Dengue Situa0on Update Number 521. Update on the Dengue situa0on in the Western Pacific Region

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Update on the Dengue situa0on in the Western Pacific Region Northern Hemisphere Dengue Situa0on Update Number 521 18 July 2017 Cambodia As of 14 July 2017, a total of 1,056 suspected dengue fever 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 2016 and 2017, Ministry of Health, Cambodia China As of 30 June, there were 228 cases of dengue reported in China in 2017. This number is slightly lower than that reported during the same period in 2016 (Figure 2). Figure 2: Number of Dengue cases per month, China 2012-2017 Na0onal Health and Family Planning Commission, China Dengue Situa0on Update Number 521 1

Lao PDR As of 7 July, there were 3,958 cases of dengue with 6 deaths reported in Lao PDR in 2017, with 464 cases reported in epi week 27. The number of dengue cases reported this year is much higher than the cases reported for same period since 2014 (Figure 3). Figure 3: Number of Dengue cases per week, 2012-2017 Na0onal Center for Laboratory and Epidemiology, Ministry of Health Lao PDR Malaysia In week 28 of 2017 (from 9 to 15 July 2017), 2,056 dengue cases were reported with 7 deaths, an increase of 4.5% compared to week 27 (Figure 4). As of week 28, a cumula0ve number of dengue cases was 53,750 with 122 deaths compared to 61,534 cases with 135 cases during the same period in 2016. Figure 4: Trend of Weekly Dengue Cases in Malaysia 2016 and 2017, Department of Health, Malaysia Dengue Situa0on Update Number 521 2

Philippines (no updates) A total of 33,760 dengue cases were reported na0onwide from January 1 to May 6, 2017. This number is 32% lower (49,565 cases) compared to the same 0me period in 2016 (Figure 5). 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 8 July 2017, there were 1,501 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 27, there were 63 cases reported and the number of reported cases in 2017 remains lower than those reported for the same 0me period in 2016 (Figure 6). Figure 6: Number of Dengue cases per week from 2012-2017 Communicable Diseases Division, Ministry of Health Singapore Dengue Situa0on Update Number 521 3

Viet Nam (no updates) As of 18 June 2017, there were 45,074 cases of dengue reported in Viet Nam including thirteen deaths. Compared to the same period in 2016 (40,511 cases including 12 deaths), the cumula0ve number of cases increased by 11.3%. During week 25 (12 to 18 June) of 2017, there were 2,810 cases reported and without deaths. Compared to week 24 (2,921 cases, two deaths) number of cases decreased 3.8% (Figure 7). Majority of cases were s0ll reported from the South (70%). Southern Hemisphere Week Green line: number of cases reported in 2017 by week Brown line: number of cases reported in 2016 by week Figure 7: Number of dengue cases reported by month in 2017 compared to 2016 General Department of Preventa0ve Medicine, Ministry of Health, Viet Nam Australia As of 30 June 2017, there were 625 laboratory-confirmed dengue cases reported in Australia in 2017. The number of cases reported is lower than that reported during the same 0me 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 Dengue Situa0on Update Number 521 4

Pacific Islands Countries and Areas French Polynesia In French Polynesia, 14 cases in week 25 and 8 cases in week 26 (Figure 9). Nineteen (86.36 %) of the 22 cases were confirmed as DENV-1 infec0on. DEN 1 Strains not determined Nega0ve samples Figure 9: Number of samples and laboratory-confirmed cases of dengue per week (all laboratories), 2016-2017 Centre for Occupa0onal Health and Public Safety, French Polynesia New Caledonia As of 10 July 2017, 4,353 dengue cases were reported in 2017. There is 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 of dengue per week in 2017, Department of Health and Social Affairs, New Caledonia Dengue Situa0on Update Number 521 5