Cook Islands

Highlights/updates since the last map was sent on PacNet on 14 January 2020

Measles

• Kiribati: No new measles cases have been reported by the Ministry of Health and Medical Services, Kiribati.The alert has been changed from red to blue. – Source:Personal communication with country officials on 16 January 2020.

The following syndrome was flagged:

• Acute Fever and Rash: Chuuk, Federated States of Micronesia – alert is under verification.

Other updates:

Measles

• American Samoa: There are currently 12 confirmed cases. The most recent case is in 28 year old with no recent travel, no deaths have been reported. [Source: Media]

Outbreak Overview

• On the 27th of February 2019 an outbreak of Dengue type-1 was declared in the Cook Islands following the confirmation of seven (7) cases.

• Six (6) new probable cases were reported in December 2019

• From 28 January 2019 to 31 December 2019, a total of 126 cases were recorded, including confirmed and probable cases.

• Forty eight (48) cases have been hospitalised and discharged since the beginning of the outbreak, and there have been no deaths attributed to dengue infection.

Éléments nouveaux/faits marquants intervenus depuis la diffusion de la carte précédente sur PacNet, le 6 janvier 2020

Rougeole

• Samoa: au 6 janvier 2020, 5 697 cas de rougeole et 83 décès dûs à la rougeole avaient été rapportés. Le nombre de cas de rougeole est en baisse. Le niveau d’alerte a été ramené du rouge au bleu. Source: gouvernement du Samoa, 6 janvier 2020.

Highlights/updates since the last map was sent on PacNet on 06 January 2020

Measles

• Samoa: As of 06 January 2020, 5,697 measles cases and 83 measles related deaths have been reported in Samoa. The number of measles cases is declining. The alert has been changed from red to blue. - Source: Government of Samoa, 06 January 2020.

There were no syndromes flagged.

Other updates:

Measles

• American Samoa: no new laboratory confirmed measles cases have been reported; however, four suspected cases are pending results from Hawaii State Laboratory. To date there have been 10 confirmed cases and no deaths reported.

On Friday 3 January, 2020 the Prime Minister of the Cook Islands Hon Henry Tuakeu Puna presented, on behalf of the People of the Cook Islands, a cheque for SAT$148,045 to assist the Government of Samoa with its response to the Measles Epidemic.

The official presentation was held at the Samoa Fale in Mangere, Auckland.

The High Commissioner of Samoa HE Leasi Papali’i Scanlan received the Cook Islands donation on behalf of the Government of Samoa.

Event highlights

• The measles outbreaks in the four Pacific Island and Territories (PICs) continues, but with fewer cases reported in the last week.

• A low level of transmission continues in American Samoa, Fiji, Samoa and Tonga, but the overall situation has stabilised.

• No further measles cases have been reported from Kiribati, while monitoring and surveillance is continuing

Éléments nouveaux/faits marquants intervenus depuis la diffusion de la carte précédente sur PacNet, le 31 décembre 2019

Grippe

• Grippe A aux Îles Marshall : concernant le syndrome grippal, le ministère de la Santé et des Services humains a fait état d'un retour à la normale de l'activité grippale à Majuro et à Ebeye. L'alerte a été supprimée de la carte. - Source : communication personnelle avec des responsables nationaux, 6 janvier 2020.

Rougeole

Highlights/updates since the last map was sent on PacNet on 31 December 2019

Influenza

• Influenza A in Republic of the Marshall Islands (RMI): Influenza-like illness (ILI) activity is now back to normal in Majuro and Ebeye as reported by the Ministry of Health and Human Services. The alert has been removed from the map. - Source: Personal communication with country officials om 06 January 2020.

Measles

Éléments nouveaux/faits marquants intervenus depuis la diffusion de la carte précédente sur PacNet, le 23 décembre 2019

Leptospirose

Highlights/updates since the last map was sent on PacNet on 23 December 2019

Leptospirosis

Event highlights

• As of 30 December, four Pacific Islands Countries and Areas (PICs) have announced measles outbreaks: American Samoa, Fiji, Samoa and Tonga. The number of cases is decreasing in Samoa, and the situation has stabilised in American Samoa, Fiji, and Tonga.

• Kiribati has two laboratory confirmed cases of measles, no epidemiological link has been identified during investigation.

• A suspected measles case in Niue has been found to be laboratory negative; i.e. no case of measles.

Éléments nouveaux/faits marquants intervenus depuis la diffusion de la carte précédente sur PacNet, le 17 décembre 2019

Rougeole

· Kiribati : la semaine dernière, le ministère de la Santé a fait état du tout premier cas confirmé de rougeole (un enfant de onze mois). L'équipe d'intervention contre la rougeole procède actuellement à la recherche des contacts. Source : communication personnelle avec des responsables nationaux, 23 décembre 2019.

Event highlights

• Measles outbreaks are ongoing in four Pacific Islands Countries and areas (PICs; Samoa, Tonga, Fiji,
American Samoa), which are diverse in scale and stage of the outbreak, as well as the country context.

• A laboratory conformed case has also been reported from Kiribati while one case is being investigated Niue.

Highlights/updates since the last map was sent on PacNet on 17 December 2019

Measles

• Kiribati Ministry of Health has reported its first confirmed local case of measles last week (a child of 11 months). The Measles Response Team is conducting contact tracing. Source: personal communication with country officials on 23 December 2019

The following syndromes have been flagged:

• Acute Fever and Rash: Federated States of Micronesia, Tonga, Vanuatu, Wallis and Futuna
• Prolonged Fever: Wallis and Futuna

Other updates:

Measles

• Kiribati reports its first case of measles, an 11 month old infant. Source: Media

[Situation update]

Samoa

• A total 5,331 cases, including 75 deaths, have been reported since the beginning of the outbreak, including 638 in the last week. As of 14 Dec 2019, there were 150 measles cases admitted in six hospitals (nil remaining in Lalomanu and Faleolo hospitals on Upolu and Sataua hospital in Savai’i.

Éléments nouveaux/faits marquants intervenus depuis la diffusion de la carte précédente sur PacNet, le 10 décembre 2019

Grippe A

• République des Îles Marshall : Une augmentation des cas de syndrome grippal a été signalée aux Îles Marshall. Le laboratoire de l'État d'Hawaii a confirmé 5 cas de grippe A (H1N1) pdm09. Source : communication personnelle avec des responsables nationaux le 16 décembre 2019.

Rougeole