ANNUAL REPORT FOR THE YEAR 1995

Transcription

1 South Pacific Epidemiological and Health Information Service (SPEHIS) Service d information épidémiologique et sanitaire du Pacifique Sud (SIESPS) ANNUAL REPORT FOR THE YEAR 1995 Reported cases of notifiable diseases for the countries and territories of the SPC region RAPPORT ANNUEL POUR L ANNÉE 1995 Relevés des maladies à déclaration obligatoire signalées par les États et territoires de la région de la CPS Secretariat of the Pacific Community Secrétariat général de la Communauté du Pacifique B.P. D5 B.P. D Noumea Cedex Nouméa Cédex New Caledonia Nouvelle-Calédonie

2 Copyright Secretariat of the Pacific Community 1999 All rights for commercial / for profit reproduction or translation, in any form, reserved. The SPC authorises the partial reproduction or translation of this material for scientific, educational or research purposes, provided that SPC and the source document are properly acknowledged. Permission to reproduce the document and/or translate in whole, in any form, whether for commercial / for profit or non-profit purposes, must be requested in writing. Original SPC artwork may not be altered or separately published without permission. Copyright Secrétariat général de la Communauté du Pacifique 1999 Tous droits réservés de reproduction ou de traduction à des fins commerciales/lucratives, sous quelque forme que ce soit. Le Secrétariat général de la Communauté du Pacifique autorise la reproduction ou la traduction partielle de ce document à des fins scientifiques ou éducatives ou pour les besoins de la recherche, à condition qu'il soit fait mention de la CPS et de la source. L'autorisation de la reproduction et/ou de la traduction intégrale ou partielle de ce document, sous quelque forme que ce soit, à des fins commerciales/lucratives ou à titre gratuit, doit être sollicitée au préalable par écrit. Il est interdit de modifier ou de publier séparément des graphismes originaux de la CPS sans autorisation préalable. Original Text: English/Texte original : anglais Secretariat of the Pacific Community Cataloguing-in-publication data South Pacific epidemiological and health information service SPEHIS : annual report for the year 1995, reported cases of notifiable diseases for the South Pacific region countries ( 1999 : Noumea ) Annual report./service d'information épidémiologique et sanitaire du Pacifique Sud SIESPS : rapport annuel pour l'année 1995, relevés des maladies à déclaration obligatoire signalées par les États et territoires de la région de la CPS 1. Communicable diseases Oceania 2. Epidemiology Oceania I. Secretariat of the Pacific Community II. Title ISSN AACR2 Prepared for publication and printed at Secretariat of the Pacific Community Headquarters, Noumea, New Caledonia, Mise en page et impression réalisées au siège du Secrétariat général de la Communauté du Pacifique, Nouméa, Nouvelle-Calédonie, 1999.

3 TABLE OF CONTENTS INTRODUCTION 1, 2 LIST OF COUNTRIES AND TERRITORIES/LISTE DES ÉTATS ET TERRITOIRES 3 LIST OF DISEASES/LISTE DES MALADIES 4 MONTHLY AND TOTAL REPORTED CASES OF SELECTED NOTIFIABLE DISEASES BY INDIVIDUAL COUNTRY OR TERRITORY, 1995 NOMBRE MENSUEL ET TOTAL, PAR ÉTAT OU TERRITOIRE, DE CAS DE MALADIES À DÉCLARATION OBLIGATOIRE SIGNALÉS EN Page American Samoa 7 Cook Islands 8 Federated States of Micronesia 9 Fiji 10 French Polynesia 11 Guam 12 Kiribati 13 Marshall Islands 14 Nauru 15 New Caledonia 16 Niue 17 Northern Mariana Islands 18 Palau 19 Papua New Guinea 20 Pitcairn Island 21 Solomon Islands 22 Tokelau 23 Tonga 24 Tuvalu 25 Vanuatu 26 Wallis and Futuna 27 Western Samoa 28 MONTHLY AND TOTAL REPORTED CASES OF SELECTED NOTIFIABLE DISEASES BY INDIVIDUAL DISEASE, 1995 NOMBRE MENSUEL ET TOTAL, PAR MALADIE, DE CAS DE MALADIES À DÉCLARATION OBLIGATOIRE SIGNALÉS EN Acquired Immuno-Deficiency Syndrome (AIDS) 31 Acute respiratory infection, 0 11 months 32 Acute respiratory infection, 1 4 years 33 Acute respiratory infection, 5 years and + 34 Cholera 35 Conjunctivitis (acute) 36 Dengue fever 37 Page

4 Diarrhoea, 0 11 months 38 Diarrhoea, 1 4 years 39 Diarrhoea, 5 years and + 40 Diphtheria 41 Fish poisoning 42 Gonorrhoea/NSU 43 Hepatitis, all forms 44 Leprosy 45 Malaria 46 Measles 47 Meningitis, all forms 48 Pertussis (whooping cough) 49 Poliomyelitis 50 Tetanus, neonatal 51 Tetanus, other 52 Tuberculosis, all forms 53 Undernutrition, 0 11 months 54 Undernutrition, 1 4 years 55 Undernutrition, 5 years and + 56 Yaws 57

5 INTRODUCTION The morbidity data in this report represent monthly information reported by the individual Pacific Island Health Departments to the South Pacific Epidemiological Health Information Service (SPEHIS) using a standard form designed for reporting certain notifiable diseases. The accuracy of the reporting (that is, the number of cases that are reported to SPEHIS compared to the actual number) varies considerably depending on the disease and the resources of the Pacific Island country or territory concerned. All users of the information reported should take into account the fact that these are, in general, developing countries which are evolving their own epidemiological surveillance programmes, and should interpret the data in this light. Morbidity rates (per population) have not been calculated, in order to discourage unjustified comparisons. Any additional specific information relating to the reported material can be obtained directly from the health department of the country or territory concerned or from the Secretariat of the Pacific Community. The population estimates listed for each country and territory were obtained from the SPC Demography/Population Programme's unpublished mid-year 1995 population estimates. The material contained in the tables consists of the monthly figures for each country or territory and disease as reported to SPEHIS during the year The reports are complete, except as noted. When no case was reported, 0 was entered in the tables. A blank entry indicates that no data were entered in the SPEHIS monthly reports. In 1992, due to the evolving epidemiological context and in accordance with the World Health Organization requirements for the surveillance of the diseases targeted by the Expanded Programme on Immunisation, it was decided that four new conditions would be entered into the SPEHIS reporting system. These were: AIDS, cholera, diphtheria and poliomyelitis. Implementation of the system as amended started in January 1993.

6 INTRODUCTION Les chiffres de morbidité présentés dans le présent rapport sont tirés des renseignements mensuels fournis au Service d'information épidémiologique et sanitaire du Pacifique Sud (SIESPS) par les services de santé de la région, qui utilisent à cet effet une liste-type de maladies à déclaration obligatoire. L exactitude des chiffres fournis (le nombre de cas signalés au SIESPS par rapport au nombre réel) varie considérablement en fonction de la maladie considérée et des ressources de l'état ou territoire océanien intéressé. On tiendra compte, à cet égard, du fait qu il s agit en général de pays en développement qui sont en train de mettre sur pied leurs propres programmes de surveillance épidémiologique, et l on interprétera les données en conséquence. On n a pas calculé les taux de morbidité des populations pour ne pas inciter à faire des comparaisons injustifiées. Pour toutes précisions complémentaires sur les renseignements qui nous sont envoyés, s adresser directement au service de santé de l'état ou territoire intéressé ou au Secrétariat général de la Communauté du Pacifique. Les chiffres de population indiqués pour chaque pays sont tirés d'estimations non publiées relatives au milieu de l année 1995 et établies par le Programme Démographie/Population de la CPS. Les tableaux donnent les chiffres mensuels par pays et maladie, tels qu'ils ont été fournis au SIESPS en 1995, et sont complets, sauf indication contraire. En l absence de cas signalés, la mention 0 a été inscrite dans les tableaux. Un blanc signifie que les données n ont pas été communiquées. En 1992, compte tenu de l évolution de la situation du contexte épidémiologique et conformément aux conditions requises par l Organisation mondiale de la santé pour la surveillance des maladies ciblées par le Programme élargi de vaccination, il a été décidé d incorporer quatre pathologies au système de déclaration des maladies transmissibles du SIESPS. Ces quatre pathologies sont le choléra, la diphtérie, la poliomyélite et le SIDA. Ce système amendé est entré en vigueur en janvier 1993.

7 LIST OF COUNTRIES AND TERRITORIES/LISTE DES ÉTATS ET TERRITOIRES American Samoa Cook Islands Federated States of Micronesia Fiji French Polynesia Guam Kiribati Marshall Islands Nauru New Caledonia Niue Northern Mariana Islands Palau Papua New Guinea Pitcairn Island Solomon Islands Tokelau Tonga Tuvalu Vanuatu Wallis and Futuna Western Samoa Samoa américaines Îles Cook États fédérés de Micronésie Fidji Polynésie française Guam Kiribati Îles Marshall Nauru Nouvelle-Calédonie Niue Îles Mariannes du Nord Palau Papouasie-Nouvelle-Guinée Île Pitcairn Îles Salomon Tokelau Tonga Tuvalu Vanuatu Wallis et Futuna Samoa-Occidental

8 LIST OF DISEASES/LISTE DES MALADIES Acquired Immuno-Deficiency Syndrome (AIDS) Syndrome d immuno-déficience acquise (SIDA) Acute respiratory infection, 0 11 months Infection respiratoire aiguë, 0 11 mois Acute respiratory infection, 1 4 years Infection respiratoire aiguë, 1 4 ans Acute respiratory infection, 5 years and + Infection respiratoire aiguë, 5 ans et + Cholera Choléra Conjunctivitis (acute) Conjonctivite Dengue fever Dengue Diarrhoea, 0 11 months Diarrhée, 0 11 mois Diarrhoea, 1 4 years Diarrhée, 1 4 ans Diarrhoea, 5 years and + Diarrhée, 5 ans et + Diphtheria Diphtérie Fish poisoning Ichtyosarcotoxisme Gonorrhoea/NSU Blennorragie Hepatitis, all forms Hépatite, toutes formes Leprosy Lèpre Malaria Paludisme Measles Rougeole Meningitis, all forms Méningite, toutes formes Pertussis (whooping cough) Coqueluche Poliomyelitis Poliomyélite Tetanus, neonatal Tétanos, néonatal Tetanus, other Tétanos, autre forme Tuberculosis, all forms Tuberculose, toutes formes Undernutrition, 0 11 months Malnutrition, 0 11 mois Undernutrition, 1 4 years Malnutrition, 1 4 ans Undernutrition, 5 years and + Malnutrition, 5 ans et + Yaws Pian

9 MONTHLY AND TOTAL REPORTED CASES OF SELECTED NOTIFIABLE DISEASES BY INDIVIDUAL COUNTRY OR TERRITORY, 1995 NOMBRE MENSUEL ET TOTAL, PAR ÉTAT OU TERRITOIRE, DE CAS DE MALADIES À DÉCLARATION OBLIGATOIRE SIGNALÉS EN 1995

10 COUNTRY OR TERRITORY: AMERICAN SAMOA POPULATION: 54,800 Reported cases of selected Jan 95 Feb 95 Mar 95 Apr 95 May 95 Jun 95 Jul 95 Aug 95 Sept 95 Oct 95 Nov 95 Dec 95 cases notifiable diseases 1/95 12/95 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years Acute resp. inf., 5 years and , ,456 Cholera Conjunctivitis (acute) Dengue fever Diarrhoea, 0 11 months Diarrhoea, 1 4 years Diarrhoea, 5 years and Diphtheria Fish poisoning Gonorrhoea/NSU Hepatitis, all forms Leprosy Malaria NOT APPLICABLE SANS OBJET Measles Meningitis, all forms Pertussis (whooping cough) Poliomyelitis Tetanus, neonatal Tetanus, other Tuberculosis, all forms Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and + Yaws NOT APPLICABLE SANS OBJET

11 COUNTRY OR TERRITORY: COOK ISLANDS POPULATION: 19,100 Reported cases of selected Jan 95 Feb 95 Mar 95 Apr 95 May 95 Jun 95 Jul 95 Aug 95 Sept 95 Oct 95 Nov 95 Dec 95 cases notifiable diseases 1/95 12/95 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years Acute resp. inf., 5 years and ,566 Cholera Conjunctivitis (acute) Dengue fever Diarrhoea, 0 11 months Diarrhoea, 1 4 years Diarrhoea, 5 years and Diphtheria Fish poisoning Gonorrhoea/NSU Hepatitis, all forms Leprosy Malaria Measles Meningitis, all forms Pertussis (whooping cough) Poliomyelitis Tetanus, neonatal Tetanus, other Tuberculosis, all forms Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and + Yaws

12 COUNTRY OR TERRITORY: FEDERATED STATES OF MICRONESIA POPULATION: 105,700 Reported cases of selected Jan 95 Feb 95 Mar 95 Apr 95 May 95 Jun 95 Jul 95 Aug 95 Sept 95 Oct 95 Nov 95 Dec 95 cases notifiable diseases 1/95 12/95 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years Acute resp. inf., 5 years and +** 1,057 1, ,201 1,859,1493 1,538 1,213 1, ,348 Cholera Conjunctivitis (acute) ,597 Dengue fever Diarrhoea, 0 11 months ,956 Diarrhoea, 1 4 years Diarrhoea, 5 years and ,875 Diphtheria Fish poisoning Gonorrhoea/NSU Hepatitis, all forms Leprosy Malaria* Measles Meningitis, all forms Pertussis (whooping cough) Poliomyelitis Tetanus, neonatal Tetanus, other Tuberculosis, all forms Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and +** Yaws * Imported case / Cas importé. ** The total number of cases of acute respiratory infection and undernutrition is an aggregate figure for the 3 age-groups (0 11 months, 1 4 years and 5 years and +) because the country report did not contain disaggregated data / Le nombre total de cas d infection respiratoire aiguë et de malnutrition est un chiffre global couvrant 3 groupes d âge (0 à 11 mois, 1 à 4 ans et 5 ans et +), car le rapport de ce pays ne contenait pas de données ventilées.

13 COUNTRY OR TERRITORY: FIJI POPULATION: 774,800 Reported cases of selected Jan 95 Feb 95 Mar 95 Apr 95 May 95 Jun 95 Jul 95 Aug 95 Sept 95 Oct 95 Nov 95 Dec 95 cases notifiable diseases 1/95 12/95 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years ,722 Acute resp. inf., 5 years and ,481 Cholera Conjunctivitis (acute) Dengue fever Diarrhoea, 0 11 months Diarrhoea, 1 4 years ,217 Diarrhoea, 5 years and ,105 Diphtheria Fish poisoning Gonorrhoea/NSU ,098 Hepatitis, all forms Leprosy Malaria Measles Meningitis, all forms Pertussis (whooping cough) Poliomyelitis Tetanus, neonatal Tetanus, other Tuberculosis, all forms Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and Yaws

14 COUNTRY OR TERRITORY: FRENCH POLYNESIA POPULATION: Reported cases of selected Jan 95 Feb 95 Mar 95 Apr 95 May 95 Jun 95 Jul 95 Aug 95 Sept 95 Oct 95 Nov 95 Dec 95 cases notifiable diseases 1/95 12/95 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months ,334 Acute resp. inf., 1 4 years 799 1, ,259 1,481 1, ,125 1, ,897 Acute resp. inf., 5 years and + 1,859 2,511 2,270 3,937 5,976 3,035 2,058 1,683 2,002 2,316 2,026 1,633 31,306 Cholera Conjunctivitis (acute) ,256 Dengue fever Diarrhoea, 0 11 months Diarrhoea, 1 4 years ,730 Diarrhoea, 5 years and ,063 Diphtheria Fish poisoning Gonorrhoea/NSU Hepatitis, all forms Leprosy Malaria NOT APPLICABLE SANS OBJET Measles Meningitis, all forms Pertussis (whooping cough) Poliomyelitis Tetanus, neonatal Tetanus, other Tuberculosis, all forms Undernutrition, 0 11 months NOT APPLICABLE SANS OBJET Undernutrition, 1 4 years NOT APPLICABLE SANS OBJET Undernutrition, 5 years and + NOT APPLICABLE SANS OBJET Yaws NOT APPLICABLE SANS OBJET

15 COUNTRY OR TERRITORY: GUAM POPULATION : Reported cases of selected Jan 95 Feb 95 Mar 95 Apr 95 May 95 Jun 95 Jul 95 Aug 95 Sept 95 Oct 95 Nov 95 Dec 95 cases notifiable diseases 1/95 12/95 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years Acute resp. inf., 5 years and + Cholera Conjunctivitis (acute) Dengue fever Diarrhoea, 0 11 months Diarrhoea, 1 4 years Diarrhoea, 5 years and + Diphtheria Fish poisoning Gonorrhoea/NSU Hepatitis, all forms Leprosy Malaria* Measles Meningitis, all forms Pertussis (whooping cough) Poliomyelitis Tetanus, neonatal Tetanus, other Tuberculosis, all forms Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and + Yaws * Imported cases / Cas importés.

16 COUNTRY OR TERRITORY: KIRIBATI POPULATION: 78,400 Reported cases of selected Jan 95 Feb 95 Mar 95 Apr 95 May 95 Jun 95 Jul 95 Aug 95 Sept 95 Oct 95 Nov 95 Dec 95 cases notifiable diseases 1/95 12/95 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months 1, ,281 Acute resp. inf., 1 4 years 3,342 1,722 1, ,181 1,199 1, ,116 15,295 Acute resp. inf., 5 years and + 16,939 8,974 10,777 6,024 3,295 7,138 6,594 7,410 4,687 2,268 2,780 6,158 83,044 Cholera Conjunctivitis (acute) ,068 8,111 Dengue fever Diarrhoea, 0 11 months ,215 Diarrhoea, 1 4 years , ,281 Diarrhoea, 5 years and ,110 Diphtheria Fish poisoning Gonorrhoea/NSU Hepatitis, all forms Leprosy Malaria Measles Meningitis, all forms Pertussis (whooping cough) Poliomyelitis Tetanus, neonatal Tetanus, other Tuberculosis, all forms Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and Yaws

17 COUNTRY OR TERRITORY: MARSHALL ISLANDS POPULATION: 54,700 Reported cases of selected Jan 95 Feb 95 Mar 95 Apr 95 May 95 Jun 95 Jul 95 Aug 95 Sept 95 Oct 95 Nov 95 Dec 95 cases notifiable diseases 1/95 12/95 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years Acute resp. inf., 5 years and , ,341 Cholera Conjunctivitis (acute) ,594 Dengue fever Diarrhoea, 0 11 months Diarrhoea, 1 4 years Diarrhoea, 5 years and ,141 Diphtheria Fish poisoning Gonorrhoea/NSU Hepatitis, all forms Leprosy Malaria Measles Meningitis, all forms Pertussis (whooping cough) Poliomyelitis Tetanus, neonatal Tetanus, other Tuberculosis, all forms Undernutrition, 0 11 months Undernutrition, 1 4 years DATA NOT AVAILABLE/DONNÉES NON DISPONIBLES Undernutrition, 5 years and + Yaws

18 COUNTRY OR TERRITORY: NAURU POPULATION: 10,500 Reported cases of selected Jan 95 Feb 95 Mar 95 Apr 95 May 95 Jun 95 Jul 95 Aug 95 Sept 95 Oct 95 Nov 95 Dec 95 cases notifiable diseases 1/95 12/95 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years Acute resp. inf., 5 years and + Cholera Conjunctivitis (acute) Dengue fever Diarrhoea, 0 11 months Diarrhoea, 1 4 years Diarrhoea, 5 years and + Diphtheria Fish poisoning NO REPORT HAS BEEN RECEIVED FOR 1995 / AUCUN RAPPORT N A ETE REÇU POUR 1995 Gonorrhoea/NSU Hepatitis, all forms Leprosy Malaria Measles Meningitis, all forms Pertussis (whooping cough) Poliomyelitis Tetanus, neonatal Tetanus, other Tuberculosis, all forms Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and + Yaws

19 COUNTRY OR TERRITORY: NEW CALEDONIA POPULATION: 182,200 Reported cases of selected Jan 95 Feb 95 Mar 95 Apr 95 May 95 Jun 95 Jul 95 Aug 95 Sept 95 Oct 95 Nov 95 Dec 95 cases notifiable diseases 1/95 12/95 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months ,988 Acute resp. inf., 1 4 years ,589 Acute resp. inf., 5 years and ,182 1,435 2,256 1,548 1,267 1,747 1,841 1, ,469 Cholera Conjunctivitis (acute) ,921 Dengue fever ,211 Diarrhoea, 0 11 months Diarrhoea, 1 4 years Diarrhoea, 5 years and ,194 Diphtheria Fish poisoning Gonorrhoea/NSU Hepatitis, all forms Leprosy Malaria* Measles Meningitis, all forms Pertussis (whooping cough) Poliomyelitis Tetanus, neonatal Tetanus, other Tuberculosis, all forms Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and Yaws * Imported cases / Cas importés.

20 COUNTRY OR TERRITORY: NIUE POPULATION : Reported cases of selected Jan 95 Feb 95 Mar 95 Apr 95 May 95 Jun 95 Jul 95 Aug 95 Sept 95 Oct 95 Nov 95 Dec 95 cases notifiable diseases 1/95 12/95 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years Acute resp. inf., 5 years and Cholera Conjunctivitis (acute) Dengue fever Diarrhoea, 0 11 months Diarrhoea, 1 4 years Diarrhoea, 5 years and Diphtheria Fish poisoning Gonorrhoea/NSU Hepatitis, all forms Leprosy Malaria Measles Meningitis, all forms Pertussis (whooping cough) Poliomyelitis Tetanus, neonatal Tetanus, other Tuberculosis, all forms Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and Yaws

21 COUNTRY OR TERRITORY: NORTHERN MARIANA ISLANDS POPULATION: 56,700 Reported cases of selected Jan 95 Feb 95 Mar 95 Apr 95 May 95 Jun 95 Jul 95 Aug 95 Sept 95 Oct 95 Nov 95 Dec 95 cases notifiable diseases 1/95 12/95 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years Acute resp. inf., 5 years and Cholera Conjunctivitis (acute) Dengue fever Diarrhoea, 0 11 months 1 1 Diarrhoea, 1 4 years Diarrhoea, 5 years and Diphtheria Fish poisoning Gonorrhoea/NSU Hepatitis, all forms Leprosy Malaria Measles Meningitis, all forms Pertussis (whooping cough) Poliomyelitis Tetanus, neonatal Tetanus, other Tuberculosis, all forms Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and + Yaws Note: All Acute Respiratory Infection, Diarrhoea and Undernutrition data are from Saipan only / Les données pour les maladies respiratoires aiguës, les diarrhées, et la malnutrition proviennent de Saipan uniquement.

22 COUNTRY OR TERRITORY: PALAU POPULATION: 16,500 Reported cases of selected Jan 95 Feb 95 Mar 95 Apr 95 May 95 Jun 95 Jul 95 Aug 95 Sept 95 Oct 95 Nov 95 Dec 95 cases notifiable diseases 1/95 12/95 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years Acute resp. inf., 5 years and ,139 Cholera Conjunctivitis (acute) Dengue fever Diarrhoea, 0 11 months Diarrhoea, 1 4 years Diarrhoea, 5 years and Diphtheria Fish poisoning Gonorrhoea/NSU Hepatitis, all forms Leprosy Malaria Measles Meningitis, all forms Pertussis (whooping cough) Poliomyelitis Tetanus, neonatal Tetanus, other Tuberculosis, all forms Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and + Yaws

23 COUNTRY OR TERRITORY: PAPUA NEW GUINEA POPULATION: 4,042,400 Reported cases of selected Jan 95 Feb 95 Mar 95 Apr 95 May 95 Jun 95 Jul 95 Aug 95 Sept 95 Oct 95 Nov 95 Dec 95 cases notifiable diseases 1/95 12/95 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years Acute resp. inf., 5 years and + Cholera Conjunctivitis (acute) Dengue fever Diarrhoea, 0 11 months Diarrhoea, 1 4 years Diarrhoea, 5 years and + Diphtheria Fish poisoning NO REPORT HAS BEEN RECEIVED FOR 1995 / AUCUN RAPPORT N A ETE REÇU POUR 1995 Gonorrhoea/NSU Hepatitis, all forms Leprosy Malaria Measles Meningitis, all forms Pertussis (whooping cough) Poliomyelitis Tetanus, neonatal Tetanus, other Tuberculosis, all forms Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and + Yaws

24 COUNTRY OR TERRITORY: PITCAIRN ISLAND POPULATION: 53 Reported cases of selected Jan 95 Feb 95 Mar 95 Apr 95 May 95 Jun 95 Jul 95 Aug 95 Sept 95 Oct 95 Nov 95 Dec 95 cases notifiable diseases 1/95 12/95 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years Acute resp. inf., 5 years and Cholera Conjunctivitis (acute) Dengue fever Diarrhoea, 0 11 months Diarrhoea, 1 4 years Diarrhoea, 5 years and Diphtheria Fish poisoning Gonorrhoea/NSU Hepatitis, all forms Leprosy Malaria Measles Meningitis, all forms Pertussis (whooping cough) Poliomyelitis Tetanus, neonatal Tetanus, other Tuberculosis, all forms Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and Yaws

25 COUNTRY OR TERRITORY: SOLOMON ISLANDS POPULATION: 367,800 Reported cases of selected Jan 95 Feb 95 Mar 95 Apr 95 May 95 Jun 95 Jul 95 Aug 95 Sept 95 Oct 95 Nov 95 Dec 95 cases notifiable diseases 1/95 12/95 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months 2,134 2,340 2,102 1,783 1,864 1,656 1,738 2,278 2,437 2,390 2,114 1,789 24,625 Acute resp. inf., 1 4 years 3,483 3,942 3,640 4,713 2,844 2,839 2,947 3,947 4,264 4,124 3,277 2,565 42,585 Acute resp. inf., 5 years and + 5,136 6,392 7,041 5,786 5,535 5,506 5,589 6,549 6,819 7,529 5,969 4,304 72,155 Cholera Conjunctivitis (acute) 1,974 1,967 1,844 1,737 1,496 1,394 1,565 1,658 1,519 1,460 1,333 17,947 Dengue fever Diarrhoea, 0 11 months ,572 Diarrhoea, 1 4 years 1, ,303 1,915 1,049 10,870 Diarrhoea, 5 years and ,620 1,453 1,106 11,563 Diphtheria Fish poisoning Gonorrhoea/NSU ,418 Hepatitis, all forms 24 Leprosy Malaria 200 2,415 7,068 7,917 8,630 8,986 7,651 5,259 48,126 Measles Meningitis, all forms Pertussis (whooping cough) Poliomyelitis* Tetanus, neonatal Tetanus, other Tuberculosis, all forms 19 Undernutrition, 0 11 months 857 1,209 1,230 1,111 1,192 1, ,134 1,153 1,040 1, ,798 Undernutrition, 1 4 years ,802 Undernutrition, 5 years and + Yaws 1,306 1,491 1,596 1,720 2,017 2,127 2,177 2,011 1,940 1,849 1,686 1,511 21,431 * Clinically suspected case only. Has never been confirmed to SPEHIS / Cas clinique soupçonné uniquement; n a jamais été confirmé au SIESPS.

26 COUNTRY OR TERRITORY: TOKELAU POPULATION: 1,500 Reported cases of selected Jan 95 Feb 95 Mar 95 Apr 95 May 95 Jun 95 Jul 95 Aug 95 Sept 95 Oct 95 Nov 95 Dec 95 cases notifiable diseases 1/95 12/95 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years Acute resp. inf., 5 years and Cholera Conjunctivitis (acute) Dengue fever Diarrhoea, 0 11 months Diarrhoea, 1 4 years Diarrhoea, 5 years and Diphtheria Fish poisoning Gonorrhoea/NSU Hepatitis, all forms Leprosy Malaria Measles Meningitis, all forms Pertussis (whooping cough) Poliomyelitis Tetanus, neonatal Tetanus, other Tuberculosis, all forms Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and + Yaws

27 COUNTRY OR TERRITORY: TONGA POPULATION: 98,200 Reported cases of selected Jan 95 Feb 95 Mar 95 Apr 95 May 95 Jun 95 Jul 95 Aug 95 Sept 95 Oct 95 Nov 95 Dec 95 cases notifiable diseases 1/95 12/95 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years Acute resp. inf., 5 years and + Cholera Conjunctivitis (acute) Dengue fever Diarrhoea, 0 11 months Diarrhoea, 1 4 years Diarrhoea, 5 years and Diphtheria Fish poisoning Gonorrhoea/NSU Hepatitis, all forms Leprosy Malaria Measles Meningitis, all forms Pertussis (whooping cough) Poliomyelitis Tetanus, neonatal Tetanus, other Tuberculosis, all forms Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and + Yaws

28 COUNTRY OR TERRITORY: TUVALU POPULATION: 9,500 Reported cases of selected Jan 95 Feb 95 Mar 95 Apr 95 May 95 Jun 95 Jul 95 Aug 95 Sept 95 Oct 95 Nov 95 Dec 95 cases notifiable diseases 1/95 12/95 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years Acute resp. inf., 5 years and Cholera Conjunctivitis (acute) Dengue fever Diarrhoea, 0 11 months Diarrhoea, 1 4 years Diarrhoea, 5 years and Diphtheria Fish poisoning Gonorrhoea/NSU Hepatitis, all forms Leprosy Malaria Measles Meningitis, all forms Pertussis (whooping cough) Poliomyelitis Tetanus, neonatal Tetanus, other Tuberculosis, all forms Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and + Yaws

29 COUNTRY OR TERRITORY: VANUATU POPULATION: 164,100 Reported cases of selected Jan 95 Feb 95 Mar 95 Apr 95 May 95 Jun 95 Jul 95 Aug 95 Sept 95 Oct 95 Nov 95 Dec 95 cases notifiable diseases 1/95 12/95 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months , , ,742 Acute resp. inf., 1 4 years ,314 1,373 1,414 1,163 1, ,034 Acute resp. inf., 5 years and ,048 1,261 1,231 1,540 1,252 1, , ,932 Cholera Conjunctivitis (acute) ,687 Dengue fever Diarrhoea, 0 11 months ,968 Diarrhoea, 1 4 years ,554 Diarrhoea, 5 years and ,756 Diphtheria Fish poisoning Gonorrhoea/NSU ,875 Hepatitis, all forms Leprosy Malaria 736 1,158 2,226 1,679 1,845 1, ,069 Measles Meningitis, all forms Pertussis (whooping cough) Poliomyelitis Tetanus, neonatal Tetanus, other Tuberculosis, all forms Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and + Yaws

30 COUNTRY OR TERRITORY: WALLIS AND FUTUNA POPULATION: 14,400 Reported cases of selected Jan 95 Feb 95 Mar 95 Apr 95 May 95 Jun 95 Jul 95 Aug 95 Sept 95 Oct 95 Nov 95 Dec 95 cases notifiable diseases 1/95 12/95 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years ,011 Acute resp. inf., 5 years and ,683 Cholera Conjunctivitis (acute) Dengue fever Diarrhoea, 0 11 months Diarrhoea, 1 4 years Diarrhoea, 5 years and Diphtheria Fish poisoning Gonorrhoea/NSU Hepatitis, all forms Leprosy Malaria Measles Meningitis, all forms Pertussis (whooping cough) Poliomyelitis Tetanus, neonatal Tetanus, other Tuberculosis, all forms Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and + Yaws

31 COUNTRY OR TERRITORY: WESTERN SAMOA POPULATION: 163,400 Reported cases of selected Jan 95 Feb 95 Mar 95 Apr 95 May 95 Jun 95 Jul 95 Aug 95 Sept 95 Oct 95 Nov 95 Dec 95 cases notifiable diseases 1/95 12/95 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years Acute resp. inf., 5 years and ,342 Cholera Conjunctivitis (acute) Dengue fever Diarrhoea, 0 11 months Diarrhoea, 1 4 years Diarrhoea, 5 years and Diphtheria Fish poisoning Gonorrhoea/NSU Hepatitis, all forms Leprosy Malaria Measles Meningitis, all forms Pertussis (whooping cough) Poliomyelitis Tetanus, neonatal Tetanus, other Tuberculosis, all forms Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and Yaws

32 MONTHLY AND TOTAL REPORTED CASES OF SELECTED NOTIFIABLE DISEASES BY INDIVIDUAL DISEASE, 1995 NOMBRE MENSUEL ET TOTAL, PAR MALADIE, DE CAS DE MALADIES À DÉCLARATION OBLIGATOIRE SIGNALÉS EN 1995

33 DISEASE: ACQUIRED IMMUNO-DEFICIENCY SYNDROME ICD-9 code : Member countries and territories of Population Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec Cases Pacific Community /95 12/95 American Samoa 54,800 Cook Islands 19,100 Fed. States of Micronesia 105,700 Fiji 774,800 French Polynesia 218,000 Guam 149, Kiribati 78, Marshall Islands 54,700 Nauru 10,500 New Caledonia 182,200 Niue 2, Northern Mariana Islands 56,700 Palau 16,500 Papua New Guinea 4,042,400 Pitcairn Island Solomon Islands 367,800 Tokelau 1,500 Tonga 98,200 Tuvalu 9,500 Vanuatu 164,100 Wallis and Futuna 14,400 Western Samoa 163,400

34 DISEASE: ACUTE RESPIRATORY INFECTION, 0-11 MONTHS ICD-9 code : and Member countries and territories of Population Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec Cases Pacific Community /95 12/95 American Samoa 54, Cook Islands 19,100 Fed. States of Micronesia 105,700 Fiji 774, French Polynesia 218, ,334 Guam 149,300 Kiribati 78,400 1, ,281 Marshall Islands 54,700 Nauru 10,500 New Caledonia 182, ,988 Niue 2, Northern Mariana Islands 56, Palau 16, Papua New Guinea 4,042,400 Pitcairn Island Solomon Islands 367,800 2,134 2,340 2,102 1,783 1,864 1,656 1,738 2,278 2,437 2,390 2,114 1,789 24,625 Tokelau 1,500 Tonga 98,200 Tuvalu 9,500 Vanuatu 164, , , ,742 Wallis and Futuna 14, Western Samoa 163,

35 DISEASE: ACUTE RESPIRATORY INFECTION, 1-4 YEARS ICD-9 code : and Member countries and territories of Population Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec Cases Pacific Community /95 12/95 American Samoa 54, Cook Islands 19,100 Fed. States of Micronesia 105,700 Fiji 774, ,722 French Polynesia 218, , ,259 1,481 1, ,125 1, ,897 Guam 149,300 Kiribati 78,400 3,342 1,722 1, ,181 1,199 1, ,116 15,295 Marshall Islands 54,700 Nauru 10,500 New Caledonia 182, ,208 Niue 2, Northern Mariana Islands 56, Palau 16, Papua New Guinea 4,042,400 Pitcairn Island 53 Solomon Islands 367,800 3,483 3,942 3,640 4,713 2,844 2,839 2,947 3,947 4,264 4,124 3,277 2,565 42,585 Tokelau 1,500 Tonga 98,200 Tuvalu 9,500 Vanuatu 164, ,314 1,373 1,414 1,163 1, ,034 Wallis and Futuna 14, ,011 Western Samoa 163,

36 DISEASE: ACUTE RESPIRATORY INFECTION, 5 YEARS AND + ICD-9 code : and Member countries and territories of Population Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec Cases Pacific Community /95 12/95 American Samoa 54, , ,456 Cook Islands 19, ,566 Fed. States of Micronesia* 105,700 1,388 1,418 1,070 1,389 2,702 2,327 2,364 1,607 1, , ,192 Fiji 774, ,481 French Polynesia 218,000 1,859 2,511 2,270 3,937 5,976 3,035 2,058 1,683 2,002 2,316 2,026 1,633 31,306 Guam 149,300 Kiribati 78,400 16,939 8,974 10,777 6,024 3,295 7,138 6,594 7,410 4,687 2,268 2,780 6,158 83,044 Marshall Islands 54, , ,341 Nauru 10,500 New Caledonia 182, ,182 1,435 2,256 1,548 1,267 1,747 1,841 1, ,469 Niue 2, Northern Mariana Islands 56, Palau 16, ,139 Papua New Guinea 4,042,400 Pitcairn Island 53 Solomon Islands 367,800 5,136 6,392 7,041 5,786 5,535 5,506 5,589 6,549 6,819 7,529 5,969 4,304 72,155 Tokelau 1, Tonga 98,200 Tuvalu 9, ,217 Vanuatu 164, ,048 1,261 1,231 1,540 1,252 1, , ,932 Wallis and Futuna 14, ,683 Western Samoa 163, ,342 * The total number of cases of acute respiratory infection and undernutrition is an aggregate figure for the 3 age-groups (0 11 months, 1 4 years and 5 years and +) because the country report did not contain disaggregated data / Le nombre total de cas d infection respiratoire aiguë et de malnutrition est un chiffre global couvrant 3 groupes d âge (0 à 11 mois, 1 à 4 ans et 5 ans et +), car le rapport de ce pays ne contenait pas de données ventilées.

37 DISEASE: CHOLERA ICD-9 code : 001 Member countries and territories of Population Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec Cases Pacific Community /95 12/95 American Samoa 54, Cook Islands 19, Fed. States of Micronesia 105, Fiji 774, French Polynesia 218, Guam 149, Kiribati 78, Marshall Islands 54, Nauru 10,500 New Caledonia 182, Niue 2, Northern Mariana Islands 56, Palau 16, Papua New Guinea 4,042,400 Pitcairn Island 53 Solomon Islands 367, Tokelau 1, Tonga 98,200 Tuvalu 9,500 Vanuatu 164, Wallis and Futuna 14, Western Samoa 163,

38 DISEASE: CONJUNCTIVITIS ICD-9 code : 372 Member countries and territories of Population Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec Cases Pacific Community /95 12/95 American Samoa 54, Cook Islands 19, Fed. States of Micronesia 105, ,597 Fiji 774, French Polynesia 218, ,256 Guam 149, Kiribati 78, ,068 8,111 Marshall Islands 54, ,594 Nauru 10,500 New Caledonia 182, ,921 Niue 2, Northern Mariana Islands 56, Palau 16, Papua New Guinea 4,042,400 Pitcairn Island Solomon Islands 367,800 1,974 1,967 1,844 1,737 1,496 1,394 1,565 1,658 1,519 1,460 1,333 17,947 Tokelau 1, Tonga 98, Tuvalu 9, Vanuatu 164, ,687 Wallis and Futuna 14, Western Samoa 163,

39 DISEASE: DENGUE FEVER ICD-9 code : 061 Member countries and territories of Population Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec Cases Pacific Community /95 12/95 American Samoa 54, Cook Islands 19, Fed. States of Micronesia 105, Fiji 774, French Polynesia 218, Guam 149, Kiribati 78, Marshall Islands 54, Nauru 10,500 New Caledonia 182, ,211 Niue 2, Northern Mariana Islands 56, Palau 16, Papua New Guinea 4,042,400 Pitcairn Island Solomon Islands 367,800 Tokelau 1,500 Tonga 98,200 Tuvalu 9,500 Vanuatu 164, Wallis and Futuna 14, Western Samoa 163,

40 DISEASE: DIARRHOEA, 0 11 MONTHS ICD-9 code : Member countries and territories of Population Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec Cases Pacific Community /95 12/95 American Samoa 54, Cook Islands 19, Fed. States of Micronesia 105, ,956 Fiji 774, French Polynesia 218, Guam 149,300 Kiribati 78, ,215 Marshall Islands 54, Nauru 10,500 New Caledonia 182, Niue 2, Northern Mariana Islands 56, Palau 16, Papua New Guinea 4,042,400 Pitcairn Island Solomon Islands 367, ,572 Tokelau 1,500 Tonga 98, Tuvalu 9,500 Vanuatu 164, ,968 Wallis and Futuna 14, Western Samoa 163,