Pacific Syndromic Surveillance System Weekly Bulletin / Système de Surveillance Syndromique dans le Pacifique – Hebdomadaire Bulletin: W18 2020 (April 27 – May 3) – Marshall Islands | Instant News

Verification Warning for WK 18:

  • Acute Fever and Rash: FSM and Vanuatu
  • Diarrhea: RMI and FSM
  • ILI: FSM

Influenza Like Illness:

  • PSSS, EPI-WK 18 reported a sevenfold increase from (4 to 28) in diseases such as influenza (ILI) in FSM, an 11% increase (400 to 453) in Samoa and a 4% increase (66 to 69) in Fiji;

  • A seven-fold decrease (7 to 1) at ILI was reported in the Marshall Islands. Decreases were also reported in the Island countries as follows: 71% (7 to 2) in the Cook Islands, 50% (26 to 11) in Wallis and Futuna, 31% (241 to 133) in the Solomon Islands, 12% (237 to 212)) Vanuatu, 9% (13 to 12) in Tuvalu, 8% (28 to 26) in Tonga and 2% (311 to 307) in Kiribati;

  • Tokelau (0), and the Pitcairn Islands (0), Palau (0)

  • There are no reports from other countries for this week.

  • COVID-19 respiratory symptoms are similar to influenza. Countries are asked to monitor closely ILI and Severe Acute Respiratory Disease (SARI) because increased activity can indicate transmission of COVID-19 in the community.

Dengue fever

  • There is an ongoing outbreak of serotype-3 dengue fever (week 50) in the Republic of the Marshall Islands, which began in May 2019 on Ebeye and then was transmitted to Majuro. On May 6, 2020, there were 3,368 dengue-like cases of which 1,562 were laboratory confirmed. Two deaths have been reported since June 2019. 31 new cases such as dengue were seen in the last 7 days, of which 28 cases came from Majuro with the majority of them under the age of 18. The overall reported attack rate was 63.4 / 1000. The Ministry of Health is closely monitoring the dengue situation through active supervision. [Source: RMI Dengue outbreak Situation Report May 6, 2020]

Novel Coronavirus Disease (COVID -19)

  • As of May 8, 2020, a total of 3,759, 967 COVID-19 cases were confirmed and 259,474 deaths from 210 countries and territories. The WHO risk assessment at the global level remains very high.

  • In the Western Pacific Region, there were 157,447 confirmed COVID-19 cases and 6,394 deaths;

  • Pacific Island Countries: COVID-19 situation report on 8 May 2020 is as follows: (see attachment PDF)

  • 14 Pacific Island Countries and Regions (PIC) have declared a state of emergency

  • 18 PIC has imposed travel restrictions

  • Humanitarian and development partners from 20 institutions have formed a Joint Incident Management Team (JIMT) to support COVID-19’s preparedness and response efforts in the Pacific. This coordination mechanism utilizes the capacity and resources of partners, to ensure effective action in supporting national authorities and affected populations in 21 Pacific Island Countries and Regions. This support is mainly to increase testing capacity, increase medical equipment in health facilities, improve skills among health workers through training, guidelines and technical support including operational support in preparedness measures for detention, mitigation, and early recovery in the Pacific COVID-19 response . (Joint External Situation Report # 13 – 3 May 2020)



· On May 6, 2020, there were no outstanding cases of type 1 poliovirus (cVDPV1) in circulation. So far there has been one case in 2020. The total number of cases reported in 2019 has remained three. One positive environmental sample of cVDPV1 was reported in Sabah province. See the Malaysia country page for more information.

The Philippines

· On May 6, 2020, no cases of cVDPV1 were reported this week. There are two cases of cVDPV1 in the country from 2019. Also, no cases of cVDPV2 were reported this week. The total number of cVDPV2 cases reported in 2020 remains one and 13 in 2019. Refer to the Philippines country page for more information.

Ebola – Democratic Republic of the Congo

As of May 5, 2020, the cumulative number of Ebola cases was 3,462 (3,317 confirmed, 145 likely) including 2,279 deaths (CFR 66%). The current outbreak was declared a Public Health Emergency of International Concern (PHEIC) on 17 July 2019. The latest update on the situation in the DRC is available on the WHO EVD outbreak dashboard and AFRO EVD situation report. Routine updates are published in WHO Outbreaks.

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