Pacific syndromic surveillance report

Week 13, ending 30th March, 2014

The following syndromes have been flagged:

  • Acute fever and rash: Fiji, Tonga, Papua New Guinea, Cook Islands, Palau
  • Influenza-like illness (ILI): PNG, French Polynesia, Palau, Fiji
  • Prolonged fever: Fiji, New Caledonia
  • Diarrhoea: Solomon Islands

Other updates


  • A measles outbreak is on-going in PNG. As of 28 March 2014; there have been 100 lab confirmed cases-81 cases from the National Capital District (NCD), 12 from Western Province, 4 from West Sepik and 3 from Central Province. Genotype of the confirmed measles cases until date: B3 strain (all of NCD confirmed cases) and D9 strain (few from NCD, all of West Sepik and Western Province cases).In the Western Pacific Region of WHO; B3 and D9 strains have been detected in 2014 (amongst imported measles cases) in Australia, Hong Kong, Japan, New Zealand, Republic of Korea and Singapore.

Influenza-like illness/Chicken die-off

  • There is currently an influenza outbreak in Palau; of the 50 specimens with rapid Influenza test 19 tested positive to influenza A and one was positive to both influenza A and B. Samples have also being sent for additional testing to the reference laboratory in Hawaii.
  • In Palau 300 chickens were reported dead in a farm, which has a total of 7000 chickens. Three workers from the same farm had ILI. For further information please refer to the PACNET posting by Dawn Fitzgibbons on the 1st and 2nd April 2014


  • Tuvalu is experiencing a dengue outbreak with seven lab confirmed (NS1) cases as of 3 April 2014.The MOH has embarked on an extensive clean-up campaign around the areas where the seven cases reside.
  • French Polynesia is currently facing a dengue serotype-1 and serotype-3 epidemic. As of 28 March, 2014 the total number of positive cases of dengue reported since February 2013 is 1,865. The number of cases is decreasing: 146 cases in January, 127 cases in February and 102 cases in March. There has been one death.
  • As of 26 March, 2014 there have been 144 cases of dengue in New Caledonia since 1 September 2013.There were 24 cases in 2013, 16 cases in January, 58 cases in February and 46 cases in March.

Zika virus

  • There has been an imported case of Zika virus in Townsville, Queensland, Australia in a recent traveller to Cook Islands. This is the first known imported case into northern Queensland where the potential mosquito vector Aedes aegypti is present.
  • New Caledonia – As of 27 March, 2014 there have been 437 confirmed cases of zika virus since 25 November 2013. Of these, 405 are locally transmitted cases while the other 32 cases were imported from French Polynesia.
  • Since early October 2013, 8,700 suspected cases of zika were reported by health professionals sentinel network in French Polynesia.
  • Cook Islands reports 257 dengue-like illness cases for week ending 30 Mar 2014. In total there have been 905 cases since 13 February 2014, zika virus has been identified in 49 samples sent to the Louis Malarde Institute.

Flash flooding

  • Flash flooding in Solomon Islands has killed at least two people and destroyed around a hundred homes in the capital, Honiara.