Marshall Islands

Dengue-3 Outbreak in Republic of the Marshall Islands, June 25–December 15, 2019 - Situation Report Date: December 15, 2019

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Outbreak Overview

Cases: To date there have been 1,539 dengue like illness of which 477 have been lab confirmed. This is outbreak week #31 in Ebeye, #19 in Majuro, #9 in Utrik and #8 in Aur. Symptom and age profile of cases is typical for dengue fever. One death and one severe dengue patient evacuated out-of-country to date ..

Organization of Response: EpiNet team in Ebeye and the RMI national Epinet teams were both activated on July 16, with 3x a week meetings currently. Presidential Declaration of Health Emergency and activation of multi-ministry and NGO National Emergency Operations Center on August 6 with weekly meetings. RMI Dengue Response Plan finalized Aug 6. Bi-weekly conference calls with technical assistance partners also being held.

Case Definitions (based on PP HSN):

Suspected case: Acute fever> 2 days with two or more of the following: anorexia and nausea; aches and pains; rash; low white blood cell count; tourniquet test positive; warning signs (abdominal pain or tenderness; persistent vomiting; mucosal bleeding; liver enlargement >2 cm; fluid accumulation; lethargy, restlessness; increase in hematocrit with decrease in platelets).

Confirmed case: Suspected case with lab confirmation (+Rapid test (for NSl or lgM) or +PCR test)