Fiji + 22 more

Pacific Syndromic Surveillance System Weekly Bulletin / Système de Surveillance Syndromique dans le Pacifique - Bulletin Hebdomadaire: W36 2022 (Sep 05-Sep 11)


Alerts :

  • AFR: Fiji (2 cases), W&F (1 case), Tokelau (2 case), CNMI (2 Case)
  • COVID-19 : Cook Islands, CNMI, Niue, Palau
  • Dengue-like Illness (ILI) : Samoa
  • Prolong Fever – Tonga

Influenza-like Illness (ILI)

PSSS, EPI - WK 36, 2022 Influenza-like Illness (ILI) cases compared to WK 35, 2022 ILI cases are as tabulated as below for comparison. For an added perspective on the figures and trends percentage, country sentinel sites reporting for WKs 35 & 36 are also shown. Please refer Seasonal Influenzafor regional updates.

  • FSM report for Epi week 36 showed 1087 ILI cases. Amongst the most affected were children aged under 10. 29/33 (88%) of ILI samples tested positive for Influenza A. Mitigation processes including influenza vaccine is to be continued.

  • For Epi Week 36, CNMI reported 74/247 (30%) ILI samples testing positive for Influenza AH3. Some of these samples taken from children also simultaneously tested positive for Human Metapneumovirus suggesting co-infection. Some other samples were positive for both Influenza A and Streptococcus. Further samples are sent overseas for testing where the cases meet criteria. None of the ILI samples tested positive for COVID-19.

  • Actual increase in the number of ILI cases is seen in CNMI. The increase seen in Tonga, Fiji, Samoa, and New Caledonia may be due to the increased number of sites reporting for the week.

  • Reduction in the number of ILI cases is seen in Cook Islands, Solomon Islands, Vanuatu, Palau and Wallis & Futuna.

  • No ILI cases were reported from Cook Islands, Niue, Pitcairn Islands and Tokelau for the week.

  • No reports were available from French Polynesia, RMI and Tuvalu for the week.

  • American Samoa, Guam and Nauru have not participated in the surveillance.

  • Surveillance figures are not intended to capture all country cases but to describe trends over time and are invaluable when trends rise beyond country baselines which should then trigger alerts and timely actions to characterize the actual nature and magnitude of the disease.

  • For maintenance of surveillance for influenza and monitoring of SARS-CoV-2 adapting the Global Influenza Surveillance and Response System (GISRS) and sentinel systems during the COVID-19 pandemic: Interim guidance

  • WHO guidelines for the implementation of the Influenza and SARS-CoV-2 Multiplex RT PCR Assay into the influenza and COVID-19 integrated surveillance Refer here

SARI (Severe Acute Respiratory Illness)

  • Severe acute respiratory illness (SARI) as reported from sentinel surveillance (6/18) sites through PSSS.


  • As of September 15, 2022 a total of 615,747,240 cases of COVID-19 have been confirmed including 6,524,096 (1%) deaths and 594,906,135(99%) recoveries from 215 Countries and Territories. Out of this, currently 14,276,106(99.7%) are mild cases and 40,903 (0.3%) are serious cases.

  • As of September 15, 2022, in the Western Pacific Region, there were 87,542,610 confirmed COVID-19 cases and 266,423 deaths.

  • Pacific Island Countries COVID-19 situation report as follows: