Update on the Dengue situation in the Western Pacific Region

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Dengue Situation Update Number 530 21 November 2017 Update on the Dengue situation in the Western Pacific Region Northern Hemisphere Cambodia As of 14 November 2017, a total of 2,979 suspected dengue cases were reported in 2017. The total number of reported dengue cases including dengue haemorrhagic fever and dengue shock syndrome was lower than the 3 year-threshold of the same period from 2014-2016 (Figure 1). Figure 1: Number of cases of Dengue fever, Dengue haemorrhagic fever, and Dengue shock syndrome Reported by week in 2017 and threshold, Ministry of Health, Cambodia China From 1 to 31 August, there were 1,645 cases of dengue reported in China in 2017. The number of reported cases was lower than the previous month and follows historical trends (Figure 2). Figure 2: Number of Dengue cases per month, China 2012-2017 National Health and Family Planning Commission, China Dengue Situation Update Number 530 1

Lao PDR (no update) As of 27 October, there were 10,302 cases of dengue with 14 deaths reported in Lao PDR in 2017, with 199 cases with no death reported in epi week 43. Compared to the same time period during the previous five years, dengue continues to be at epidemic level in the country (Figure 3). However, there has been a declining trend since week 35. Figure 3: Number of Dengue cases per week, 2017 National Center for Laboratory and Epidemiology, Ministry of Health, Lao PDR Malaysia In week 45, 2017 (from 5 to 11 November 2017), 1,015 dengue cases were reported, decreased 12.4% compared to week 44 (Figure 4). As of week 45, the cumulative number of dengue cases in 2017 was 77,069 with 163 deaths compared to 91,879 cases with 212 deaths during the same period in 2016. Figure 4: Weekly Dengue trends in Malaysia, 2016-17 Department of Health, Malaysia 2

Philippines (no update) A total of 97,287 dengue cases including 526 deaths were reported nationwide from 1 January to 30 September, 2017. This number is 41.8% lower (167,102) than that for the same period in 2016. Figure 5: Number of Dengue cases per morbidity week in 2017, Philippine Integrated Diseases Surveillance and Response, Public Health Surveillance Division, MOH, Philippines Singapore As of 11 November 2017, there were 2,469 dengue cases reported in Singapore since January 2017. This is lower than the number of reported cases during the same period since 2013. During week 45, there were 44 cases reported and the number of reported cases in 2017 remains lower than those reported for the same time period in the previous 5 years (Figure 6). Figure 6 Number of Dengue cases per week, 2012-2017 Communicable Diseases Division, Ministry of Health, Singapore 3

Viet Nam As of 12 November 2017, there were 166,994 cases of dengue reported in Viet Nam including 30 deaths. During week 45, there were 2,447 cases reported and without deaths. This was a 17.9% reduction compared to week 44 when 3,260 cases and no death were reported. The Central-coastal region recorded the highest number of cases per 100,000 population (179 cases per 100,000 population); followed by Southern region (148 cases per 100,000 population). In Ha Noi, as of 12 November 2017, there were approximately 36,345 dengue cases recorded including seven deaths. Although the cummulative number of cases is much higher than in previous years, there is now a consistent downward trend. Reporting Weeks Figure 7: Number of dengue admitted cases and deaths reported by month in 2017 compared to 2016 General Department of Preventative Medicine, Ministry of Health, Viet Nam Southern Hemisphere Australia As of 21 November, there were 859 laboratory-confirmed dengue cases reported in Australia in 2017. The number of cases reported is lower than that reported during the same period in the previous years (2012-2016) (Figure 8). Figure 8: Number of reported laboratory-confirmed Dengue cases per month, 2012-2017 Department of Health, Australia 4

Pacific Islands Countries and Areas French Polynesia Between week 43 and 44, there were 12 confirmed cases reported. Among these, 10 cases (83.3%) were confirmed as DENV-1 infection. Number of cases Strains not determined Negative samples determined Figure 9: Number of samples and confirmed cases of dengue per week (all laboratories), 2016-17 Centre for Occupational Health and Public Safety, French Polynesia New Caledonia As of 21 November 2017, 4,415 dengue cases were reported in 2017. There has been a downward trend in the number of reported cases since week 16 (Figure 10). Number of cases Week Figure 10: Number of laboratory-confirmed cases for dengue per week in 2017, Department of Health and Social Affairs, New Caledonia 5