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Pacific Syndromic Surveillance System Weekly Bulletin / Système de Surveillance Syndromique dans le Pacifique - Bulletin Hebdomadaire: W13 2019 (Mar 25-Mar 31)

Attachments

The following syndrome has been flagged:

  • Acute Fever and Rash: Federated States of Micronesia, Northern Marianna Is, Vanuatu

Other updates:

Dengue

  • Tuvalu declared a dengue outbreak in epi week 12 (week ending 31 Mar 2019) with four dengue duo (NS1/IgM/IgG) RDT positive cases. The Tuvalu MoH have activated their Incident Management System. A community clean-up campaign was conducted this week with distribution of mosquito repellents. [Source: Tuvalu MoH]

  • **French Polynesia: **On 2 April 2019, the Ministry of Health of French Polynesia reported two autochthonous DENV-2 cases confirmed in week 11 (week ending 17 March 2019). To date this year, three DENV-2 cases have been reported, including an imported case from New Caledonia reported in February 2019. DENV-2 has not been circulating in French Polynesia since 2000, although there were sporadic cases reported in recent years, including two cases in 2018. [Source Mediaand PacNet post on 2 Apr 2019]

  • There are ongoing outbreaks in Cook Islands (DENV-1), Nauru (DENV-1), New Caledonia (DENV-2) and Palau (DENV-3).

Influenza

  • Increase in ILI and Severe Acute Respiratory Infection cases reported by Fiji. Of the positive cases from January to March 2019; 72% are Influenza A(H1N1)2019 and 28% are Influenza A (H3N2). [Source: Fiji Centre for Communicable Diseases]

Measles

  • A total of 67 measles cases were confirmed in New Zealand between 1 January and 2 April. Twenty (20) people with measles have been hospitalised. The age of those infected with measles include an infant aged 27 weeks old (and too young to be vaccinated), children aged 1–5 years, adolescents 10–19 years, young adults 20–39 years, adults aged in their 40s and two adults aged in their 50s. The majority of cases have occurred in children, adolescents and young adults aged under 29 years. Most cases were reported from Canterbury and Auckland, accounting for 58.2 % and 17.9% of total measles cases, respectively. [Source]

  • According to the** Australia **National Notifiable Diseases Surveillance System, as of 3 April 2019, a total of 79 measles cases have been reported in Australia, 125% higher compared to same period in 2018 (35 cases). Northern Territory has the highest number of cases with 24 cases (30.4%), followed by New South Wales with 21 cases (26.6%). [Source: Government]

Ebola Virus Disease

  • Democratic Republic of Congo: As of 1 April 2019, cumulative number of cases is 1,092 cases, 76 additional cases from the previous week (1026 confirmed, 66 probable) including 683 deaths (CFR 62.5%) reported from 21 health zones in North Kivu and Ituri Provinces. Latest updates are available in the DRC Ministry of Health situation report and AFRO EVD situation report. Regular updates are published in WHO’s Disease Outbreak News