Epidemic and emerging disease alerts in the Pacific as of 3 September 2018

Additional information of relevance (e.g. imported cases with travel history to Pacific Island countries and territories):

• Six (6) imported cases of dengue (4 cases of DENV-2, 1 cases of DENV-4 and 1 case of serotype unknown) with travel history to Fiji were reported by Queensland Health (notifiable conditions data) for the period 01/01/2018 - 26/08/2018 available online https://www.health.qld.gov.au/publications/clinical-practice/guidelines-procedures/diseases-infection/surveillance/reports/mosquito-borne/mbd-report.pdf.

Other updates:

• Microcephaly: three (3) cases of microcephaly were reported in American Samoa on 21 August 2018 through event-based surveillance. The cases are being investigated. - Source: American Samoa Weekly Communicable Disease Surveillance Report - Epi Week 34, posted on PacNet on 28 August 2018.