Fiji Meningococcal C Outbreak Situation Report: Volume 04, 2018 (Report Date: April 19th, 2018)

Situation Report
Originally published
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• The Fiji Ministry of Health and Medical Services (MoHMS) declared an outbreak of meningococcal C on Tuesday March 20th, 2018.

• The Ministry, through the National Meningococcal Disease Taskforce, continues to coordinate the response to the outbreak, including strengthening surveillance, laboratory diagnostics, clinical management, public health interventions and risk communications.

• The Fijian Government has committed to conducting a mass meningococcal C vaccination program for all Fijians aged 1-19 during this outbreak.

• The Coca Cola Games (annual national high school athletics competition) will be held April 19th-21st and is a priority for response this week.


National surveillance is coordinated by the Fiji Centre for Communicable Disease Control (FCCDC) through weekly reporting of meningococcal cases via indicator based surveillance via EWARS; EWARS event-based surveillance (EBS) reporting of suspected cases; laboratory based surveillance for Neisseria meningitidis. EBS is now being used for reporting by private practitioners.

National Update(1st Jan-19th April, 2018)

• MoHMS reports both confirmed and suspected cases. Therefore, there have been a total of 55 cases from January 1st to April 19th, 2018. Of these, 23 are laboratory confirmed, and 32 are either suspected or probable cases (WHO case definitions).

• There has been an average of 3.7 cases per week in the last 4 weeks, with 4 confirmed deaths and 2 suspected.There have been no deaths in the last four weeks (since outbreak declaration).

• As of April 12th, all cases were below the age of 29, with 94.5% < age 19:

< 5 years old with 38.18% of cases
5-9 years 12.7%
10-14 years 23.6%
15-19 years 20.0%
20-29 years-5.5%

  • Males account for 58.2% of cases, and females 41.8%.