Situation Report #11: Zika in Federated States of Micronesia (Sep. 27, 2016)

Report
from Government of the Federated States of Micronesia
Published on 27 Sep 2016

Outbreak Overview

On March 15, 2016 Kosrae State was notified of its first confirmed case of Zika. Since Feb 2016 there have been 11 confirmed cases and 4 probable cases of Zika disease in Kosrae.

-Onset dates of first 3 confirmed (PCR+) cases: 02/23/2016, 03/17/2016, 3/19/2016. Ages (and sex): 49 (F), 8 (F), 37 (F). None with a travel history.

-117 other suspect cases identified since enhanced Zika surveillance began on 02/10/2016 when Marshall Islands reported a confirmed case.

Case Definition (updated)

Suspect: Rash AND/OR Fever AND any: retro-orbital pain, arthritis, non-purulent conjunctivitis, red eyes, body aches, edema, headache or malaise

Probable: Suspect case with presence of IgM antibody against Zika virus and an epidemiological link

Confirmed: Meets suspect case definition with lab confirmation:
Zika RNA/antigen or IgM+ with Zika PRNT90 titre ≥20, ratio ≥4

General Case Counts

Total Cases: 132

Confirmed Cases: 11

Probable Cases: 4

Suspect Cases: 117

Median Age: 21 Yrs

Age Range: <1-75 Yrs

Percent Female: 52%

Pregnant Cases: 6