong indicator of zika virus. But there are other factors that require longterm testing, which involves watching the body react to illness. “It takes a lot of work, a lot of time and surveillance and a lot of following up with the different tests and the DNA, a lot of things that we can’t do in our department because we don’t have a public lab like they do in Albany,” said Niagara County Health Director Daniel Stapleton. Stapleton also said western New York is unique because of its proximity to international boundaries and the presence of an international airport. “It requires us to be nimble, respond quickly and be prepared,” he said. “It’s a challenge, but it’s a challenge that we’re up to.” Share this:

The diagnosis for Niagara County’s first confirmed case of zika virus was finally determined early this week, and it put at ease the local woman who’s been suffering symptoms for months. The North Tonawanda woman, who is not being named to protect her identity, went to Haiti on Jan. 1. She was there for just two weeks, and contracted the virus. “I wore mosquito protection, I wore Deep Woods Off everyday, and I still got like 30 mosquito bites,” she said. “And so the day after I got home is when the symptoms started showing up.” Symptoms like high fever, rash, achy joints and muscles and exhaustion, and diarrhea that lasted for so long, she finally went to her primary care doctor. “I said I had been to Haiti,” she said. “So they started doing regular blood testing.” That led to additional blood samples, and a visit to an infectious disease specialist. Then, more waiting; all the while, the symptoms persisted. “The first time that I found out that I had zika was Tuesday,” she said. “So I didn’t hear until three months after I got back. http://wivb.com/2016/04/22/niagara-woman-diagnosed-with-zika-after-months-of-symptoms/

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April 22, 2016 Test confirms fourth Missouri traveler infected with Zika virusThe Missouri Department of Health and Senior Services confirmed a case of Zika virus in a pregnant Missouri woman who had travelled to Nicaragua, a known area of Zika transmission. This is the fourth confirmed case of Zika virus infection reported in a Missouri resident. Nearly 80 percent of people infected with the virus will have no symptoms. Typically, symptoms are mild and include fever, rash, joint soreness and/or redness of eyes. International health officials are examining the connection between pregnant women contracting the virus and a birth defect called microcephaly in their newborn infants. According to the CDC, babies with microcephaly often have smaller head sizes and brains that might not have developed properly. According to the CDC, Zika virus has the potential to be spread through a mosquito bite, through unprotected sexual contact, through blood transfusion and an infected pregnant woman can pass Zika virus to her fetus during pregnancy. There is not currently a vaccine for Zika virus. The best prevention measure is to avoid mosquito bites in areas with ongoing transmission. There have been no reported cases of Zika virus contracted from a mosquito bite in Missouri. Ways to avoid mosquito bites while outdoors include wearing EPA-registered insect repellent with DEET, wearing pants and long sleeves, or remaining indoors in an air conditioned environment. The CDC is recommending pregnant women avoid traveling to Zika-affected areas which include countries ranging from Mexico into the Caribbean, Central American and South America. Since the beginning of the year, DHSS has regularly updated health care providers and the public about Zika virus in addition to coordinating the approval of Missourians for testing. Please consult CDC resources for a listing of all areas and other information about Zika virus:http://www.cdc.gov/zika/.

The Missouri Department of Health and Senior Services confirmed a case of Zika virus in a pregnant Missouri woman who had travelled to Nicaragua, a known area of Zika transmission. This is the fourth confirmed case of Zika virus infection reported in a Missouri resident. http://health.mo.gov/information/news/2016/zika42216

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NYC Health Lab Confirms Second Case of Zika in Connecticut The Connecticut Department of Public Health (DPH) today announced that a second patient living in Connecticut has tested positive for Zika virus. DPH officials were informed today by the New York City Department of Health and Mental Hygiene that a Connecticut man tested positive for the virus after returning from a trip to a Zika-affected area in the Caribbean. The patient developed a rash one day after his return. No other symptoms were reported."We encourage those concerned about symptoms to consult their doctor, particularly if they have traveled to an affected area and particularly if they are pregnant. We have been actively taking steps for months to prepare for a positive case, including expedited testing and a coordinated response across agencies. While the risk of transmission is low, we are nevertheless no doubt continuing that preparation to the extent that we can," Governor Malloy said. "Today’s test result highlights the need for everyone to take precautions if they are travelling to areas affected by Zika. While this virus is particularly dangerous for the babies of pregnant women, men need to be just as vigilant so that they don’t transmit the virus to their partners through sexual contact," DPH Commissioner Raul Pino said. In January, Governor Malloy directed DPH to test for Zika virus. While this particular test was done by NYC Health officials, the CT DPH Laboratory has been approved by the Centers for Disease Control and Prevention (CDC) to perform two separate levels of testing for the Zika virus, giving patients and their physicians the ability to receive test results in a matter of days. Prior to this approval, specimens were sent to the CDC for testing, with an average turnaround of 3-4 weeks. To date, 388 cases of Zika have been reported in 41 states and the District of Columbia. Of those, 33 were pregnant women and another 8 were sexually transmitted. In Connecticut, 220 patients, including 204 pregnant women, have been tested for Zika virus. Today’s result is the second positive test in Connecticut. The first patient, a non-pregnant female, has since recovered from her illness.

The Connecticut Department of Public Health (DPH) today announced that a second patient living in Connecticut has tested positive for Zika virus. DPH officials were informed today by the New York City Department of Health and Mental Hygiene that a Connecticut man tested positive for the virus after returning from a trip to a Zika-affected area in the Caribbean. The patient developed a rash one day after his return. No other symptoms were reported. http://www.ct.gov/dph/cwp/view.asp?A=4820&Q=579604

Pregnant San Francisco Woman Diagnosed With Zika VirusApril 22, 2016 12:00 PMFiled Under: Central America, San Francisco, Travel, Zika virus An Aedes aegypti mosquito is seen through a microscope at an exhibition on Dengue fever on January 28, 2016 in Recife, Pernambuco state, Brazil. (Photo by Mario Tama/Getty Images) 2SAN FRANCISCO (CBS SF) — A pregnant San Francisco woman who recently returned from a trip to Central America has tested positive for the Zika virus, health officials said Friday. But the San Francisco Department of Public Health was quick to announced that there was no risk to others. “Zika is not circulating in San Francisco, and there is no danger to residents,” said Dr. Tomas Aragon, Health Officer for the City and County of San Francisco, in a press release. “For San Franciscans considering travel to Zika affected areas, we urge pregnant women to postpone their plans if possible and advise every traveler to take mosquito precautions.” Health officials said Zika is a virus that is spread through mosquito bites. It generally causes mild symptoms of fever, joint pain, rash and red eyes. The mosquito that spreads Zika, called Aedes, is the same mosquito that spreads other viruses such as dengue fever. Officials said no Aedes mosquitos have been found in San Francisco. Officials said the woman was currently showing no signs of the disease and that she was ongoing evaluation to make sure the virus had not infected her unborn child. It was the second case of Zika virus detected in San Francisco. Both victims had contracted the disease while traveling. The first case was confirmed on February 4, 2016. That patient, who was not pregnant, had also recently returned from travel in Central America and has fully recovered. Currently Zika is circulating in a number of countries, mostly Latin America, the Caribbean and some of the Pacific Islands. Brazil has experienced an increase in cases of the birth defect microcephaly, where babies are born with unusually small heads. Though microcephaly has been linked to maternal infection with Zika virus, it does not happen in every case and the risk is still being researched. Sexual transmission of Zika virus from men to women and men to men also has been observed. There is no Zika vaccine at this time, but global research is underway. http://sanfrancisco.cbslocal.com/2016/04/22/pregnant-san-francisco-woman-diagnosed-with-zika-virus/

Second case of Zika virus confirmed in SFBy Examiner Staff on April 22, 2016 12:30 pmA second case of Zika virus has been confirmed in San Francisco amid the recent outbreak in a number of Latin American and Caribbean countries, health officials said Friday. The patient is a pregnant woman who recently traveled to San Francisco from Central America, according to The City’s Department of Public Health, which learned Thursday of the patient’s positive test results. She is receiving care and undergoing evaluation for her pregnancy, though further details about the patient are not being released, health officials said. http://www.sfexaminer.com/second-case-zika-virus-confirmed-sf/ .

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San Francisco confirms 2nd case of Zika POSTED:APR 22 2016 12:42PM PDT UPDATED:APR 22 2016 12:43PM PDT SAN FRANCISCO (KTVU) - The City of San Francisco has now confirmed its second case of Zika virus. According to the city's public health department the patient, who is pregnant woman, contracted the virus in South American. Your Blood Blue? Your Last Name May Tell You.Ancestry But officials say there is no risk to public health, and emphasize that Zika not circulating in San Francisco. Top ktvu.com Searches Reporter Almost Hit By CarSteph CurryVallejo Police DepartmentBirth ControlThe woman currently has no Zika symptoms and is receiving care. The first case of Zika was confirmed back in February by a person who had also traveled to Central America, and that person has fully recovered. http://www.ktvu.com/news/129724484-story

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April 22, 2016 DEPARTMENT OF HEALTH DAILY ZIKA UPDATE: TWO NEW TRAVEL-RELATED CASES IN BROWARD COUNTY 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 in Broward County. Of the cases confirmed in Florida, three 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 4 Polk 3 Santa Rosa 1 Seminole 1 St. Johns 1 Cases involving pregnant women* 5 Total 93 *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 1,498 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 6,634 people for active Zika virus and 1,466 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/2016/04/042216-zika-update.html

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 4 Polk 3 Santa Rosa 1 Seminole 1 St. Johns 1 Cases involving pregnant women* 5 Total 93

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CDPH Weekly Update on Number of Zika Cases in California April 22, 2016 The following table provides the number of travel-associated cases of Zika in California residents in 2015 and 2016. As of April 22, 2016, 35 individuals contracted Zika while traveling outside of the United States or through sexual contact with a Zika-infected returned traveler. CDPH is following CDC testing guidelines. This table is updated every Friday. Confirmed Cases of Zika in California, 2015-2016 (as of April 22, 2016) County Travel-associated cases* Locally acquired cases† Alameda 2 0 Contra Costa 3 0 Los Angeles 8 0 Napa 1 0 Orange 2 0 San Bernardino 2 0 San Diego 10** 0 San Francisco 1 0 San Joaquin 1 0 San Mateo 2 0 Santa Clara 1 0 Yolo 2 0 Total 35 0 *Travelers returning from affected areas or their sexual contact

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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of April 20, 2016) http://www.cdc.gov/zika/geo/united-states.html StatesTravel-associated cases*No. (%)(N=388)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)Florida84 (22)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)Kentucky3 (1)0 (0)Louisiana4 (1)0 (0)Maine2 (1)0 (0)Maryland8 (2)0 (0)Massachusetts7 (2)0 (0)Michigan3 (1)0 (0)Minnesota13 (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 20, 2016) http://www.cdc.gov/zika/geo/united-states.html StatesTravel-associated cases*No. (%)(N=388)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)Florida84 (22)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)Kentucky3 (1)0 (0)Louisiana4 (1)0 (0)Maine2 (1)0 (0)Maryland8 (2)0 (0)Massachusetts7 (2)0 (0)Michigan3 (1)0 (0)

As of April 20, 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 20, 2016.US States Travel-associated Zika virus disease cases reported: 388Locally acquired vector-borne cases reported: 0Total: 388Pregnant: 33Sexually transmitted: 8Guillain-Barré syndrome: 1US Territories Travel-associated cases reported: 3Locally acquired cases reported: 500Total: 503Pregnant: 48Guillain-Barré syndrome: 4 Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of April 20, 2016) StatesTravel-associated cases* No. (%) (N=388)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)Florida84 (22)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)Kentucky3 (1)0 (0)Louisiana4 (1)0 (0)Maine2 (1)0 (0)Maryland8 (2)0 (0)Massachusetts7 (2)0 (0)Michigan3 (1)0 (0)Minnesota13 (3)0 (0)Mississippi3 (1)0 (0)Missouri3 (1)0 (0)Montana1 (<1)0 (0)Nebraska2 (1)0 (0)Nevada2 (1)0 (0)New Hampshire2 (1)0 (0)New Jersey8 (2)0 (0)New Mexico1 (<1)0 (0)New York60 (15)0 (0)North Carolina10 (3)0 (0)Ohio10 (3)0 (0)Oklahoma4 (1)0 (0)Oregon6 (2)0 (0)Pennsylvania15 (4)0 (0)Tennessee2 (1)0 (0)Texas30 (8)0 (0)Utah2 (1)0 (0)Virginia10 (3)0 (0)Washington2 (1)0 (0)West Virginia5 (1)0 (0) Territories(N=3)(N=500)American Samoa0 (0)14 (3)Puerto Rico2 (67)474 (95)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 21, 2016

Three cases of microcephaly in TolimaThree cases studied by microcephaly associated with zika disease have been reported, two in Ibague and a case in Melgar.The Ministry of Health presented Tolima advances against zika.(Photo: SUPPLIED - THE NEW DAY) 0 0Blogger0google +0 New April 19, 2016 - 5:01"Only the Ministry is the entity authorized in the country to the official report, has so far confirmed cases of microcephaly in Cundinamarca and Norte de Santander, "said Secretary of Health Tolima, Sandra Liliana Torres Diaz. The official gave know the picture of the disease in Tolima and the actions taken and executed in the coming days. Diaz Torres said the management made to control the epidemic in the department it has been recognized by the Ministry itself with the campaigns 'Wanted' and 'Homework is Zika'. "In 100 days we have committed important resources in the order of a thousand 170 million pesos to make and implement activities in hyperendemic and endemic municipalities, benefiting 40,000 households with fumigation and promotion and prevention throughout the department, "said Secretary. Today There is a report in Tolima 4 thousand 757 cases of Zika fever and the most affected municipalities are Melgar, Chaparral, San Antonio, Purification, Dolores, Carmen Espinal and Apicalá. To date no report of two deaths study in the towns of Ibague and Chaparral. According to the Ministry of Health and Social Protection has given the disease in the country and 600 thousand cases no longer expected, but the projection is between 150 000 and 220 000. "The community has to be clear that the epidemic began to decline, however, in this rainy season is very important to implement to the letter the protection measures, especially washing and brushing pools, where females zancudo transmitter lay their eggs, "said the official. - See more at: http://www.elnuevodia.com.co/nuevodia/tolima/regional/285859-tres-casos-de-microcefalia-en-el-tolima#sthash.YNFqYzaI.dpuf