Pacific syndromic surveillance report

Week 46, ending 17th November, 2013

The following syndromes have been flagged:

  • Diarrhoea: Federated States of Micronesia (FSM)
  • Influenza like-illness: Guam, FSM, Solomon Islands, Samoa
  • Prolonged fever: French Polynesia, FSM
  • Acute Fever and Rash: Papua New Guinea, FSM, Northern Marianna Islands

Other updates


  • New Caledonia has diagnosed an additional case of Chikungunya bringing the total to thirty-one cases this year.
  • Chikungunya outbreak in Yap state, FSM continues with 799 suspected cases as of 19 November, 2013. For further details, please refer to Dr Hancock‚Äôs PacNet posting on 19 November.


  • Victoria, Australia - Five cases have been diagnosed with measles after returning from Bali over the past 5 weeks, prompting warnings for people to be vaccinated before travelling to Indonesia. The five have passed on the disease to a further three people in Victoria.


  • French Polynesia is currently facing a dengue serotype-1 and serotype-3 epidemic. As of 19 November 2013, the total number of positive cases of dengue reported in February is 1002 .The number of monthly cases is increasing: 148 cases in September, 343 cases in October and 132 cases in in November.

Zeka virus

  • There is currently a Zika virus outbreak in French Polynesia. The total number of cases is estimated to be several thousands. Clinical manifestation has been mild.

Middle East Respiratory Syndrome coronavirus (MERS-CoV)

  • As of 18 November 2013, WHO has been informed of an additional two laboratory-confirmed cases of infection with MERS-CoV from Kuwait. Globally, from September 2012 to date, WHO has been informed of a total of 157 laboratory-confirmed cases of infection with MERS-CoV, including 66 deaths.
  • Based on the current situation and available information, WHO encourages all Member States to continue their surveillance for severe acute respiratory infections and to carefully review any unusual patterns.