Renewal of Determination that a Public Health Emergency Exists

Because of the ongoing outbreak of Zika virus and its potential effect on pregnant women and children born to pregnant women with Zika, on this date and after consultation with federal and local public health officials as necessary, I, Sylvia M. Burwell, Secretary of the U.S. Department of Health and Human Services, pursuant to the authority vested in me under section 319 of the Public Health Service Act, do hereby renew my August 12, 2016 determination that a public health emergency of national significance exists within the Commonwealth of Puerto Rico relating to pregnant women and children born to pregnant women with Zika.

November 4, 2016 _____________________________ Date

/s/ _____________________________ Sylvia M. Burwell