Hawaii reports first US case of Zika-linked brain damage The Zika virus, which is transmitted by mosquitos, cannot spread between humans. It often produces flu-like symptoms (fever, headaches and joint pain) as well as skin rashes and conjunctivitis. Those symptoms appear within three to 12 days of the mosquito bite. In 80 percent of cases, the infection goes unnoticed, and it is very rarely fatal. In Brazil, more than 3,500 cases of microcephaly were recorded between October and January, just as the Zika epidemic was spreading. Tests indicated that in at least four cases, the fetus developed the malformation during pregnancy because of the virus, the CDC said. It said that 26 cases of Zika infection have been diagnosed in the United States since 2007 among people who contracted the disease outside the country. http://news.yahoo.com/hawaii-reports-first-us-case-zika-linked-brain-213633136.html Geographic Distribution http://www.cdc.gov/zika/geo/index.html http://www.cdc.gov/zika/symptoms/index.html Where has Zika virus been found? Prior to 2015, Zika virus outbreaks had been identified in countries in Africa, Southeast Asia, and the Pacific Islands. In May 2015, the Pan American Health Organization (PAHO) issued an alert regarding the first confirmed Zika virus infections in Brazil. Currently, outbreaks are occurring in many countries in the Americas. In December 2015, Puerto Rico reported its first confirmed Zika virus case. Locally-transmitted Zika virus has not been reported elsewhere in the United States, but cases of Zika have been reported in returning travelers. With the recent outbreaks in the Pacific Islands and South America, the number of Zika cases among travelers visiting or returning to the United States will likely increase. These imported cases may result in local spread of the virus in some areas of the United States.