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Trinidad and Tobago as well as Vietnam report suspected Zika-linked microcephaly.
Other new reports detail co-infections with other mosquito-borne viruses and fatal encephalitis.
In other developments, a transgenic mosquito project is in the works for Grand Cayman and Spain reported a travel-linked microcephaly case.
CDC guidance now excludes destinations above 6,500 feet, as Aedes mosquitoes are rare in those areas.
Also, Brazil's health ministry rejected a possible microcephaly link to larvicides, and experts are gathering for a US Zika priority workshop tomorrow.
Also, more vaccine details emerge, including a candidate that might be available for emergency use this year.
An alarming number of countries are reporting cases, as clinicians find more links to microcephaly and other neurologic complications.
About two thirds of the 38,000 new cases reported last week were in the Dominican Republic.
Cases in the Americas now total almost 475,000, with the Dominican Republic accounting for most of last week's rise.
Cases include the first in Mexico and Grenada and two locally acquired infections in Venezuela.
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