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The spread to more countries comes as Brazil reported 340 more possibly related microcephaly cases.
An alarming number of countries are reporting cases, as clinicians find more links to microcephaly and other neurologic complications.
Seven outbreak countries are seeing a rise in microcephaly or Guillain-Barre disease.
Also, Brazil's health ministry rejected a possible microcephaly link to larvicides, and experts are gathering for a US Zika priority workshop tomorrow.
Other new reports detail co-infections with other mosquito-borne viruses and fatal encephalitis.
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