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The case prompts a travel advisory and adds to the list of affected countries.
PAHO, meanwhile, said the virus has expanded its reach and cautioned about Guillain-Barre syndrome.
The CDC adds 8 more destinations to its travel alert, as experts assess the threat.
The guidance covers testing of newborns, and the Virgin Islands and DR are now on the travel advisory.
Zika outbreaks are getting high-level attention, and Brazil reports 287 new microcephaly cases.
A CDC expert says US spread will likely be localized but calls for better mosquito control.
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