The following syndromes have been flagged:
• Acute Fever and Rash: Cook Islands, Vanuatu
• Prolonged fever: Marshall Islands
• There is a dengue serotype-2 outbreak in Samoa. As of 18 December there have been 1,788 cases since August 2017, including four deaths. The most affected age group is those under 19 years of age. There continues to be efforts for reduction of mosquito breeding sites. Source: Samoa MoH Dengue outbreak Situation Report No.2
• A dengue serotype-1 outbreak is ongoing in Wallis and Futuna. Response measures include insecticide spraying and physical elimination of breeding sites, mass media messages regarding removal of breeding sites and protecting individuals from being bitten by mosquitoes. Source: Health Agency Wallis and Futuna.