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Confirmed Zika Cases in Oregon, 2016As of 3/15/2016 Travel-associated cases: 6 Oregon mosquito-acquired cases: 0 Total: 6

Mar. 15, 2016 Department of Health Daily Zika Update - Two New Case in Miami-Dade CountyContact:Communications [email protected](850) 245-4111

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Mar. 15, 2016 Department of Health Daily Zika Update - One New Case in Miami-Dade CountyContact: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 is one new case today in Miami-Dade County. 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, four 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 1 Brevard 1 Broward 8 Hillsborough 3 Lee 3 Miami-Dade 30 Orange 4 Osceola 3 Polk 2 Santa Rosa 1 Seminole 1 St. Johns 1 Cases involving pregnant women* 4 Total 62 *Counties of pregnant women will not be shared. Last week, following news of the first confirmation of a sexually transmitted Zika case in Polk County from an individual who traveled out of the country, Governor Rick Scott asked the CDC to host another conference call with Florida healthcare workers on how Zika is spread, its symptoms, treatments and proper precautions. 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 1,056 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 12 affected counties – Alachua, Brevard, Broward, Hillsborough, Lee, Miami-Dade, Orange, Osceola, 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. Florida currently has the capacity to test 4,362 people for active Zika virus and 1,358 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.

http://www.floridahealth.gov/newsroom/2016/03/031516-zika-update.html County Number of Cases (all travel related) Alachua 1 Brevard 1 Broward 8 Hillsborough 3 Lee 3 Miami-Dade 30 Orange 4 Osceola 3 Polk 2 Santa Rosa 1 Seminole 1 St. Johns 1 Cases involving pregnant women* 4 Total 62

Zika Virus – March 15, 2016 Texas has had 23 confirmed cases of Zika virus disease. 22 were in travelers who were infected abroad and diagnosed after they returned home. 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 – 1Harris – 10Tarrant – 3Travis - 2

State Health Officials Encourage Ongoing Awareness of Travel Recommendations State officials continue to encourage awareness of travel recommendations from the Centers for Disease Control and Prevention as they pertain to Zika virus. Mar 4, 2016RaleighState officials continue to encourage awareness of travel recommendations from the Centers for Disease Control and Prevention as they pertain to Zika virus. There are five travel-related cases of Zika virus confirmed in North Carolina, and North Carolinians are encouraged to stay informed of the risk of Zika virus infection before traveling to Central America, South America, Mexico or the Caribbean. “We have anticipated all along that travel-related cases would be identified in North Carolina, and while travel-related cases are not a probable threat to public health, we always actively monitor emerging global situations and adjust resources to meet needs,” said State Health Director, Randall Williams, MD. “Travelers to any of the countries with active Zika transmission should follow precautions to minimize their exposure to mosquito bites. Pregnant women are particularly urged to take note of the recent CDC travel recommendations advising that travel to areas with active virus transmission be postponed if possible." Zika virus is primarily transmitted through the bite of an infectious mosquito. Symptoms include rash and red eyes. Less common symptoms include fever, joint pains and muscle aches. Only about one in five people infected with Zika virus will show symptoms. Sexual transmission of Zika virus is possible, and is of particular concern during pregnancy. A pregnant woman infected with Zika virus can pass the virus to her unborn baby. A serious birth defect of the brain called microcephaly, and other adverse pregnancy outcomes have been reported in some mothers who were infected with Zika virus while pregnant. The Centers for Disease Control and Prevention has issued a travel advisory recommending pregnant women consider postponing travel to any area with active Zika virus transmission. Women who are trying to become pregnant should talk to their doctors about the risk of Zika virus infection before traveling. The N.C. Department of Health and Human Services is currently hiring two medical entomologists, who will oversee surveillance and monitoring of vectors, such as mosquitoes, in North Carolina and consult with local programs on best practices of vector control. While the primary mosquitoes that carry Zika virus are not believed to be widespread in North Carolina, individuals are always encouraged, as a routine precaution, to take steps to prevent mosquito bites, such as: Wearing insect repellent registered with the Environmental Protection Agency.Wearing long-sleeved shirts and pants.Using air conditioning or making sure window and door screens are in place.For more information about Zika virus, please visit:http://epi.publichealth.nc.gov/cd/diseases/zika.html or www.cdc.gov/zika. http://www.ncdhhs.gov/news/press-releases/state-health-officials-encourage-ongoing-awareness-travel-recommendations

PO Box 360 Trenton, NJ 08625-0360 For Release: Monday, February 29, 2016Cathleen D. Bennett Acting Commissioner For Further Information Contact: Office of Communications (609) 984-7160 CDC Confirms Second Travel-Related Zika Virus Case in NJ Acting Commissioner, Physicians to Meet With Pregnant Women, College Students in #ZapZika Public Education Campaign A State Health Department public education campaign is underway to explain the risk of the Zika virus to pregnant women, college students and others considering travel to Latin America and the Caribbean as federal authorities confirm a second travel-related case in New Jersey. As part of the #ZapZika campaign, Acting Commissioner Cathleen D. Bennett and the Department of Health’s top doctors — including Deputy Commissioner Dr. Arturo Brito, a bilingual pediatrician — will meet with pregnant women in health centers and hospitals, physician groups, college students, professional medical societies and public health officials. Radio public service announcements have been developed in English and Spanish, along with NJ Transit bus advertising encouraging pregnant women to avoid travel to Zika-affected countries and travelers to prevent mosquito bites by using insect repellent and wearing long sleeves and pants. “The severity of the Zika outbreaks highlights the importance of education and awareness to keep travelers and visitors informed and healthy,” Acting Commissioner Bennett said. The Department’s campaign will build on previous outreach efforts. More than 1,000 public health and health care professionals and maternal and child health advocates have participated in five conference calls hosted by the Department to share information from the Centers for Disease Control and Prevention (CDC), and more than 350 local health officials joined a training webinar and received tool kits to use in their communities. Zika is primarily spread through a bite of the Aedes species mosquito, typically found in southern states. There is a closely related species in New Jersey, and the CDC is monitoring to determine how effectively this mosquito “cousin” can carry and transmit Zika. The vast majority of individuals who get Zika do not develop symptoms. For those who do, symptoms tend to be mild. “Our biggest concern at this point is pregnant women who may acquire Zika while traveling and the potential impact of the virus on their unborn children," Acting Commissioner Bennett said. The CDC has also cautioned that sexual transmission of Zika has been reported after travel to the impacted countries. The Red Cross has recommended that blood donors who have traveled to Mexico, the Caribbean, or Central or South America postpone donations until 28 days after returning to the U.S. “New Jersey does not expect to see Zika outbreaks based on many years of mosquito control and monitoring in partnership with the New Jersey Department of Environmental Protection and local government,” said State Epidemiologist Dr. Tina Tan. She also pointed out that the United States' experience with other mosquito-borne viruses like dengue and chikungunya have been largely travel-imported cases that have not led to widespread outbreaks. “In light of the serious concern over Zika and birth defects, women who are either pregnant or considering becoming pregnant should postpone travel to Latin American countries and the Caribbean and should also be aware about possible sexual transmission risk,” Dr. Tan added. Acting Commissioner Bennett and Dr. Tan will visit Montclair State University on Thursday, March 3 to meet with students and faculty, some of whom will be traveling to Brazil next month. The CDC late last week confirmed a second Zika case in New Jersey in a Hudson County woman who traveled to Honduras. There is no public health risk because the woman was exposed to mosquitoes in Honduras. The CDC notified the Department in December 2015 of New Jersey’s first travel-related Zika case in an individual who was visiting Bergen County at the end of November 2015 and was exposed in Colombia, where she resides. She fully recovered and returned to Colombia. Dr. Brito and other physicians will meet with pregnant women, nurses and medical students and hold Zika discussions with groups of doctors in hospitals. State epidemiologists will also meet with public health and health care groups. “As the 11th most populous state, New Jersey is highly diverse with 20 percent of our population foreign born. Global travel is more common now than ever before,” Dr. Brito said. "Our vision is to have zero babies born with Zika because their mothers are aware of the travel advisories and potential risks." For CDC’s Zika-related travel advisory list of impacted countries and territories, please visit http://www.cdc.gov/zika/geo/active-countries.html. The list of affected countries is growing, so check the CDC website for up-to-date information on travel recommendations. There is no vaccine or medicine to treat Zika. Mosquito bites remain the primary way Zika virus is transmitted. When traveling to countries where viruses have been reported, the best way to protect yourself is to use insect repellent, wear long sleeves and pants, and stay in places with air conditioning or that use window and door screens. Upcoming public events as part of the campaign include: Montclair State University Thursday, March 3 10 a.m. 1 Normal Ave. Lecture Hall in Center for Environmental Life Sciences Montclair, New Jersey 07043Newark Community Health Center Monday, March 7 11 a.m. 155 Jefferson St. (Old St. James Hospital) Newark, NJ 07105Clara Maass Medical Center Monday, March 7 1 p.m. 1 Clara Maass Dr. Belleville, NJ 07109North Hudson Community Action Corporation Wednesday, March 16 10:30 a.m. 5301 Broadway West New York, NJ 07093For more information, visit the Department’s Zika webpage at nj.gov/health/cd/zika/ or CDC’s Zika website atcdc.gov/zika. Follow the New Jersey Department of Health on Twitter at twitter.com/NJDeptofHealth and on Facebook atfacebook.com/NJDeptofHealth. http://www.nj.gov/health/news/2016/approved/20160229a.html

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New Hampshire Summary Report January 11, 2016 – March 14, 2016 ZIKA VIRUS TESTING SUMMARY Number of people tested 99 Total # of pending results 62 Total # of negative results 35 Total # of positive results 2 ZIKA VIRUS CASE SUMMARY Female Pregnant Female Not pregnant Male TOTAL Number of Zika Virus Cases in NH 0 1 1 1 http://www.dhhs.nh.gov/dphs/cdcs/zika/documents/zikasummary.pdf

http://www.dhhs.nh.gov/dphs/cdcs/zika/documents/zikasummary.pdf

Michigan's First Confirmed Case of Zika Virus ReportedFOR IMMEDIATE RELEASE: February 24, 2016 CONTACT: Angela Minicuci, MDHHS, (517) 241-2112 Amanda Darche, Ingham Co. Health Dept., (517) 648-9853 LANSING, Mich. – Michigan health officials have identified the first confirmed case of Zika virus in a Michigan resident. The patient, a female resident of Ingham County, contracted the virus when traveling in a country where Zika virus is being transmitted. The patient, who was not pregnant, experienced symptoms consistent with Zika virus disease shortly after her return to Michigan. Zika virus is spread to people primarily through the bite of an infected Aedes aegypti mosquito. These mosquitoes are not found in Michigan, but are widespread in tropical and subtropical areas. The most common symptoms are fever, rash, joint pain and red, itchy eyes. Symptoms are typically mild and last several days to a week. Many people who are infected will not experience any symptoms. There have been rare reported cases of Guillain-Barre syndrome following Zika virus infection. There have also been rare reports of sexual transmission of Zika virus infection. There is no vaccine to prevent or medicine to treat Zika virus infection. “This is the time of year when many Michigan residents are traveling to warmer climates. If you have plans to travel to areas where Zika virus is present, take precautions to prevent mosquito bites. If you are pregnant, or may become pregnant, consider postponing your trip,” says Dr. Eden Wells, chief medical executive at the Michigan Department of Health and Human Services. “Travelers to areas where Zika virus is present should contact their doctor if they experience symptoms associated with Zika virus during their trip, or within a week of their return home.” Pregnant women are most at risk for complications from the Zika virus. Serious birth defects have been reported in children born to women who were infected with Zika virus during pregnancy. Scientists are studying the connection between Zika virus and poor birth outcomes. Until more is known, the Centers for Disease Control and Prevention is currently advising pregnant women to avoid travel to countries where Zika virus is circulating. For the most up-to-date information about where Zika virus is found, visit http://wwwnc.cdc.gov/travel/page/zika-travel-information. “For several weeks now, travelers with potential exposure to Zika virus have been returning home to the continental U.S. with a few to be later diagnosed,” said Linda S. Vail, Ingham County Health Officer. “Fortunately, Zika virus infection is typically mild, and people recover without incident. We have known this was a possibility. Health officials and providers have been vigilant in following CDC guidelines and are taking appropriate precautions to test all travelers with symptoms consistent with Zika virus and all pregnant women who have traveled to areas with Zika transmission.” Prior to 2015, outbreaks of Zika virus have occurred in Africa, Southeast Asia, and the Pacific Islands. In May of 2015, Brazil reported the first cases of Zika virus in the Americas. The virus has since spread to other countries and territories in South and Central America and the Caribbean. Although Zika is not currently being spread by mosquitoes in the continental United States, cases of Zika virus have been reported in returning travelers. The number of Zika cases among travelers returning to the U.S. will likely increase as the outbreak continues. Michigan residents can avoid mosquito bites when traveling by taking the following precautions: Wear long-sleeved shirts and long pants when outdoors.Take precautions to avoid bites both during the day and in the evening. The mosquitoes that transmit Zika bite primarily during the day.Apply insect repellents that contain the active ingredient DEET, or other EPA approved product to exposed skin or clothing, always following the manufacturer’s directions for use.Stay in places with air conditioning or that use window and door screens to keep mosquitoes outside.Sleep under a mosquito bed net if you are overseas or outside and are not able to protect yourself from mosquito bites.If also using sunscreen, apply sunscreen before applying insect repellent. When applying repellent to children, apply it to your own hands and rub them on the child. Avoid the eyes and mouth and do not apply to children’s hands because they sometimes put their hands in their mouths. Do not apply repellents to infants under 2 months of age and instead place nets over strollers and baby carriers. For more information about Zika virus, visit www.cdc.gov/zika. http://www.michigan.gov/mdhhs/0,5885,7-339-73970_71692-377697--,00.html

Maine Zika ReportsMarch 2, 2016 (Word | PDF)February 17, 2016 (Word | PDF) http://www.maine.gov/dhhs/mecdc/infectious-disease/epi/vector-borne/zika/

It would be necessary to develop a vaccine and efficient diagnosis Urged to change strategy against zika for its possible relationship with microcephaly César Arellano García Newspaper La Jornada Tuesday March 15, 2016, p. 35The expansion of the Zika virus in the Americas, and its association with microcephaly in infants and Guillain-Barre syndrome, involves great challenges in public health on a global scale, as demonstrated a causal relationship would be necessary for the authorities and health agencies adopt a new strategy, different from the one used against dengue, which is also transmitted by mosquitoes of the genus Aedes aegypti . Rosa Maria del Angel Nunez, head of the department of infectómica and molecular pathogenesis of CINVESTAV (Cinvestav) said that if the association, which has been raised in several recent studies is not checked, could talk zika as a mild febrile illness that causes symptoms only in one of every four people infected . During the colloquium Truths, lies and unknowns about the zika, made in the context of the 55th anniversary of the institution, the researcher noted that the virus is able to cross the placenta, reach the nervous system and cause a disease that can have all the pictures clinical, since the death of the newborn to mental or motor retardation. It is very important to know, because if it is found (the association) would need to develop a vaccine (which will take many years), as well as efficient methods to make key diagnostic monitoring of women who were exposed to the virus. It is also necessary, he said, to develop diagnostic methods in the convalescent phase, control the transmitting mosquitoes, and to determine if there reservoirs zika, for even when the human population is protected or quantity of these insects is reduced, it is the virus may arise again. He mentioned that an indication that the virus could be related to microcephaly in newborns is that zika seems to infections that generate encephalitis, but this will be known within a few months, new studies. He warned that zika transmission during the acute phase of infection through blood transfusions is absolutely feasible, as with dengue. Ssa confirmed 151 cases In the weekly report on transmission of the virus, the Health Ministry (SSA) yesterday confirmed 151 cases, mostly in Oaxaca and Chiapas. Among them are 25 pregnant women (19 in Chiapas, five in Oaxaca and Veracruz). http://www.jornada.unam.mx/2016/03/15/sociedad/035n2soc PreviousFollowingGo to the top of the text

Thursday, March 10, 2016 First Case of Zika Reported in Kentuckian Who Traveled to an Affected Country A Kentucky resident has tested positive for Zika virus disease after traveling in a Central American country where the virus is circulating, the Kentucky Department for Public Health (DPH) is reporting. Tests results were reported on March 9, from the Centers for Disease Control and Prevention (CDC), which has been testing samples from across the United States. The male patient, who presented with Zika-related symptoms, recently returned to the Louisville area from Central America. He is doing well and expected to fully recover from the illness. Zika, an infectious viral illness, is primarily spread through the bite of a mosquito that carries the virus. Zika is not known to be circulating in the mosquito population in Kentucky – or any other part of the United States. Meanwhile, many states around the country are reporting positive test results for Zika in residents who have traveled to countries experiencing Zika outbreaks. For this reason, Kentuckians traveling to Zika-affected areas of the world should take steps to protect themselves and their families from this and other vector-borne diseases, DPH advises. “Many areas, including most of our surrounding states, are reporting Zika cases. For now, these positive results have only occurred in individuals who have traveled outside the country to places where the virus is currently spreading,” said Dr. Kraig Humbaugh, DPH senior deputy commissioner. “DPH continues to strongly advise anyone – especially pregnant women and children – planning to travel to countries where Zika virus is circulating take steps to protect themselves. This includes being knowledgeable about where the virus is spreading, consulting with a healthcare provider, and, most importantly, following public health’s recommendations to avoid mosquito bites.” The virus is not now known to be circulating in the mosquito population in Kentucky. Zika has been increasing in recognition in Brazil, Mexico and most recently in Puerto Rico, Haiti, and the US Virgin Islands. For these reasons, DPH advises that Kentucky travelers follow the advice of the CDC, which continues to advise travelers to protect themselves and their family members from mosquito bites when traveling to affected countries, such as areas in South and Central America and the Caribbean. More information about Zika can be obtained from the DPH Health Alerts website. For a full list of affected countries and regions visit the CDC's Zika Travel website. Localized areas where Zika virus transmission is ongoing can be difficult to determine and are likely to continue to change over time. Travelers to these areas are specifically advised to wear long-sleeved shirts and long pants, and to use approved insect repellents. The CDC Mosquito Prevention websitehas additional information online on how travelers can protect themselves and their family members from mosquito bites. Kentuckians planning international travel are particularly encouraged to consult theCDC’s Travelers’ Health website for country-specific health information for travelers. A weblink about Zika Travel Information is located on the CDC's Travel Information site. Zika is considered by the World Health Organization to be a serious international public health threat. Until more is known, the CDC continues to recommend that pregnant women and women trying to become pregnant take the following precautions: • Pregnant women should consider postponing travel to the areas where Zika virus transmission is ongoing. Pregnant women who must travel to one of these areas for business or family emergencies should talk to their doctor or other healthcare professional first and strictly follow steps to avoid mosquito bites during the trip. • Women trying to become pregnant should consult with their healthcare professional before traveling to these areas and strictly follow steps to avoid mosquito bites during the trip. • Based on reports of possible Zika transmission through sexual contact, CDC has suggested that pregnant women avoid sexual contact with men who have recently returned from areas with Zika transmission or consistently and correctly use condoms during sex for the duration of the pregnancy. Men returning from these regions with non-pregnant sex partners should consider abstaining from sexual activity or consistently using condoms during sex. The duration of Zika virus being present in semen after infection is not presently known. Except in pregnant women, Zika is almost always a very mild illness and for most people testing is not necessary. Most infected individuals do not show symptoms of Zika. There is no vaccine to prevent infection and no specific antiviral treatment for Zika. Its most common symptoms are fever, rash, joint pain and red eyes. Pregnant women can be infected with Zika virus in any trimester. Recent evidence suggests a link between infection in pregnant women and infants born with microcephaly. Microcephaly is a condition where the head is smaller than normal and may lead to a child experiencing a variety of other health challenges including physical and speech functions, seizure, hyperactivity, coordination problems and other brain/neurological disorders. International travelers to at-risk countries who develop fever, rash and other acute symptoms within two weeks of return to Kentucky should consult with their medical provider. Additional facts and information specifically related to Zika virus can be found online at the CDC's Zika website. http://healthalerts.ky.gov/Pages/AlertItem.aspx?alertID=42439

FOR IMMEDIATE RELEASE March 11, 2016 KDHE Office of Communications [email protected], 785-296-0461 First Case of Zika Virus Confirmed in KansasTopeka, Kan. – The Kansas Department of Health and Environment (KDHE) received confirmation from the Centers for Disease Control and Prevention (CDC) of the first person in the state to test positive for Zika virus. The individual is an adult from southwest Kansas and has travel history to a country with local Zika virus transmission. The person subsequently developed an illness consistent with Zika virus infection and was tested per guidance from CDC and KDHE. “Kansas is prepared for the Zika virus, and we are working with health care providers across the state to respond to both suspected and confirmed cases,” said Susan Mosier, MD, MBA, FACS, KDHE Secretary and State Health Officer. “I urge everyone who is considering travel to a country with Zika transmission to be aware of the situation and take precautions to protect themselves and prevent mosquito bites.” The list of affected areas includes many countries in the Caribbean and South and Central America. The list continues to change and can be found at:http://www.cdc.gov/zika/geo/index.html Zika virus infection typically causes a mild illness in those who develop disease. Approximately 80 percent of those infected never show symptoms of the disease, with 20 percent showing mild symptoms. There is no vaccine to prevent infection and no specific antiviral treatment for Zika virus infection. The most common symptoms include fever, rash, joint pain and red eyes. The best way to prevent Zika virus is to prevent mosquito bites. Pregnant women can be infected with Zika virus in any trimester and there have been increased cases of microcephaly possibly associated with Zika virus infections. Pregnant women should consider postponing travel to areas where Zika virus transmission is ongoing. Pregnant women who have recently traveled to an area with Zika virus should talk to a health care provider even if they don’t feel sick. CDC and KDHE have guidance to help doctors decide what tests are needed for pregnant women who may have been exposed to Zika virus. When traveling to countries where Zika virus or other viruses spread by mosquitoes are found, take the following steps: Wear long-sleeved shirts and long pantsStay in places with air conditioning or that use window and door screens to keep mosquitoes outsideSleep under a mosquito bed net if air conditioned or screened rooms are not available or if sleeping outdoorsUse insect repellents containing an EPA-registered active ingredient on skin and clothing, including DEET, picaridin, oil of lemon eucalyptus, para-menthane-diol or IS 3535.If you are using sunscreen, apply sunscreen before applying insect repellentTreat clothing and gear with permethrin or purchase permethrin-treated itemsSpread of Zika virus has also been reported through sexual contact. Take steps to prevent sexual transmission with proper use of a condom. If a pregnant woman is concerned that her male partner may have or had Zika virus infection, she should talk to her health care provider. For more information about Zika virus, visit: http://www.kdheks.gov/zika/index.htm http://www.kdheks.gov/news/web_archives/2016/03112016.htm

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Alabama Residents Tested for Zika Virus as of March 14, 2016 Number Tested PositiveNumber of SubmissionsNumber with Results Pending3 43 28 http://www.adph.org/mosquito/index.asp?id=7427

Alabama Residents Tested for Zika Virus as of March 14, 2016 Number Tested PositiveNumber of SubmissionsNumber with Results Pending3 43 28

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Zika virus cases in Canada, as of March 14, 2016 http://www.healthycanadians.gc.ca/diseases-conditions-maladies-affections/disease-maladie/zika-virus/surveillance-eng.php?id=zikacases#s1 CountryLocally acquiredTravel-relatedCanada025