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https://www.cdph.ca.gov/HealthInfo/discond/Documents/TravelAssociatedCasesofZikaVirusinCA.pdf Travel-Associated Cases of Zika Virus in California (as of February 26, 2016) Year CDC final confirmed cases* CDC preliminary positive cases** 2013 1 NA 2014 3 NA 2015 4 0 2016 6 0

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Surgeon General Dr. John Armstrong’s Daily Zika Update: Two New Cases Confirmed in Broward and Miami-Dade CountiesBy Florida Department of Health, Office of Communications February 26, 2016 Press ReleaseSHARE THIS PAGEFacebookTwitter Feb. 26, 2016 SURGEON GENERAL DR. JOHN ARMSTRONG'S DAILY ZIKA UPDATE: TWO NEW CASES CONFIRMED IN BROWARD AND MIAMI-DADE COUNTIESContact: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, State Surgeon General and Secretary of Health Dr. John Armstrong 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. As of today, two new Zika cases have been confirmed with one in Broward County and one in Miami-Dade County. Of the travel-related cases confirmed in Florida, only four 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 three have tested positive for a history of Zika virus infection. The CDC recommends that a pregnant woman with a history of Zika virus and her provider should consider additional ultrasounds. Out of respect of the privacy of these women, no counties or additional information will be shared. 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 5 Hillsborough 3 Lee 3 Miami-Dade 14 Orange 3 Osceola 1 Santa Rosa 1 Seminole 1 St. Johns 1 Cases involving pregnant women* 3 Total 37 *Counties of pregnant women will not be shared. This week, after learning of three pregnant women in Florida who tested positive for Zika virus after traveling from outside the U.S., Governor Rick Scott requested the CDC send 250 additional Zika antibody tests to the state. On Feb. 12, Governor Scott directed State Surgeon General Dr. John Armstrong 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 769 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. State Surgeon General and Secretary of Health Dr. John Armstrong 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 State Surgeon General and Secretary of Health Dr. John Armstrong to issue a Declaration of Public Health Emergency for the counties of residents with travel-associated cases of Zika.The Declaration currently includes the 11 effected counties – Alachua, Brevard, Broward, Hillsborough, Lee, Miami-Dade, Orange, Osceola, 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 4,723 people for active Zika virus and 1,136 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.Last week, 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 websitehere.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/2016/02/022616-zika-update.html

County Number of Cases (all travel related) Alachua 1 Brevard 1 Broward 5 Hillsborough 3 Lee 3 Miami-Dade 14 Orange 3 Osceola 1 Santa Rosa 1 Seminole 1 St. Johns 1 Cases involving pregnant women* 3 Total 37 *Counties of pregnant women will not be shared.

Transmission of Zika Virus Through Sexual Contact with Travelers to Areas of Ongoing Transmission — Continental United States, 2016> > Zika virus infection has been confirmed in three non-travelling women whose only known risk factor was sexual contact with an ill male partner who had recently traveled to an area of ongoing Zika virus transmission. Following publication of CDC’s interim guidance on the prevention of sexual transmission of Zika virus on February 5, 2016, CDC received reports of 14 instances of suspected sexual transmission of Zika virus. Among these, two laboratory-confirmed cases and four probable cases of Zika virus disease have been identified among women who had sexual contact with a male who had traveled to an area of ongoing Zika virus transmission. Two instances have been excluded based on additional information, and six others are still under investigation. State, territorial, and local public health departments, clinicians, and the public should be aware of current recommendations for preventing sexual transmission of Zika virus, particularly to pregnant women. Men who reside in or have traveled to an area of ongoing Zika virus transmission and have a pregnant partner should abstain from sexual activity or consistently and correctly use condoms during sex with their pregnant partner for the duration of the pregnancy.

Zika Virus Infection Among U.S. Pregnant Travelers — August 2015–February 2016> > After reports of microcephaly and other adverse pregnancy outcomes in infants of mothers infected with Zika virus during pregnancy, CDC issued a travel alert on January 15, 2016, advising pregnant women to consider postponing travel to areas with active transmission of Zika virus. On January 19, CDC released interim guidelines for U.S. health care providers caring for pregnant women with travel to an affected area, and an update was released on February 5. As of February 17, CDC had received reports of nine pregnant travelers with laboratory-confirmed Zika virus disease; 10 additional reports of Zika virus disease among pregnant women are currently under investigation. No Zika virus–related hospitalizations or deaths among pregnant women were reported. Pregnancy outcomes among the nine confirmed cases included two early pregnancy losses, two elective terminations, and three live births (two apparently healthy infants and one infant with severe microcephaly); two pregnancies (approximately 18 weeks’ and 34 weeks’ gestation) are continuing without known complications. Confirmed cases of Zika virus infection were reported among women who had traveled to one or more of the following nine areas with ongoing local transmission of Zika virus: American Samoa, Brazil, El Salvador, Guatemala, Haiti, Honduras, Mexico, Puerto Rico, and Samoa. This report summarizes findings from the nine women with confirmed Zika virus infection during pregnancy, including case reports for four women with various clinical outcomes. U.S. health care providers caring for pregnant women with possible Zika virus exposure during pregnancy should follow CDC guidelines for patient evaluation and management. Zika virus disease is a nationally notifiable condition. CDC has developed a voluntary registry to collect information about U.S. pregnant women with confirmed Zika v

February 26, 2016> > Zika Virus Infection Among U.S. Pregnant Travelers — August 2015–February 2016> > Transmission of Zika Virus Through Sexual Contact with Travelers to Areas of Ongoing Transmission — Continental United States, 2016> > CDC Media Relations> 404-639-3286> > > > > The MMWR is embargoed until 1:30PM ET> > > > > Synopsis for February 26, 2016> > > > > Zika Virus Infection Among U.S. Pregnant Travelers — August 2015–February 2016> > After reports of microcephaly and other adverse pregnancy outcomes in infants of mothers infected with Zika virus during pregnancy, CDC issued a travel alert on January 15, 2016, advising pregnant women to consider postponing travel to areas with active transmission of Zika virus. On January 19, CDC released interim guidelines for U.S. health care providers caring for pregnant women with travel to an affected area, and an update was released on February 5. As of February 17, CDC had received reports of nine pregnant travelers with laboratory-confirmed Zika virus disease; 10 additional reports of Zika virus disease among pregnant women are currently under investigation. No Zika virus–related hospitalizations or deaths among pregnant women were reported. Pregnancy outcomes among the nine confirmed cases included two early pregnancy losses, two elective terminations, and three live births (two apparently healthy infants and one infant with severe microcephaly); two pregnancies (approximately 18 weeks’ and 34 weeks’ gestation) are continuing without known complications. Confirmed cases of Zika virus infection were reported among women who had traveled to one or more of the following nine areas with ongoing local transmission of Zika virus: American Samoa, Brazil, El Salvador, Guatemala, Haiti, Honduras, Mexico, Puerto Rico, and Samoa. This report summarizes findings from the nine women with confirmed Zika virus infection during pregnancy, including case reports for four women with various clinical outcomes. U.S. health care providers caring for pregnant women with possible Zika virus exposure during pregnancy should follow CDC guidelines for patient evaluation and management. Zika virus disease is a nationally notifiable condition. CDC has developed a voluntary registry to collect information about U.S. pregnant women with confirmed Zika virus infection and their infants. Information about the registry is in preparation and will be available on the CDC website.> > Transmission of Zika Virus Through Sexual Contact with Travelers to Areas of Ongoing Transmission — Continental United States, 2016> > Zika virus infection has been confirmed in three non-travelling women whose only known risk factor was sexual contact with an ill male partner who had recently traveled to an area of ongoing Zika virus transmission. Following publication of CDC’s interim guidance on the prevention of sexual transmission of Zika virus on February 5, 2016, CDC received reports of 14 instances of suspected sexual transmission of Zika virus. Among these, two laboratory-confirmed cases and four probable cases of Zika virus disease have been identified among women who had sexual contact with a male who had traveled to an area of ongoing Zika virus transmission. Two instances have been excluded based on additional information, and six others are still under investigation. State, territorial, and local public health departments, clinicians, and the public should be aware of current recommendations for preventing sexual transmission of Zika virus, particularly to pregnant women. Men who reside in or have traveled to an area of ongoing Zika virus transmission and have a pregnant partner should abstain from sexual activity or consistently and correctly use condoms during sex with their pregnant partner for the duration of the pregnancy.

Zika Virus – Feb. 26, 2016 Texas has had 13 confirmed cases of Zika virus disease. 12 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 County – 3Dallas County – 2Harris County – 7Travis County - 1

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Media contact:Jonathan ModieOHA Public [email protected] 2/26/2016Oregon has first case of sexually transmitted Zika virusCDC offers prevention guidanceEDITORS: Richard Leman, MD, will be available to the media from 10:45 to 11:15 a.m. TODAY in Room 1-E (lobby level) of the Portland State Office Building, 800 NE Oregon St. Sexual transmission of Zika virus might happen more often than first thought.Oregon Health Authority reported the state’s first case of sexually transmitted Zika infection. The illness was spread from a man who had traveled in a Zika-affected country to his female sex partner, who had not traveled. Both people later tested positive for Zika.Zika seldom causes serious illness. Four out of five people who get Zika have no symptoms. When symptoms occur, they are generally mild and include fever, rash, joint pain and redness of the eyes. The disease is concerning, however, because of its potential link to serious birth defects in babies born to women infected during pregnancy. “Though mosquito bites appear to be the most common way Zika is spread, there is increasing evidence for sexual transmission as well,” says Richard Leman, MD, an OHA public health physician. “People who have been in Zika-affected areas in the previous two weeks and develop symptoms suggesting Zika should see their health care provider. CDC advises men with pregnant sex partners to use condoms or abstain from sex for the duration of pregnancy.” The CDC is investigating more than a dozen possible cases of sexual transmission of Zika in the U.S., and has issued interim guidance:Recommendations for pregnant women and men with pregnant sex partners who live in or have traveled to Zika-affected areas: Pregnant women and their male sex partners should discuss the male partner’s potential exposures and history of Zika-like illness with the pregnant woman’s health care provider. CDC has alist of Zika symptoms on its website. Providers should consult CDC’s guidelines for evaluation and testing of pregnant women, available on the CDC website.Men with a pregnant sex partner who live in or have traveled to an area of active Zika virus transmission should abstain from sex or use condoms during sex (vaginal, anal, or oral) for the duration of the pregnancy. Using latex condoms every time reduces the risk of sexual transmission of many infections, including those caused by other viruses.Pregnant women should consider postponing travel to Zika-affected regions. If they choose to go, they should take steps to avoid any contact with mosquitoes.Recommendations for non-pregnant women, and men with non-pregnant sex partners who live in or have traveled to Zika-affected areas:It is still unclear whether Zika infection during pregnancy is responsible for recently reported birth defects involving brain development. Public health investigators are continuing their efforts to answer this question. In Oregon, public health officials are following these investigations closely and will continue to update their guidance to the public as they learn more.In the meantime, couples in which a man has recently spent time in an area with Zika virus transmission might wish to weigh this potential risk in their decisions about whether to use condoms during sexual activity.Zika also may increase the risk of Guillan-Barré Syndrome, a problem marked by muscle weakness and sometimes paralysis. Public health investigators are working hard to determine whether Zika actually causes this condition.For more Zika information and resources, visit the OHA Zika website at healthoregon.org/zika.

Oregon Health Authority reported the state’s first case of sexually transmitted Zika infection. The illness was spread from a man who had traveled in a Zika-affected country to his female sex partner, who had not traveled. Both people later tested positive for Zika. http://www.oregon.gov/oha/news/Pages/Oregon has first case of sexually transmitted Zika virus.aspx

Confirmed Zika Cases in Oregon, 2016As of 2/25/2016 Travel-associated cases: 5 Oregon mosquito-acquired cases: 0 Total: 5 https://public.health.oregon.gov/newsadvisories/Pages/zika.aspx

Confirmed Zika Cases in Oregon, 2016As of 2/25/2016 Travel-associated cases: 5 Oregon mosquito-acquired cases: 0 Total: 5

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Weekly updates on Zika cases in Iowa will be posted each Monday. The first travel-associated Zika case was reported by IDPH February 19, 2016. Zika Update - 2.19.16 Zika Update - 2.26.16 https://idph.iowa.gov/ehi/zika

Weekly updates on Zika cases in Iowa will be posted each Monday. The first travel-associated Zika case was reported by IDPH February 19, 2016. Zika Update - 2.19.16 Zika Update - 2.26.16

Audio http://terrance.who.int/mediacentre/presser/WHO-RUSH_Zika_and_Guillaine-Barre_syndrome_presser_26FEB2016.mp3

Argentina confirms first indigenous case of zika, which could be sexuallySource: EFE 02/26/2016 11:28 a.m. Health authorities in the central province of Cordoba Argentina confirmed today the first indigenous case of zika in the South American country, a woman who would have been infected through sex a man with HIV who had traveled to Colombia. "This is a woman who reported travel history. Also in epidemiological research, the link with a man with a history of travel to Colombia, who presented symptoms compatible with the disease was identified," according to the Ministry of Health Cordoba said in a statement. According to the provincial health authorities, it is "a likely infected through sexual contact with the man who was in Colombia". In addition, the statement said, the situation analysis confirms that in this specific case, registered in the provincial capital, the incubation period necessary for the spread was not given through the vector, the mosquito aedes aegytpi. "That conclusion, more clinical data is present, leading to define it as an indigenous case with probable sexual transmission, while the investigation of the case continues," said the provincial Ministry of Health. The woman had symptoms and consulted in a provincial public hospital and diagnosis of zika was confirmed by the Central Laboratory of Cordoba. The patient was treated on an outpatient basis and evolved favorably, according to the statement. Who would have caught the virus is a man who spent a month in Colombia and in the last two days before his return to Argentina had symptoms of the disease, such as rash and fever that persisted to reach Cordoba. The patient had attended the consultation in Colombia and according to their clinical signs, diagnosis zika doctor, but was not conducted a laboratory analysis to confirm. Cordoba had already reported earlier this month zika another imported case, a man of 68 years who had traveled to Margarita Island in Venezuela. Two more imported cases of zika have been confirmed in Argentina, young Colombian resident in Buenos Aires who traveled to his native country and became ill there and a woman of 21 who had traveled to Colombia holiday. http://globovision.com/article/argentina-confirma-primer-caso-autoctono-de-zika-que-pudo-ser-por-via-sexual