Dana Thomas1, Tyler M. Sharp1, Wun-Ju Shieh, MD, PhD, MPH2, Rebecca Levine2, Dianna Blau2, Jose Torres3, Aidsa Rivera, MSN1, Janice Perez-Padilla, BSN, MPH1, Julio Cadiz Velazquez4, Julu Bhatnagar, PhD2, M. Kelly Keating2, Elizabeth Hunsperger5, Jorge Munoz-Jordan1, Sherif Zaki2 and Brenda Rivera-García4, (1)Centers for Disease Control and Prevention, San Juan, PR, (2)Centers for Disease Control and Prevention, Atlanta, GA, (3)Instituto de Ciencias Forenses de Puerto Rico, San Juan, PR, (4)Puerto Rico Department Of Health, San Juan, PR, (5)Centers for Disease Control and Prevention, Nairobi, Kenya