ANNUAL REPORT FOR THE YEAR 1996

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 1996 Reported cases of notifiable diseases for the countries and territories of the SPC region RAPPORT ANNUEL POUR L ANNÉE 1996 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/ Copyright Secrétariat général de la Communauté du Pacifique 1999 The Secretariat of the Pacific Community authorises the reproduction of this material, whole or in part, in any form, provided appropriate acknowledgement is given./le Secrétariat général de la Communauté du Pacifique autorise la reproduction, même partielle sous quelque forme que ce soit, à condition qu'il soit fait mention de l'origine 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 1996, 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 1996, 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, 1996 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, 1996 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 1996 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 1996 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 1996, 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, 1996 NOMBRE MENSUEL ET TOTAL, PAR ÉTAT OU TERRITOIRE, DE CAS DE MALADIES À DÉCLARATION OBLIGATOIRE SIGNALÉS EN 1996

10 COUNTRY OR TERRITORY: AMERICAN SAMOA POPULATION: 58,900 Reported cases of selected Jan 96 Feb 96 Mar 96 Apr 96 May 96 Jun 96 Jul 96 Aug 96 Sept 96 Oct 96 Nov 96 Dec 96 cases notifiable diseases 1/96 12/96 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 1996 / AUCUN RAPPORT N A ETE REÇU POUR 1996 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: 19,600 Reported cases of selected Jan 96 Feb 96 Mar 96 Apr 96 May 96 Jun 96 Jul 96 Aug 96 Sept 96 Oct 96 Nov 96 Dec 96 cases notifiable diseases 1/96 12/96 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years Acute resp. inf., 5 years and ,427 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: 109,200 Reported cases of selected Jan 96 Feb 96 Mar 96 Apr 96 May 96 Jun 96 Jul 96 Aug 96 Sept 96 Oct 96 Nov 96 Dec 96 cases notifiable diseases 1/96 12/96 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years Acute resp. inf., 5 years and + ** 1,616 1,336 1,812 1,768 1,557 1,836 1,693 2, , ,259 Cholera Conjunctivitis (acute) ,327 Dengue fever Diarrhoea, 0 11 months ,186 Diarrhoea, 1 4 years Diarrhoea, 5 years and ,333 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 acute respiratory infection and of 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: 800,500 Reported cases of selected Jan 96 Feb 96 Mar 96 Apr 96 May 96 Jun 96 Jul 96 Aug 96 Sept 96 Oct 96 Nov 96 Dec 96 cases notifiable diseases 1/96 12/96 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years ,159 Acute resp. inf., 5 years and + 3,470 4,254 6,539 15,181 5,684 8,409 4,418 4,617 4,060 3,128 4,269 2,571 66,600 Cholera Conjunctivitis (acute) ,071 Dengue fever Diarrhoea, 0 11 months Diarrhoea, 1 4 years ,025 Diarrhoea, 5 years and ,211 Diphtheria Fish poisoning Gonorrhoea/NSU ,553 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: 229,200 Reported cases of selected Jan 96 Feb 96 Mar 96 Apr 96 May 96 Jun 96 Jul 96 Aug 96 Sept 96 Oct 96 Nov 96 Dec 96 cases notifiable diseases 1/96 12/96 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months ,033 Acute resp. inf., 1 4 years 605 1, ,681 Acute resp. inf., 5 years and + 1,099 1,765 1,782 1,470 1,287 1, ,678 1,239 1,252 1,031 15,624 Cholera Conjunctivitis (acute) ,044 Dengue fever Diarrhoea, 0 11 months Diarrhoea, 1 4 years ,587 Diarrhoea, 5 years and ,507 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 : 153,700 Reported cases of selected Jan 96 Feb 96 Mar 96 Apr 96 May 96 Jun 96 Jul 96 Aug 96 Sept 96 Oct 96 Nov 96 Dec 96 cases notifiable diseases 1/96 12/96 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) ,312 1, ,315 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: 82,400 Reported cases of selected Jan 96 Feb 96 Mar 96 Apr 96 May 96 Jun 96 Jul 96 Aug 96 Sept 96 Oct 96 Nov 96 Dec 96 cases notifiable diseases 1/96 12/96 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months ,927 Acute resp. inf., 1 4 years 1, ,305 1,266 3,742 1,968 2,462 1, ,608 Acute resp. inf., 5 years and + 6,465 5,037 2,681 5,211 7,253 5,324 7,703 6,426 8,122 6,011 1,759 1,099 63,091 Cholera Conjunctivitis (acute) ,301 2, ,022 Dengue fever Diarrhoea, 0 11 months ,081 Diarrhoea, 1 4 years ,363 Diarrhoea, 5 years and ,230 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.

17 COUNTRY OR TERRITORY: MARSHALL ISLANDS POPULATION: 59,800 Reported cases of selected Jan 96 Feb 96 Mar 96 Apr 96 May 96 Jun 96 Jul 96 Aug 96 Sept 96 Oct 96 Nov 96 Dec 96 cases notifiable diseases 1/96 12/96 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years Acute resp. inf., 5 years and ,744 Cholera Conjunctivitis (acute) , ,285 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

18 COUNTRY OR TERRITORY: NAURU POPULATION: 11,200 Reported cases of selected Jan 96 Feb 96 Mar 96 Apr 96 May 96 Jun 96 Jul 96 Aug 96 Sept 96 Oct 96 Nov 96 Dec 96 cases notifiable diseases 1/96 12/96 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 1996 / AUCUN RAPPORT N A ETE REÇU POUR 1996 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: 196,800 Reported cases of selected Jan 96 Feb 96 Mar 96 Apr 96 May 96 Jun 96 Jul 96 Aug 96 Sept 96 Oct 96 Nov 96 Dec 96 cases notifiable diseases 1/96 12/96 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months ,202 Acute resp. inf., 1 4 years ,520 Acute resp. inf., 5 years and , ,189 4,757 1, ,599 Cholera Conjunctivitis (acute) ,597 Dengue fever ,121 Diarrhoea, 0 11 months Diarrhoea, 1 4 years Diarrhoea, 5 years and ,063 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.

20 COUNTRY OR TERRITORY: NIUE POPULATION: 2,000 Reported cases of selected Jan 96 Feb 96 Mar 96 Apr 96 May 96 Jun 96 Jul 96 Aug 96 Sept 96 Oct 96 Nov 96 Dec 96 cases notifiable diseases 1/96 12/96 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: 63,000 Reported cases of selected Jan 96 Feb 96 Mar 96 Apr 96 May 96 Jun 96 Jul 96 Aug 96 Sept 96 Oct 96 Nov 96 Dec 96 cases notifiable diseases 1/96 12/96 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 1996 / AUCUN RAPPORT N A ETE REÇU POUR 1996 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

22 COUNTRY OR TERRITORY: PALAU POPULATION: 16,900 Reported cases of selected Jan 96 Feb 96 Mar 96 Apr 96 May 96 Jun 96 Jul 96 Aug 96 Sept 96 Oct 96 Nov 96 Dec 96 cases notifiable diseases 1/96 12/96 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years Acute resp. inf., 5 years and ,962 Cholera Conjunctivitis (acute) ,218 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: 4,141,800 Reported cases of selected Jan 96 Feb 96 Mar 96 Apr 96 May 96 Jun 96 Jul 96 Aug 96 Sept 96 Oct 96 Nov 96 Dec 96 cases notifiable diseases 1/96 12/96 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 1996 / AUCUN RAPPORT N A ETE REÇU POUR 1996 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 96 Feb 96 Mar 96 Apr 96 May 96 Jun 96 Jul 96 Aug 96 Sept 96 Oct 96 Nov 96 Dec 96 cases notifiable diseases 1/96 12/96 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: 395,200 Reported cases of selected Jan 96 Feb 96 Mar 96 Apr 96 May 96 Jun 96 Jul 96 Aug 96 Sept 96 Oct 96 Nov 96 Dec 96 cases notifiable diseases 1/96 12/96 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months 1,979 2,133 2,115 2,001 2,102 1,854 2,071 2,217 2,082 2,177 2,298 2,007 25,036 Acute resp. inf., 1 4 years 2,961 3,197 3,883 3,343 3,571 3,020 3,485 3,788 3,702 3,654 3,957 3,499 42,070 Acute resp. inf., 5 years and + 5,232 5,446 7,679 5,918 5,979 4,723 6,423 6,888 6,312 6,393 6,073 5,426 72,492 Cholera Conjunctivitis (acute) 1,881 2,087 1,711 1,786 1,586 1,133 1,248 1,204 1,194 1,364 6,052 8,209 29,455 Dengue fever Diarrhoea, 0 11 months ,297 Diarrhoea, 1 4 years ,109 1, ,437 Diarrhoea, 5 years and , ,010 2,181 1, ,804 Diphtheria Fish poisoning Gonorrhoea/NSU ,983 Hepatitis, all forms Leprosy Malaria 7,512 9,744 10,455 11,962 10,268 13,068 9,638 8,331 8,886 8, ,034 7, ,587 Measles Meningitis, all forms Pertussis (whooping cough) Poliomyelitis* Tetanus, neonatal Tetanus, other Tuberculosis, all forms Undernutrition, 0 11 months 913 1,062 1,048 1,193 1, , ,014 1,122 1, ,436 Undernutrition, 1 4 years ,891 Undernutrition, 5 years and + Yaws 1,974 2,557 2,064 2,606 2,553 2,022 2,152 2,004 1,544 1,838 1,898 1,476 24,688 * 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 96 Feb 96 Mar 96 Apr 96 May 96 Jun 96 Jul 96 Aug 96 Sept 96 Oct 96 Nov 96 Dec 96 cases notifiable diseases 1/96 12/96 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: 90,000 Reported cases of selected Jan 96 Feb 96 Mar 96 Apr 96 May 96 Jun 96 Jul 96 Aug 96 Sept 96 Oct 96 Nov 96 Dec 96 cases notifiable diseases 1/96 12/96 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: 9,800 Reported cases of selected Jan 96 Feb 96 Mar 96 Apr 96 May 96 Jun 96 Jul 96 Aug 96 Sept 96 Oct 96 Nov 96 Dec 96 cases notifiable diseases 1/96 12/96 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years Acute resp. inf., 5 years and ,627 Cholera Conjunctivitis (acute) Dengue fever Diarrhoea, 0 11 months Diarrhoea, 1 4 years Diarrhoea, 5 years and ,394 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: 173,900 Reported cases of selected Jan 96 Feb 96 Mar 96 Apr 96 May 96 Jun 96 Jul 96 Aug 96 Sept 96 Oct 96 Nov 96 Dec 96 cases notifiable diseases 1/96 12/96 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months ,228 1, , ,303 Acute resp. inf., 1 4 years 949 1, ,114 1,927 1,490 1,918 1,404 1,007 14,251 Acute resp. inf., 5 years and + 1,064 1,095 1, ,189 1,603 1,630 1, ,046 13,414 Cholera Conjunctivitis (acute) 920 1,295 1, ,774 Dengue fever Diarrhoea, 0 11 months ,231 Diarrhoea, 1 4 years ,120 Diarrhoea, 5 years and ,518 Diphtheria Fish poisoning Gonorrhoea/NSU Hepatitis, all forms Leprosy Malaria 978 1, ,821 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:14,800 Reported cases of selected Jan 96 Feb 96 Mar 96 Apr 96 May 96 Jun 96 Jul 96 Aug 96 Sept 96 Oct 96 Nov 96 Dec 96 cases notifiable diseases 1/96 12/96 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months ,441 Acute resp. inf., 1 4 years ,418 Acute resp. inf., 5 years and , ,201 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: 165,100 Reported cases of selected Jan 96 Feb 96 Mar 96 Apr 96 May 96 Jun 96 Jul 96 Aug 96 Sept 96 Oct 96 Nov 96 Dec 96 cases notifiable diseases 1/96 12/96 Acquired Imm. Def. Syndrome Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years Acute resp. inf., 5 years and ,927 Cholera Conjunctivitis (acute) Dengue fever , 006 Diarrhoea, 0 11 months Diarrhoea, 1 4 years Diarrhoea, 5 years and ,197 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, 1996 NOMBRE MENSUEL ET TOTAL, PAR MALADIE, DE CAS DE MALADIES À DÉCLARATION OBLIGATOIRE SIGNALÉS EN 1996

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 /96 12/96 American Samoa 58,900 Cook Islands 19,600 Fed. States of Micronesia 109, Fiji 800,500 French Polynesia 229,200 Guam 153, Kiribati 82, Marshall Islands 59, Nauru 11,200 New Caledonia 196,800 Niue 2,000 Northern Mariana Islands 63,000 Palau 16,900 Papua New Guinea 4,141,800 Pitcairn Island Solomon Islands 395,200 Tokelau 1, Tonga 90, Tuvalu 9, Vanuatu 173,900 Wallis and Futuna 14,800 Western Samoa 165,100

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 /96 12/96 American Samoa 58,900 Cook Islands 19,600 Fed. States of Micronesia 109,200 Fiji 800, French Polynesia 229, ,033 Guam 153,700 Kiribati 82, ,234 1,685 1, ,927 Marshall Islands 59,800 Nauru 11,200 New Caledonia 196, ,202 Niue 2,000 Northern Mariana Islands 63,000 Palau 16, Papua New Guinea 4,141,800 Pitcairn Island Solomon Islands 395,200 1,979 2,133 2,115 2,001 2,102 1,854 2,071 2,271 2,082 2,177 2,298 2,007 25,036 Tokelau 1,500 Tonga 90, Tuvalu 9,800 Vanuatu 173, ,228 1, , ,303 Wallis and Futuna 14, ,441 Western Samoa 165,100

35 DISEASE: ACUTE RESPIRATORY INFECTION, 1 4 YEARS ICD9 CODE: and Member countries and territories of Population Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec cases Pacific Community /96 12/96 American Samoa 58,900 Cook Islands 19,600 Fed. States of Micronesia 109,200 Fiji 800, ,159 French Polynesia 229, , ,681 Guam 153,700 Kiribati 82,400 1, ,305 1,266 3,742 1,968 2,462 1, ,608 Marshall Islands 59,800 Nauru 11,200 New Caledonia 196, ,520 Niue 2,000 Northern Mariana Islands 63,000 Palau 16, Papua New Guinea 4,141,800 Pitcairn Island Solomon Islands 395,200 2,961 3,197 3,883 3,343 3,571 3,020 3,485 3,788 3,702 3,654 3,957 3,499 42,070 Tokelau 1,500 Tonga 90, Tuvalu 9,800 Vanuatu 173, , ,114 1,927 1,490 1,918 1,404 1,007 14,251 Wallis and Futuna 14, ,418 Western Samoa 165,100

36 DISEASE: ACUTE RESPIRATORY INFECTION, 5 YEARS AND + ICD9 CODE: and Member countries and territories of Population Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec cases Pacific Community /96 12/96 American Samoa 58,900 Cook Islands 19, ,427 Fed. States of Micronesia* 109,200 1,616 1,336 1,812 1,768 1,557 1,836 1,693 2, , ,259 Fiji 800,500 3,470 4,254 6,539 15,181 5,684 8,409 4,418 4,617 4,060 3,128 4,269 2,571 66,600 French Polynesia 229,200 1,099 1,765 1,782 1,470 1,287 1, ,678 1,239 1,252 1,031 15,624 Guam 153,700 Kiribati 82,400 6,465 5,037 2,681 5,211 7,253 5,324 7,703 6,426 8,122 6,011 1,759 1,099 63,091 Marshall Islands 59, ,744 Nauru 11,200 New Caledonia 196, , ,189 4,757 1, ,599 Niue 2, Northern Mariana Islands 63,000 Palau 16, ,962 Papua New Guinea 4,141,800 Pitcairn Island Solomon Islands 395,200 5,232 5,446 7,679 5,918 5,979 4,723 6,423 6,888 6,312 6,393 6,073 5,426 72,492 Tokelau 1, Tonga 90, Tuvalu 9, ,627 Vanuatu 173,900 1,064 1,095 1, ,189 1,603 1,630 1, ,046 13,414 Wallis and Futuna 14, , ,201 Western Samoa 165, ,927 * The total number of cases of acute respiratory infection 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 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 ICD9 CODE: 001 Member countries and territories of Population Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec cases Pacific Community /96 12/96 American Samoa 58,900 Cook Islands 19, Fed. States of Micronesia 109, Fiji 800, French Polynesia 229, Guam 153, Kiribati 82, Marshall Islands 59, Nauru 11,200 New Caledonia 196, Niue 2, Northern Mariana Islands 63,000 Palau 16, Papua New Guinea 4,141,800 Pitcairn Island Solomon Islands 395,200 Tokelau 1, Tonga 90, Tuvalu 9, Vanuatu 173, Wallis and Futuna 14, Western Samoa 165,

38 DISEASE: CONJUNCTIVITIS (ACUTE) ICD9 CODE: 372 Member countries and territories of Population Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec cases Pacific Community /96 12/96 American Samoa 58,900 Cook Islands 19, Fed. States of Micronesia 109, ,327 Fiji 800, ,071 French Polynesia 229, ,044 Guam 153, ,312 1, ,315 Kiribati 82, ,301 2, ,022 Marshall Islands 59, , ,285 Nauru 11,200 New Caledonia 196, ,597 Niue 2, Northern Mariana Islands 63,000 Palau 16, ,218 Papua New Guinea 4,141,800 Pitcairn Island Solomon Islands 395,200 1,881 2,087 1,711 1,786 1,586 1,133 1,248 1,204 1,194 1,364 6,052 8,209 29,455 Tokelau 1, Tonga 90, Tuvalu 9, Vanuatu 173, ,295 1, ,774 Wallis and Futuna 14, Western Samoa 165,

39 DISEASE: DENGUE FEVER ICD9 CODE: 061 Member countries and territories of Population Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec cases Pacific Community /96 12/96 American Samoa 58,900 Cook Islands 19, Fed. States of Micronesia 109, Fiji 800, French Polynesia 229, Guam 153, Kiribati 82, Marshall Islands 59, Nauru 11,200 New Caledonia 196, ,121 Niue 2, Northern Mariana Islands 63,000 Palau 16, Papua New Guinea 4,141,800 Pitcairn Island Solomon Islands 395,200 Tokelau 1, Tonga 90, Tuvalu 9, Vanuatu 173, Wallis and Futuna 14, Western Samoa 165, ,006

40 DISEASE: DIARRHOEA, 0 11 MONTHS ICD9 CODE: Member countries and territories of Population Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec cases Pacific Community /96 12/96 American Samoa 58,900 Cook Islands 19, Fed. States of Micronesia 109, ,186 Fiji 800, French Polynesia 229, Guam 153,700 Kiribati 82, ,081 Marshall Islands 59, Nauru 11,200 New Caledonia 196, Niue 2, Northern Mariana Islands 63,000 Palau 16, Papua New Guinea 4,141,800 Pitcairn Island Solomon Islands 395, ,297 Tokelau 1,500 Tonga 90, Tuvalu 9,800 Vanuatu 173, ,231 Wallis and Futuna 14, Western Samoa 165,