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The Shelby County Health Department has confirmed its first case of the Zika virus. According to the department, the person recently traveled to one of the affected areas. http://wreg.com/2016/04/07/first-case-of-zika-virus-confirmed-in-shelby-county/

Table 2. Countries, territories and areas reporting microcephaly and /or CNS malformation cases potentially associated with Zika virus infection. Reporting country Number of microcephaly and /or CNS malformation cases suggestive of congenital infections or potentially associated with a Zika virus infection Probable location of infection Brazil 1046 Brazil Cabo Verde 2 Cabo Verde Colombia 7 Colombia French Polynesia 8 French Polynesia Martinique 3 Martinique Panama 1 Panama Slovenia 1 Brazil United States of America 1 Brazil

Microcephaly and other fetal malformations potentially associated with Zika virus infection or suggestive of congenital infection have been reported in Brazil (1046 cases), Cabo Verde (two cases), Colombia (seven cases), French Polynesia (eight cases), Martinique (three cases) and Panama (one case). Two additional cases, each linked to a stay in Brazil, were detected in the United States of America and Slovenia.http://www.who.int/emergencies/zika-virus/situation-report/7-april-2016/en/

Confirmed Zika Cases in Oregon, 2016As of 4/5/2016 Travel-associated cases: 6 Oregon mosquito-acquired cases: 0 Total: 6

Zika Virus – April 7, 2016. Texas has had 27 confirmed cases of Zika virus disease. Of those, 26 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 – 3Dallas – 4Fort Bend – 2Grayson – 1Harris – 11Tarrant – 3Travis – 2Wise – 1

Apr. 7, 2016 Department of Health Daily Zika UpdateNo New 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 no new cases today. Of the cases confirmed in Florida, six 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 12 Clay 1 Collier 1 Hillsborough 3 Lee 3 Miami-Dade 33 Orange 5 Osceola 4 Palm Beach 3 Polk 3 Santa Rosa 1 Seminole 1 St. Johns 1 Cases involving pregnant women* 5 Total 82 *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 1,309 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.The Declaration currently includes the 15 affected counties – 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.Yesterday, 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 3,854 people for active Zika virus and 1,605 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 are examining a possible link between the virus and harm to unborn babies exposed during pregnancy.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 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. 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/2016/04/040716-zika-update.html

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Zika virus cases in Canada, as of April 7, 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-relatedCanada044

Zika virus cases in Canada, as of April 7, 2016CountryLocally acquired through sexual transmissionTravel-relatedCanada044

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Second Arkansas resident test positive for mosquito-linked Zika virus0 By Brandon Riddle This article was published today at 11:40 a.m. A researcher holds a container with female Aedes aegypti mosquitoes at the Biomedical Sciences Institute in the Sao Paulo's University, in Sao Paulo, Brazil, Monday, Jan. 18, 2016. The Aedes aegypti is a vector for transmitting the Zika virus. (AP Photo/Andre Penner) CommentsaAFont SizeA second Arkansas resident has tested positive for the Zika virus commonly spread by mosquitoes, according to the Arkansas Department of Health. Meg Mirivel, spokesman for health department, said the person had recently visited Central America but declined to disclose additional information, citing privacy laws. Test results were confirmed Wednesday by the Centers for Disease Control and Prevention, Mirivel said. In January, the state’s health department confirmed the first case in an Arkansan. That resident had traveled to the Central American/Caribbean region, ArkansasOnline previously reported. Originating in the Western Hemisphere, the first case of the Zika virus was reported in the Americas in 2015. According to the CDC, pregnant women are most at risk for contracting the disease. The virus is spread though mosquito bites and through sexual contact by a man to his partner, the CDC said.

A second Arkansas resident has tested positive for the Zika virus commonly spread by mosquitoes, according to the Arkansas Department of Health. Meg Mirivel, spokesman for health department, said the person had recently visited Central America but declined to disclose additional information, citing privacy laws. Test results were confirmed Wednesday by the Centers for Disease Control and Prevention, Mirivel said. http://www.arkansasonline.com/news/2016/apr/07/2nd-case-zika-virus-confirmed-arkansas-resident/?news-arkansas

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Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of April 6, 2016) StatesTravel-associated cases*No. (%)(N=346)Locally acquired cases†No. (%)(N=0)Alabama2 (1)0 (0)Arizona1 (<1)0 (0)Arkansas1 (<1)0 (0)California29 (8)0 (0)Colorado2 (1)0 (0)Connecticut1 (<1)0 (0)Delaware3 (1)0 (0)District of Columbia3 (1)0 (0)Florida78 (23)0 (0)Georgia11 (3)0 (0)Hawaii5 (1)0 (0)Illinois10 (3)0 (0)Indiana6 (2)0 (0)

Zika virus disease in the United States, 2015–2016Language:EnglishEspañolRecommend on FacebookTweetAs of April 6, 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 6, 2016.US States Travel-associated Zika virus disease cases reported: 346Locally acquired vector-borne cases reported: 0Of the 346 cases reported, 32 were pregnant women, 7 were sexually transmitted, and 1 had Guillain-Barré syndromeUS Territories Travel-associated cases reported: 3Locally acquired cases reported: 351Of the 354 cases reported, 37 were pregnant women and 1 had Guillain-Barré syndrome Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of April 6, 2016) StatesTravel-associated cases* No. (%) (N=346)Locally acquired cases† No. (%) (N=0)Alabama2 (1)0 (0)Arizona1 (<1)0 (0)Arkansas1 (<1)0 (0)California29 (8)0 (0)Colorado2 (1)0 (0)Connecticut1 (<1)0 (0)Delaware3 (1)0 (0)District of Columbia3 (1)0 (0)Florida78 (23)0 (0)Georgia11 (3)0 (0)Hawaii5 (1)0 (0)Illinois10 (3)0 (0)Indiana6 (2)0 (0)Iowa4 (1)0 (0)Kansas1 (<1)0 (0)Kentucky3 (1)0 (0)Louisiana4 (1)0 (0)Maine1 (<1)0 (0)Maryland6 (2)0 (0)Massachusetts7 (2)0 (0)Michigan2 (1)0 (0)Minnesota12 (3)0 (0)Mississippi2 (1)0 (0)Missouri2 (1)0 (0)Montana1 (<1)0 (0)Nebraska2 (1)0 (0)Nevada2 (1)0 (0)New Hampshire2 (1)0 (0)New Jersey5 (1)0 (0)New York55 (16)0 (0)North Carolina8 (2)0 (0)Ohio9 (3)0 (0)Oklahoma3 (1)0 (0)Oregon6 (2)0 (0)Pennsylvania12 (3)0 (0)Tennessee1 (<1)0 (0)Texas27 (8)0 (0)Utah2 (1)0 (0)Virginia8 (2)0 (0)Washington2 (1)0 (0)West Virginia5 (1)0 (0) Territories(N=3)(N=351)American Samoa0 (0)14 (4)Puerto Rico2 (67)325 (93)US Virgin Islands1 (33)12 (3)*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 6, 2016

 In the context of the Cabo Verde Zika virus outbreak, two microcephaly cases were reported. For the first case, samples from both the mother and the infant exhibited antiZika virus IgG antibodies confirmed by seroneutralization, while for the second case preliminary test of the woman’s serum yielded positive results for Zika virus IgM antibodies. http://apps.who.int/iris/bitstream/10665/204961/1/zikasitrep_7Apr2016_eng.pdf?ua=1

Summary From 1 January 2007 to 6 April 2016, Zika virus transmission was documented in a total of 62 countries and territories. Five of these (Cook Islands, French Polynesia, ISLA DE PASCUA – Chile, YAP (Federated States of Micronesia) and New Caledonia) reported a Zika virus outbreak that has terminated. Six countries have now reported locally acquired infection through sexual transmission (Argentina, Chile, France, Italy, New Zealand and the United States of America). Viet Nam is the country to most recently report mosquito-borne Zika virus transmission.In the Region of the Americas, the geographical distribution of Zika virus has steadily widened since the presence of the virus was confirmed in 2015. Mosquito-borne Zika virus transmission has been reported in 33 countries and territories of this region.From 2007, mosquito-borne Zika virus cases have been reported in 17 countries and areas of the Western Pacific Region.Microcephaly and other fetal malformations potentially associated with Zika virus infection or suggestive of congenital infection have been reported in Brazil (1046 cases), Cabo Verde (two cases), Colombia (seven cases), French Polynesia (eight cases), Martinique (three cases) and Panama (one case). Two additional cases, each linked to a stay in Brazil, were detected in the United States of America and Slovenia.In the context of Zika virus circulation, 13 countries or territories worldwide have reported an increased incidence of Guillain-Barré syndrome (GBS) and/or laboratory confirmation of a Zika virus infection among GBS cases.Based on a growing body of preliminary research, there is scientific consensus that Zika virus is a cause of microcephaly and Guillain-Barré syndrome.The global prevention and control strategy launched by the World Health Organization (WHO) as a Strategic Response Framework encompasses surveillance, response activities and research. This situation report is organized under those headings. Click to enlarge imageClick to enlarge imageClick to enlarge image

Zika situation report7 April 2016Zika virus, Microcephaly and Guillain-Barré syndromehttp://www.who.int/emergencies/zika-virus/situation-report/7-april-2016/en/

As of Thursday, April 7, 2016, VDH has reported 9 cases of Zika virus disease in Virginia residents to the CDC (2 in Northwest Region, 3 in Northern Region, 1 in Eastern Region, 1 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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The Illinois Department of Public Health is reporting 10 cases of Zika virus disease statewide. http://www.dph.illinois.gov/topics-services/diseases-and-conditions/zika

The Illinois Department of Public Health is reporting 10 cases of Zika virus disease statewide.

Zika didn’t cause woman’s miscarriage Anna-Lisa PaulPublished: Thursday, April 7, 2016The miscarriage by the 23-year-old woman who became this country's first Zika case to be diagnosed in pregnancy has not been attributed to the virus. It is believed the woman developed complications and suffered the miscarriage between Sunday night and Monday morning. According to officials, the 13-week pregnant woman of Belmont was taken to the Port-of-Spain General Hospital after complaining of pains. Health Minister Terrence Deyalsingh declined to provide an update on the matter as he cited the doctor/patient confidentiality clause. When contacted, officials of the North West Regional Health Authority also declined to comment. Professor Terrence Seemungal, a member of the specialist medical team assembled by the Ministry of Health to formulate the guidelines for the diagnosis and treatment of pregnant persons suffering with the virus, said there was still no concrete evidence directly linking microcephaly and Zika. Microcephaly is a medical condition where babies’ heads are abnormally small. Seemungal admitted there seemed to be a lot of research internationally to "support this hypothesis." He said a recent international study had found that a greater number of babies born with the condition had occurred in persons who had contracted the Zika virus during pregnancy. Even though Seemungal explained traces of the virus had been found in the foetal fluid around the babies, he was reluctant to pronounce a direct cause and effect link. "The cause and effect jury is still open on that issue," he added. Anticipating an increase in the number of local cases which now stands at nine, following the onset of the rainy season in June, Seemungal believes the Health Minister acted proactively by declaring a national health emergency in January. He said efforts to clean the physical environment and introduce other measures, such as spraying and inspections, "were done in the right time." Head of Obstetrics and Gynecology of the St Augustine Campus of the University of the West Indies, Professor Bharat Bassaw, endorsed Seemungal's theory of the link between microcephaly and Zika. He said: "The evidence is getting stronger and stronger day-by-day." Bassaw said while it was difficult to prove cause and effect, "the evidence is strong that there is a link between Zika and microcephaly but we do not have the concrete evidence needed to support that statement." Revealing that regional experts were concerned about the virus and the potential threat to babies in the womb, Bassaw said all the UWI campuses across the region, along with many of the smaller islands, had assembled a high-powered team to address the issue as they too were expecting an increase in the number of cases in the Caribbean once the rainy season began and the mosquito population increased. Asked to explain how the local procedure was done, Bassaw said once an expectant person presented had any of the symptoms, a blood test would be done to confirm the diagnosis. Once confirmed, he said the team would carefully monitor the foetus, via ultrasounds, which would be used to determine the growth of the baby's brain in relation to its abdomen. He said scans would be done regularly in order to identify any other abnormalities, one of which was said to be calcium deposits in the brain, which was another sign of the infection. Citizens have been urged to clean their homes and work spaces to eradicate mosquitoes as the virus is spread by the aedes aegypti mosquito, which also spreads the dengue fever and chikungunya viruses. The Zika symptoms include a rash, fever, generalised pains and conjunctivitis. During last Friday's weekly media briefing at the Ministry of Health officials revealed that Zika cases have so far been recorded in Gulf View, Belmont, Laventille, Diego Martin, Tunapuna, La Resource and St Ann's. Spraying operations have so far been carried out at approximately 187,108 homes; 303 educational institutions and 614 government buildings. http://www.guardian.co.tt/news/2016-04-07/zika-didn’t-cause-woman’s-miscarriage

NERVOUS SYSTEM HEALTHBrain scans of microcephalic babies suggest Zika disrupts developmentPublished April 07, 2016 ReutersFacebook Twitter livefyre Email The Wider Image: Alternative therapies for microcephaly (Copyright Reuters 2016) CHICAGO – Brain scans of 23 Brazilian infants with the birth defect microcephaly showed widespread and severe abnormalities suggesting that Zika may invade fetal nerve cells and disrupt brain development. ADVERTISEMENT The findings, published on Wednesday in a letter to the New England Journal of Medicine, are based on a large trove of computed tomography, or CT images, done in infants whose mothers are believed to have had Zika infections during pregnancy. The study included researchers from Brazil's Northeastern state of Pernambuco, such as Dr. Ana van der Linden of the Instituto de Medicina Integral, who were among the first to sound the alarm about increasing cases of microcephaly in Brazil thought to be linked with Zika infections. Microcephaly is a typically rare birth defect marked by unusually small head size, signaling a problem with brain development. Brazil is investigating thousands of cases of microcephaly and has confirmed more than 940 cases to be related to Zika infections in the mothers. Zika-Linked Abnormalities in Infants with Microcephaly | HealthGroveScientists in the study ran several tests on the mothers to try to rule out other possible causes of microcephaly, including toxoplasmosis, cytomegalovirus, parovirus, HIV and rubella. All were all negative. All of the mothers had symptoms during their pregnancies - such as fever and rash - that were consistent with Zika infections. Testing on spinal fluid from seven of the infants was positive for Zika antibodies. The researchers did CT scans when the babies were between three days and five months old. All showed signs of brain calcification, which is suggestive of brain inflammation. Many of the babies had other abnormalities, including brain swelling, disruptions in brain folds, underdeveloped brain structures and abnormalities in myelin, which forms protective sheaths on nerve fibers. Researchers said the findings were consistent with a study published last month testing lab dishes full of nerve stem cells similar to those in the brains of human fetuses. They showed that the Zika virus was able to easily infect these cells, stunting their growth. http://www.foxnews.com/health/2016/04/07/brain-scans-microcephalic-babies-suggest-zika-disrupts-development.html