Incidence Rates of Dengue Fever and Dengue Haemorrhagic Fever (DF/DHF) in the Western Pacific Region,

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1 Incidence Rates of Dengue Fever and Dengue Haemorrhagic Fever (DF/DHF) in the Western Pacific Region,

2 Acknowledgement Improved data gathering, reporting and surveillance are key to dengue outbreak preparedness. All countries are encouraged to provide official, updated information to WHO or through other official venues (eg. DengueNet). Efforts were made to collect official national data from Member States on DF/DHF in the Western Pacific Region. The Regional Office would like to acknowledge the valuable collaboration provided by those countries which reported through our country offices or other official venues. Only country data from these Member States are reflected in the enclosed maps. Absence of information on some country maps does not necessarily mean absence of dengue cases in those countries.

3 Notes on DF/DHF data (1) In interpreting data, the following considerations should be noted: Dengue reporting systems vary substantially among Member States across the Region. In some countries, dengue is a notifiable disease. In countries such as Australia and Singapore, good quality data on dengue are reported and updated on a weekly basis. In countries with a national dengue programme, dengue data tend to be collected with more attention to detail. In other countries, reporting systems for dengue are not in place. DF and DHF are not reported separately in most countries throughout the Region.

4 Notes on DF/DHF data (2) In interpreting data, the following considerations should be noted (cont.): Dengue cases are mostly reported in clinical settings. People with few or no severe manifestations and/or less access to health care are also less likely to seek medical services and thus less likely to be counted by the health reporting system. It is believed that the DF/DHF data presented here are underestimated. The fraction which is reported by the health system varies among the countries and it does so at different levels, national, subnational and among population groups. The proportion of DF/DHF cases reported by the health systems could be small in: less developed countries; rural areas; and those with less access to health care services, e.g. the poor, the uninsured people.

5 List of Countries and Areas AMS American Samoa ROK Korea, Republic of PAL Palau AUS Australia LAO Lao People's Democratic Republic PNG Papua New Guinea BRU Brunei Darussalam MAC Macao (China) PHL Philippines CAM Cambodia MAA Malaysia PTI Pitcairn Islands CHN China MSI Marshall Islands SAM Samoa COK Cook Islands MIC Micronesia, Federated States of SIN Singapore FIJ Fiji MOG Mongolia SOL Solomon Islands FRP French Polynesia NAU Nauru TOK Tokelau GUM Guam NEC New Caledonia TON Tonga HOK Hong Kong (China) NEZ New Zealand TUV Tuvalu JPN Japan NIU Niue VAN Vanuatu KIR Kiribati NMI Northern Mariana Islands, Commonwealth of the VTN WAF Viet Nam Wallis and Futuna

6 in the Western Pacific Region, 2010 MOG, 0.00 JPN, 0.19 CHN, 0.01 ROK, 0.26 VTN, LAO, CAM, BRU, MAA, SIN, Data up to 8 Sep 2011 HOK, 1.18 MAC, 1.09 PHL, PAL, GUM, 1.67 MIC, FIJ, 0.94 AUS, 5.44 NEC, VAN, TON, NEZ, 1.18 AMS, KIR, 0.99 FRP, 91.74

7 in the Western Pacific Region, 2009 JPN, 0.07 CHN, 0.01 ROK, 0.12 HOK, 0.33 VTN, LAO, PHL, CAM, BRU, 8.26 KIR, 7.07 MAA, PAL, MIC, SIN, PNG, 0.42 WAF, AMS, FRP, AUS, 6.58 FIJ, NEC, TON, VAN, NEZ, 2.32 COK,

8 in the Western Pacific Region, 2008 CHN, 0.02 JPN, 0.08 HOK, 0.60 VTN, MAC, NAU, LAO, CAM, PHL, BRU, 4.08 MAA, SIN, PAL, MIC, 9.06 SMA, KIR, SOL, 0.59 AMS, FRP, AUS, 2.64 NEC, VAN, FIJ, NIU, TON, COK, NEZ, 0.17

9 in the Western Pacific Region, 2007 CHN, 0.04 ROK, 0.17 HOK, 0.84 JPN, 0.07 VTN, LAO, CAM, BRU, 4.54 MAA, SIN, MAC, 2.60 PHL, GUM, 0.58 MIC, 5.55 PAL, SMA, AMS, FRP, AUS, 1.49 FIJ, NEC, VAN, TON, COK,

10 in the Western Pacific Region, 2006 MOG, 0.00 CHN, 0.08 ROK, 0.07 HOK, 0.45 JPN, 0.05 VTN, LAO, CAM, BRU, MAA, SIN, MAC, 0.40 PHL, GUM, 1.75 PAL, MSI, 0.00 SMA, KIR, 0.00 AMS, 1.49 FRP, AUS, 0.90 NEC, VAN, FIJ, 2.93 COK,

11 in the Western Pacific Region, 2005 MOG, 0.00 CHN, 0.00 ROK, 0.06 HOK, 0.45 JPN, 0.06 VTN, LAO, CAM, BRU, MAA, MAC, 0.00 PHL, GUM, 0.00 MSI, 0.00 SMA, 1.09 KIR, 0.00 SIN, AMS, 0.00 FRP, AUS, 1.07 NEC, VAN, 0.90 FIJ, 0.00 NIU, 0.00 COK, 0.00

12 in the Western Pacific Region, 2004 MOG, 0.00 CHN, 0.02 JPN, 0.04 ROK, 0.00 HOK, 0.46 VTN, MAC, 0.44 NAU, 0.00 LAO, CAM, PHL, NMI, 0.00 MSI, 0.00 BRU, GUM, 0.60 SMA, 0.55 KIR, 0.00 MAA, MIC, PAL, SIN, TUV, 0.00 TOK, 0.00 SOL, 0.00 WAF, AMS, 0.00 FRP, AUS, 1.74 NEC, VAN, FIJ, 0.24 NIU, 0.00 TON, 2.94 COK, NEZ, 0.00

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