1. Zika Virus 21 July 2016 Apalachee Regional Planning Council

2. Current Status of the Zika Virus* Continental United States Locally acquired cases: 1** Travel-associated cases: 1,305 Laboratory acquired cases: 1 Total: 1,306 *According to the Center for Disease Control as of 13 July, 2016 US Territories Locally acquired cases: 2,905 Travel-associated cases: 11 Total: 2, 916 **One unconfirmed locally acquired case has been reported in Miami Dade.

3. Zika in Florida 327 cases (18% of overall cases) 43 cases involving pregnant women Second-highest percentage of travel-associated cases in the continental US Zika cases have been reported in 28 counties Alachua, Brevard, Broward, Charlotte, Citrus, Clay, Collier, Duval, Escambia, Highlands, Hillsborough, Lake, Lee, Manatee, Martin, Miami- Dade, Okaloosa, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Santa Rosa, Seminole, St. Johns, St. Lucie, Volusia

4. Zika Virus Origin The Zika virus was first identified in Uganda’s Zika Forest in 1947 Transmission Mosquitos – primarily Aedes aegypti but possibly Aedes albopictus Sexual transmission – 14 cases in the US Transmission during pregnancy Transfusions – several documented cases Lab exposures – 1 documented case Detected in breast milk, saliva, and urine – no documented case of transmission

5. General Distribution of Aedes aegypti and Aedes albopictus in Florida Map courtesy of FDACS

6. Symptoms and Treatment 1 in 5 people infected with Zika virus will become symptomatic Low fever Rash Joint pain Red eyes Muscle ache Headache Pain behind the eyes There is currently no vaccine for Zika. Research underway Advised to treat the symptoms

7. Implications of Zika Virus Microcephaly Neurological condition, can lead to a spectrum of developmental issues Greater effect if mother is infected early in pregnancy Guillain-Barre Syndrome (GBS) Several cases of GBS reported following Zika infection Neurological disorder causing weakness and, in some cases, paralysis No cure, but many effective treatments

8. Areas of Active Zika Transmission

9. How to Avoid Zika CDC Level 2 Travel Alert – Practice Enhanced Precautions Pregnant women in any trimester should postpone travel Condom use if one or both partners has traveled to an area effected by Zika Avoid mosquito bites Wear mosquito repellant – most are safe for use during pregnancy Dump out containers of standing water “Container Breeders”

10. Florida’s Response Governor Scott has allocated $26.2 million for Zika preparedness, prevention, and response in Florida To be released as needed Mosquito surveillance and abatement Training for mosquito control technicians Enhanced laboratory capacity Purchase of CDC Zika Prevention Kits Governor Scott requested aid from the federal government on June 1 As of June 23, just under one million dollars had been allocated from the federal government for Zika preparedness in Florida

11. Utah Zika Case Elderly patient who died while infected with the Zika virus appears to have infected his caregiver. First reported case of a non-bite, non-sex transmission. Officials do not know how the transmission occurred CDC assisting in investigation – assures this is a unique case, not a new method of transmission Likely a case of body fluid transmission

12. Utah Zika Case (continued) First Zika-related death in the continental United States – July 8, 2016 Cause of death still unknown – Zika is not typically deadly Unusual case Patient discovered to be infected with Zika post-mortem Patient had more than 100,000 times high concentration of Zika virus in his blood than what is considered normal.

13. Any Questions?