ANNUAL REPORT FOR THE YEAR 1996

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. D5 98848 Noumea Cedex 98848 Nouméa Cédex New Caledonia Nouvelle-Calédonie

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 614.422823 ISSN 1018-0893 AACR2 Prepared for publication and printed at Secretariat of the Pacific Community Headquarters, Noumea, New Caledonia, 1999. Mise en page et impression réalisées au siège du Secrétariat général de la Communauté du Pacifique, Nouméa, Nouvelle-Calédonie, 1999.

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 1996 5 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 1996 29 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

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

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 1996. 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.

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.

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

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

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

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

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 + 375 573 420 551 559 565 623 368 429 314 448 202 5,427 Cholera 0 0 0 0 0 0 0 0 0 0 0 0 0 Conjunctivitis (acute) 36 40 38 21 30 24 22 14 16 20 16 16 293 Dengue fever 0 1 0 0 0 0 0 0 0 0 0 1 2 Diarrhoea, 0 11 months 15 56 32 18 18 10 1 5 7 5 3 9 179 Diarrhoea, 1 4 years Diarrhoea, 5 years and + 57 54 67 45 43 37 31 10 25 9 12 16 406 Diphtheria 0 0 0 0 0 0 0 0 0 0 0 0 0 Fish poisoning 45 48 37 28 30 29 19 17 16 15 16 4 304 Gonorrhoea/NSU 0 0 2 2 0 0 2 2 1 7 2 0 18 Hepatitis, all forms 4 8 2 19 0 0 0 7 0 0 2 2 44 Leprosy 0 0 0 0 0 0 0 0 0 0 0 0 0 Malaria Measles 0 0 1 2 3 1 0 1 0 1 0 0 9 Meningitis, all forms 0 2 0 1 0 1 0 0 0 2 0 0 6 Pertussis (whooping cough) 0 0 0 0 1 0 0 0 0 0 0 0 1 Poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, neonatal 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, other 0 0 0 0 0 0 0 0 0 0 0 0 0 Tuberculosis, all forms 0 0 0 0 0 0 0 0 0 0 0 0 0 Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and + Yaws 0 0 0 0 0 0 0 0 0 0 0 0 0

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 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2,058 876 1,186 734 787 17,259 Cholera 0 0 0 0 0 0 0 0 0 0 0 0 0 Conjunctivitis (acute) 326 108 100 135 216 169 101 120 658 302 43 49 2,327 Dengue fever 0 0 0 1 19 36 3 3 0 0 0 0 67 Diarrhoea, 0 11 months 88 56 71 134 173 173 124 76 195 26 19 51 1,186 Diarrhoea, 1 4 years Diarrhoea, 5 years and + 248 295 179 204 370 231 165 133 197 89 88 134 2,333 Diphtheria 0 0 0 0 0 0 0 0 0 0 0 0 0 Fish poisoning 0 0 0 0 21 0 3 0 0 0 0 0 24 Gonorrhoea/NSU 3 6 13 4 8 1 7 0 33 3 2 1 81 Hepatitis, all forms 6 28 35 27 48 6 19 1 2 55 14 24 265 Leprosy 1 2 1 0 1 1 4 0 3 3 0 1 17 Malaria* 0 0 0 0 1 0 0 0 0 0 0 0 1 Measles 0 0 0 0 2 0 0 0 0 1 0 0 3 Meningitis, all forms 0 0 0 0 0 0 0 0 7 0 0 0 7 Pertussis (whooping cough) 0 0 0 0 0 0 0 0 0 0 0 0 0 Poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, neonatal 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, other 0 0 0 0 0 0 0 0 0 0 0 0 0 Tuberculosis, all forms 37 44 34 35 56 41 52 13 3 0 1 0 316 Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and +** 28 28 29 22 50 16 21 9 16 9 26 0 254 Yaws 0 0 0 0 0 0 0 0 0 0 0 0 0 * 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.

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 41 18 83 47 34 67 44 85 55 65 90 44 673 Acute resp. inf., 1 4 years 175 285 332 247 351 183 149 54 73 122 159 29 2,159 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 0 0 0 0 0 0 0 0 0 0 0 0 0 Conjunctivitis (acute) 45 30 91 22 8 22 7 46 3 42 119 636 1,071 Dengue fever 0 0 2 0 0 0 0 0 0 0 0 0 2 Diarrhoea, 0 11 months 68 60 51 43 47 9 18 37 31 28 67 68 527 Diarrhoea, 1 4 years 70 135 193 81 58 63 49 16 94 107 73 86 1,025 Diarrhoea, 5 years and + 867 170 762 543 285 421 391 490 561 775 504 442 6,211 Diphtheria 0 0 0 0 0 0 0 0 0 0 0 0 0 Fish poisoning 59 76 65 42 43 53 39 111 73 52 57 51 721 Gonorrhoea/NSU 139 101 162 66 67 183 135 125 130 191 128 126 1,553 Hepatitis, all forms 5 5 4 10 1 5 10 3 0 39 2 0 84 Leprosy 1 0 1 0 0 0 0 0 1 1 1 1 6 Malaria 0 0 0 0 0 0 0 0 1 0 1 0 2 Measles 3 0 3 0 2 2 5 2 7 2 4 1 31 Meningitis, all forms 0 12 7 8 5 0 0 7 6 4 13 3 65 Pertussis (whooping cough) 0 0 0 0 0 0 0 0 0 0 0 0 0 Poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, neonatal 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, other 1 0 1 0 0 0 0 0 0 0 0 0 2 Tuberculosis, all forms 12 14 9 13 25 10 6 17 7 13 20 35 181 Undernutrition, 0 11 months 0 0 1 0 0 1 1 0 0 3 1 0 7 Undernutrition, 1 4 years 0 0 0 0 0 0 0 0 1 2 0 0 3 Undernutrition, 5 years and + 0 0 0 0 0 0 0 0 0 1 0 0 1 Yaws 0 0 0 0 0 0 0 0 0 0 0 0 0

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 221 341 324 323 247 169 229 221 344 248 168 198 3,033 Acute resp. inf., 1 4 years 605 1,174 978 837 606 579 529 603 932 689 611 538 8,681 Acute resp. inf., 5 years and + 1,099 1,765 1,782 1,470 1,287 1,106 924 991 1,678 1,239 1,252 1,031 15,624 Cholera 0 0 0 0 0 0 0 0 0 0 0 0 0 Conjunctivitis (acute) 344 479 396 358 362 327 228 301 218 329 264 438 4,044 Dengue fever 5 3 14 20 11 12 5 9 101 104 66 227 577 Diarrhoea, 0 11 months 83 71 51 63 62 52 38 30 42 39 24 27 582 Diarrhoea, 1 4 years 160 163 126 106 141 167 130 114 155 135 110 80 1,587 Diarrhoea, 5 years and + 260 323 241 228 301 372 254 219 313 363 344 289 3,507 Diphtheria 0 0 0 0 0 0 0 0 0 0 0 0 0 Fish poisoning 72 75 78 70 91 58 76 69 100 108 72 55 924 Gonorrhoea/NSU 2 5 11 7 5 1 8 9 4 0 3 2 57 Hepatitis, all forms 130 109 35 23 29 10 11 18 10 0 5 5 385 Leprosy 0 0 2 1 1 1 0 1 1 0 0 0 7 Malaria NOT APPLICABLE SANS OBJET Measles 0 0 0 1 0 0 0 0 0 0 22 126 149 Meningitis, all forms 2 7 0 5 1 3 0 1 0 3 2 2 26 Pertussis (whooping cough) 0 0 0 0 0 0 0 0 0 0 0 0 0 Poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, neonatal 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, other 0 0 0 0 0 0 0 0 0 0 0 0 0 Tuberculosis, all forms 6 10 1 6 3 5 5 13 4 4 3 5 65 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

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 3 2 0 0 0 0 1 1 1 0 0 0 8 Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years Acute resp. inf., 5 years and + Cholera* 1 0 0 0 0 0 0 0 0 0 0 0 1 Conjunctivitis (acute) 91 64 60 64 77 50 25 101 1,312 1,233 153 85 3,315 Dengue fever 0 0 0 0 0 0 0 0 0 0 0 0 0 Diarrhoea, 0 11 months Diarrhoea, 1 4 years Diarrhoea, 5 years and + Diphtheria Fish poisoning 0 3 0 0 0 0 0 3 0 1 2 3 12 Gonorrhoea/NSU 12 4 6 4 5 3 7 5 3 8 3 3 63 Hepatitis, all forms 2 2 0 1 2 3 0 0 2 0 0 1 13 Leprosy 0 0 0 0 0 0 0 0 0 0 0 0 0 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 Measles 0 0 0 0 0 0 0 0 0 0 0 0 0 Meningitis, all forms 3 0 0 0 0 2 2 1 0 0 1 1 10 Pertussis (whooping cough) 0 0 0 0 1 0 0 0 0 0 0 0 1 Poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, neonatal 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, other 0 0 0 0 0 0 0 0 0 0 0 0 0 Tuberculosis, all forms 16 7 14 10 6 3 4 12 8 5 5 17 107 Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and + Yaws 0 0 0 0 0 0 0 0 0 0 0 0 0 * Imported cases / Cas importés.

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 0 0 0 0 0 0 0 0 0 0 0 0 0 Acute resp. inf., 0 11 months 713 408 253 453 536 675 3234 1685 1633 995 190 152 10,927 Acute resp. inf., 1 4 years 1,244 925 609 844 1,305 1,266 3,742 1,968 2,462 1,526 433 284 16,608 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 0 0 0 0 0 0 0 0 0 0 0 0 0 Conjunctivitis (acute) 990 797 431 763 619 561 990 759 886 4,301 2,221 704 14,022 Dengue fever 0 0 0 0 0 0 0 0 0 0 0 0 0 Diarrhoea, 0 11 months 115 122 75 114 117 78 98 115 34 34 66 113 1,081 Diarrhoea, 1 4 years 193 396 183 237 284 133 276 192 139 102 112 116 2,363 Diarrhoea, 5 years and + 251 269 122 221 283 125 225 225 186 166 80 77 2,230 Diphtheria 0 0 0 0 0 0 0 0 0 0 0 0 0 Fish poisoning 65 16 21 15 49 25 24 32 18 7 13 4 289 Gonorrhoea/NSU 10 1 4 2 9 6 3 6 3 7 2 1 54 Hepatitis, all forms 7 11 8 3 3 3 32 8 41 18 2 2 138 Leprosy 4 4 1 2 0 3 1 1 0 1 11 0 28 Malaria* 0 1 0 0 0 0 0 0 0 0 0 0 1 Measles 0 3 0 0 0 0 0 0 0 7 0 0 10 Meningitis, all forms 2 2 0 1 0 1 3 0 1 0 0 2 12 Pertussis (whooping cough) 0 0 0 0 0 17 41 0 97 14 33 92 294 Poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, neonatal 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, other 3 12 0 0 0 0 0 0 0 3 0 0 18 Tuberculosis, all forms 11 21 9 14 31 19 17 46 36 30 6 8 248 Undernutrition, 0 11 months 1 2 1 1 5 3 3 2 5 0 1 7 31 Undernutrition, 1 4 years 3 2 0 7 2 5 12 10 13 4 24 7 89 Undernutrition, 5 years and + 1 4 0 0 6 3 3 4 9 0 36 19 85 Yaws 0 0 0 0 0 0 0 0 0 0 0 0 0 * Imported case / Cas importé.

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 0 0 0 0 0 0 0 0 0 0 0 0 0 Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years Acute resp. inf., 5 years and + 389 224 209 269 241 561 395 125 129 85 74 43 2,744 Cholera 0 0 0 0 0 0 0 0 0 0 0 0 0 Conjunctivitis (acute) 129 95 82 85 80 96 46 59 113 1,275 184 41 2,285 Dengue fever 0 0 0 0 0 0 0 0 0 0 0 0 0 Diarrhoea, 0 11 months 32 34 24 22 45 31 30 37 33 30 16 32 366 Diarrhoea, 1 4 years Diarrhoea, 5 years and + 121 52 43 94 62 84 44 43 138 71 82 55 889 Diphtheria 0 0 0 0 0 0 0 0 0 0 0 0 0 Fish poisoning 13 2 3 11 10 12 4 8 14 45 17 13 152 Gonorrhoea/NSU 2 0 2 3 1 0 3 1 0 0 1 1 14 Hepatitis, all forms 10 10 6 7 11 7 3 8 6 8 6 3 85 Leprosy 3 1 3 4 7 5 3 1 1 1 4 4 37 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 Measles 0 0 0 1 0 0 0 0 0 0 0 0 1 Meningitis, all forms 3 4 3 0 0 2 1 3 0 2 0 0 18 Pertussis (whooping cough) 0 0 0 0 0 0 0 0 0 0 0 0 0 Poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, neonatal 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, other 0 0 0 0 0 0 0 0 0 0 0 0 0 Tuberculosis, all forms 6 2 4 0 6 6 9 9 12 4 4 2 64 Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and + Yaws 0 0 0 0 0 0 0 0 0 0 0 0 0

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

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 174 159 276 309 224 272 356 410 353 267 208 194 3,202 Acute resp. inf., 1 4 years 241 255 578 601 461 445 553 722 557 471 340 296 5,520 Acute resp. inf., 5 years and + 559 544 914 1,095 922 949 1,189 4,757 1,636 891 633 509 14,599 Cholera 0 0 0 0 0 0 0 0 0 0 0 0 0 Conjunctivitis (acute) 206 204 141 163 99 107 136 121 109 120 97 94 1,597 Dengue fever 240 265 441 721 291 102 31 2 7 9 8 4 2,121 Diarrhoea, 0 11 months 35 35 29 66 24 27 28 11 21 29 33 36 373 Diarrhoea, 1 4 years 66 44 59 81 36 49 53 13 28 35 41 44 549 Diarrhoea, 5 years and + 101 83 109 125 47 74 106 72 81 82 93 90 1,063 Diphtheria 0 0 0 0 0 0 0 0 0 0 0 0 0 Fish poisoning 18 9 6 12 7 3 15 10 7 5 5 12 109 Gonorrhoea/NSU 34 24 14 15 21 13 22 11 11 20 12 4 201 Hepatitis, all forms 10 22 19 8 14 6 12 10 4 17 12 3 137 Leprosy 0 2 0 0 0 2 0 0 0 0 0 1 5 Malaria * 1 1 0 1 0 0 0 0 0 0 0 1 4 Measles 1 0 0 0 0 1 0 0 0 0 0 0 2 Meningitis, all forms 5 3 0 3 2 1 1 1 2 0 1 0 19 Pertussis (whooping cough) 1 0 0 0 0 0 0 0 0 0 0 0 1 Poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, neonatal 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, other 0 0 0 0 0 0 0 0 0 0 0 0 0 Tuberculosis, all forms 13 19 17 10 8 11 28 25 21 26 18 11 205 Undernutrition, 0 11 months 0 0 0 0 0 0 0 0 0 0 0 0 0 Undernutrition, 1 4 years 1 0 2 0 0 2 1 0 1 0 0 0 7 Undernutrition, 5 years and + 1 0 0 0 0 1 1 0 0 1 2 1 7 Yaws 0 0 0 0 0 0 0 0 0 0 0 0 0 * Imported case / Cas importé.

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 + 26 24 36 75 10 39 50 32 37 80 30 27 466 Cholera 0 0 0 0 0 0 0 0 0 0 0 0 0 Conjunctivitis (acute) 3 13 8 4 8 7 3 7 5 17 6 63 144 Dengue fever 0 0 0 0 0 0 0 0 0 0 0 0 0 Diarrhoea, 0 11 months 0 1 0 1 0 1 0 1 0 0 0 0 4 Diarrhoea, 1 4 years Diarrhoea, 5 years and + 20 19 9 10 12 10 6 5 4 14 2 4 115 Diphtheria 0 0 0 0 0 0 0 0 0 0 0 0 0 Fish poisoning 0 0 0 3 0 2 1 2 2 0 1 4 15 Gonorrhoea/NSU 0 0 0 0 0 0 0 0 0 0 0 0 0 Hepatitis, all forms 0 0 0 0 0 0 0 0 0 0 0 0 0 Leprosy 0 0 0 0 0 0 0 0 0 0 0 0 0 Malaria Measles 0 0 0 0 0 0 0 0 0 0 0 0 0 Meningitis, all forms 0 0 0 0 0 0 0 0 2 0 0 0 2 Pertussis (whooping cough) Poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, neonatal 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, other 0 0 0 0 0 0 0 0 0 0 0 0 0 Tuberculosis, all forms 0 0 0 0 0 0 0 0 0 0 0 0 0 Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and + Yaws 0 0 0 0 0 0 0 0 0 0 0 0 0

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

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 27 19 14 18 17 0 34 29 0 27 36 45 266 Acute resp. inf., 1 4 years 54 38 50 44 46 0 123 68 0 92 81 88 684 Acute resp. inf., 5 years and + 191 109 171 134 158 7 415 177 0 201 226 173 1,962 Cholera 0 0 0 0 0 0 0 0 0 0 0 0 0 Conjunctivitis (acute) 10 14 19 16 15 8 11 20 392 625 60 28 1,218 Dengue fever 0 0 0 0 0 0 1 0 0 0 0 0 1 Diarrhoea, 0 11 months 3 9 7 7 6 0 4 7 0 1 2 0 46 Diarrhoea, 1 4 years 33 31 38 24 13 0 15 39 0 12 10 5 220 Diarrhoea, 5 years and + 53 56 61 73 43 53 34 84 135 42 44 32 710 Diphtheria 0 0 0 0 0 0 0 0 0 0 0 0 0 Fish poisoning 0 0 0 0 0 0 0 0 0 0 0 0 0 Gonorrhoea/NSU 7 2 5 1 1 1 1 5 0 0 3 8 34 Hepatitis, all forms 0 0 0 1 1 0 0 0 1 0 0 0 3 Leprosy 0 0 0 0 0 1 1 1 0 1 0 0 4 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 Measles 0 0 0 0 0 0 0 0 0 0 0 0 0 Meningitis, all forms 0 0 0 0 0 0 0 0 0 0 0 0 0 Pertussis (whooping cough) 0 0 0 0 0 0 0 0 0 0 0 0 0 Poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, neonatal 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, other 0 0 0 0 0 0 0 0 0 0 0 0 0 Tuberculosis, all forms 0 1 0 1 0 0 1 0 0 0 1 1 5 Undernutrition, 0 11 months 0 0 0 0 0 0 0 0 0 0 0 0 0 Undernutrition, 1 4 years 0 0 0 0 0 0 0 0 0 0 0 0 0 Undernutrition, 5 years and + 0 0 0 0 0 0 0 0 0 0 0 0 0 Yaws 0 0 0 0 0 0 0 0 0 0 0 0 0

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

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 0 0 0 0 0 0 0 0 0 0 0 0 0 Acute resp. inf., 0 11 months 0 0 0 0 0 0 0 0 0 0 0 0 0 Acute resp. inf., 1 4 years 0 0 0 0 0 0 0 0 0 0 0 0 0 Acute resp. inf., 5 years and + 0 0 0 0 0 0 0 0 0 0 0 0 0 Cholera 0 0 0 0 0 0 0 0 0 0 0 0 0 Conjunctivitis (acute) 0 0 0 0 0 0 0 0 0 0 0 0 0 Dengue fever 0 0 0 0 0 0 0 0 0 0 0 0 0 Diarrhoea, 0 11 months 0 0 0 0 0 0 0 0 0 0 0 0 0 Diarrhoea, 1 4 years 0 0 0 0 0 0 0 0 0 0 0 0 0 Diarrhoea, 5 years and + 0 0 0 0 0 0 0 0 0 0 0 0 0 Diphtheria 0 0 0 0 0 0 0 0 0 0 0 0 0 Fish poisoning 0 0 0 0 0 0 0 0 0 0 0 0 0 Gonorrhoea/NSU 0 0 0 0 0 0 0 0 0 0 0 0 0 Hepatitis, all forms 0 0 0 0 0 0 0 0 0 0 0 0 0 Leprosy 0 0 0 0 0 0 0 0 0 0 0 0 0 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 Measles 0 0 0 0 0 0 0 0 0 0 0 0 0 Meningitis, all forms 0 0 0 0 0 0 0 0 0 0 0 0 0 Pertussis (whooping cough) 0 0 0 0 0 0 0 0 0 0 0 0 0 Poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, neonatal 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, other 0 0 0 0 0 0 0 0 0 0 0 0 0 Tuberculosis, all forms 0 0 0 0 0 0 0 0 0 0 0 0 0 Undernutrition, 0 11 months 0 0 0 0 0 0 0 0 0 0 0 0 0 Undernutrition, 1 4 years 0 0 0 0 0 0 0 0 0 0 0 0 0 Undernutrition, 5 years and + 0 0 0 0 0 0 0 0 0 0 0 0 0 Yaws 0 0 0 0 0 0 0 0 0 0 0 0 0

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 0 0 0 0 0 0 0 0 0 0 0 0 0 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 244 212 181 210 223 250 437 347 245 352 310 286 3,297 Diarrhoea, 1 4 years 590 476 470 632 587 517 830 816 753 1,109 1,018 639 8,437 Diarrhoea, 5 years and + 986 769 745 946 935 770 1,010 987 1,010 2,181 1,663 802 12,804 Diphtheria 0 0 0 0 0 0 0 0 0 0 0 0 0 Fish poisoning Gonorrhoea/NSU 203 154 93 186 179 139 211 129 182 168 165 174 1,983 Hepatitis, all forms Leprosy Malaria 7,512 9,744 10,455 11,962 10,268 13,068 9,638 8,331 8,886 8,444 120,034 7,245 225,587 Measles 1 0 0 2 0 0 0 4 0 3 0 1 11 Meningitis, all forms Pertussis (whooping cough) 0 0 0 0 0 0 1 0 0 0 0 0 1 Poliomyelitis* 0 0 0 0 0 0 0 0 0 0 1 0 1 Tetanus, neonatal 0 0 0 0 0 0 0 1 0 0 0 0 1 Tetanus, other 0 0 0 0 0 0 0 0 4 0 0 0 4 Tuberculosis, all forms Undernutrition, 0 11 months 913 1,062 1,048 1,193 1,138 911 1,057 999 1,014 1,122 1,127 852 12,436 Undernutrition, 1 4 years 273 284 304 388 368 335 266 295 346 351 413 268 3,891 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.

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 + 63 120 262 50 164 83 41 27 122 932 Cholera 0 0 0 0 0 0 0 0 0 0 Conjunctivitis (acute) 2 17 5 11 1 3 2 2 3 46 Dengue fever 0 0 6 0 0 0 0 0 0 6 Diarrhoea, 0 11 months Diarrhoea, 1 4 years Diarrhoea, 5 years and + 48 37 38 44 36 25 52 20 29 329 Diphtheria 0 0 0 0 0 0 0 0 0 0 Fish poisoning 0 0 0 0 2 2 0 0 0 4 Gonorrhoea/NSU 0 0 0 0 0 0 0 0 0 0 Hepatitis, all forms 0 0 0 0 0 0 0 0 0 0 Leprosy 0 0 0 0 0 0 0 0 0 0 Malaria 0 0 0 0 0 0 0 0 0 0 Measles 0 0 0 0 8 19 36 41 14 118 Meningitis, all forms 0 0 0 0 0 0 0 0 0 0 Pertussis (whooping cough) 0 0 0 0 0 0 0 0 0 0 Poliomyelitis 0 0 0 0 0 0 0 0 0 0 Tetanus, neonatal 0 0 0 0 0 0 0 0 0 0 Tetanus, other 0 0 0 0 0 0 0 0 0 0 Tuberculosis, all forms 0 0 0 0 0 0 0 0 0 0 Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and + Yaws 0 0 0 0 0 0 0 0 0 0

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 0 0 0 0 0 0 1 1 0 0 0 0 2 Acute resp. inf., 0 11 months 101 53 17 21 26 14 12 11 14 269 Acute resp. inf., 1 4 years 153 78 22 50 49 36 24 23 24 459 Acute resp. inf., 5 years and + 26 15 5 0 0 1 0 0 78 125 Cholera 0 0 0 0 0 0 0 0 0 0 0 0 0 Conjunctivitis (acute) 12 26 27 17 29 12 10 23 25 33 18 84 316 Dengue fever 0 2 0 0 0 0 0 0 0 0 0 0 2 Diarrhoea, 0 11 months 73 47 21 37 34 33 34 28 36 43 19 21 426 Diarrhoea, 1 4 years 82 50 45 45 34 25 29 23 46 47 22 28 476 Diarrhoea, 5 years and + 122 108 102 83 51 50 71 36 63 75 39 49 849 Diphtheria 0 0 0 0 0 0 0 0 0 0 0 0 0 Fish poisoning 0 0 0 0 0 0 0 0 0 0 0 0 0 Gonorrhoea/NSU 1 2 1 8 4 6 14 5 2 3 6 0 52 Hepatitis, all forms 0 0 0 1 5 3 6 2 2 2 3 3 27 Leprosy 0 0 0 0 0 0 0 0 0 0 0 0 0 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 Measles 0 1 0 0 2 2 1 4 1 3 2 0 16 Meningitis, all forms 0 0 0 0 0 0 0 0 0 0 0 0 0 Pertussis (whooping cough) 0 0 0 0 0 0 0 0 0 0 0 0 0 Poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, neonatal 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, other 0 0 0 0 0 0 0 0 0 0 0 0 0 Tuberculosis, all forms 0 0 0 2 2 0 3 5 3 2 5 4 26 Undernutrition, 0 11 months 0 0 0 0 0 0 0 0 0 0 0 0 0 Undernutrition, 1 4 years 0 0 0 0 0 0 0 0 0 0 0 0 0 Undernutrition, 5 years and + 0 0 0 0 0 0 0 0 0 0 0 0 0 Yaws 0 0 0 0 0 0 0 0 0 0 0 0 0

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 0 0 0 0 0 0 0 0 0 0 0 0 0 Acute resp. inf., 0 11 months Acute resp. inf., 1 4 years Acute resp. inf., 5 years and + 116 117 77 32 147 277 178 133 57 131 193 169 1,627 Cholera 0 0 0 0 0 0 0 0 0 0 0 0 0 Conjunctivitis (acute) 24 24 27 36 36 49 65 50 46 48 43 106 554 Dengue fever 0 0 0 0 0 0 0 0 0 0 0 0 0 Diarrhoea, 0 11 months Diarrhoea, 1 4 years Diarrhoea, 5 years and + 95 77 125 148 120 155 88 131 64 174 128 89 1,394 Diphtheria 0 0 0 0 0 0 0 0 0 0 0 0 0 Fish poisoning 0 0 2 1 6 4 0 1 0 0 5 0 19 Gonorrhoea/NSU 0 0 0 0 0 1 0 0 0 0 0 0 1 Hepatitis, all forms 0 0 0 0 0 1 0 1 0 0 0 0 2 Leprosy 0 0 0 0 0 0 0 0 0 0 0 1 1 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 Measles 0 0 0 0 0 0 0 0 0 1 10 2 13 Meningitis, all forms 0 0 0 0 0 0 0 0 0 0 0 0 0 Pertussis (whooping cough) 0 0 0 0 0 0 0 0 0 0 0 0 0 Poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, neonatal 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, other 0 0 0 0 0 0 0 0 0 0 0 0 0 Tuberculosis, all forms 3 1 3 2 0 0 2 1 0 2 0 1 15 Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and + Yaws 0 0 0 0 0 0 0 0 0 0 0 0 0

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 801 981 775 570 740 663 774 1,228 1,054 858 1,006 853 10,303 Acute resp. inf., 1 4 years 949 1,204 791 721 915 811 1,114 1,927 1,490 1,918 1,404 1,007 14,251 Acute resp. inf., 5 years and + 1,064 1,095 1,080 874 822 901 1,189 1,603 1,630 1,124 986 1,046 13,414 Cholera 0 0 0 0 0 0 0 0 0 0 0 0 0 Conjunctivitis (acute) 920 1,295 1,260 805 526 379 435 339 377 382 425 631 7,774 Dengue fever 8 2 0 0 0 0 1 0 0 0 2 6 19 Diarrhoea, 0 11 months 143 161 118 80 85 109 83 61 76 96 102 117 1,231 Diarrhoea, 1 4 years 206 224 142 148 167 157 157 157 160 141 233 228 2,120 Diarrhoea, 5 years and + 195 221 174 204 158 158 132 172 193 158 386 367 2,518 Diphtheria 0 0 0 0 0 0 0 0 0 0 0 0 0 Fish poisoning 140 56 67 92 55 60 70 38 46 39 70 57 754 Gonorrhoea/NSU 79 66 79 58 61 25 63 70 97 99 72 70 839 Hepatitis, all forms 3 1 9 2 1 1 0 1 2 57 9 4 90 Leprosy 0 1 1 1 0 0 1 0 2 1 2 0 9 Malaria 978 1,137 869 697 450 398 381 196 102 158 180 275 5,821 Measles 6 0 4 5 0 2 9 7 13 3 4 1 54 Meningitis, all forms 1 2 3 3 0 1 3 0 1 3 3 6 26 Pertussis (whooping cough) 0 0 0 1 0 0 11 17 4 0 3 0 36 Poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, neonatal 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, other 0 1 0 0 0 0 0 0 0 0 0 0 1 Tuberculosis, all forms 13 8 14 17 12 12 14 22 23 15 16 2 168 Undernutrition, 0 11 months 25 27 30 22 15 22 20 19 10 19 21 13 243 Undernutrition, 1 4 years 36 50 43 36 52 40 38 56 41 43 30 39 504 Undernutrition, 5 years and + Yaws 0 1 0 0 5 7 1 2 6 7 8 1 38

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 42 67 154 109 73 113 95 116 303 122 143 104 1,441 Acute resp. inf., 1 4 years 107 123 268 185 147 147 161 259 551 282 188 2,418 Acute resp. inf., 5 years and + 312 188 484 345 316 397 395 443 1,046 435 628 212 5,201 Cholera 0 0 0 0 0 0 0 0 0 0 0 0 0 Conjunctivitis (acute) 82 26 50 52 25 29 27 31 30 29 24 34 439 Dengue fever 0 0 0 0 0 0 0 0 0 0 0 0 0 Diarrhoea, 0 11 months 9 4 6 4 13 8 4 6 5 16 12 11 98 Diarrhoea, 1 4 years 28 10 18 13 13 14 15 7 9 15 24 11 177 Diarrhoea, 5 years and + 47 33 60 50 27 34 43 27 40 43 50 53 507 Diphtheria 0 0 0 0 0 0 0 0 0 0 0 0 0 Fish poisoning 0 0 0 0 0 0 0 0 0 0 0 0 0 Gonorrhoea/NSU 0 0 0 0 0 0 0 0 0 0 0 0 0 Hepatitis, all forms 0 0 2 0 2 1 0 2 3 0 5 15 30 Leprosy 0 0 0 0 0 0 0 0 0 0 0 0 0 Malaria 0 0 0 0 0 0 0 0 0 0 1 0 1 Measles 4 0 0 0 0 0 0 0 0 0 0 0 4 Meningitis, all forms 0 1 0 0 1 1 0 0 0 0 1 0 4 Pertussis (whooping cough) 0 0 0 0 0 0 0 0 0 0 0 0 0 Poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, neonatal 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, other 0 0 0 0 0 0 0 0 0 0 0 0 0 Tuberculosis, all forms 0 0 0 0 0 0 1 0 0 2 4 0 7 Undernutrition, 0 11 months Undernutrition, 1 4 years Undernutrition, 5 years and + Yaws 0 0 0 0 0 0 0 0 0 0 0 0 0

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 + 320 282 236 227 216 656 332 223 260 175 2,927 Cholera 0 0 0 0 0 0 0 0 0 0 0 0 0 Conjunctivitis (acute) 0 16 14 35 33 34 28 23 18 24 24 25 274 Dengue fever 637 253 74 22 7 1 4 0 0 1 3 4 1, 006 Diarrhoea, 0 11 months 46 34 22 37 48 22 47 75 77 24 21 16 469 Diarrhoea, 1 4 years Diarrhoea, 5 years and + 32 19 420 24 26 15 137 15 241 28 105 135 1,197 Diphtheria 0 0 0 0 0 0 0 0 0 0 0 0 0 Fish poisoning 6 14 4 5 4 6 3 2 8 1 4 11 68 Gonorrhoea/NSU 5 10 10 7 7 12 1 12 3 10 11 9 97 Hepatitis, all forms 0 0 1 0 2 0 0 0 0 1 0 0 4 Leprosy 0 0 1 3 5 0 1 1 0 0 2 0 13 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 Measles 0 0 0 1 7 23 64 61 14 16 0 2 188 Meningitis, all forms 0 0 0 0 0 1 1 1 0 1 0 0 4 Pertussis (whooping cough) 0 0 0 0 0 0 0 0 0 0 0 0 0 Poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, neonatal 0 0 0 0 0 0 0 0 0 0 0 0 0 Tetanus, other 0 0 0 0 0 0 0 0 0 0 0 0 0 Tuberculosis, all forms 1 6 5 3 0 5 1 0 0 0 0 1 22 Undernutrition, 0 11 months 0 0 0 0 0 0 0 0 0 0 0 0 0 Undernutrition, 1 4 years 0 0 0 0 0 0 0 0 0 0 0 0 0 Undernutrition, 5 years and + 0 0 0 0 0 0 0 0 0 0 0 0 0 Yaws 0 0 0 0 0 0 0 0 0 0 0 0 0

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

DISEASE: ACQUIRED IMMUNO-DEFICIENCY SYNDROME ICD 9 CODE: 279.5 Member countries and territories of Population Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec cases Pacific Community 96 96 96 96 96 96 96 96 96 96 96 96 1/96 12/96 American Samoa 58,900 Cook Islands 19,600 Fed. States of Micronesia 109,200 0 0 0 0 0 0 0 0 0 0 0 0 0 Fiji 800,500 French Polynesia 229,200 Guam 153,700 3 2 0 0 0 0 1 1 1 0 0 0 8 Kiribati 82,400 0 0 0 0 0 0 0 0 0 0 0 0 0 Marshall Islands 59,800 0 0 0 0 0 0 0 0 0 0 0 0 0 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 53 0 0 0 0 0 0 0 0 0 0 0 0 0 Solomon Islands 395,200 Tokelau 1,500 0 0 0 0 0 0 0 0 0 0 0 0 0 Tonga 90,000 0 0 0 0 0 1 1 0 0 0 0 0 2 Tuvalu 9,800 0 0 0 0 0 0 0 0 0 0 0 0 0 Vanuatu 173,900 Wallis and Futuna 14,800 Western Samoa 165,100

DISEASE: ACUTE RESPIRATORY INFECTION, 0 11 MONTHS ICD 9 CODE: 460-466 and 480-487 Member countries and territories of Population Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec cases Pacific Community 96 96 96 96 96 96 96 96 96 96 96 96 1/96 12/96 American Samoa 58,900 Cook Islands 19,600 Fed. States of Micronesia 109,200 Fiji 800,500 41 18 83 47 34 67 44 85 55 65 90 44 673 French Polynesia 229,200 221 341 324 323 247 169 229 221 344 248 168 198 3,033 Guam 153,700 Kiribati 82,400 713 408 253 453 536 675 3,234 1,685 1,633 995 190 152 10,927 Marshall Islands 59,800 Nauru 11,200 New Caledonia 196,800 174 159 276 309 224 272 356 410 353 267 208 194 3,202 Niue 2,000 Northern Mariana Islands 63,000 Palau 16,900 27 19 14 18 17 0 34 29 0 27 36 45 266 Papua New Guinea 4,141,800 Pitcairn Island 53 0 0 0 0 0 0 0 0 0 0 0 0 0 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 90,000 101 53 17 21 26 14 12 11 14 269 Tuvalu 9,800 Vanuatu 173,900 801 981 775 570 740 663 774 1,228 1,054 858 1,006 853 10,303 Wallis and Futuna 14,800 42 67 154 109 73 113 95 116 303 122 143 104 1,441 Western Samoa 165,100

DISEASE: ACUTE RESPIRATORY INFECTION, 1 4 YEARS ICD9 CODE: 460-466 and 480-487 Member countries and territories of Population Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec cases Pacific Community 96 96 96 96 96 96 96 96 96 96 96 96 1/96 12/96 American Samoa 58,900 Cook Islands 19,600 Fed. States of Micronesia 109,200 Fiji 800,500 175 285 332 247 351 183 149 54 73 122 159 29 2,159 French Polynesia 229,200 605 1,174 978 837 606 579 529 603 932 689 611 538 8,681 Guam 153,700 Kiribati 82,400 1,244 925 609 844 1,305 1,266 3,742 1,968 2,462 1,526 433 284 16,608 Marshall Islands 59,800 Nauru 11,200 New Caledonia 196,800 241 255 578 601 461 445 553 722 557 471 340 296 5,520 Niue 2,000 Northern Mariana Islands 63,000 Palau 16,900 54 38 50 44 46 123 68 92 81 88 684 Papua New Guinea 4,141,800 Pitcairn Island 53 0 0 0 0 0 0 0 0 0 0 0 0 0 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 90,000 153 78 22 50 49 36 24 23 24 459 Tuvalu 9,800 Vanuatu 173,900 949 1,204 791 721 915 811 1,114 1,927 1,490 1,918 1,404 1,007 14,251 Wallis and Futuna 14,800 107 123 268 185 147 147 161 259 551 282 188 2,418 Western Samoa 165,100

DISEASE: ACUTE RESPIRATORY INFECTION, 5 YEARS AND + ICD9 CODE: 460-466 and 480-487 Member countries and territories of Population Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec cases Pacific Community 96 96 96 96 96 96 96 96 96 96 96 96 1/96 12/96 American Samoa 58,900 Cook Islands 19,600 375 573 420 551 559 656 623 368 429 314 448 202 5,427 Fed. States of Micronesia* 109,200 1,616 1,336 1,812 1,768 1,557 1,836 1,693 2,058 876 1,186 734 787 17,259 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 1,106 924 991 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 59,800 389 224 209 269 241 561 395 125 129 85 74 43 2,744 Nauru 11,200 New Caledonia 196,800 559 544 914 1,095 922 949 1,189 4,757 1,636 891 633 509 14,599 Niue 2,000 26 24 36 75 10 39 50 32 37 80 30 27 466 Northern Mariana Islands 63,000 Palau 16,900 191 109 171 134 158 7 415 177 0 201 226 173 1,962 Papua New Guinea 4,141,800 Pitcairn Island 53 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1,500 63 120 262 50 164 83 41 27 122 932 Tonga 90,000 26 15 5 0 0 1 0 0 78 125 Tuvalu 9,800 116 117 77 32 147 277 178 133 57 131 193 169 1,627 Vanuatu 173,900 1,064 1,095 1,080 874 822 901 1,189 1,603 1,630 1,124 986 1,046 13,414 Wallis and Futuna 14,800 312 188 484 345 316 397 395 443 1,046 435 628 212 5,201 Western Samoa 165,100 320 282 236 227 216 656 332 223 260 175 2,927 * 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.

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 96 96 96 96 96 96 96 96 96 96 96 1/96 12/96 American Samoa 58,900 Cook Islands 19,600 0 0 0 0 0 0 0 0 0 0 0 0 0 Fed. States of Micronesia 109,200 0 0 0 0 0 0 0 0 0 0 0 0 0 Fiji 800,500 0 0 0 0 0 0 0 0 0 0 0 0 0 French Polynesia 229,200 0 0 0 0 0 0 0 0 0 0 0 0 0 Guam 153,700 1 0 0 0 0 0 0 0 0 0 0 0 1 Kiribati 82,400 0 0 0 0 0 0 0 0 0 0 0 0 0 Marshall Islands 59,800 0 0 0 0 0 0 0 0 0 0 0 0 0 Nauru 11,200 New Caledonia 196,800 0 0 0 0 0 0 0 0 0 0 0 0 0 Niue 2,000 0 0 0 0 0 0 0 0 0 0 0 0 0 Northern Mariana Islands 63,000 Palau 16,900 0 0 0 0 0 0 0 0 0 0 0 0 0 Papua New Guinea 4,141,800 Pitcairn Island 53 0 0 0 0 0 0 0 0 0 0 0 0 0 Solomon Islands 395,200 Tokelau 1,500 0 0 0 0 0 0 0 0 0 0 Tonga 90,000 0 0 0 0 0 0 0 0 0 0 0 0 0 Tuvalu 9,800 0 0 0 0 0 0 0 0 0 0 0 0 0 Vanuatu 173,900 0 0 0 0 0 0 0 0 0 0 0 0 0 Wallis and Futuna 14,800 0 0 0 0 0 0 0 0 0 0 0 0 0 Western Samoa 165,100 0 0 0 0 0 0 0 0 0 0 0 0 0

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 96 96 96 96 96 96 96 96 96 96 96 1/96 12/96 American Samoa 58,900 Cook Islands 19,600 36 40 38 21 30 24 22 14 16 20 16 16 293 Fed. States of Micronesia 109,200 326 108 100 135 216 169 101 120 658 302 43 49 2,327 Fiji 800,500 45 30 91 22 8 22 7 46 3 42 119 636 1,071 French Polynesia 229,200 344 479 396 358 362 327 228 301 218 329 264 438 4,044 Guam 153,700 91 64 60 64 77 50 25 101 1,312 1,233 153 85 3,315 Kiribati 82,400 990 797 431 763 619 561 990 759 886 4,301 2,221 704 14,022 Marshall Islands 59,800 129 95 82 85 80 96 46 59 113 1,275 184 41 2,285 Nauru 11,200 New Caledonia 196,800 206 204 141 163 99 107 136 121 109 120 97 94 1,597 Niue 2,000 3 13 8 4 8 7 3 7 5 17 6 63 144 Northern Mariana Islands 63,000 Palau 16,900 10 14 19 16 15 8 11 20 392 625 60 28 1,218 Papua New Guinea 4,141,800 Pitcairn Island 53 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1,500 2 17 5 11 1 3 2 2 3 46 Tonga 90,000 12 26 27 17 29 12 10 23 25 33 18 84 316 Tuvalu 9,800 24 24 27 36 36 49 65 50 46 48 43 106 554 Vanuatu 173,900 920 1,295 1,260 805 526 379 435 339 377 382 425 631 7,774 Wallis and Futuna 14,800 82 26 50 52 25 29 27 31 30 29 24 34 439 Western Samoa 165,100 0 16 14 35 33 34 28 23 18 24 24 25 274

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 96 96 96 96 96 96 96 96 96 96 96 1/96 12/96 American Samoa 58,900 Cook Islands 19,600 0 1 0 0 0 0 0 0 0 0 0 1 2 Fed. States of Micronesia 109,200 0 0 0 1 19 36 3 3 0 0 0 0 67 Fiji 800,500 0 0 2 0 0 0 0 0 0 0 0 0 2 French Polynesia 229,200 5 3 14 20 11 12 5 9 101 104 66 227 577 Guam 153,700 0 0 0 0 0 0 0 0 0 0 0 0 0 Kiribati 82,400 0 0 0 0 0 0 0 0 0 0 0 0 0 Marshall Islands 59,800 0 0 0 0 0 0 0 0 0 0 0 0 0 Nauru 11,200 New Caledonia 196,800 240 265 441 721 291 102 31 2 7 9 8 4 2,121 Niue 2,000 0 0 0 0 0 0 0 0 0 0 0 0 0 Northern Mariana Islands 63,000 Palau 16,900 0 0 0 0 0 0 1 0 0 0 0 0 1 Papua New Guinea 4,141,800 Pitcairn Island 53 0 0 0 0 0 0 0 0 0 0 0 0 0 Solomon Islands 395,200 Tokelau 1,500 0 0 6 0 0 0 0 0 0 6 Tonga 90,000 0 2 0 0 0 0 0 0 0 0 0 0 2 Tuvalu 9,800 0 0 0 0 0 0 0 0 0 0 0 0 0 Vanuatu 173,900 8 2 0 0 0 0 1 0 0 0 2 6 19 Wallis and Futuna 14,800 0 0 0 0 0 0 0 0 0 0 0 0 0 Western Samoa 165,100 637 253 74 22 7 1 4 0 0 1 3 4 1,006

DISEASE: DIARRHOEA, 0 11 MONTHS ICD9 CODE: 008-009 Member countries and territories of Population Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec cases Pacific Community 96 96 96 96 96 96 96 96 96 96 96 96 1/96 12/96 American Samoa 58,900 Cook Islands 19,600 15 56 32 18 18 10 1 5 7 5 3 9 179 Fed. States of Micronesia 109,200 88 56 71 134 173 173 124 76 195 26 19 51 1,186 Fiji 800,500 68 60 51 43 47 9 18 37 31 28 67 68 527 French Polynesia 229,200 83 71 51 63 62 52 38 30 42 39 24 27 582 Guam 153,700 Kiribati 82,400 115 122 75 114 117 78 98 115 34 34 66 113 1,081 Marshall Islands 59,800 32 34 24 22 45 31 30 37 33 30 16 32 366 Nauru 11,200 New Caledonia 196,800 35 35 29 66 24 27 28 11 21 29 33 36 373 Niue 2,000 0 1 0 1 0 1 0 1 0 0 0 0 4 Northern Mariana Islands 63,000 Palau 16,900 3 9 7 7 6 0 4 7 0 1 2 0 46 Papua New Guinea 4,141,800 Pitcairn Island 53 0 0 0 0 0 0 0 0 0 0 0 0 0 Solomon Islands 395,200 244 212 181 210 223 250 437 347 245 352 310 286 3,297 Tokelau 1,500 Tonga 90,000 73 47 21 37 34 33 34 28 36 43 19 21 426 Tuvalu 9,800 Vanuatu 173,900 143 161 118 80 85 109 83 61 76 96 102 117 1,231 Wallis and Futuna 14,800 9 4 6 4 13 8 4 6 5 16 12 11 98 Western Samoa 165,100 46 34 22 37 48 22 47 75 77 24 21 16 469