Palau

Highlights/updates since the last map was sent on PacNet on 14 January 2019

The following syndrome has been flagged:

• Acute Fever and Rash: Federated States of Micronesia, French Polynesia

Other updates:

Dengue

• Ongoing outbreak in New Caledonia, majority of the cases are dengue serotype-2.

• Palau dengue serotype-3 outbreak is ongoing.

• There is an ongoing dengue serotype-1 outbreak in Nauru.

Outbreak Overview

On Friday, December 7, 2018, the Palau Ministry of Health alerted the public of an outbreak of dengue fever following the first ever laboratory confirmation of two cases with dengue serotype-3. This poses a significant concern for public health as the whole population is potentially vulnerable to infection. The first two confirmed cases of dengue-3 were encountered at the Belau National Hospital on October 28 and November 11.

Highlights/updates since the last map was sent on PacNet on 7 January 2019

• There have been no new confirmed cases of dengue (DEN-1) reported in Wallis and Futuna in the past four (4) weeks. The alert has been removed from the map. – Source: Agence de Santé des Iles Wallis et Futuna, Épidémie de dengue 2017-2018 à Wallis et Futuna, Bulletin épidémiologique No 49 – Situation au 14 janvier 2019, sent on PacNet on 14 January 2019

VIGILANCES

Retour de la saison des pluies !

Les pluies actuelles et leurs conséquences sur la salubrité des habitats (inondations, boue, détritus, coupure d’eau...) sont favorables à la transmission d’agents infectieux pouvant être responsables de la dengue, de la leptospirose, de gastro-entérites. Ces risques persistent même après l’amélioration des conditions climatiques.

Highlights/updates since the last map was sent on PacNet on 17 December 2018

• A new outbreak of dengue serotype 2 (DENV-2) has been declared in New Caledonia on 21 December 2018. – More information can be found on the Bulletin épidémiologique No 32, Direction des Affaires Sanitaire et Sociales de Nouvelle-Calédonie, shared on PacNet earlier today.

DENGUE

Dengue 3 : circulation à Palau
Dengue 2 : épidémie en Nouvelle Calédonie, circulation active à la Réunion
Dengue 1 : circulation à Wallis et Futuna, à Nauru, en Guadeloupe et à Saint-Martin

MENINGITE A MENINGOCOQUE

Epidémie terminée à Fidji
Circulation de méningocoque W en Nouvelle-Zélande

Summary

The following syndromes have been flagged this week:

• Acute Fever and Rash: Federated States of Micronesia, French Polynesia, Kiribati

• Prolonged fever: French Polynesia

Other update:

Invasive Meningococcal Disease

Stockpiles of excess, poorly-secured, or otherwise at-risk conventional weapons continue to pose a challenge to peace and prosperity worldwide. In the wrong hands, SA/LW fuel political instability and violence, while more advanced conventional weapons, such as MANPADS, pose a serious threat to international security. Aging munitions stockpiles may also explode without warning, devastating nearby population centers. Meanwhile, landmines and ERW, including cluster munition remnants, artillery shells, and mortars, continue to kill and maim people even after conflicts end.

Highlights/updates since the last map was sent on PacNet on 10 December 2018

• An outbreak of dengue serotype 3 (DENV-3) has recently been declared in Palau following the laboratory confirmation of two cases. Both cases have no recent history of overseas travel and this is the first time ever that DENV-3 is identified in Palau. - Source: personal communication with country officials on 11 December 2018

The following syndrome has been flagged this week:

• Acute Fever and Rash: French Polynesia

Other update:

Dengue:

• An outbreak was declared by the Republic of Palau on 7 December 2018 following the first ever laboratory confirmation of two cases with dengue serotype-3. Source: Palau Ministry of Health.

The following syndrome has been flagged this week:

• Acute Fever and Rash: Samoa

• Diarrhoea: Cook Islands

There are no new updates this week.

The following syndrome has been flagged this week:

• Acute Fever and Rash: French Polynesia, Federated States of Micronesia
• Prolonged fever: Tonga

Other Updates:

Invasive Meningococcal Disease

The following syndrome has been flagged this week:

• Acute Fever and Rash: French Polynesia, Samoa.

Other Updates:

Invasive Meningococcal Disease

Latest evidence

Here is a selection of the latest evidence on violence against women and girls (VAWG):

COMMUNITY MOBILISATION

The following syndrome has been flagged this week:

• Acute Fever and Rash: Federal States of Micronesia, French Polynesia, Kiribati, Solomon Island, Vanuatu, and Samoa.

• Prolonged Fever: Federated States of Micronesia

Other Update:

Meningococcal Disease