Pacific syndromic surveillance report

Week 1, ending 5th Janurary, 2014

The following syndromes have been flagged:

  • Influenza-like illness: Federated States of Micronesia (FSM), Guam
  • Diarrhoea: Palau, FSM
  • Acute fever and rash: Palau

Other updates

Zika virus

  • New Caledonia -Since 25 November 2013, there have been nineteen cases of Zika virus imported in travellers arriving from French Polynesia. No local transmission has been reported.
  • Cases of Zika virus in French Polynesia are reported from the archipelagos of the Company, the Marquesas and Tuamotu. More than 6,600 suspected cases were reported by clinicians as of 3 January, 2014


  • Fiji reports increasing numbers of dengue serotype 3 cases since 31 October 2013, particularly in and around Suva in the Central division. For more details please refer to Dr Mike Kama’s PacNet posting on 3 January 2014 in which 406 dengue cases were reported from 31 October to 30 December 2013. More than 10% cases have been hospitalized. There have not been any deaths or reports of severe dengue as defined by the WHO 2009 dengue classification.
  • French Polynesia is currently facing a dual dengue serotype 1 and serotype 3 epidemic. As of 3 January, 2014 the total number of positive cases of dengue reported since February is 1,484: 317 cases in October, 245 cases in November, and 368 cases in December. Since the beginning of the epidemic, 14 patients had warning signs, a further 18 severe, including one death in early November.
  • An outbreak of dengue serotype 3 is ongoing in Kiribati. Since 22 November, there have been 138 suspected dengue cases, of which 60 (43%) tested positive by dengue RDT or reference laboratory testing.


  • A measles outbreak alert has been issued in Victoria, Australia after an infected man came into contact with thousands of people during Boxing Day at a shopping centre in Melbourne.
  • Similarly, the New Zealand Ministry of Health has confirmed 10 cases of affected people, all of whom have attended a Hip-Hop competition in New South Wales Australia in December 2013.


  • In the Northern Hemisphere countries, while overall still low, influenza-like illness (ILI) activity has started to increase, following seasonal trends. In the subtropics/tropics, overall ILI remained variable. In the Southern Hemisphere ILI activity remained relatively low, with low level circulation of influenza A (H3), influenza B and A (H1N1)pdm09.
  • 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.