Pacific Syndromic Surveillance System Weekly Bulletin
Système de Surveillance Syndromic dans le Pacifique Bulletin Hebdomadaire
W1 2021 (Jan 04-Jan 10)
WHO gratefully acknowledges the support of Ministries of Health and partners in the following Pacific Island Countries and areas for the contribution of data to this bulletin | L'OMS reconnaît avec reconnaissance le soutien des ministères de la santé et des partenaires dans les pays insulaires du Pacifique suivants pour la contribution des données à ce bulletin:
W1 2021 to W1 2021 | S1 2021 à S1 2021 Pacific Island Countries | Pays insulaires du Pacifique
W1
% n
3166
78% 18
4% 120
Cumulative
% n Indicator
208 1. Number of sentinel sites
Nombre de sites sentinelles
77% 939 2. Number of PICs that reported Nombre de PICs qui ont rapporté
58% 121 3. Number of sites that reported Nombre de sites qui ont rapporté
Key indicators & Highlights | Indicateurs clé & faits saillants
1 W1 2021 (Jan 04-Jan 10)
1
2
1
1
Country/Area No. sites No. reported % reported AFR PF Diarrhoea DLI ILI SARI COVID-19
** AFR: Acute Fever and Rash; PF: Prolonged Fever; DLI:Diarrhoea-like Illness; ILI: Influenza-like Illness; SARI: Severe Acute Respiratory Infection
New Table
American Samoa 0 0 0% 0 0 0 0 0 0 0
Cook Islands 14 13 93% 0 0 0 1 4 0 0
Fiji 29 29 100% 0 9 297 108 94 3 0
French Polynesia 3021 0 0% 22 0 19 11 79 0 0
Guam 0 0 0% 0 0 0 0 0 0 0
Kiribati 9 9 100% 0 0 79 0 286 4 0
Marshall Islands (the)
2 2 100% 0 3 12 1 5 0 0
Micronesia (Federated States of)
4 3 75% 0 2 36 1 14 0 0
Nauru 0 0 0% 0 0 0 0 0 0 0
New Caledonia 21 9 43% 0 0 7 0 0 0 0
New Zealand 0 0 0% 0 0 0 0 0 0 0
Niue 1 1 100% 0 0 7 0 3 0 0
Northern Mariana Islands (the)
8 8 100% 0 5 3 0 3 0 0
Palau 1 1 100% 0 0 8 1 1 0 0
Papua New Guinea
0 0 0% 0 0 0 0 0 0 0
Pitcairn Islands 1 1 100% 0 0 0 0 0 0 0
Samoa 11 11 100% 0 5 32 0 498 0 0
Solomon Islands 14 7 50% 0 26 59 4 80 3 0
Tokelau 3 3 100% 0 0 1 0 1 0 0
Tonga 11 9 82% 0 0 9 0 11 3 0
Tuvalu 3 3 100% 0 0 1 0 5 0 0
Vanuatu 11 9 82% 0 16 80 1 283 0 0
Wallis & Futuna 2 2 100% 1 0 17 3 31 0 0
Total 3166 120 4% 23 66 667 131 1398 13 0
Figure 1a American Samoa | Samoa américaines Figure 1b N Mariana Isl. | Îles Mariannes du Nord Figure 1c Federated States of Micronesia Figure 1d Marshall Islands | Îles Marshall
Figure 1e Guam | Guam
Not reported
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1f | Palau
Country trends | AFR and PF
** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison. **No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
30
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
2
4
6
8
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
5
10
15
20
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
1
2
3
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
Figure 1g Tonga | Tonga Figure 1h Samoa | Samoa Figure 1i Cook Islands | Îles Cook Figure 1j Niue | Niue
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1k Tokelau | Tokelau
Figure 1l Wallis & Futuna | Wallis & Futuna Figure 1m New Caledonia | Nouvelle Calédonie Figure 1n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
5
10
15
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
0
20
40
60
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
1
2
W 29
2 02
0
0
1
2
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Wallis and Futuna, New Caledonia, French Polynesia
0
5
10
15
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
25
50
75 W
05 2
02 0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
Figure 1o Kiribati | Kiribati Figure 1p Nauru | Nauru Figure 1q Fiji | Fidji Figure 1r Solomon Islands | Îles Salomon
Figure 1s Tuvalu | Tuvalu Figure 1t Vanuatu | Vanuatu Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
5 W1 2021 (Jan 04-Jan 10)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
1
2
3
W 23
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 27
2 02
0
W 31
2 02
0
0
25
50
75
100
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 05
2 02
0
W 09
2 02
0
W 53
2 02
0
0
50
100
150
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
1
2
3
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
0
50
100 W
05 2
02 0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
Figure 2a American Samoa | Samoa américaines Figure 2b N Mariana Isl. | Îles Mariannes du Nord Figure 2c Federated States of Micronesia Figure 2d Marshall Islands | Îles Marshall
Figure 2f | Palau Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
Figure 2e Guam | Guam
Country trends | Influenza like illness, SARI and Suspected COVID-19 ** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
25
50
75
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
100
200
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
10
20
30
40
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
10
20
30
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
Figure 2g Tonga | Tonga Figure 2h Samoa | Samoa Figure 2i Cook Islands | Îles Cook Figure 2j Niue | Niue
Legend
SARI (Influenza-like illness that requires hospitalization) Suspected COVID-19 Influenza like illness
Figure 2k Tokelau | Tokelau
Figure 2l Wallis & Futuna | Wallis & Futuna Figure 2m New Caledonia | Nouvelle Calédonie Figure 2n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
1000
2000
3000
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
0
20
40
60
80
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
10
5
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
10
20
30
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
Wallis and Futuna, New Caledonia, French Polynesia
0
25
50
75
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
20
40
60
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
100
200
300
400
500
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
Figure 2o Kiribati | Kiribati Figure 2p Nauru | Nauru Figure 2q Fiji | Fidji Figure 2r Solomon Islands | Îles Salomon
Figure 2s Tuvalu | Tuvalu Figure 2t Vanuatu | Vanuatu Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
5 W1 2021 (Jan 04-Jan 10)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
250
500
750
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
50
100
150
200
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
200
400
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
25
50
75
100
125
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
200
400
600 W
05 2
02 0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
Figure 3a American Samoa | Samoa américaines Figure 3b N Mariana Isl. | Îles Mariannes du Nord Figure 3c Federated States of Micronesia Figure 3d Marshall Islands | Îles Marshall
Figure 3e Guam | Guam Figure 3f | Palau Legend
Dengue-like Illness (DLI) Diarrhoea
Country trends | Diarrhoea and DLI ** Please note that X and Y axesvary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
50
100
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
100
200
300
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
10
20
30
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
Figure 3g Tonga | Tonga Figure 3h Samoa | Samoa Figure 3i Cook Islands | Îles Cook Figure 3j Niue | Niue
Legend
Dengue-like Illness (DLI) Diarrhoea
Figure 3k Tokelau | Tokelau
Figure 3l Wallis & Futuna | Wallis & Futuna Figure 3m New Caledonia | Nouvelle Calédonie Figure 3n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
1000
2000
3000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
0
10
20
30
40
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
0
W 09
2 02
0
0
2
4
6
8
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
2
4
6
8
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
Wallis and Futuna, New Caledonia, French Polynesia
0
25
50
75
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
25
50
75
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
25
50
75
100
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
Figure 3o Kiribati | Kiribati Figure 3p Nauru | Nauru Figure 3q Fiji | Fidji Figure 3r Solomon Islands | Îles Salomon
Figure 3s Tuvalu | Tuvalu Figure 3t Vanuatu | Vanuatu Legend
Dengue-like Illness (DLI) Diarrhoea
5 W1 2021 (Jan 04-Jan 10)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
100
200
300
400
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
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5
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5
W 31
2 02
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W 01
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W 05
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Case Definitions
Syndrome Case Definition Alert Threshold
Acute Fever and Rash (AFR)
Fever plus rash(non-blistering) 1 case if there is a measles outbreak.
Prolonged fever (PF)
Fever for 3 days or more Twice the average number of cases seen in the previous 2 weeks
Influenza-like illness (ILI)
An acute respiratory infection with: measured fever of ≥ 38 C° and cough; with onset within the last 10 days.
Twice the average number of cases seen in the previous 2 weeks
Diarrhoea 3 or more loose or watery stools in 24 hours (non- bloody)
Twice the average number of cases seen in the previous 2 weeks
Suspected dengue Fever for at least 2 days, plus at least two of the following: i. Nausea or vomiting; ii. Muscle or joint pain; iii. Severe headache or pain behind the eyes; iv. Rash; v. Bleeding
Twice the average number of cases seen in the previous 3 weeks
Severe acute respiratory infection, requiring hospitalisation (SARI)
Sudden onset of fever above 38°C, cough or sore throat, shortness of breath or difficulty breathing, and requiring hospitalization.
Twice moving average in 2 weeks
COVID - 19 Twice moving average in 2 weeks
Alert thresholds Please note that the alert thresholds have been set in EWARS and you will receive instant email notification once you have surpassed the alert threshold. New Indicators ∙
∙ COVID-19 one (1) case, this is as the case definition set to identify suspected COVID- 19 including Multi-system Inflammatory cases in children. In addition, use the EBS to report details. ∙ SARI The alert threshold for SARI is set at one (1) case to increase sensitivity for its investigation as a suspected COVID-19 case and hence require laboratory confirmation or exclusion.
Once you do receive an alert, you need to follow the link to verify the alert – enter brief notes to say what the cases were, what has been done to the cases (investigation, treatment) or any other cases regarding the cases – age, gender, residence, hospitalized or not? The alerts are set to auto-discard after 2 days if no action has been taken. In addition, there are now forms available on EWARS for reporting Event Based Surveillance (EBS). Please use these to report any unusual disease patterns/symptoms, unexpected deaths, disease or deaths in animals or anything that is of concern
For more help and support, please contact:
DPS Epidemiology & Surveillance Unit
World Health Organization
Division of Pacific Technical Support
Suva, Fiji
Email: wpfjisurveillance@who.int
Notes:
The Pacific Syndromic Surveillance System (PSSS) was started in 2010. With the support of the Pacific Community, it collects sentinel surveillance data on 4 syndromes (including one optional), from 23 Pacific Island Countries and areas. The aim is to monitor trends and to trigger alerts to rapidly detect and respond to suspected outbreaks. In 2017, the system was moved to an online platform called EWARS. Data is entered online by country focal points and is then analysed using an online application. This bulletin has been published automatically from EWARS.
Le système de surveillance de la syndromie du Pacifique (PSSS) a été lancé en 2010. Avec le soutien de la Communauté du Pacifique, il collecte des données de surveillance sentinelle sur 4 syndromes (dont un optionnel), provenant de 23 pays insulaires du Pacifique. L'objectif est de surveiller les tendances et de déclencher des alertes pour détecter et répondre rapidement aux épidémies présumées. En 2017, le système a été transféré vers une plate-forme en ligne appelée EWARS. Les données sont entrées en ligne par points focaux de pays et sont ensuite analysées à l'aide d'une application en ligne. Ce bulletin a été publié automatiquement à partir d'EWARS.
mailto:shakilan@who.int
Pacific Syndromic Surveillance System Weekly Bulletin
Système de Surveillance Syndromic dans le Pacifique Bulletin Hebdomadaire
W2 2021 (Jan 11-Jan 17)
WHO gratefully acknowledges the support of Ministries of Health and partners in the following Pacific Island Countries and areas for the contribution of data to this bulletin | L'OMS reconnaît avec reconnaissance le soutien des ministères de la santé et des partenaires dans les pays insulaires du Pacifique suivants pour la contribution des données à ce bulletin:
W1 2021 to W2 2021 | S1 2021 à S2 2021 Pacific Island Countries | Pays insulaires du Pacifique
W2
% n
145
78% 18
92% 133
Cumulative
% n Indicator
208 1. Number of sentinel sites
Nombre de sites sentinelles
77% 939 2. Number of PICs that reported Nombre de PICs qui ont rapporté
58% 121 3. Number of sites that reported Nombre de sites qui ont rapporté
Key indicators & Highlights | Indicateurs clé & faits saillants
1 W2 2021 (Jan 11-Jan 17)
1
2
1
1
Country/Area No. sites No. reported % reported AFR PF Diarrhoea DLI ILI SARI COVID-19
** AFR: Acute Fever and Rash; PF: Prolonged Fever; DLI:Diarrhoea-like Illness; ILI: Influenza-like Illness; SARI: Severe Acute Respiratory Infection
New Table
American Samoa 0 0 0% 0 0 0 0 0 0 0
Cook Islands 14 13 93% 0 0 3 2 7 0 0
Fiji 29 29 100% 1 3 427 154 125 10 0
French Polynesia 0 0 0% 13 0 32 18 62 0 0
Guam 0 0 0% 0 0 0 0 0 0 0
Kiribati 9 9 100% 0 0 88 0 218 1 0
Marshall Islands (the)
2 2 100% 0 0 6 0 5 0 0
Micronesia (Federated States of)
4 3 75% 2 3 31 0 21 0 0
Nauru 0 0 0% 0 0 0 0 0 0 0
New Caledonia 21 17 81% 0 0 21 1 16 0 0
New Zealand 0 0 0% 0 0 0 0 0 0 0
Niue 1 1 100% 0 0 3 0 4 0 0
Northern Mariana Islands (the)
8 8 100% 1 10 6 0 3 1 0
Palau 1 1 100% 0 0 2 1 2 0 0
Papua New Guinea
0 0 0% 0 0 0 0 0 0 0
Pitcairn Islands 1 1 100% 0 0 0 0 0 0 0
Samoa 11 11 100% 0 8 44 0 531 0 0
Solomon Islands 14 9 64% 0 15 50 1 75 2 0
Tokelau 3 3 100% 1 0 8 0 2 0 0
Tonga 11 11 100% 0 2 24 0 22 6 0
Tuvalu 3 3 100% 0 0 0 0 10 0 0
Vanuatu 11 10 91% 0 9 49 10 250 0 0
Wallis & Futuna 2 2 100% 1 1 4 8 14 0 0
Total 145 133 92% 19 51 798 195 1367 20 0
Figure 1a American Samoa | Samoa américaines Figure 1b N Mariana Isl. | Îles Mariannes du Nord Figure 1c Federated States of Micronesia Figure 1d Marshall Islands | Îles Marshall
Figure 1e Guam | Guam
Not reported
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1f | Palau
Country trends | AFR and PF
** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison. **No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
30
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
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0
W 23
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W 27
2 02
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W 31
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W 40
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2 02
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2 02
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W 14
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2 02
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W 36
2 02
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W 40
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W 44
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W 49
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2 02
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0
1
2
3
W 09
2 02
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W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
Figure 1g Tonga | Tonga Figure 1h Samoa | Samoa Figure 1i Cook Islands | Îles Cook Figure 1j Niue | Niue
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1k Tokelau | Tokelau
Figure 1l Wallis & Futuna | Wallis & Futuna Figure 1m New Caledonia | Nouvelle Calédonie Figure 1n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
5
10
15
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
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W 31
2 02
0
W 36
2 02
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W 40
2 02
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W 44
2 02
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W 49
2 02
0
W 53
2 02
0
0
20
40
60
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
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W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
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W 49
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W 53
2 02
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1
2
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2 02
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1
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W 49
2 02
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W 53
2 02
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W 31
2 02
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W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Wallis and Futuna, New Caledonia, French Polynesia
0
5
10
15
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
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W 40
2 02
0
W 44
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W 49
2 02
0
W 53
2 02
0
0
25
50
75 W
05 2
02 0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
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W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
Figure 1o Kiribati | Kiribati Figure 1p Nauru | Nauru Figure 1q Fiji | Fidji Figure 1r Solomon Islands | Îles Salomon
Figure 1s Tuvalu | Tuvalu Figure 1t Vanuatu | Vanuatu Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
5 W2 2021 (Jan 11-Jan 17)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
1
2
3
W 23
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 27
2 02
0
W 31
2 02
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0
25
50
75
100
W 05
2 02
0
W 09
2 02
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W 14
2 02
0
W 18
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0
W 23
2 02
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W 27
2 02
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W 31
2 02
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W 36
2 02
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W 40
2 02
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2 02
0
W 49
2 02
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W 53
2 02
0
0
50
100
150
W 05
2 02
0
W 09
2 02
0
W 14
2 02
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W 18
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0
W 23
2 02
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W 27
2 02
0
W 31
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W 36
2 02
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W 40
2 02
0
W 44
2 02
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W 49
2 02
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W 53
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0
1
2
3
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2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
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W 40
2 02
0
0
50
100 W
05 2
02 0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
Figure 2a American Samoa | Samoa américaines Figure 2b N Mariana Isl. | Îles Mariannes du Nord Figure 2c Federated States of Micronesia Figure 2d Marshall Islands | Îles Marshall
Figure 2f | Palau Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
Figure 2e Guam | Guam
Country trends | Influenza like illness, SARI and Suspected COVID-19 ** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
25
50
75
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
50
100
150
200
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
10
20
30
40
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
5
10
15
20
25
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
Figure 2g Tonga | Tonga Figure 2h Samoa | Samoa Figure 2i Cook Islands | Îles Cook Figure 2j Niue | Niue
Legend
SARI (Influenza-like illness that requires hospitalization) Suspected COVID-19 Influenza like illness
Figure 2k Tokelau | Tokelau
Figure 2l Wallis & Futuna | Wallis & Futuna Figure 2m New Caledonia | Nouvelle Calédonie Figure 2n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
1000
2000
3000
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
20 20
0
25
50
75
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
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W 23
2 02
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W 27
2 02
0
W 31
2 02
0
W 36
2 02
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W 40
2 02
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W 44
2 02
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W 49
2 02
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2 02
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6
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10
W 27
2 02
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W 31
2 02
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W 36
2 02
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W 40
2 02
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W 44
2 02
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W 49
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W 53
2 02
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2
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10
W 05
2 02
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W 09
2 02
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W 14
2 02
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W 18
2 02
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2 02
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W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
Wallis and Futuna, New Caledonia, French Polynesia
0
25
50
75
W 05
2 02
0
W 09
2 02
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W 14
2 02
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W 18
2 02
0
W 23
2 02
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W 31
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W 36
2 02
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2 02
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2 02
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60
W 05
2 02
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W 09
2 02
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2 02
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W 23
2 02
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W 27
2 02
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W 31
2 02
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W 36
2 02
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W 40
2 02
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W 44
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2 02
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0
200
400
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05 2
02 0
W 09
2 02
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2 02
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W 18
2 02
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W 23
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2 02
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W 36
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2 02
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0
W 49
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2 02
0
Figure 2o Kiribati | Kiribati Figure 2p Nauru | Nauru Figure 2q Fiji | Fidji Figure 2r Solomon Islands | Îles Salomon
Figure 2s Tuvalu | Tuvalu Figure 2t Vanuatu | Vanuatu Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
5 W2 2021 (Jan 11-Jan 17)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
250
500
750
W 40
2 02
0
W 44
2 02
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W 09
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W 05
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05 2
02 0
W 09
2 02
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W 18
2 02
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W 23
2 02
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W 27
2 02
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W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
Figure 3a American Samoa | Samoa américaines Figure 3b N Mariana Isl. | Îles Mariannes du Nord Figure 3c Federated States of Micronesia Figure 3d Marshall Islands | Îles Marshall
Figure 3e Guam | Guam Figure 3f | Palau Legend
Dengue-like Illness (DLI) Diarrhoea
Country trends | Diarrhoea and DLI ** Please note that X and Y axesvary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
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W 44
2 02
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2 02
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W 53
2 02
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50
100
W 05
2 02
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W 09
2 02
0
W 14
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2 02
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W 23
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2 02
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W 31
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0
W 36
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W 40
2 02
0
W 44
2 02
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W 49
2 02
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W 53
2 02
0
0
100
200
300
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
10
20
30
W 05
2 02
0
W 09
2 02
0
W 14
2 02
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W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
Figure 3g Tonga | Tonga Figure 3h Samoa | Samoa Figure 3i Cook Islands | Îles Cook Figure 3j Niue | Niue
Legend
Dengue-like Illness (DLI) Diarrhoea
Figure 3k Tokelau | Tokelau
Figure 3l Wallis & Futuna | Wallis & Futuna Figure 3m New Caledonia | Nouvelle Calédonie Figure 3n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
1000
2000
3000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
0
10
20
30
40
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
0
W 09
2 02
0
0
2
4
6
8
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
10
5
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
Wallis and Futuna, New Caledonia, French Polynesia
0
25
50
75
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
25
50
75
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
0
25
50
75
100
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
Figure 3o Kiribati | Kiribati Figure 3p Nauru | Nauru Figure 3q Fiji | Fidji Figure 3r Solomon Islands | Îles Salomon
Figure 3s Tuvalu | Tuvalu Figure 3t Vanuatu | Vanuatu Legend
Dengue-like Illness (DLI) Diarrhoea
5 W2 2021 (Jan 11-Jan 17)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
200
400
600
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
500
1000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
W 01
2 02
6
0
10
5
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
100
200 W
05 2
02 0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
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W 49
2 02
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W 53
2 02
0
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Case Definitions
Syndrome Case Definition Alert Threshold
Acute Fever and Rash (AFR)
Fever plus rash(non-blistering) 1 case if there is a measles outbreak.
Prolonged fever (PF)
Fever for 3 days or more Twice the average number of cases seen in the previous 2 weeks
Influenza-like illness (ILI)
An acute respiratory infection with: measured fever of ≥ 38 C° and cough; with onset within the last 10 days.
Twice the average number of cases seen in the previous 2 weeks
Diarrhoea 3 or more loose or watery stools in 24 hours (non- bloody)
Twice the average number of cases seen in the previous 2 weeks
Suspected dengue Fever for at least 2 days, plus at least two of the following: i. Nausea or vomiting; ii. Muscle or joint pain; iii. Severe headache or pain behind the eyes; iv. Rash; v. Bleeding
Twice the average number of cases seen in the previous 3 weeks
Severe acute respiratory infection, requiring hospitalisation (SARI)
Sudden onset of fever above 38°C, cough or sore throat, shortness of breath or difficulty breathing, and requiring hospitalization.
Twice moving average in 2 weeks
COVID - 19 Twice moving average in 2 weeks
Alert thresholds Please note that the alert thresholds have been set in EWARS and you will receive instant email notification once you have surpassed the alert threshold. New Indicators ∙
∙ COVID-19 one (1) case, this is as the case definition set to identify suspected COVID- 19 including Multi-system Inflammatory cases in children. In addition, use the EBS to report details. ∙ SARI The alert threshold for SARI is set at one (1) case to increase sensitivity for its investigation as a suspected COVID-19 case and hence require laboratory confirmation or exclusion.
Once you do receive an alert, you need to follow the link to verify the alert – enter brief notes to say what the cases were, what has been done to the cases (investigation, treatment) or any other cases regarding the cases – age, gender, residence, hospitalized or not? The alerts are set to auto-discard after 2 days if no action has been taken. In addition, there are now forms available on EWARS for reporting Event Based Surveillance (EBS). Please use these to report any unusual disease patterns/symptoms, unexpected deaths, disease or deaths in animals or anything that is of concern
For more help and support, please contact:
DPS Epidemiology & Surveillance Unit
World Health Organization
Division of Pacific Technical Support
Suva, Fiji
Email: wpfjisurveillance@who.int
Notes:
The Pacific Syndromic Surveillance System (PSSS) was started in 2010. With the support of the Pacific Community, it collects sentinel surveillance data on 4 syndromes (including one optional), from 23 Pacific Island Countries and areas. The aim is to monitor trends and to trigger alerts to rapidly detect and respond to suspected outbreaks. In 2017, the system was moved to an online platform called EWARS. Data is entered online by country focal points and is then analysed using an online application. This bulletin has been published automatically from EWARS.
Le système de surveillance de la syndromie du Pacifique (PSSS) a été lancé en 2010. Avec le soutien de la Communauté du Pacifique, il collecte des données de surveillance sentinelle sur 4 syndromes (dont un optionnel), provenant de 23 pays insulaires du Pacifique. L'objectif est de surveiller les tendances et de déclencher des alertes pour détecter et répondre rapidement aux épidémies présumées. En 2017, le système a été transféré vers une plate-forme en ligne appelée EWARS. Les données sont entrées en ligne par points focaux de pays et sont ensuite analysées à l'aide d'une application en ligne. Ce bulletin a été publié automatiquement à partir d'EWARS.
mailto:shakilan@who.int
Pacific Syndromic Surveillance System Weekly Bulletin
Système de Surveillance Syndromic dans le Pacifique Bulletin Hebdomadaire
W3 2021 (Jan 18-Jan 24)
WHO gratefully acknowledges the support of Ministries of Health and partners in the following Pacific Island Countries and areas for the contribution of data to this bulletin | L'OMS reconnaît avec reconnaissance le soutien des ministères de la santé et des partenaires dans les pays insulaires du Pacifique suivants pour la contribution des données à ce bulletin:
W1 2021 to W3 2021 | S1 2021 à S3 2021 Pacific Island Countries | Pays insulaires du Pacifique
W3
% n
145
78% 18
91% 132
Cumulative
% n Indicator
208 1. Number of sentinel sites
Nombre de sites sentinelles
77% 939 2. Number of PICs that reported Nombre de PICs qui ont rapporté
58% 121 3. Number of sites that reported Nombre de sites qui ont rapporté
Key indicators & Highlights | Indicateurs clé & faits saillants
1 W3 2021 (Jan 18-Jan 24)
1
2
1
1
Country/Area No. sites No. reported % reported AFR PF Diarrhoea DLI ILI SARI COVID-19
** AFR: Acute Fever and Rash; PF: Prolonged Fever; DLI:Diarrhoea-like Illness; ILI: Influenza-like Illness; SARI: Severe Acute Respiratory Infection
New Table
American Samoa 0 0 0% 0 0 0 0 0 0 0
Cook Islands 14 13 93% 0 0 0 7 5 0 0
Fiji 29 27 93% 0 13 389 139 92 7 0
French Polynesia 0 0 0% 0 0 34 14 80 0 0
Guam 0 0 0% 0 0 0 0 0 0 0
Kiribati 9 9 100% 0 0 91 0 245 10 0
Marshall Islands (the)
2 2 100% 0 4 12 3 9 0 0
Micronesia (Federated States of)
4 2 50% 0 0 35 0 25 0 0
Nauru 0 0 0% 0 0 0 0 0 0 0
New Caledonia 21 20 95% 0 0 7 1 1 0 0
New Zealand 0 0 0% 0 0 0 0 0 0 0
Niue 1 1 100% 0 0 5 0 2 0 0
Northern Mariana Islands (the)
8 8 100% 0 9 10 0 2 0 0
Palau 1 1 100% 0 0 4 1 0 0 0
Papua New Guinea
0 0 0% 0 0 0 0 0 0 0
Pitcairn Islands 1 1 100% 0 0 0 0 0 0 0
Samoa 11 11 100% 0 21 79 0 387 2 0
Solomon Islands 14 9 64% 0 28 56 3 108 0 0
Tokelau 3 3 100% 0 0 6 0 5 0 0
Tonga 11 11 100% 0 0 18 0 23 5 0
Tuvalu 3 3 100% 0 0 2 0 2 0 0
Vanuatu 11 9 82% 1 8 43 0 127 0 0
Wallis & Futuna 2 2 100% 1 0 10 2 22 0 0
Total 145 132 91% 2 83 801 170 1135 24 0
Figure 1a American Samoa | Samoa américaines Figure 1b N Mariana Isl. | Îles Mariannes du Nord Figure 1c Federated States of Micronesia Figure 1d Marshall Islands | Îles Marshall
Figure 1e Guam | Guam
Not reported
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1f | Palau
Country trends | AFR and PF
** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison. **No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
30
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
0
0
2
4
6
8
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
5
10
15
20
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
1
2
3
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
Figure 1g Tonga | Tonga Figure 1h Samoa | Samoa Figure 1i Cook Islands | Îles Cook Figure 1j Niue | Niue
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1k Tokelau | Tokelau
Figure 1l Wallis & Futuna | Wallis & Futuna Figure 1m New Caledonia | Nouvelle Calédonie Figure 1n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
2
4
6
8
W 09
2 02
0
W 05
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
20
40
60
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
1
2
W 29
2 02
0
0
1
2
W 49
2 02
0
W 53
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Wallis and Futuna, New Caledonia, French Polynesia
0
10
5
15
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
0
25
50
75
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
0
Figure 1o Kiribati | Kiribati Figure 1p Nauru | Nauru Figure 1q Fiji | Fidji Figure 1r Solomon Islands | Îles Salomon
Figure 1s Tuvalu | Tuvalu Figure 1t Vanuatu | Vanuatu Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
5 W3 2021 (Jan 18-Jan 24)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
1
2
3
W 23
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 27
2 02
0
W 31
2 02
0
0
25
50
75
100
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
0
W 09
2 02
0
0
50
100
150
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
1
2
3
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
0
50
100 W
05 2
02 0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
Figure 2a American Samoa | Samoa américaines Figure 2b N Mariana Isl. | Îles Mariannes du Nord Figure 2c Federated States of Micronesia Figure 2d Marshall Islands | Îles Marshall
Figure 2f | Palau Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
Figure 2e Guam | Guam
Country trends | Influenza like illness, SARI and Suspected COVID-19 ** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
25
50
75
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
50
100
150
200
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
10
20
30
40
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
5
10
15
20
25
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
Figure 2g Tonga | Tonga Figure 2h Samoa | Samoa Figure 2i Cook Islands | Îles Cook Figure 2j Niue | Niue
Legend
SARI (Influenza-like illness that requires hospitalization) Suspected COVID-19 Influenza like illness
Figure 2k Tokelau | Tokelau
Figure 2l Wallis & Futuna | Wallis & Futuna Figure 2m New Caledonia | Nouvelle Calédonie Figure 2n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
1000
2000
3000
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
0
20
40
60
80
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
2
4
6
8
10
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
2
4
6
8
10
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
Wallis and Futuna, New Caledonia, French Polynesia
0
25
50
75
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
20
40
60
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
100
200
300
400
500 W
05 2
02 0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
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2 02
0
Figure 2o Kiribati | Kiribati Figure 2p Nauru | Nauru Figure 2q Fiji | Fidji Figure 2r Solomon Islands | Îles Salomon
Figure 2s Tuvalu | Tuvalu Figure 2t Vanuatu | Vanuatu Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
5 W3 2021 (Jan 18-Jan 24)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
250
500
750
W 40
2 02
0
W 44
2 02
0
W 49
2 02
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W 53
2 02
0
W 05
2 02
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W 09
2 02
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W 14
2 02
0
W 18
2 02
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W 23
2 02
0
W 27
2 02
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W 31
2 02
0
W 36
2 02
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100
150
200
W 40
2 02
0
W 44
2 02
0
W 49
2 02
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W 53
2 02
0
W 05
2 02
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W 09
2 02
0
W 14
2 02
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W 18
2 02
0
W 23
2 02
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W 27
2 02
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W 31
2 02
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W 36
2 02
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400
W 40
2 02
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W 44
2 02
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W 49
2 02
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W 53
2 02
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2 02
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2 02
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2 02
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2 02
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2 02
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2 02
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W 36
2 02
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75
100
125
W 05
2 02
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W 09
2 02
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W 14
2 02
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W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
200
400
600 W
05 2
02 0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
Figure 3a American Samoa | Samoa américaines Figure 3b N Mariana Isl. | Îles Mariannes du Nord Figure 3c Federated States of Micronesia Figure 3d Marshall Islands | Îles Marshall
Figure 3e Guam | Guam Figure 3f | Palau Legend
Dengue-like Illness (DLI) Diarrhoea
Country trends | Diarrhoea and DLI ** Please note that X and Y axesvary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
50
100
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
100
200
300
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
10
20
30
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
Figure 3g Tonga | Tonga Figure 3h Samoa | Samoa Figure 3i Cook Islands | Îles Cook Figure 3j Niue | Niue
Legend
Dengue-like Illness (DLI) Diarrhoea
Figure 3k Tokelau | Tokelau
Figure 3l Wallis & Futuna | Wallis & Futuna Figure 3m New Caledonia | Nouvelle Calédonie Figure 3n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
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W 40
2 02
0
W 44
2 02
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W 49
2 02
0
W 53
2 02
0
0
1000
2000
3000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
0
10
20
30
40
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
0
W 09
2 02
0
0
2
4
6
8
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
10
5
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
Wallis and Futuna, New Caledonia, French Polynesia
0
25
50
75
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
25
50
75
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
25
50
75
100 W
05 2
02 0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
Figure 3o Kiribati | Kiribati Figure 3p Nauru | Nauru Figure 3q Fiji | Fidji Figure 3r Solomon Islands | Îles Salomon
Figure 3s Tuvalu | Tuvalu Figure 3t Vanuatu | Vanuatu Legend
Dengue-like Illness (DLI) Diarrhoea
5 W3 2021 (Jan 18-Jan 24)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
200
400
600
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
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W 53
2 02
0
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1000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
W 01
2 02
6
0
10
5
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
100
200
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
Case Definitions
Syndrome Case Definition Alert Threshold
Acute Fever and Rash (AFR)
Fever plus rash(non-blistering) 1 case if there is a measles outbreak.
Prolonged fever (PF)
Fever for 3 days or more Twice the average number of cases seen in the previous 2 weeks
Influenza-like illness (ILI)
An acute respiratory infection with: measured fever of ≥ 38 C° and cough; with onset within the last 10 days.
Twice the average number of cases seen in the previous 2 weeks
Diarrhoea 3 or more loose or watery stools in 24 hours (non- bloody)
Twice the average number of cases seen in the previous 2 weeks
Suspected dengue Fever for at least 2 days, plus at least two of the following: i. Nausea or vomiting; ii. Muscle or joint pain; iii. Severe headache or pain behind the eyes; iv. Rash; v. Bleeding
Twice the average number of cases seen in the previous 3 weeks
Severe acute respiratory infection, requiring hospitalisation (SARI)
Sudden onset of fever above 38°C, cough or sore throat, shortness of breath or difficulty breathing, and requiring hospitalization.
Twice moving average in 2 weeks
COVID - 19 Twice moving average in 2 weeks
Alert thresholds Please note that the alert thresholds have been set in EWARS and you will receive instant email notification once you have surpassed the alert threshold. New Indicators ∙
∙ COVID-19 one (1) case, this is as the case definition set to identify suspected COVID- 19 including Multi-system Inflammatory cases in children. In addition, use the EBS to report details. ∙ SARI The alert threshold for SARI is set at one (1) case to increase sensitivity for its investigation as a suspected COVID-19 case and hence require laboratory confirmation or exclusion.
Once you do receive an alert, you need to follow the link to verify the alert – enter brief notes to say what the cases were, what has been done to the cases (investigation, treatment) or any other cases regarding the cases – age, gender, residence, hospitalized or not? The alerts are set to auto-discard after 2 days if no action has been taken. In addition, there are now forms available on EWARS for reporting Event Based Surveillance (EBS). Please use these to report any unusual disease patterns/symptoms, unexpected deaths, disease or deaths in animals or anything that is of concern
For more help and support, please contact:
DPS Epidemiology & Surveillance Unit
World Health Organization
Division of Pacific Technical Support
Suva, Fiji
Email: wpfjisurveillance@who.int
Notes:
The Pacific Syndromic Surveillance System (PSSS) was started in 2010. With the support of the Pacific Community, it collects sentinel surveillance data on 4 syndromes (including one optional), from 23 Pacific Island Countries and areas. The aim is to monitor trends and to trigger alerts to rapidly detect and respond to suspected outbreaks. In 2017, the system was moved to an online platform called EWARS. Data is entered online by country focal points and is then analysed using an online application. This bulletin has been published automatically from EWARS.
Le système de surveillance de la syndromie du Pacifique (PSSS) a été lancé en 2010. Avec le soutien de la Communauté du Pacifique, il collecte des données de surveillance sentinelle sur 4 syndromes (dont un optionnel), provenant de 23 pays insulaires du Pacifique. L'objectif est de surveiller les tendances et de déclencher des alertes pour détecter et répondre rapidement aux épidémies présumées. En 2017, le système a été transféré vers une plate-forme en ligne appelée EWARS. Les données sont entrées en ligne par points focaux de pays et sont ensuite analysées à l'aide d'une application en ligne. Ce bulletin a été publié automatiquement à partir d'EWARS.
mailto:shakilan@who.int
Pacific Syndromic Surveillance System Weekly Bulletin
Système de Surveillance Syndromic dans le Pacifique Bulletin Hebdomadaire
W4 2021 (Jan 25-Jan 31)
WHO gratefully acknowledges the support of Ministries of Health and partners in the following Pacific Island Countries and areas for the contribution of data to this bulletin | L'OMS reconnaît avec reconnaissance le soutien des ministères de la santé et des partenaires dans les pays insulaires du Pacifique suivants pour la contribution des données à ce bulletin:
W1 2021 to W4 2021 | S1 2021 à S4 2021 Pacific Island Countries | Pays insulaires du Pacifique
W4
% n
177
78% 18
84% 149
Cumulative
% n Indicator
208 1. Number of sentinel sites
Nombre de sites sentinelles
77% 939 2. Number of PICs that reported Nombre de PICs qui ont rapporté
58% 121 3. Number of sites that reported Nombre de sites qui ont rapporté
Key indicators & Highlights | Indicateurs clé & faits saillants
1 W4 2021 (Jan 25-Jan 31)
1
2
1
1
Country/Area No. sites No. reported % reported AFR PF Diarrhoea DLI ILI SARI COVID-19
** AFR: Acute Fever and Rash; PF: Prolonged Fever; DLI:Diarrhoea-like Illness; ILI: Influenza-like Illness; SARI: Severe Acute Respiratory Infection
New Table
American Samoa 0 0 0% 0 0 0 0 0 0 0
Cook Islands 14 14 100% 0 0 2 7 3 0 0
Fiji 29 25 86% 0 10 341 155 100 13 0
French Polynesia 30 21 70% 0 0 35 29 154 0 0
Guam 0 0 0% 0 0 0 0 0 0 0
Kiribati 11 10 91% 0 0 107 0 162 7 0
Marshall Islands (the)
2 1 50% 0 2 9 1 4 0 0
Micronesia (Federated States of)
4 3 75% 0 3 33 2 23 0 0
Nauru 0 0 0% 0 0 0 0 0 0 0
New Caledonia 21 19 90% 0 0 23 1 9 0 0
New Zealand 0 0 0% 0 0 0 0 0 0 0
Niue 1 1 100% 0 0 1 0 0 0 0
Northern Mariana Islands (the)
8 8 100% 1 10 11 0 2 0 0
Palau 1 1 100% 0 0 5 1 0 0 0
Papua New Guinea
0 0 0% 0 0 0 0 0 0 0
Pitcairn Islands 1 1 100% 0 0 0 0 0 0 0
Samoa 11 11 100% 0 20 70 0 404 0 0
Solomon Islands 14 9 64% 0 49 39 2 78 0 0
Tokelau 3 3 100% 0 0 3 0 2 0 0
Tonga 11 10 91% 0 0 17 0 30 7 0
Tuvalu 3 3 100% 0 0 1 0 1 0 0
Vanuatu 11 7 64% 3 5 36 0 112 0 0
Wallis & Futuna 2 2 100% 0 0 15 7 10 0 0
Total 177 149 84% 4 99 748 205 1094 27 0
Figure 1a American Samoa | Samoa américaines Figure 1b N Mariana Isl. | Îles Mariannes du Nord Figure 1c Federated States of Micronesia Figure 1d Marshall Islands | Îles Marshall
Figure 1e Guam | Guam
Not reported
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1f | Palau
Country trends | AFR and PF
** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison. **No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
30
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 05
2 02
0
0
2
4
6
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
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10
15
20
W 05
2 02
0
W 09
2 02
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W 18
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2 02
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2 02
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W 31
2 02
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W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
1
2
3
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
Figure 1g Tonga | Tonga Figure 1h Samoa | Samoa Figure 1i Cook Islands | Îles Cook Figure 1j Niue | Niue
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1k Tokelau | Tokelau
Figure 1l Wallis & Futuna | Wallis & Futuna Figure 1m New Caledonia | Nouvelle Calédonie Figure 1n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
1
2
3
4
W 09
2 02
0
W 05
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
20
40
60
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
1
2
W 29
2 02
0
0
1
2
W 49
2 02
0
W 53
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Wallis and Futuna, New Caledonia, French Polynesia
0
5
10
15
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
25
50
75
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
0
Figure 1o Kiribati | Kiribati Figure 1p Nauru | Nauru Figure 1q Fiji | Fidji Figure 1r Solomon Islands | Îles Salomon
Figure 1s Tuvalu | Tuvalu Figure 1t Vanuatu | Vanuatu Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
5 W4 2021 (Jan 25-Jan 31)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
1
2
3
W 23
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 27
2 02
0
W 31
2 02
0
0
25
50
75
100
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
0
W 09
2 02
0
W 05
2 02
1
0
50
100
150
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
1
2
3
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
0
50
100
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 05
2 02
0
Figure 2a American Samoa | Samoa américaines Figure 2b N Mariana Isl. | Îles Mariannes du Nord Figure 2c Federated States of Micronesia Figure 2d Marshall Islands | Îles Marshall
Figure 2f | Palau Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
Figure 2e Guam | Guam
Country trends | Influenza like illness, SARI and Suspected COVID-19 ** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
25
50
75
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
50
100
150
200
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
10
20
30
40
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
5
10
15
20
25
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
Figure 2g Tonga | Tonga Figure 2h Samoa | Samoa Figure 2i Cook Islands | Îles Cook Figure 2j Niue | Niue
Legend
SARI (Influenza-like illness that requires hospitalization) Suspected COVID-19 Influenza like illness
Figure 2k Tokelau | Tokelau
Figure 2l Wallis & Futuna | Wallis & Futuna Figure 2m New Caledonia | Nouvelle Calédonie Figure 2n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
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W 36
2 02
0
0
1000
2000
3000
W 05
2 02
0
W 09
2 02
0
W 14
2 02
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W 18
2 02
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W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
0
20
40
60
80
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
2
4
6
8
10
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
2
4
6
8
10
W 05
2 02
0
W 09
2 02
0
W 14
2 02
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W 18
2 02
0
W 23
2 02
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W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
25
50
75
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
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W 40
2 02
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W 44
2 02
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W 49
2 02
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W 53
2 02
0
W 05
2 02
1
0
20
40
60
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
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2 02
1
0
100
200
300
400
500 W
05 2
02 0
W 09
2 02
0
W 14
2 02
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W 18
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W 23
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W 27
2 02
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W 31
2 02
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W 36
2 02
0
W 40
2 02
0
W 44
2 02
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W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Figure 2o Kiribati | Kiribati Figure 2p Nauru | Nauru Figure 2q Fiji | Fidji Figure 2r Solomon Islands | Îles Salomon
Figure 2s Tuvalu | Tuvalu Figure 2t Vanuatu | Vanuatu Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
5 W4 2021 (Jan 25-Jan 31)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
250
500
750
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 05
2 02
0
W 09
2 02
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W 14
2 02
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W 18
2 02
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W 23
2 02
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2 02
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2 02
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100
150
200
W 40
2 02
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2 02
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2 02
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W 53
2 02
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2 02
1
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
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W 36
2 02
0
0
200
400
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
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W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
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W 27
2 02
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W 31
2 02
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W 36
2 02
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W 05
2 02
1
0
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100
150
W 05
2 02
0
W 09
2 02
0
W 14
2 02
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W 18
2 02
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W 23
2 02
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W 27
2 02
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W 31
2 02
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W 36
2 02
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W 40
2 02
0
W 44
2 02
0
W 49
2 02
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W 53
2 02
0
W 05
2 02
1
0
200
400
600 W
05 2
02 0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Figure 3a American Samoa | Samoa américaines Figure 3b N Mariana Isl. | Îles Mariannes du Nord Figure 3c Federated States of Micronesia Figure 3d Marshall Islands | Îles Marshall
Figure 3e Guam | Guam Figure 3f | Palau Legend
Dengue-like Illness (DLI) Diarrhoea
Country trends | Diarrhoea and DLI ** Please note that X and Y axesvary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
50
100
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
100
200
300
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
10
20
30
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Figure 3g Tonga | Tonga Figure 3h Samoa | Samoa Figure 3i Cook Islands | Îles Cook Figure 3j Niue | Niue
Legend
Dengue-like Illness (DLI) Diarrhoea
Figure 3k Tokelau | Tokelau
Figure 3l Wallis & Futuna | Wallis & Futuna Figure 3m New Caledonia | Nouvelle Calédonie Figure 3n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
1000
2000
3000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
0
10
20
30
40
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 05
2 02
0
W 09
2 02
0
0
2
4
6
8
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
10
5
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
10
20
30
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
25
50
75
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
25
50
75
100 W
05 2
02 0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Figure 3o Kiribati | Kiribati Figure 3p Nauru | Nauru Figure 3q Fiji | Fidji Figure 3r Solomon Islands | Îles Salomon
Figure 3s Tuvalu | Tuvalu Figure 3t Vanuatu | Vanuatu Legend
Dengue-like Illness (DLI) Diarrhoea
5 W4 2021 (Jan 25-Jan 31)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
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200
400
600
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
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W 27
2 02
0
W 31
2 02
0
W 36
2 02
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W 40
2 02
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W 44
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W 49
2 02
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W 53
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0
W 05
2 02
1
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1000
W 05
2 02
5
W 09
2 02
5
W 14
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5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
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2 02
5
W 49
2 02
5
W 01
2 02
6
0
10
5
W 05
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
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W 49
2 02
0
W 53
2 02
0
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2 02
1
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100
200
W 18
2 02
0
W 23
2 02
0
W 27
2 02
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W 31
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0
W 36
2 02
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2 02
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W 05
2 02
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W 09
2 02
0
W 14
2 02
0
W 05
2 02
1
Case Definitions
Syndrome Case Definition Alert Threshold
Acute Fever and Rash (AFR)
Fever plus rash(non-blistering) 1 case if there is a measles outbreak.
Prolonged fever (PF)
Fever for 3 days or more Twice the average number of cases seen in the previous 2 weeks
Influenza-like illness (ILI)
An acute respiratory infection with: measured fever of ≥ 38 C° and cough; with onset within the last 10 days.
Twice the average number of cases seen in the previous 2 weeks
Diarrhoea 3 or more loose or watery stools in 24 hours (non- bloody)
Twice the average number of cases seen in the previous 2 weeks
Suspected dengue Fever for at least 2 days, plus at least two of the following: i. Nausea or vomiting; ii. Muscle or joint pain; iii. Severe headache or pain behind the eyes; iv. Rash; v. Bleeding
Twice the average number of cases seen in the previous 3 weeks
Severe acute respiratory infection, requiring hospitalisation (SARI)
Sudden onset of fever above 38°C, cough or sore throat, shortness of breath or difficulty breathing, and requiring hospitalization.
Twice moving average in 2 weeks
COVID - 19 Twice moving average in 2 weeks
Alert thresholds Please note that the alert thresholds have been set in EWARS and you will receive instant email notification once you have surpassed the alert threshold. New Indicators ∙
∙ COVID-19 one (1) case, this is as the case definition set to identify suspected COVID- 19 including Multi-system Inflammatory cases in children. In addition, use the EBS to report details. ∙ SARI The alert threshold for SARI is set at one (1) case to increase sensitivity for its investigation as a suspected COVID-19 case and hence require laboratory confirmation or exclusion.
Once you do receive an alert, you need to follow the link to verify the alert – enter brief notes to say what the cases were, what has been done to the cases (investigation, treatment) or any other cases regarding the cases – age, gender, residence, hospitalized or not? The alerts are set to auto-discard after 2 days if no action has been taken. In addition, there are now forms available on EWARS for reporting Event Based Surveillance (EBS). Please use these to report any unusual disease patterns/symptoms, unexpected deaths, disease or deaths in animals or anything that is of concern
For more help and support, please contact:
DPS Epidemiology & Surveillance Unit
World Health Organization
Division of Pacific Technical Support
Suva, Fiji
Email: wpfjisurveillance@who.int
Notes:
The Pacific Syndromic Surveillance System (PSSS) was started in 2010. With the support of the Pacific Community, it collects sentinel surveillance data on 4 syndromes (including one optional), from 23 Pacific Island Countries and areas. The aim is to monitor trends and to trigger alerts to rapidly detect and respond to suspected outbreaks. In 2017, the system was moved to an online platform called EWARS. Data is entered online by country focal points and is then analysed using an online application. This bulletin has been published automatically from EWARS.
Le système de surveillance de la syndromie du Pacifique (PSSS) a été lancé en 2010. Avec le soutien de la Communauté du Pacifique, il collecte des données de surveillance sentinelle sur 4 syndromes (dont un optionnel), provenant de 23 pays insulaires du Pacifique. L'objectif est de surveiller les tendances et de déclencher des alertes pour détecter et répondre rapidement aux épidémies présumées. En 2017, le système a été transféré vers une plate-forme en ligne appelée EWARS. Les données sont entrées en ligne par points focaux de pays et sont ensuite analysées à l'aide d'une application en ligne. Ce bulletin a été publié automatiquement à partir d'EWARS.
mailto:shakilan@who.int
Pacific Syndromic Surveillance System Weekly Bulletin
Système de Surveillance Syndromic dans le Pacifique Bulletin Hebdomadaire
W5 2021 (Feb 01-Feb 07)
WHO gratefully acknowledges the support of Ministries of Health and partners in the following Pacific Island Countries and areas for the contribution of data to this bulletin | L'OMS reconnaît avec reconnaissance le soutien des ministères de la santé et des partenaires dans les pays insulaires du Pacifique suivants pour la contribution des données à ce bulletin:
W1 2021 to W5 2021 | S1 2021 à S5 2021 Pacific Island Countries | Pays insulaires du Pacifique
W5
% n
175
78% 18
86% 150
Cumulative
% n Indicator
208 1. Number of sentinel sites
Nombre de sites sentinelles
77% 939 2. Number of PICs that reported Nombre de PICs qui ont rapporté
58% 121 3. Number of sites that reported Nombre de sites qui ont rapporté
Key indicators & Highlights | Indicateurs clé & faits saillants
1 W5 2021 (Feb 01-Feb 07)
1
2
1
1
Country/Area No. sites No. reported % reported AFR PF Diarrhoea DLI ILI SARI COVID-19
** AFR: Acute Fever and Rash; PF: Prolonged Fever; DLI:Diarrhoea-like Illness; ILI: Influenza-like Illness; SARI: Severe Acute Respiratory Infection
New Table
American Samoa 0 0 0% 0 0 0 0 0 0 0
Cook Islands 14 13 93% 0 0 1 6 2 0 0
Fiji 29 29 100% 1 14 506 230 131 11 0
French Polynesia 30 17 57% 0 0 36 3 127 0 0
Guam 0 0 0% 0 0 0 0 0 0 0
Kiribati 9 9 100% 0 0 89 0 66 6 0
Marshall Islands (the)
2 2 100% 0 3 12 0 4 0 0
Micronesia (Federated States of)
4 2 50% 0 0 29 0 37 0 0
Nauru 0 0 0% 0 0 0 0 0 0 0
New Caledonia 21 20 95% 0 0 31 4 11 0 0
New Zealand 0 0 0% 0 0 0 0 0 0 0
Niue 1 1 100% 0 0 2 0 0 0 0
Northern Mariana Islands (the)
8 8 100% 1 14 14 0 2 0 0
Palau 1 1 100% 0 0 3 7 0 0 0
Papua New Guinea
0 0 0% 0 0 0 0 0 0 0
Pitcairn Islands 1 1 100% 0 0 0 0 0 0 0
Samoa 11 11 100% 1 7 64 0 422 0 0
Solomon Islands 14 9 64% 0 12 43 0 188 3 0
Tokelau 3 3 100% 0 0 2 0 3 0 0
Tonga 11 10 91% 0 0 18 0 26 6 0
Tuvalu 3 3 100% 0 0 6 0 8 0 0
Vanuatu 11 9 82% 9 3 41 6 202 0 0
Wallis & Futuna 2 2 100% 1 0 5 7 12 0 0
Total 175 150 86% 13 53 902 263 1241 26 0
Figure 1a American Samoa | Samoa américaines Figure 1b N Mariana Isl. | Îles Mariannes du Nord Figure 1c Federated States of Micronesia Figure 1d Marshall Islands | Îles Marshall
Figure 1e Guam | Guam
Not reported
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1f | Palau
Country trends | AFR and PF
** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison. **No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
5
10
15
20
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
2
4
6
W 18
2 02
0
W 23
2 02
0
W 27
2 02
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W 31
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W 36
2 02
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2 02
0
W 44
2 02
0
W 49
2 02
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W 53
2 02
0
W 14
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2 02
1
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5
10
15
20
W 09
2 02
0
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2 02
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W 27
2 02
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W 31
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0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
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1
2
3
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
Figure 1g Tonga | Tonga Figure 1h Samoa | Samoa Figure 1i Cook Islands | Îles Cook Figure 1j Niue | Niue
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1k Tokelau | Tokelau
Figure 1l Wallis & Futuna | Wallis & Futuna Figure 1m New Caledonia | Nouvelle Calédonie Figure 1n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
1
2
3
4
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
20
40
60
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
0
1
2
W 29
2 02
0
0
1
2
W 49
2 02
0
W 53
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Wallis and Futuna, New Caledonia, French Polynesia
0
10
5
15
W 18
2 02
0
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Figure 1o Kiribati | Kiribati Figure 1p Nauru | Nauru Figure 1q Fiji | Fidji Figure 1r Solomon Islands | Îles Salomon
Figure 1s Tuvalu | Tuvalu Figure 1t Vanuatu | Vanuatu Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
5 W5 2021 (Feb 01-Feb 07)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
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3
W 23
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2 02
1
Figure 2a American Samoa | Samoa américaines Figure 2b N Mariana Isl. | Îles Mariannes du Nord Figure 2c Federated States of Micronesia Figure 2d Marshall Islands | Îles Marshall
Figure 2f | Palau Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
Figure 2e Guam | Guam
Country trends | Influenza like illness, SARI and Suspected COVID-19 ** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
25
50
75
W 09
2 02
0
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2 02
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2 02
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W 05
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40
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W 53
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2 02
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W 18
2 02
0
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0
W 27
2 02
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0
W 36
2 02
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2 02
0
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0
W 49
2 02
0
W 53
2 02
0
Figure 2g Tonga | Tonga Figure 2h Samoa | Samoa Figure 2i Cook Islands | Îles Cook Figure 2j Niue | Niue
Legend
SARI (Influenza-like illness that requires hospitalization) Suspected COVID-19 Influenza like illness
Figure 2k Tokelau | Tokelau
Figure 2l Wallis & Futuna | Wallis & Futuna Figure 2m New Caledonia | Nouvelle Calédonie Figure 2n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 40
2 02
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2 02
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W 36
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3000
W 09
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Wallis and Futuna, New Caledonia, French Polynesia
0
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50
75
W 09
2 02
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Figure 2o Kiribati | Kiribati Figure 2p Nauru | Nauru Figure 2q Fiji | Fidji Figure 2r Solomon Islands | Îles Salomon
Figure 2s Tuvalu | Tuvalu Figure 2t Vanuatu | Vanuatu Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
5 W5 2021 (Feb 01-Feb 07)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
250
500
750
W 40
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1
Figure 3a American Samoa | Samoa américaines Figure 3b N Mariana Isl. | Îles Mariannes du Nord Figure 3c Federated States of Micronesia Figure 3d Marshall Islands | Îles Marshall
Figure 3e Guam | Guam Figure 3f | Palau Legend
Dengue-like Illness (DLI) Diarrhoea
Country trends | Diarrhoea and DLI ** Please note that X and Y axesvary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
W 09
2 02
0
W 14
2 02
0
W 18
2 02
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W 27
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100
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200
300
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2 02
0
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W 27
2 02
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W 36
2 02
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W 05
2 02
1
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10
20
30
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2 02
0
W 49
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W 53
2 02
0
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1
Figure 3g Tonga | Tonga Figure 3h Samoa | Samoa Figure 3i Cook Islands | Îles Cook Figure 3j Niue | Niue
Legend
Dengue-like Illness (DLI) Diarrhoea
Figure 3k Tokelau | Tokelau
Figure 3l Wallis & Futuna | Wallis & Futuna Figure 3m New Caledonia | Nouvelle Calédonie Figure 3n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 09
2 02
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2 02
1
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2 02
5
W 09
2 02
5
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2 02
5
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W 22
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2 02
5
W 31
2 02
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2 02
5
W 40
2 02
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2 02
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0
10
20
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2 02
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8
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2 02
1
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5
W 09
2 02
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2 02
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W 36
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2 02
0
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2 02
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2 02
0
W 05
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
10
20
30
W 09
2 02
0
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2 02
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W 18
2 02
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W 23
2 02
0
W 27
2 02
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W 31
2 02
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W 36
2 02
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W 40
2 02
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W 49
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2 02
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W 05
2 02
1
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50
75
W 09
2 02
0
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W 23
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2 02
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100
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2 02
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W 05
2 02
1
Figure 3o Kiribati | Kiribati Figure 3p Nauru | Nauru Figure 3q Fiji | Fidji Figure 3r Solomon Islands | Îles Salomon
Figure 3s Tuvalu | Tuvalu Figure 3t Vanuatu | Vanuatu Legend
Dengue-like Illness (DLI) Diarrhoea
5 W5 2021 (Feb 01-Feb 07)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
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W 27
2 02
0
W 31
2 02
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W 36
2 02
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W 44
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750
W 09
2 02
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2 02
5
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2 02
5
W 36
2 02
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W 01
2 02
6
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1
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Case Definitions
Syndrome Case Definition Alert Threshold
Acute Fever and Rash (AFR)
Fever plus rash(non-blistering) 1 case if there is a measles outbreak.
Prolonged fever (PF)
Fever for 3 days or more Twice the average number of cases seen in the previous 2 weeks
Influenza-like illness (ILI)
An acute respiratory infection with: measured fever of ≥ 38 C° and cough; with onset within the last 10 days.
Twice the average number of cases seen in the previous 2 weeks
Diarrhoea 3 or more loose or watery stools in 24 hours (non- bloody)
Twice the average number of cases seen in the previous 2 weeks
Suspected dengue Fever for at least 2 days, plus at least two of the following: i. Nausea or vomiting; ii. Muscle or joint pain; iii. Severe headache or pain behind the eyes; iv. Rash; v. Bleeding
Twice the average number of cases seen in the previous 3 weeks
Severe acute respiratory infection, requiring hospitalisation (SARI)
Sudden onset of fever above 38°C, cough or sore throat, shortness of breath or difficulty breathing, and requiring hospitalization.
Twice moving average in 2 weeks
COVID - 19 Twice moving average in 2 weeks
Alert thresholds Please note that the alert thresholds have been set in EWARS and you will receive instant email notification once you have surpassed the alert threshold. New Indicators ∙
∙ COVID-19 one (1) case, this is as the case definition set to identify suspected COVID- 19 including Multi-system Inflammatory cases in children. In addition, use the EBS to report details. ∙ SARI The alert threshold for SARI is set at one (1) case to increase sensitivity for its investigation as a suspected COVID-19 case and hence require laboratory confirmation or exclusion.
Once you do receive an alert, you need to follow the link to verify the alert – enter brief notes to say what the cases were, what has been done to the cases (investigation, treatment) or any other cases regarding the cases – age, gender, residence, hospitalized or not? The alerts are set to auto-discard after 2 days if no action has been taken. In addition, there are now forms available on EWARS for reporting Event Based Surveillance (EBS). Please use these to report any unusual disease patterns/symptoms, unexpected deaths, disease or deaths in animals or anything that is of concern
For more help and support, please contact:
DPS Epidemiology & Surveillance Unit
World Health Organization
Division of Pacific Technical Support
Suva, Fiji
Email: wpfjisurveillance@who.int
Notes:
The Pacific Syndromic Surveillance System (PSSS) was started in 2010. With the support of the Pacific Community, it collects sentinel surveillance data on 4 syndromes (including one optional), from 23 Pacific Island Countries and areas. The aim is to monitor trends and to trigger alerts to rapidly detect and respond to suspected outbreaks. In 2017, the system was moved to an online platform called EWARS. Data is entered online by country focal points and is then analysed using an online application. This bulletin has been published automatically from EWARS.
Le système de surveillance de la syndromie du Pacifique (PSSS) a été lancé en 2010. Avec le soutien de la Communauté du Pacifique, il collecte des données de surveillance sentinelle sur 4 syndromes (dont un optionnel), provenant de 23 pays insulaires du Pacifique. L'objectif est de surveiller les tendances et de déclencher des alertes pour détecter et répondre rapidement aux épidémies présumées. En 2017, le système a été transféré vers une plate-forme en ligne appelée EWARS. Les données sont entrées en ligne par points focaux de pays et sont ensuite analysées à l'aide d'une application en ligne. Ce bulletin a été publié automatiquement à partir d'EWARS.
mailto:shakilan@who.int
Pacific Syndromic Surveillance System Weekly Bulletin
Système de Surveillance Syndromic dans le Pacifique Bulletin Hebdomadaire
W6 2021 (Feb 08-Feb 14)
WHO gratefully acknowledges the support of Ministries of Health and partners in the following Pacific Island Countries and areas for the contribution of data to this bulletin | L'OMS reconnaît avec reconnaissance le soutien des ministères de la santé et des partenaires dans les pays insulaires du Pacifique suivants pour la contribution des données à ce bulletin:
W1 2021 to W6 2021 | S1 2021 à S6 2021 Pacific Island Countries | Pays insulaires du Pacifique
W6
% n
175
78% 18
88% 154
Cumulative
% n Indicator
208 1. Number of sentinel sites
Nombre de sites sentinelles
77% 939 2. Number of PICs that reported Nombre de PICs qui ont rapporté
58% 121 3. Number of sites that reported Nombre de sites qui ont rapporté
Key indicators & Highlights | Indicateurs clé & faits saillants
1 W6 2021 (Feb 08-Feb 14)
1
2
1
1
Country/Area No. sites No. reported % reported AFR PF Diarrhoea DLI ILI SARI COVID-19
** AFR: Acute Fever and Rash; PF: Prolonged Fever; DLI:Diarrhoea-like Illness; ILI: Influenza-like Illness; SARI: Severe Acute Respiratory Infection
New Table
American Samoa 0 0 0% 0 0 0 0 0 0 0
Cook Islands 14 13 93% 0 0 0 15 2 0 0
Fiji 29 29 100% 0 22 540 316 149 12 0
French Polynesia 30 17 57% 15 0 28 14 167 0 0
Guam 0 0 0% 0 0 0 0 0 0 0
Kiribati 9 9 100% 0 0 89 0 84 4 0
Marshall Islands (the)
2 2 100% 0 0 10 2 13 0 0
Micronesia (Federated States of)
4 2 50% 0 0 29 0 37 0 0
Nauru 0 0 0% 0 0 0 0 0 0 0
New Caledonia 21 21 100% 0 0 21 1 24 0 0
New Zealand 0 0 0% 0 0 0 0 0 0 0
Niue 1 1 100% 0 0 0 0 0 0 0
Northern Mariana Islands (the)
8 8 100% 1 10 7 0 0 0 0
Palau 1 1 100% 0 0 3 2 1 0 0
Papua New Guinea
0 0 0% 0 0 0 0 0 0 0
Pitcairn Islands 1 1 100% 0 0 0 0 0 0 0
Samoa 11 11 100% 0 17 52 0 400 1 0
Solomon Islands 14 12 86% 0 38 54 3 201 4 0
Tokelau 3 3 100% 0 0 0 0 4 0 0
Tonga 11 10 91% 0 0 16 0 22 5 0
Tuvalu 3 3 100% 0 0 0 0 5 0 0
Vanuatu 11 9 82% 4 7 43 6 216 0 0
Wallis & Futuna 2 2 100% 2 0 5 10 11 0 0
Total 175 154 88% 22 94 897 369 1336 26 0
Figure 1a American Samoa | Samoa américaines Figure 1b N Mariana Isl. | Îles Mariannes du Nord Figure 1c Federated States of Micronesia Figure 1d Marshall Islands | Îles Marshall
Figure 1e Guam | Guam
Not reported
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1f | Palau
Country trends | AFR and PF
** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison. **No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
5
10
15
20
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
2
4
6
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 14
2 02
0
W 05
2 02
1
0
5
10
15
20
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
1
2
3
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
Figure 1g Tonga | Tonga Figure 1h Samoa | Samoa Figure 1i Cook Islands | Îles Cook Figure 1j Niue | Niue
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1k Tokelau | Tokelau
Figure 1l Wallis & Futuna | Wallis & Futuna Figure 1m New Caledonia | Nouvelle Calédonie Figure 1n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
1
2
3
4
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
20
40
60
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
0
1
2
W 29
2 02
0
0
1
2
W 49
2 02
0
W 53
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Wallis and Futuna, New Caledonia, French Polynesia
0
10
5
15
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
0
W 14
2 02
0
0
25
50
75 W
09 2
02 0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Figure 1o Kiribati | Kiribati Figure 1p Nauru | Nauru Figure 1q Fiji | Fidji Figure 1r Solomon Islands | Îles Salomon
Figure 1s Tuvalu | Tuvalu Figure 1t Vanuatu | Vanuatu Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
5 W6 2021 (Feb 08-Feb 14)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
1
2
3
W 23
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 27
2 02
0
W 31
2 02
0
0
25
50
75
100
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
0
0
50
100
150
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
1
2
3
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
0
50
100 W
09 2
02 0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Figure 2a American Samoa | Samoa américaines Figure 2b N Mariana Isl. | Îles Mariannes du Nord Figure 2c Federated States of Micronesia Figure 2d Marshall Islands | Îles Marshall
Figure 2f | Palau Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
Figure 2e Guam | Guam
Country trends | Influenza like illness, SARI and Suspected COVID-19 ** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
30
40
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
50
100
150
200
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
10
20
30
40
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
5
10
15
20
25
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Figure 2g Tonga | Tonga Figure 2h Samoa | Samoa Figure 2i Cook Islands | Îles Cook Figure 2j Niue | Niue
Legend
SARI (Influenza-like illness that requires hospitalization) Suspected COVID-19 Influenza like illness
Figure 2k Tokelau | Tokelau
Figure 2l Wallis & Futuna | Wallis & Futuna Figure 2m New Caledonia | Nouvelle Calédonie Figure 2n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
1000
2000
3000
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
0
20
40
60
80
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
10
5
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
2
4
6
8
10
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
25
50
75
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
20
40
60
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
100
200
300
400
500 W
09 2
02 0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Figure 2o Kiribati | Kiribati Figure 2p Nauru | Nauru Figure 2q Fiji | Fidji Figure 2r Solomon Islands | Îles Salomon
Figure 2s Tuvalu | Tuvalu Figure 2t Vanuatu | Vanuatu Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
5 W6 2021 (Feb 08-Feb 14)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
250
500
750
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
50
100
150
200
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
200
400
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
25
50
75
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
200
400
600 W
09 2
02 0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Figure 3a American Samoa | Samoa américaines Figure 3b N Mariana Isl. | Îles Mariannes du Nord Figure 3c Federated States of Micronesia Figure 3d Marshall Islands | Îles Marshall
Figure 3e Guam | Guam Figure 3f | Palau Legend
Dengue-like Illness (DLI) Diarrhoea
Country trends | Diarrhoea and DLI ** Please note that X and Y axesvary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
50
100
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
0
W 14
2 02
0
0
50
100
150
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
10
20
30
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Figure 3g Tonga | Tonga Figure 3h Samoa | Samoa Figure 3i Cook Islands | Îles Cook Figure 3j Niue | Niue
Legend
Dengue-like Illness (DLI) Diarrhoea
Figure 3k Tokelau | Tokelau
Figure 3l Wallis & Futuna | Wallis & Futuna Figure 3m New Caledonia | Nouvelle Calédonie Figure 3n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
1000
2000
3000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
0
10
20
30
40
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
2
4
6
8
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
10
5
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
10
20
30
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
25
50
75
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
25
50
75
100
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Figure 3o Kiribati | Kiribati Figure 3p Nauru | Nauru Figure 3q Fiji | Fidji Figure 3r Solomon Islands | Îles Salomon
Figure 3s Tuvalu | Tuvalu Figure 3t Vanuatu | Vanuatu Legend
Dengue-like Illness (DLI) Diarrhoea
5 W6 2021 (Feb 08-Feb 14)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
250
500
750
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
500
1000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
W 01
2 02
6
0
10
5
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
100
200
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
0
W 14
2 02
0
Case Definitions
Syndrome Case Definition Alert Threshold
Acute Fever and Rash (AFR)
Fever plus rash(non-blistering) 1 case if there is a measles outbreak.
Prolonged fever (PF)
Fever for 3 days or more Twice the average number of cases seen in the previous 2 weeks
Influenza-like illness (ILI)
An acute respiratory infection with: measured fever of ≥ 38 C° and cough; with onset within the last 10 days.
Twice the average number of cases seen in the previous 2 weeks
Diarrhoea 3 or more loose or watery stools in 24 hours (non- bloody)
Twice the average number of cases seen in the previous 2 weeks
Suspected dengue Fever for at least 2 days, plus at least two of the following: i. Nausea or vomiting; ii. Muscle or joint pain; iii. Severe headache or pain behind the eyes; iv. Rash; v. Bleeding
Twice the average number of cases seen in the previous 3 weeks
Severe acute respiratory infection, requiring hospitalisation (SARI)
Sudden onset of fever above 38°C, cough or sore throat, shortness of breath or difficulty breathing, and requiring hospitalization.
Twice moving average in 2 weeks
COVID - 19 Twice moving average in 2 weeks
Alert thresholds Please note that the alert thresholds have been set in EWARS and you will receive instant email notification once you have surpassed the alert threshold. New Indicators ∙
∙ COVID-19 one (1) case, this is as the case definition set to identify suspected COVID- 19 including Multi-system Inflammatory cases in children. In addition, use the EBS to report details. ∙ SARI The alert threshold for SARI is set at one (1) case to increase sensitivity for its investigation as a suspected COVID-19 case and hence require laboratory confirmation or exclusion.
Once you do receive an alert, you need to follow the link to verify the alert – enter brief notes to say what the cases were, what has been done to the cases (investigation, treatment) or any other cases regarding the cases – age, gender, residence, hospitalized or not? The alerts are set to auto-discard after 2 days if no action has been taken. In addition, there are now forms available on EWARS for reporting Event Based Surveillance (EBS). Please use these to report any unusual disease patterns/symptoms, unexpected deaths, disease or deaths in animals or anything that is of concern
For more help and support, please contact:
DPS Epidemiology & Surveillance Unit
World Health Organization
Division of Pacific Technical Support
Suva, Fiji
Email: wpfjisurveillance@who.int
Notes:
The Pacific Syndromic Surveillance System (PSSS) was started in 2010. With the support of the Pacific Community, it collects sentinel surveillance data on 4 syndromes (including one optional), from 23 Pacific Island Countries and areas. The aim is to monitor trends and to trigger alerts to rapidly detect and respond to suspected outbreaks. In 2017, the system was moved to an online platform called EWARS. Data is entered online by country focal points and is then analysed using an online application. This bulletin has been published automatically from EWARS.
Le système de surveillance de la syndromie du Pacifique (PSSS) a été lancé en 2010. Avec le soutien de la Communauté du Pacifique, il collecte des données de surveillance sentinelle sur 4 syndromes (dont un optionnel), provenant de 23 pays insulaires du Pacifique. L'objectif est de surveiller les tendances et de déclencher des alertes pour détecter et répondre rapidement aux épidémies présumées. En 2017, le système a été transféré vers une plate-forme en ligne appelée EWARS. Les données sont entrées en ligne par points focaux de pays et sont ensuite analysées à l'aide d'une application en ligne. Ce bulletin a été publié automatiquement à partir d'EWARS.
mailto:shakilan@who.int
Pacific Syndromic Surveillance System Weekly Bulletin
Système de Surveillance Syndromic dans le Pacifique Bulletin Hebdomadaire
W7 2021 (Feb 15-Feb 21)
WHO gratefully acknowledges the support of Ministries of Health and partners in the following Pacific Island Countries and areas for the contribution of data to this bulletin | L'OMS reconnaît avec reconnaissance le soutien des ministères de la santé et des partenaires dans les pays insulaires du Pacifique suivants pour la contribution des données à ce bulletin:
W1 2021 to W7 2021 | S1 2021 à S7 2021 Pacific Island Countries | Pays insulaires du Pacifique
W7
% n
175
78% 18
82% 144
Cumulative
% n Indicator
208 1. Number of sentinel sites
Nombre de sites sentinelles
77% 939 2. Number of PICs that reported Nombre de PICs qui ont rapporté
58% 121 3. Number of sites that reported Nombre de sites qui ont rapporté
Key indicators & Highlights | Indicateurs clé & faits saillants
1 W7 2021 (Feb 15-Feb 21)
1
2
1
1
Country/Area No. sites No. reported % reported AFR PF Diarrhoea DLI ILI SARI COVID-19
** AFR: Acute Fever and Rash; PF: Prolonged Fever; DLI:Diarrhoea-like Illness; ILI: Influenza-like Illness; SARI: Severe Acute Respiratory Infection
New Table
American Samoa 0 0 0% 0 0 0 0 0 0 0
Cook Islands 14 13 93% 0 0 0 18 6 0 0
Fiji 29 29 100% 1 30 538 334 104 12 0
French Polynesia 30 14 47% 0 0 33 5 141 0 0
Guam 0 0 0% 0 0 0 0 0 0 0
Kiribati 9 9 100% 0 0 95 0 231 0 0
Marshall Islands (the)
2 2 100% 0 0 8 1 7 0 0
Micronesia (Federated States of)
4 2 50% 0 1 6 3 0 0 0
Nauru 0 0 0% 0 0 0 0 0 0 0
New Caledonia 22 21 95% 0 0 30 5 15 0 0
New Zealand 0 0 0% 0 0 0 0 0 0 0
Niue 1 1 100% 0 0 2 0 0 0 0
Northern Mariana Islands (the)
8 8 100% 2 17 9 0 2 0 0
Palau 1 1 100% 0 0 5 0 1 0 0
Papua New Guinea
0 0 0% 0 0 0 0 0 0 0
Pitcairn Islands 1 1 100% 0 0 0 0 0 0 0
Samoa 11 9 82% 0 23 47 0 507 2 0
Solomon Islands 14 10 71% 0 96 45 5 129 0 0
Tokelau 2 2 100% 0 0 2 0 3 0 0
Tonga 11 9 82% 0 0 24 0 26 5 0
Tuvalu 3 3 100% 0 0 1 0 0 0 0
Vanuatu 11 8 73% 0 1 49 12 149 0 0
Wallis & Futuna 2 2 100% 0 1 117 9 16 0 0
Total 175 144 82% 3 169 1011 392 1337 19 0
Figure 1a American Samoa | Samoa américaines Figure 1b N Mariana Isl. | Îles Mariannes du Nord Figure 1c Federated States of Micronesia Figure 1d Marshall Islands | Îles Marshall
Figure 1e Guam | Guam
Not reported
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1f | Palau
Country trends | AFR and PF
** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison. **No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
2
4
6
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 14
2 02
0
W 05
2 02
1
0
5
10
15
20
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
1
2
3
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Figure 1g Tonga | Tonga Figure 1h Samoa | Samoa Figure 1i Cook Islands | Îles Cook Figure 1j Niue | Niue
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1k Tokelau | Tokelau
Figure 1l Wallis & Futuna | Wallis & Futuna Figure 1m New Caledonia | Nouvelle Calédonie Figure 1n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
1
2
3
4
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
20
40
60
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
0
1
2
W 29
2 02
0
0
1
2
W 49
2 02
0
W 53
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Wallis and Futuna, New Caledonia, French Polynesia
0
10
5
15
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
0
W 14
2 02
0
0
25
50
75 W
09 2
02 0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Figure 1o Kiribati | Kiribati Figure 1p Nauru | Nauru Figure 1q Fiji | Fidji Figure 1r Solomon Islands | Îles Salomon
Figure 1s Tuvalu | Tuvalu Figure 1t Vanuatu | Vanuatu Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
5 W7 2021 (Feb 15-Feb 21)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
1
2
3
W 23
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 27
2 02
0
W 31
2 02
0
0
25
50
75
100
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
0
0
50
100
150
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
1
2
3
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
0
50
100 W
09 2
02 0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Figure 2a American Samoa | Samoa américaines Figure 2b N Mariana Isl. | Îles Mariannes du Nord Figure 2c Federated States of Micronesia Figure 2d Marshall Islands | Îles Marshall
Figure 2f | Palau Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
Figure 2e Guam | Guam
Country trends | Influenza like illness, SARI and Suspected COVID-19 ** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
30
40
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
50
100
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
10
20
30
40
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
5
10
15
20
25
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Figure 2g Tonga | Tonga Figure 2h Samoa | Samoa Figure 2i Cook Islands | Îles Cook Figure 2j Niue | Niue
Legend
SARI (Influenza-like illness that requires hospitalization) Suspected COVID-19 Influenza like illness
Figure 2k Tokelau | Tokelau
Figure 2l Wallis & Futuna | Wallis & Futuna Figure 2m New Caledonia | Nouvelle Calédonie Figure 2n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
1000
2000
3000
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
20 20
0
20
40
60
80
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
2
4
6
8
10
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
2
4
6
8
10
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
25
50
75
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
20
40
60
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
100
200
300
400
500 W
09 2
02 0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Figure 2o Kiribati | Kiribati Figure 2p Nauru | Nauru Figure 2q Fiji | Fidji Figure 2r Solomon Islands | Îles Salomon
Figure 2s Tuvalu | Tuvalu Figure 2t Vanuatu | Vanuatu Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
5 W7 2021 (Feb 15-Feb 21)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
250
500
750
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
50
100
150
200
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
200
400
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
10
20
30
40
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
200
400
600 W
09 2
02 0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Figure 3a American Samoa | Samoa américaines Figure 3b N Mariana Isl. | Îles Mariannes du Nord Figure 3c Federated States of Micronesia Figure 3d Marshall Islands | Îles Marshall
Figure 3e Guam | Guam Figure 3f | Palau Legend
Dengue-like Illness (DLI) Diarrhoea
Country trends | Diarrhoea and DLI ** Please note that X and Y axesvary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
50
100
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
50
100
150
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
10
20
30
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Figure 3g Tonga | Tonga Figure 3h Samoa | Samoa Figure 3i Cook Islands | Îles Cook Figure 3j Niue | Niue
Legend
Dengue-like Illness (DLI) Diarrhoea
Figure 3k Tokelau | Tokelau
Figure 3l Wallis & Futuna | Wallis & Futuna Figure 3m New Caledonia | Nouvelle Calédonie Figure 3n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
1000
2000
3000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
0
10
20
30
40
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
0
0
2
4
6
8
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
10
5
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
50
100
150
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
25
50
75
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
25
50
75
100 W
09 2
02 0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Figure 3o Kiribati | Kiribati Figure 3p Nauru | Nauru Figure 3q Fiji | Fidji Figure 3r Solomon Islands | Îles Salomon
Figure 3s Tuvalu | Tuvalu Figure 3t Vanuatu | Vanuatu Legend
Dengue-like Illness (DLI) Diarrhoea
5 W7 2021 (Feb 15-Feb 21)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
250
500
750
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
500
1000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
W 01
2 02
6
0
10
5
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
100
200 W
09 2
02 0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Case Definitions
Syndrome Case Definition Alert Threshold
Acute Fever and Rash (AFR)
Fever plus rash(non-blistering) 1 case if there is a measles outbreak.
Prolonged fever (PF)
Fever for 3 days or more Twice the average number of cases seen in the previous 2 weeks
Influenza-like illness (ILI)
An acute respiratory infection with: measured fever of ≥ 38 C° and cough; with onset within the last 10 days.
Twice the average number of cases seen in the previous 2 weeks
Diarrhoea 3 or more loose or watery stools in 24 hours (non- bloody)
Twice the average number of cases seen in the previous 2 weeks
Suspected dengue Fever for at least 2 days, plus at least two of the following: i. Nausea or vomiting; ii. Muscle or joint pain; iii. Severe headache or pain behind the eyes; iv. Rash; v. Bleeding
Twice the average number of cases seen in the previous 3 weeks
Severe acute respiratory infection, requiring hospitalisation (SARI)
Sudden onset of fever above 38°C, cough or sore throat, shortness of breath or difficulty breathing, and requiring hospitalization.
Twice moving average in 2 weeks
COVID - 19 Twice moving average in 2 weeks
Alert thresholds Please note that the alert thresholds have been set in EWARS and you will receive instant email notification once you have surpassed the alert threshold. New Indicators ∙
∙ COVID-19 one (1) case, this is as the case definition set to identify suspected COVID- 19 including Multi-system Inflammatory cases in children. In addition, use the EBS to report details. ∙ SARI The alert threshold for SARI is set at one (1) case to increase sensitivity for its investigation as a suspected COVID-19 case and hence require laboratory confirmation or exclusion.
Once you do receive an alert, you need to follow the link to verify the alert – enter brief notes to say what the cases were, what has been done to the cases (investigation, treatment) or any other cases regarding the cases – age, gender, residence, hospitalized or not? The alerts are set to auto-discard after 2 days if no action has been taken. In addition, there are now forms available on EWARS for reporting Event Based Surveillance (EBS). Please use these to report any unusual disease patterns/symptoms, unexpected deaths, disease or deaths in animals or anything that is of concern
For more help and support, please contact:
DPS Epidemiology & Surveillance Unit
World Health Organization
Division of Pacific Technical Support
Suva, Fiji
Email: wpfjisurveillance@who.int
Notes:
The Pacific Syndromic Surveillance System (PSSS) was started in 2010. With the support of the Pacific Community, it collects sentinel surveillance data on 4 syndromes (including one optional), from 23 Pacific Island Countries and areas. The aim is to monitor trends and to trigger alerts to rapidly detect and respond to suspected outbreaks. In 2017, the system was moved to an online platform called EWARS. Data is entered online by country focal points and is then analysed using an online application. This bulletin has been published automatically from EWARS.
Le système de surveillance de la syndromie du Pacifique (PSSS) a été lancé en 2010. Avec le soutien de la Communauté du Pacifique, il collecte des données de surveillance sentinelle sur 4 syndromes (dont un optionnel), provenant de 23 pays insulaires du Pacifique. L'objectif est de surveiller les tendances et de déclencher des alertes pour détecter et répondre rapidement aux épidémies présumées. En 2017, le système a été transféré vers une plate-forme en ligne appelée EWARS. Les données sont entrées en ligne par points focaux de pays et sont ensuite analysées à l'aide d'une application en ligne. Ce bulletin a été publié automatiquement à partir d'EWARS.
mailto:shakilan@who.int
Pacific Syndromic Surveillance System Weekly Bulletin
Système de Surveillance Syndromic dans le Pacifique Bulletin Hebdomadaire
W8 2021 (Feb 22-Feb 28)
WHO gratefully acknowledges the support of Ministries of Health and partners in the following Pacific Island Countries and areas for the contribution of data to this bulletin | L'OMS reconnaît avec reconnaissance le soutien des ministères de la santé et des partenaires dans les pays insulaires du Pacifique suivants pour la contribution des données à ce bulletin:
W1 2021 to W8 2021 | S1 2021 à S8 2021 Pacific Island Countries | Pays insulaires du Pacifique
W8
% n
171
74% 17
86% 147
Cumulative
% n Indicator
208 1. Number of sentinel sites
Nombre de sites sentinelles
77% 939 2. Number of PICs that reported Nombre de PICs qui ont rapporté
58% 121 3. Number of sites that reported Nombre de sites qui ont rapporté
Key indicators & Highlights | Indicateurs clé & faits saillants
1 W8 2021 (Feb 22-Feb 28)
1
2
1
1
Country/Area No. sites No. reported % reported AFR PF Diarrhoea DLI ILI SARI COVID-19
** AFR: Acute Fever and Rash; PF: Prolonged Fever; DLI:Diarrhoea-like Illness; ILI: Influenza-like Illness; SARI: Severe Acute Respiratory Infection
New Table
American Samoa 0 0 0% 0 0 0 0 0 0 0
Cook Islands 14 13 93% 0 0 0 2 2 0 0
Fiji 29 29 100% 2 32 495 288 105 14 0
French Polynesia 30 16 53% 0 0 32 1 119 0 0
Guam 0 0 0% 0 0 0 0 0 0 0
Kiribati 9 9 100% 0 0 99 14 134 9 0
Marshall Islands (the)
2 2 100% 0 3 6 2 5 0 0
Micronesia (Federated States of)
0 0 0% 0 0 0 0 0 0 0
Nauru 0 0 0% 0 0 0 0 0 0 0
New Caledonia 22 20 91% 0 0 32 4 12 0 0
New Zealand 0 0 0% 0 0 0 0 0 0 0
Niue 1 1 100% 0 0 2 0 0 0 0
Northern Mariana Islands (the)
8 8 100% 1 11 11 0 1 0 0
Palau 1 1 100% 0 0 8 0 1 0 0
Papua New Guinea
0 0 0% 0 0 0 0 0 0 0
Pitcairn Islands 1 1 100% 0 0 0 0 0 0 0
Samoa 11 11 100% 0 12 53 0 504 1 0
Solomon Islands 14 11 79% 0 29 100 1 135 4 0
Tokelau 2 2 100% 0 0 2 0 0 0 0
Tonga 11 10 91% 0 0 25 0 35 6 0
Tuvalu 3 3 100% 0 0 2 0 0 0 0
Vanuatu 11 8 73% 2 10 25 0 116 0 0
Wallis & Futuna 2 2 100% 0 0 20 8 19 0 0
Total 171 147 86% 5 97 912 320 1188 34 0
Figure 1a American Samoa | Samoa américaines Figure 1b N Mariana Isl. | Îles Mariannes du Nord Figure 1c Federated States of Micronesia Figure 1d Marshall Islands | Îles Marshall
Figure 1e Guam | Guam
Not reported
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1f | Palau
Country trends | AFR and PF
** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison. **No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
2
4
6
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 14
2 02
0
W 05
2 02
1
0
5
10
15
20
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
1
2
3
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Figure 1g Tonga | Tonga Figure 1h Samoa | Samoa Figure 1i Cook Islands | Îles Cook Figure 1j Niue | Niue
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1k Tokelau | Tokelau
Figure 1l Wallis & Futuna | Wallis & Futuna Figure 1m New Caledonia | Nouvelle Calédonie Figure 1n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
1
2
3
4
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
20
40
60
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 09
2 02
1
0
1
2
W 29
2 02
0
0
1
2
W 49
2 02
0
W 53
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Wallis and Futuna, New Caledonia, French Polynesia
0
10
5
15
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
0
W 14
2 02
0
0
25
50
75
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
0
Figure 1o Kiribati | Kiribati Figure 1p Nauru | Nauru Figure 1q Fiji | Fidji Figure 1r Solomon Islands | Îles Salomon
Figure 1s Tuvalu | Tuvalu Figure 1t Vanuatu | Vanuatu Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
5 W8 2021 (Feb 22-Feb 28)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
1
2
3
W 23
2 02
0
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 27
2 02
0
W 31
2 02
0
0
25
50
75
100
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 09
2 02
0
0
50
100
150
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
1
2
3
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
0
50
100
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 09
2 02
0
Figure 2a American Samoa | Samoa américaines Figure 2b N Mariana Isl. | Îles Mariannes du Nord Figure 2c Federated States of Micronesia Figure 2d Marshall Islands | Îles Marshall
Figure 2f | Palau Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
Figure 2e Guam | Guam
Country trends | Influenza like illness, SARI and Suspected COVID-19 ** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
30
40
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
50
100
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
10
20
30
40
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
10
20
30
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Figure 2g Tonga | Tonga Figure 2h Samoa | Samoa Figure 2i Cook Islands | Îles Cook Figure 2j Niue | Niue
Legend
SARI (Influenza-like illness that requires hospitalization) Suspected COVID-19 Influenza like illness
Figure 2k Tokelau | Tokelau
Figure 2l Wallis & Futuna | Wallis & Futuna Figure 2m New Caledonia | Nouvelle Calédonie Figure 2n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
1000
2000
3000
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
20
40
60
80
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
2
4
6
8
10
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
2
4
6
8
10
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
25
50
75
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
20
40
60
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
100
200
300
400
500 W
09 2
02 0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Figure 2o Kiribati | Kiribati Figure 2p Nauru | Nauru Figure 2q Fiji | Fidji Figure 2r Solomon Islands | Îles Salomon
Figure 2s Tuvalu | Tuvalu Figure 2t Vanuatu | Vanuatu Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
5 W8 2021 (Feb 22-Feb 28)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
250
500
750
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
50
100
150
200
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
200
400
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
10
20
30
40
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
200
400
600 W
09 2
02 0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Figure 3a American Samoa | Samoa américaines Figure 3b N Mariana Isl. | Îles Mariannes du Nord Figure 3c Federated States of Micronesia Figure 3d Marshall Islands | Îles Marshall
Figure 3e Guam | Guam Figure 3f | Palau Legend
Dengue-like Illness (DLI) Diarrhoea
Country trends | Diarrhoea and DLI ** Please note that X and Y axesvary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
50
100
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
0
50
100
150
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
10
20
30
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Figure 3g Tonga | Tonga Figure 3h Samoa | Samoa Figure 3i Cook Islands | Îles Cook Figure 3j Niue | Niue
Legend
Dengue-like Illness (DLI) Diarrhoea
Figure 3k Tokelau | Tokelau
Figure 3l Wallis & Futuna | Wallis & Futuna Figure 3m New Caledonia | Nouvelle Calédonie Figure 3n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
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W 27
2 02
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W 31
2 02
0
W 36
2 02
0
W 40
2 02
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W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
1000
2000
3000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
0
10
20
30
40
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
0
W 09
2 02
1
0
2
4
6
8
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
10
5
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
50
100
150
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
25
50
75
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
25
50
75
100 W
09 2
02 0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Figure 3o Kiribati | Kiribati Figure 3p Nauru | Nauru Figure 3q Fiji | Fidji Figure 3r Solomon Islands | Îles Salomon
Figure 3s Tuvalu | Tuvalu Figure 3t Vanuatu | Vanuatu Legend
Dengue-like Illness (DLI) Diarrhoea
5 W8 2021 (Feb 22-Feb 28)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
250
500
750
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
500
1000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
W 01
2 02
6
0
10
5
W 09
2 02
0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
100
200 W
09 2
02 0
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
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Case Definitions
Syndrome Case Definition Alert Threshold
Acute Fever and Rash (AFR)
Fever plus rash(non-blistering) 1 case if there is a measles outbreak.
Prolonged fever (PF)
Fever for 3 days or more Twice the average number of cases seen in the previous 2 weeks
Influenza-like illness (ILI)
An acute respiratory infection with: measured fever of ≥ 38 C° and cough; with onset within the last 10 days.
Twice the average number of cases seen in the previous 2 weeks
Diarrhoea 3 or more loose or watery stools in 24 hours (non- bloody)
Twice the average number of cases seen in the previous 2 weeks
Suspected dengue Fever for at least 2 days, plus at least two of the following: i. Nausea or vomiting; ii. Muscle or joint pain; iii. Severe headache or pain behind the eyes; iv. Rash; v. Bleeding
Twice the average number of cases seen in the previous 3 weeks
Severe acute respiratory infection, requiring hospitalisation (SARI)
Sudden onset of fever above 38°C, cough or sore throat, shortness of breath or difficulty breathing, and requiring hospitalization.
Twice moving average in 2 weeks
COVID - 19 Twice moving average in 2 weeks
Alert thresholds Please note that the alert thresholds have been set in EWARS and you will receive instant email notification once you have surpassed the alert threshold. New Indicators ∙
∙ COVID-19 one (1) case, this is as the case definition set to identify suspected COVID- 19 including Multi-system Inflammatory cases in children. In addition, use the EBS to report details. ∙ SARI The alert threshold for SARI is set at one (1) case to increase sensitivity for its investigation as a suspected COVID-19 case and hence require laboratory confirmation or exclusion.
Once you do receive an alert, you need to follow the link to verify the alert – enter brief notes to say what the cases were, what has been done to the cases (investigation, treatment) or any other cases regarding the cases – age, gender, residence, hospitalized or not? The alerts are set to auto-discard after 2 days if no action has been taken. In addition, there are now forms available on EWARS for reporting Event Based Surveillance (EBS). Please use these to report any unusual disease patterns/symptoms, unexpected deaths, disease or deaths in animals or anything that is of concern
For more help and support, please contact:
DPS Epidemiology & Surveillance Unit
World Health Organization
Division of Pacific Technical Support
Suva, Fiji
Email: wpfjisurveillance@who.int
Notes:
The Pacific Syndromic Surveillance System (PSSS) was started in 2010. With the support of the Pacific Community, it collects sentinel surveillance data on 4 syndromes (including one optional), from 23 Pacific Island Countries and areas. The aim is to monitor trends and to trigger alerts to rapidly detect and respond to suspected outbreaks. In 2017, the system was moved to an online platform called EWARS. Data is entered online by country focal points and is then analysed using an online application. This bulletin has been published automatically from EWARS.
Le système de surveillance de la syndromie du Pacifique (PSSS) a été lancé en 2010. Avec le soutien de la Communauté du Pacifique, il collecte des données de surveillance sentinelle sur 4 syndromes (dont un optionnel), provenant de 23 pays insulaires du Pacifique. L'objectif est de surveiller les tendances et de déclencher des alertes pour détecter et répondre rapidement aux épidémies présumées. En 2017, le système a été transféré vers une plate-forme en ligne appelée EWARS. Les données sont entrées en ligne par points focaux de pays et sont ensuite analysées à l'aide d'une application en ligne. Ce bulletin a été publié automatiquement à partir d'EWARS.
mailto:shakilan@who.int
Pacific Syndromic Surveillance System Weekly Bulletin
Système de Surveillance Syndromic dans le Pacifique Bulletin Hebdomadaire
W9 2021 (Mar 01-Mar 07)
WHO gratefully acknowledges the support of Ministries of Health and partners in the following Pacific Island Countries and areas for the contribution of data to this bulletin | L'OMS reconnaît avec reconnaissance le soutien des ministères de la santé et des partenaires dans les pays insulaires du Pacifique suivants pour la contribution des données à ce bulletin:
W1 2021 to W9 2021 | S1 2021 à S9 2021 Pacific Island Countries | Pays insulaires du Pacifique
W9
% n
206
83% 19
83% 170
Cumulative
% n Indicator
208 1. Number of sentinel sites
Nombre de sites sentinelles
77% 939 2. Number of PICs that reported Nombre de PICs qui ont rapporté
58% 121 3. Number of sites that reported Nombre de sites qui ont rapporté
Key indicators & Highlights | Indicateurs clé & faits saillants
1 W9 2021 (Mar 01-Mar 07)
1
2
1
1
Country/Area No. sites No. reported % reported AFR PF Diarrhoea DLI ILI SARI COVID-19
** AFR: Acute Fever and Rash; PF: Prolonged Fever; DLI:Diarrhoea-like Illness; ILI: Influenza-like Illness; SARI: Severe Acute Respiratory Infection
New Table
American Samoa 0 0 0% 0 0 0 0 0 0 0
Cook Islands 14 13 93% 0 0 0 7 1 0 0
Fiji 29 29 100% 0 33 540 333 181 4 0
French Polynesia 60 34 57% 0 0 66 18 222 0 0
Guam 0 0 0% 0 0 0 0 0 0 0
Kiribati 9 9 100% 0 0 102 0 190 7 0
Marshall Islands (the)
2 2 100% 0 5 13 0 16 0 0
Micronesia (Federated States of)
4 3 75% 0 1 52 5 21 0 0
Nauru 0 0 0% 0 0 0 0 0 0 0
New Caledonia 22 21 95% 0 0 17 1 12 0 0
New Zealand 0 0 0% 0 0 0 0 0 0 0
Niue 1 1 100% 0 0 0 0 0 0 0
Northern Mariana Islands (the)
8 8 100% 0 15 12 0 1 0 0
Palau 1 1 100% 0 0 6 0 1 0 0
Papua New Guinea
0 0 0% 0 0 0 0 0 0 0
Pitcairn Islands 1 1 100% 0 0 0 0 0 0 0
Samoa 11 11 100% 0 9 56 0 527 1 0
Solomon Islands 14 11 79% 0 108 86 6 190 2 0
Tokelau 3 3 100% 0 0 1 0 0 0 0
Tonga 11 10 91% 0 0 22 0 21 4 0
Tuvalu 3 3 100% 0 0 4 0 6 0 0
Vanuatu 11 8 73% 1 1 12 0 100 3 2
Wallis & Futuna 2 2 100% 0 1 9 2 30 0 0
Total 206 170 83% 1 173 998 372 1519 21 2
Figure 1a American Samoa | Samoa américaines Figure 1b N Mariana Isl. | Îles Mariannes du Nord Figure 1c Federated States of Micronesia Figure 1d Marshall Islands | Îles Marshall
Figure 1e Guam | Guam
Not reported
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1f | Palau
Country trends | AFR and PF
** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison. **No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
2
4
6
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 14
2 02
0
W 05
2 02
1
W 09
2 02
1
0
2
4
6
8
10
12
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
1
2
3
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Figure 1g Tonga | Tonga Figure 1h Samoa | Samoa Figure 1i Cook Islands | Îles Cook Figure 1j Niue | Niue
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1k Tokelau | Tokelau
Figure 1l Wallis & Futuna | Wallis & Futuna Figure 1m New Caledonia | Nouvelle Calédonie Figure 1n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
1
2
3
4
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
0
20
40
60
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 14
2 02
0
W 18
2 02
0
W 09
2 02
1
0
1
2
W 29
2 02
0
0
1
2
W 49
2 02
0
W 53
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Wallis and Futuna, New Caledonia, French Polynesia
0
10
5
15
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 14
2 02
0
W 09
2 02
1
0
25
50
75
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Figure 1o Kiribati | Kiribati Figure 1p Nauru | Nauru Figure 1q Fiji | Fidji Figure 1r Solomon Islands | Îles Salomon
Figure 1s Tuvalu | Tuvalu Figure 1t Vanuatu | Vanuatu Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
5 W9 2021 (Mar 01-Mar 07)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
1
2
3
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0 0
25
50
75
100
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
50
100
150
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
1
2
3
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
0
50
100
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Figure 2a American Samoa | Samoa américaines Figure 2b N Mariana Isl. | Îles Mariannes du Nord Figure 2c Federated States of Micronesia Figure 2d Marshall Islands | Îles Marshall
Figure 2f | Palau Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
Figure 2e Guam | Guam
Country trends | Influenza like illness, SARI and Suspected COVID-19 ** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
30
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
50
100
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
10
20
30
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
5
10
15
20
25
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Figure 2g Tonga | Tonga Figure 2h Samoa | Samoa Figure 2i Cook Islands | Îles Cook Figure 2j Niue | Niue
Legend
SARI (Influenza-like illness that requires hospitalization) Suspected COVID-19 Influenza like illness
Figure 2k Tokelau | Tokelau
Figure 2l Wallis & Futuna | Wallis & Futuna Figure 2m New Caledonia | Nouvelle Calédonie Figure 2n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
1000
2000
3000
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
25
50
75
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
2
4
6
8
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2 02
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2 02
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W 36
2 02
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W 40
2 02
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W 49
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2 02
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6
8
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2 02
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W 18
2 02
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W 23
2 02
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W 27
2 02
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W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
25
50
75
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
20
40
60
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
100
200
300
400
500
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Figure 2o Kiribati | Kiribati Figure 2p Nauru | Nauru Figure 2q Fiji | Fidji Figure 2r Solomon Islands | Îles Salomon
Figure 2s Tuvalu | Tuvalu Figure 2t Vanuatu | Vanuatu Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
5 W9 2021 (Mar 01-Mar 07)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
250
500
750
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
100
200
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
200
400
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
10
20
30
40
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
200
400
600
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Figure 3a American Samoa | Samoa américaines Figure 3b N Mariana Isl. | Îles Mariannes du Nord Figure 3c Federated States of Micronesia Figure 3d Marshall Islands | Îles Marshall
Figure 3e Guam | Guam Figure 3f | Palau Legend
Dengue-like Illness (DLI) Diarrhoea
Country trends | Diarrhoea and DLI ** Please note that X and Y axesvary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
50
100
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
25
50
75
100
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
10
20
30
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Figure 3g Tonga | Tonga Figure 3h Samoa | Samoa Figure 3i Cook Islands | Îles Cook Figure 3j Niue | Niue
Legend
Dengue-like Illness (DLI) Diarrhoea
Figure 3k Tokelau | Tokelau
Figure 3l Wallis & Futuna | Wallis & Futuna Figure 3m New Caledonia | Nouvelle Calédonie Figure 3n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
1000
2000
3000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
0
10
20
30
40
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
2
4
6
8
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
10
5
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
50
100
150
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
25
50
75
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
25
50
75
100
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Figure 3o Kiribati | Kiribati Figure 3p Nauru | Nauru Figure 3q Fiji | Fidji Figure 3r Solomon Islands | Îles Salomon
Figure 3s Tuvalu | Tuvalu Figure 3t Vanuatu | Vanuatu Legend
Dengue-like Illness (DLI) Diarrhoea
5 W9 2021 (Mar 01-Mar 07)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
250
500
750
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
500
1000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
W 01
2 02
6
0
10
5
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
100
200
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
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W 05
2 02
1
W 14
2 02
0
W 09
2 02
1
Case Definitions
Syndrome Case Definition Alert Threshold
Acute Fever and Rash (AFR)
Fever plus rash(non-blistering) 1 case if there is a measles outbreak.
Prolonged fever (PF)
Fever for 3 days or more Twice the average number of cases seen in the previous 2 weeks
Influenza-like illness (ILI)
An acute respiratory infection with: measured fever of ≥ 38 C° and cough; with onset within the last 10 days.
Twice the average number of cases seen in the previous 2 weeks
Diarrhoea 3 or more loose or watery stools in 24 hours (non- bloody)
Twice the average number of cases seen in the previous 2 weeks
Suspected dengue Fever for at least 2 days, plus at least two of the following: i. Nausea or vomiting; ii. Muscle or joint pain; iii. Severe headache or pain behind the eyes; iv. Rash; v. Bleeding
Twice the average number of cases seen in the previous 3 weeks
Severe acute respiratory infection, requiring hospitalisation (SARI)
Sudden onset of fever above 38°C, cough or sore throat, shortness of breath or difficulty breathing, and requiring hospitalization.
Twice moving average in 2 weeks
COVID - 19 Twice moving average in 2 weeks
Alert thresholds Please note that the alert thresholds have been set in EWARS and you will receive instant email notification once you have surpassed the alert threshold. New Indicators ∙
∙ COVID-19 one (1) case, this is as the case definition set to identify suspected COVID- 19 including Multi-system Inflammatory cases in children. In addition, use the EBS to report details. ∙ SARI The alert threshold for SARI is set at one (1) case to increase sensitivity for its investigation as a suspected COVID-19 case and hence require laboratory confirmation or exclusion.
Once you do receive an alert, you need to follow the link to verify the alert – enter brief notes to say what the cases were, what has been done to the cases (investigation, treatment) or any other cases regarding the cases – age, gender, residence, hospitalized or not? The alerts are set to auto-discard after 2 days if no action has been taken. In addition, there are now forms available on EWARS for reporting Event Based Surveillance (EBS). Please use these to report any unusual disease patterns/symptoms, unexpected deaths, disease or deaths in animals or anything that is of concern
For more help and support, please contact:
DPS Epidemiology & Surveillance Unit
World Health Organization
Division of Pacific Technical Support
Suva, Fiji
Email: wpfjisurveillance@who.int
Notes:
The Pacific Syndromic Surveillance System (PSSS) was started in 2010. With the support of the Pacific Community, it collects sentinel surveillance data on 4 syndromes (including one optional), from 23 Pacific Island Countries and areas. The aim is to monitor trends and to trigger alerts to rapidly detect and respond to suspected outbreaks. In 2017, the system was moved to an online platform called EWARS. Data is entered online by country focal points and is then analysed using an online application. This bulletin has been published automatically from EWARS.
Le système de surveillance de la syndromie du Pacifique (PSSS) a été lancé en 2010. Avec le soutien de la Communauté du Pacifique, il collecte des données de surveillance sentinelle sur 4 syndromes (dont un optionnel), provenant de 23 pays insulaires du Pacifique. L'objectif est de surveiller les tendances et de déclencher des alertes pour détecter et répondre rapidement aux épidémies présumées. En 2017, le système a été transféré vers une plate-forme en ligne appelée EWARS. Les données sont entrées en ligne par points focaux de pays et sont ensuite analysées à l'aide d'une application en ligne. Ce bulletin a été publié automatiquement à partir d'EWARS.
mailto:shakilan@who.int
Pacific Syndromic Surveillance System Weekly Bulletin
Système de Surveillance Syndromic dans le Pacifique Bulletin Hebdomadaire
W10 2021 (Mar 08-Mar 14)
WHO gratefully acknowledges the support of Ministries of Health and partners in the following Pacific Island Countries and areas for the contribution of data to this bulletin | L'OMS reconnaît avec reconnaissance le soutien des ministères de la santé et des partenaires dans les pays insulaires du Pacifique suivants pour la contribution des données à ce bulletin:
W1 2021 to W10 2021 | S1 2021 à S10 2021 Pacific Island Countries | Pays insulaires du Pacifique
W10
% n
176
74% 17
88% 154
Cumulative
% n Indicator
208 1. Number of sentinel sites
Nombre de sites sentinelles
77% 939 2. Number of PICs that reported Nombre de PICs qui ont rapporté
58% 121 3. Number of sites that reported Nombre de sites qui ont rapporté
Key indicators & Highlights | Indicateurs clé & faits saillants
1 W10 2021 (Mar 08-Mar 14)
1
2
1
1
Country/Area No. sites No. reported % reported AFR PF Diarrhoea DLI ILI SARI COVID-19
** AFR: Acute Fever and Rash; PF: Prolonged Fever; DLI:Diarrhoea-like Illness; ILI: Influenza-like Illness; SARI: Severe Acute Respiratory Infection
New Table
American Samoa 0 0 0% 0 0 0 0 0 0 0
Cook Islands 14 13 93% 0 0 0 12 1 0 0
Fiji 29 29 100% 1 21 545 348 112 4 0
French Polynesia 30 18 60% 0 0 52 10 139 0 0
Guam 0 0 0% 0 0 0 0 0 0 0
Kiribati 9 9 100% 0 0 84 0 108 9 0
Marshall Islands (the)
2 2 100% 0 1 5 0 11 0 0
Micronesia (Federated States of)
4 2 50% 0 0 38 0 23 0 0
Nauru 0 0 0% 0 0 0 0 0 0 0
New Caledonia 24 24 100% 0 0 24 4 26 0 0
New Zealand 0 0 0% 0 0 0 0 0 0 0
Niue 1 1 100% 0 0 4 0 8 0 0
Northern Mariana Islands (the)
8 8 100% 2 8 16 0 1 0 0
Palau 1 1 100% 0 0 11 1 0 0 0
Papua New Guinea
0 0 0% 0 0 0 0 0 0 0
Pitcairn Islands 1 1 100% 0 0 0 0 0 0 0
Samoa 11 11 100% 0 8 63 0 542 5 0
Solomon Islands 14 10 71% 0 105 43 4 171 0 0
Tokelau 3 3 100% 0 0 2 0 1 0 0
Tonga 11 10 91% 0 1 40 0 21 5 0
Tuvalu 3 3 100% 0 0 2 0 3 0 0
Vanuatu 11 9 82% 3 18 54 18 150 0 0
Wallis & Futuna 0 0 0% 0 0 0 0 0 0 0
Total 176 154 88% 6 162 983 397 1317 23 0
Figure 1a American Samoa | Samoa américaines Figure 1b N Mariana Isl. | Îles Mariannes du Nord Figure 1c Federated States of Micronesia Figure 1d Marshall Islands | Îles Marshall
Figure 1e Guam | Guam
Not reported
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1f | Palau
Country trends | AFR and PF
** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison. **No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
2
4
6
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 14
2 02
0
W 05
2 02
1
W 09
2 02
1
0
2
4
6
8
10
12
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
1
2
3
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Figure 1g Tonga | Tonga Figure 1h Samoa | Samoa Figure 1i Cook Islands | Îles Cook Figure 1j Niue | Niue
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1k Tokelau | Tokelau
Figure 1l Wallis & Futuna | Wallis & Futuna Figure 1m New Caledonia | Nouvelle Calédonie Figure 1n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
1
2
3
4
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
20
40
60
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 14
2 02
0
W 18
2 02
0
W 09
2 02
1
0
1
2
W 29
2 02
0
0
1
2
W 49
2 02
0
W 53
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Wallis and Futuna, New Caledonia, French Polynesia
0
10
5
15
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
25
50
75 W
14 2
02 0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Figure 1o Kiribati | Kiribati Figure 1p Nauru | Nauru Figure 1q Fiji | Fidji Figure 1r Solomon Islands | Îles Salomon
Figure 1s Tuvalu | Tuvalu Figure 1t Vanuatu | Vanuatu Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
5 W10 2021 (Mar 08-Mar 14)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
1
2
3
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0 0
25
50
75
100
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
50
100
150
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
1
2
3
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
0
50
100 W
14 2
02 0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
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Figure 2a American Samoa | Samoa américaines Figure 2b N Mariana Isl. | Îles Mariannes du Nord Figure 2c Federated States of Micronesia Figure 2d Marshall Islands | Îles Marshall
Figure 2f | Palau Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
Figure 2e Guam | Guam
Country trends | Influenza like illness, SARI and Suspected COVID-19 ** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
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W 31
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2 02
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W 44
2 02
0
W 49
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W 53
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W 05
2 02
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W 09
2 02
1
Figure 2g Tonga | Tonga Figure 2h Samoa | Samoa Figure 2i Cook Islands | Îles Cook Figure 2j Niue | Niue
Legend
SARI (Influenza-like illness that requires hospitalization) Suspected COVID-19 Influenza like illness
Figure 2k Tokelau | Tokelau
Figure 2l Wallis & Futuna | Wallis & Futuna Figure 2m New Caledonia | Nouvelle Calédonie Figure 2n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
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2 02
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2 02
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2 02
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W 14
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W 31
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1
Wallis and Futuna, New Caledonia, French Polynesia
0
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75
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2 02
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Figure 2o Kiribati | Kiribati Figure 2p Nauru | Nauru Figure 2q Fiji | Fidji Figure 2r Solomon Islands | Îles Salomon
Figure 2s Tuvalu | Tuvalu Figure 2t Vanuatu | Vanuatu Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
5 W10 2021 (Mar 08-Mar 14)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
250
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750
W 40
2 02
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Figure 3a American Samoa | Samoa américaines Figure 3b N Mariana Isl. | Îles Mariannes du Nord Figure 3c Federated States of Micronesia Figure 3d Marshall Islands | Îles Marshall
Figure 3e Guam | Guam Figure 3f | Palau Legend
Dengue-like Illness (DLI) Diarrhoea
Country trends | Diarrhoea and DLI ** Please note that X and Y axesvary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
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100
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2 02
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2 02
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W 09
2 02
1
Figure 3g Tonga | Tonga Figure 3h Samoa | Samoa Figure 3i Cook Islands | Îles Cook Figure 3j Niue | Niue
Legend
Dengue-like Illness (DLI) Diarrhoea
Figure 3k Tokelau | Tokelau
Figure 3l Wallis & Futuna | Wallis & Futuna Figure 3m New Caledonia | Nouvelle Calédonie Figure 3n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
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100
W 14
2 02
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Wallis and Futuna, New Caledonia, French Polynesia
0
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Figure 3o Kiribati | Kiribati Figure 3p Nauru | Nauru Figure 3q Fiji | Fidji Figure 3r Solomon Islands | Îles Salomon
Figure 3s Tuvalu | Tuvalu Figure 3t Vanuatu | Vanuatu Legend
Dengue-like Illness (DLI) Diarrhoea
5 W10 2021 (Mar 08-Mar 14)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
W 14
2 02
0
W 18
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1
Case Definitions
Syndrome Case Definition Alert Threshold
Acute Fever and Rash (AFR)
Fever plus rash(non-blistering) 1 case if there is a measles outbreak.
Prolonged fever (PF)
Fever for 3 days or more Twice the average number of cases seen in the previous 2 weeks
Influenza-like illness (ILI)
An acute respiratory infection with: measured fever of ≥ 38 C° and cough; with onset within the last 10 days.
Twice the average number of cases seen in the previous 2 weeks
Diarrhoea 3 or more loose or watery stools in 24 hours (non- bloody)
Twice the average number of cases seen in the previous 2 weeks
Suspected dengue Fever for at least 2 days, plus at least two of the following: i. Nausea or vomiting; ii. Muscle or joint pain; iii. Severe headache or pain behind the eyes; iv. Rash; v. Bleeding
Twice the average number of cases seen in the previous 3 weeks
Severe acute respiratory infection, requiring hospitalisation (SARI)
Sudden onset of fever above 38°C, cough or sore throat, shortness of breath or difficulty breathing, and requiring hospitalization.
Twice moving average in 2 weeks
COVID - 19 Twice moving average in 2 weeks
Alert thresholds Please note that the alert thresholds have been set in EWARS and you will receive instant email notification once you have surpassed the alert threshold. New Indicators ∙
∙ COVID-19 one (1) case, this is as the case definition set to identify suspected COVID- 19 including Multi-system Inflammatory cases in children. In addition, use the EBS to report details. ∙ SARI The alert threshold for SARI is set at one (1) case to increase sensitivity for its investigation as a suspected COVID-19 case and hence require laboratory confirmation or exclusion.
Once you do receive an alert, you need to follow the link to verify the alert – enter brief notes to say what the cases were, what has been done to the cases (investigation, treatment) or any other cases regarding the cases – age, gender, residence, hospitalized or not? The alerts are set to auto-discard after 2 days if no action has been taken. In addition, there are now forms available on EWARS for reporting Event Based Surveillance (EBS). Please use these to report any unusual disease patterns/symptoms, unexpected deaths, disease or deaths in animals or anything that is of concern
For more help and support, please contact:
DPS Epidemiology & Surveillance Unit
World Health Organization
Division of Pacific Technical Support
Suva, Fiji
Email: wpfjisurveillance@who.int
Notes:
The Pacific Syndromic Surveillance System (PSSS) was started in 2010. With the support of the Pacific Community, it collects sentinel surveillance data on 4 syndromes (including one optional), from 23 Pacific Island Countries and areas. The aim is to monitor trends and to trigger alerts to rapidly detect and respond to suspected outbreaks. In 2017, the system was moved to an online platform called EWARS. Data is entered online by country focal points and is then analysed using an online application. This bulletin has been published automatically from EWARS.
Le système de surveillance de la syndromie du Pacifique (PSSS) a été lancé en 2010. Avec le soutien de la Communauté du Pacifique, il collecte des données de surveillance sentinelle sur 4 syndromes (dont un optionnel), provenant de 23 pays insulaires du Pacifique. L'objectif est de surveiller les tendances et de déclencher des alertes pour détecter et répondre rapidement aux épidémies présumées. En 2017, le système a été transféré vers une plate-forme en ligne appelée EWARS. Les données sont entrées en ligne par points focaux de pays et sont ensuite analysées à l'aide d'une application en ligne. Ce bulletin a été publié automatiquement à partir d'EWARS.
mailto:shakilan@who.int
Pacific Syndromic Surveillance System Weekly Bulletin
Système de Surveillance Syndromic dans le Pacifique Bulletin Hebdomadaire
W11 2021 (Mar 15-Mar 21)
WHO gratefully acknowledges the support of Ministries of Health and partners in the following Pacific Island Countries and areas for the contribution of data to this bulletin | L'OMS reconnaît avec reconnaissance le soutien des ministères de la santé et des partenaires dans les pays insulaires du Pacifique suivants pour la contribution des données à ce bulletin:
W1 2021 to W11 2021 | S1 2021 à S11 2021 Pacific Island Countries | Pays insulaires du Pacifique
W11
% n
177
74% 17
81% 144
Cumulative
% n Indicator
208 1. Number of sentinel sites
Nombre de sites sentinelles
77% 939 2. Number of PICs that reported Nombre de PICs qui ont rapporté
58% 121 3. Number of sites that reported Nombre de sites qui ont rapporté
Key indicators & Highlights | Indicateurs clé & faits saillants
1 W11 2021 (Mar 15-Mar 21)
1
2
1
1
Country/Area No. sites No. reported % reported AFR PF Diarrhoea DLI ILI SARI COVID-19
** AFR: Acute Fever and Rash; PF: Prolonged Fever; DLI:Diarrhoea-like Illness; ILI: Influenza-like Illness; SARI: Severe Acute Respiratory Infection
New Table
American Samoa 0 0 0% 0 0 0 0 0 0 0
Cook Islands 14 13 93% 0 0 0 6 0 0 0
Fiji 29 27 93% 1 14 453 275 117 12 0
French Polynesia 30 13 43% 0 0 32 10 80 0 0
Guam 0 0 0% 0 0 0 0 0 0 0
Kiribati 9 9 100% 0 0 113 0 61 2 0
Marshall Islands (the)
2 2 100% 0 1 12 0 7 0 0
Micronesia (Federated States of)
4 3 75% 0 0 44 0 23 0 0
Nauru 0 0 0% 0 0 0 0 0 0 0
New Caledonia 25 21 84% 0 0 8 1 7 0 0
New Zealand 0 0 0% 0 0 0 0 0 0 0
Niue 1 1 100% 0 0 1 0 15 0 0
Northern Mariana Islands (the)
8 8 100% 1 21 16 0 2 0 0
Palau 1 1 100% 0 0 7 2 1 0 0
Papua New Guinea
0 0 0% 0 0 0 0 0 0 0
Pitcairn Islands 1 1 100% 0 0 0 0 0 0 0
Samoa 11 11 100% 0 3 52 0 504 7 0
Solomon Islands 14 9 64% 0 93 51 1 138 6 0
Tokelau 3 3 100% 0 0 2 0 0 0 0
Tonga 11 10 91% 0 0 35 0 30 4 0
Tuvalu 3 3 100% 0 0 6 0 4 0 0
Vanuatu 11 9 82% 0 12 53 0 135 0 0
Wallis & Futuna 0 0 0% 0 0 0 0 0 0 0
Total 177 144 81% 2 144 885 295 1124 31 0
Figure 1a American Samoa | Samoa américaines Figure 1b N Mariana Isl. | Îles Mariannes du Nord Figure 1c Federated States of Micronesia Figure 1d Marshall Islands | Îles Marshall
Figure 1e Guam | Guam
Not reported
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1f | Palau
Country trends | AFR and PF
** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison. **No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
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Figure 1g Tonga | Tonga Figure 1h Samoa | Samoa Figure 1i Cook Islands | Îles Cook Figure 1j Niue | Niue
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1k Tokelau | Tokelau
Figure 1l Wallis & Futuna | Wallis & Futuna Figure 1m New Caledonia | Nouvelle Calédonie Figure 1n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
1
2
3
4
W 18
2 02
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W 23
2 02
0
W 27
2 02
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W 31
2 02
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W 36
2 02
0
W 40
2 02
0
W 44
2 02
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W 49
2 02
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W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
20
40
60
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 14
2 02
0
W 18
2 02
0
W 09
2 02
1
0
1
2
W 29
2 02
0
0
1
2
W 49
2 02
0
W 53
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Wallis and Futuna, New Caledonia, French Polynesia
0
10
5
15
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
25
50
75
W 23
2 02
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W 27
2 02
0
W 31
2 02
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W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 14
2 02
0
W 18
2 02
0
Figure 1o Kiribati | Kiribati Figure 1p Nauru | Nauru Figure 1q Fiji | Fidji Figure 1r Solomon Islands | Îles Salomon
Figure 1s Tuvalu | Tuvalu Figure 1t Vanuatu | Vanuatu Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
5 W11 2021 (Mar 15-Mar 21)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
1
2
3
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0 0
25
50
75
100
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
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W 44
2 02
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W 49
2 02
0
W 53
2 02
0
W 05
2 02
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W 09
2 02
1
0
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100
150
W 14
2 02
0
W 18
2 02
0
W 23
2 02
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W 27
2 02
0
W 31
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2 02
0
W 40
2 02
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W 44
2 02
0
W 49
2 02
0
W 53
2 02
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2 02
1
W 09
2 02
1
0
1
2
3
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
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W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
0
50
100 W
14 2
02 0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Figure 2a American Samoa | Samoa américaines Figure 2b N Mariana Isl. | Îles Mariannes du Nord Figure 2c Federated States of Micronesia Figure 2d Marshall Islands | Îles Marshall
Figure 2f | Palau Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
Figure 2e Guam | Guam
Country trends | Influenza like illness, SARI and Suspected COVID-19 ** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
30
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
50
100
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
10
20
30
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
5
10
15
20
25
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Figure 2g Tonga | Tonga Figure 2h Samoa | Samoa Figure 2i Cook Islands | Îles Cook Figure 2j Niue | Niue
Legend
SARI (Influenza-like illness that requires hospitalization) Suspected COVID-19 Influenza like illness
Figure 2k Tokelau | Tokelau
Figure 2l Wallis & Futuna | Wallis & Futuna Figure 2m New Caledonia | Nouvelle Calédonie Figure 2n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
1000
2000
3000
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
20 20
0
25
50
75
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
5
10
15
20
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
2
4
6
8
10
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
25
50
75
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
20
40
60
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
200
400
600 W
14 2
02 0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Figure 2o Kiribati | Kiribati Figure 2p Nauru | Nauru Figure 2q Fiji | Fidji Figure 2r Solomon Islands | Îles Salomon
Figure 2s Tuvalu | Tuvalu Figure 2t Vanuatu | Vanuatu Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
5 W11 2021 (Mar 15-Mar 21)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
600
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
100
200
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
200
400
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
10
20
30
40
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
200
400
600
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Figure 3a American Samoa | Samoa américaines Figure 3b N Mariana Isl. | Îles Mariannes du Nord Figure 3c Federated States of Micronesia Figure 3d Marshall Islands | Îles Marshall
Figure 3e Guam | Guam Figure 3f | Palau Legend
Dengue-like Illness (DLI) Diarrhoea
Country trends | Diarrhoea and DLI ** Please note that X and Y axesvary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
5
10
15
20
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
50
100
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
20
40
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
10
20
30
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Figure 3g Tonga | Tonga Figure 3h Samoa | Samoa Figure 3i Cook Islands | Îles Cook Figure 3j Niue | Niue
Legend
Dengue-like Illness (DLI) Diarrhoea
Figure 3k Tokelau | Tokelau
Figure 3l Wallis & Futuna | Wallis & Futuna Figure 3m New Caledonia | Nouvelle Calédonie Figure 3n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
1000
2000
3000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
0
10
20
30
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
2
4
6
8
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
10
5
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
50
100
150
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
25
50
75
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
25
50
75
100 W
14 2
02 0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Figure 3o Kiribati | Kiribati Figure 3p Nauru | Nauru Figure 3q Fiji | Fidji Figure 3r Solomon Islands | Îles Salomon
Figure 3s Tuvalu | Tuvalu Figure 3t Vanuatu | Vanuatu Legend
Dengue-like Illness (DLI) Diarrhoea
5 W11 2021 (Mar 15-Mar 21)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
250
500
750
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
500
1000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
W 01
2 02
6
0
10
5
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
100
200 W
14 2
02 0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
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0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
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Case Definitions
Syndrome Case Definition Alert Threshold
Acute Fever and Rash (AFR)
Fever plus rash(non-blistering) 1 case if there is a measles outbreak.
Prolonged fever (PF)
Fever for 3 days or more Twice the average number of cases seen in the previous 2 weeks
Influenza-like illness (ILI)
An acute respiratory infection with: measured fever of ≥ 38 C° and cough; with onset within the last 10 days.
Twice the average number of cases seen in the previous 2 weeks
Diarrhoea 3 or more loose or watery stools in 24 hours (non- bloody)
Twice the average number of cases seen in the previous 2 weeks
Suspected dengue Fever for at least 2 days, plus at least two of the following: i. Nausea or vomiting; ii. Muscle or joint pain; iii. Severe headache or pain behind the eyes; iv. Rash; v. Bleeding
Twice the average number of cases seen in the previous 3 weeks
Severe acute respiratory infection, requiring hospitalisation (SARI)
Sudden onset of fever above 38°C, cough or sore throat, shortness of breath or difficulty breathing, and requiring hospitalization.
Twice moving average in 2 weeks
COVID - 19 Twice moving average in 2 weeks
Alert thresholds Please note that the alert thresholds have been set in EWARS and you will receive instant email notification once you have surpassed the alert threshold. New Indicators ∙
∙ COVID-19 one (1) case, this is as the case definition set to identify suspected COVID- 19 including Multi-system Inflammatory cases in children. In addition, use the EBS to report details. ∙ SARI The alert threshold for SARI is set at one (1) case to increase sensitivity for its investigation as a suspected COVID-19 case and hence require laboratory confirmation or exclusion.
Once you do receive an alert, you need to follow the link to verify the alert – enter brief notes to say what the cases were, what has been done to the cases (investigation, treatment) or any other cases regarding the cases – age, gender, residence, hospitalized or not? The alerts are set to auto-discard after 2 days if no action has been taken. In addition, there are now forms available on EWARS for reporting Event Based Surveillance (EBS). Please use these to report any unusual disease patterns/symptoms, unexpected deaths, disease or deaths in animals or anything that is of concern
For more help and support, please contact:
DPS Epidemiology & Surveillance Unit
World Health Organization
Division of Pacific Technical Support
Suva, Fiji
Email: wpfjisurveillance@who.int
Notes:
The Pacific Syndromic Surveillance System (PSSS) was started in 2010. With the support of the Pacific Community, it collects sentinel surveillance data on 4 syndromes (including one optional), from 23 Pacific Island Countries and areas. The aim is to monitor trends and to trigger alerts to rapidly detect and respond to suspected outbreaks. In 2017, the system was moved to an online platform called EWARS. Data is entered online by country focal points and is then analysed using an online application. This bulletin has been published automatically from EWARS.
Le système de surveillance de la syndromie du Pacifique (PSSS) a été lancé en 2010. Avec le soutien de la Communauté du Pacifique, il collecte des données de surveillance sentinelle sur 4 syndromes (dont un optionnel), provenant de 23 pays insulaires du Pacifique. L'objectif est de surveiller les tendances et de déclencher des alertes pour détecter et répondre rapidement aux épidémies présumées. En 2017, le système a été transféré vers une plate-forme en ligne appelée EWARS. Les données sont entrées en ligne par points focaux de pays et sont ensuite analysées à l'aide d'une application en ligne. Ce bulletin a été publié automatiquement à partir d'EWARS.
mailto:shakilan@who.int
Pacific Syndromic Surveillance System Weekly Bulletin
Système de Surveillance Syndromic dans le Pacifique Bulletin Hebdomadaire
W12 2021 (Mar 22-Mar 28)
WHO gratefully acknowledges the support of Ministries of Health and partners in the following Pacific Island Countries and areas for the contribution of data to this bulletin | L'OMS reconnaît avec reconnaissance le soutien des ministères de la santé et des partenaires dans les pays insulaires du Pacifique suivants pour la contribution des données à ce bulletin:
W1 2021 to W12 2021 | S1 2021 à S12 2021 Pacific Island Countries | Pays insulaires du Pacifique
W12
% n
180
78% 18
84% 151
Cumulative
% n Indicator
208 1. Number of sentinel sites
Nombre de sites sentinelles
77% 939 2. Number of PICs that reported Nombre de PICs qui ont rapporté
58% 121 3. Number of sites that reported Nombre de sites qui ont rapporté
Key indicators & Highlights | Indicateurs clé & faits saillants
1 W12 2021 (Mar 22-Mar 28)
1
2
1
1
Country/Area No. sites No. reported % reported AFR PF Diarrhoea DLI ILI SARI COVID-19
** AFR: Acute Fever and Rash; PF: Prolonged Fever; DLI:Diarrhoea-like Illness; ILI: Influenza-like Illness; SARI: Severe Acute Respiratory Infection
New Table
American Samoa 0 0 0% 0 0 0 0 0 0 0
Cook Islands 14 14 100% 0 0 1 13 2 0 0
Fiji 29 27 93% 1 24 434 232 143 5 0
French Polynesia 30 16 53% 0 0 53 12 114 0 0
Guam 0 0 0% 0 0 0 0 0 0 0
Kiribati 9 9 100% 0 0 113 0 64 8 0
Marshall Islands (the)
2 2 100% 0 0 9 0 9 0 0
Micronesia (Federated States of)
4 2 50% 0 0 35 0 46 0 0
Nauru 0 0 0% 0 0 0 0 0 0 0
New Caledonia 26 22 85% 0 0 23 2 14 0 0
New Zealand 0 0 0% 0 0 0 0 0 0 0
Niue 1 1 100% 0 0 0 0 6 0 0
Northern Mariana Islands (the)
8 8 100% 3 10 8 0 1 0 0
Palau 1 1 100% 0 0 9 3 1 0 0
Papua New Guinea
0 0 0% 0 0 0 0 0 0 0
Pitcairn Islands 1 1 100% 0 0 0 0 0 0 0
Samoa 11 11 100% 0 4 49 3 463 0 0
Solomon Islands 14 10 71% 0 78 54 7 149 5 0
Tokelau 3 3 100% 0 0 2 0 2 0 0
Tonga 11 10 91% 0 0 18 0 17 4 0
Tuvalu 3 3 100% 0 0 5 0 8 0 0
Vanuatu 11 9 82% 0 9 31 0 144 4 0
Wallis & Futuna 2 2 100% 0 2 0 1 31 0 0
Total 180 151 84% 4 127 844 273 1214 26 0
Figure 1a American Samoa | Samoa américaines Figure 1b N Mariana Isl. | Îles Mariannes du Nord Figure 1c Federated States of Micronesia Figure 1d Marshall Islands | Îles Marshall
Figure 1e Guam | Guam
Not reported
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1f | Palau
Country trends | AFR and PF
** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison. **No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
30
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
2
4
6
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 14
2 02
0
W 05
2 02
1
W 09
2 02
1
0
10
5
15
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
1
2
3
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Figure 1g Tonga | Tonga Figure 1h Samoa | Samoa Figure 1i Cook Islands | Îles Cook Figure 1j Niue | Niue
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1k Tokelau | Tokelau
Figure 1l Wallis & Futuna | Wallis & Futuna Figure 1m New Caledonia | Nouvelle Calédonie Figure 1n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
1
2
3
4
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
20
40
60
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 14
2 02
0
W 18
2 02
0
W 09
2 02
1
0
1
2
W 29
2 02
0
0
1
2
W 49
2 02
0
W 53
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Wallis and Futuna, New Caledonia, French Polynesia
0
10
5
15
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
25
50
75
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 14
2 02
0
W 18
2 02
0
Figure 1o Kiribati | Kiribati Figure 1p Nauru | Nauru Figure 1q Fiji | Fidji Figure 1r Solomon Islands | Îles Salomon
Figure 1s Tuvalu | Tuvalu Figure 1t Vanuatu | Vanuatu Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
5 W12 2021 (Mar 22-Mar 28)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
1
2
3
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0 0
25
50
75
100
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
50
100
150
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
1
2
3
W 42
2 02
0
W 43
2 02
0
0
50
100 W
14 2
02 0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Figure 2a American Samoa | Samoa américaines Figure 2b N Mariana Isl. | Îles Mariannes du Nord Figure 2c Federated States of Micronesia Figure 2d Marshall Islands | Îles Marshall
Figure 2f | Palau Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
Figure 2e Guam | Guam
Country trends | Influenza like illness, SARI and Suspected COVID-19 ** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
5
10
15
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
25
50
75
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
10
20
30
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
5
10
15
20
25
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Figure 2g Tonga | Tonga Figure 2h Samoa | Samoa Figure 2i Cook Islands | Îles Cook Figure 2j Niue | Niue
Legend
SARI (Influenza-like illness that requires hospitalization) Suspected COVID-19 Influenza like illness
Figure 2k Tokelau | Tokelau
Figure 2l Wallis & Futuna | Wallis & Futuna Figure 2m New Caledonia | Nouvelle Calédonie Figure 2n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
1000
2000
3000
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
0
5
10
15
20
25
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
5
10
15
20
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
2
4
6
8
10
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
25
50
75
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
20
40
60
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
100
200
300
400
500 W
14 2
02 0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Figure 2o Kiribati | Kiribati Figure 2p Nauru | Nauru Figure 2q Fiji | Fidji Figure 2r Solomon Islands | Îles Salomon
Figure 2s Tuvalu | Tuvalu Figure 2t Vanuatu | Vanuatu Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
5 W12 2021 (Mar 22-Mar 28)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
600
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
100
200
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
200
400
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
10
20
30
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
200
400
600
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Figure 3a American Samoa | Samoa américaines Figure 3b N Mariana Isl. | Îles Mariannes du Nord Figure 3c Federated States of Micronesia Figure 3d Marshall Islands | Îles Marshall
Figure 3e Guam | Guam Figure 3f | Palau Legend
Dengue-like Illness (DLI) Diarrhoea
Country trends | Diarrhoea and DLI ** Please note that X and Y axesvary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
5
10
15
20
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
25
50
75
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
20
40
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
10
20
30
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Figure 3g Tonga | Tonga Figure 3h Samoa | Samoa Figure 3i Cook Islands | Îles Cook Figure 3j Niue | Niue
Legend
Dengue-like Illness (DLI) Diarrhoea
Figure 3k Tokelau | Tokelau
Figure 3l Wallis & Futuna | Wallis & Futuna Figure 3m New Caledonia | Nouvelle Calédonie Figure 3n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
1000
2000
3000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
0
10
20
30
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
2
4
6
8
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
10
5
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
50
100
150
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
25
50
75
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
25
50
75
100 W
14 2
02 0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Figure 3o Kiribati | Kiribati Figure 3p Nauru | Nauru Figure 3q Fiji | Fidji Figure 3r Solomon Islands | Îles Salomon
Figure 3s Tuvalu | Tuvalu Figure 3t Vanuatu | Vanuatu Legend
Dengue-like Illness (DLI) Diarrhoea
5 W12 2021 (Mar 22-Mar 28)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
250
500
750
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
500
1000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
W 01
2 02
6
0
10
5
W 14
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
100
200 W
14 2
02 0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Case Definitions
Syndrome Case Definition Alert Threshold
Acute Fever and Rash (AFR)
Fever plus rash(non-blistering) 1 case if there is a measles outbreak.
Prolonged fever (PF)
Fever for 3 days or more Twice the average number of cases seen in the previous 2 weeks
Influenza-like illness (ILI)
An acute respiratory infection with: measured fever of ≥ 38 C° and cough; with onset within the last 10 days.
Twice the average number of cases seen in the previous 2 weeks
Diarrhoea 3 or more loose or watery stools in 24 hours (non- bloody)
Twice the average number of cases seen in the previous 2 weeks
Suspected dengue Fever for at least 2 days, plus at least two of the following: i. Nausea or vomiting; ii. Muscle or joint pain; iii. Severe headache or pain behind the eyes; iv. Rash; v. Bleeding
Twice the average number of cases seen in the previous 3 weeks
Severe acute respiratory infection, requiring hospitalisation (SARI)
Sudden onset of fever above 38°C, cough or sore throat, shortness of breath or difficulty breathing, and requiring hospitalization.
Twice moving average in 2 weeks
COVID - 19 Twice moving average in 2 weeks
Alert thresholds Please note that the alert thresholds have been set in EWARS and you will receive instant email notification once you have surpassed the alert threshold. New Indicators ∙
∙ COVID-19 one (1) case, this is as the case definition set to identify suspected COVID- 19 including Multi-system Inflammatory cases in children. In addition, use the EBS to report details. ∙ SARI The alert threshold for SARI is set at one (1) case to increase sensitivity for its investigation as a suspected COVID-19 case and hence require laboratory confirmation or exclusion.
Once you do receive an alert, you need to follow the link to verify the alert – enter brief notes to say what the cases were, what has been done to the cases (investigation, treatment) or any other cases regarding the cases – age, gender, residence, hospitalized or not? The alerts are set to auto-discard after 2 days if no action has been taken. In addition, there are now forms available on EWARS for reporting Event Based Surveillance (EBS). Please use these to report any unusual disease patterns/symptoms, unexpected deaths, disease or deaths in animals or anything that is of concern
For more help and support, please contact:
DPS Epidemiology & Surveillance Unit
World Health Organization
Division of Pacific Technical Support
Suva, Fiji
Email: wpfjisurveillance@who.int
Notes:
The Pacific Syndromic Surveillance System (PSSS) was started in 2010. With the support of the Pacific Community, it collects sentinel surveillance data on 4 syndromes (including one optional), from 23 Pacific Island Countries and areas. The aim is to monitor trends and to trigger alerts to rapidly detect and respond to suspected outbreaks. In 2017, the system was moved to an online platform called EWARS. Data is entered online by country focal points and is then analysed using an online application. This bulletin has been published automatically from EWARS.
Le système de surveillance de la syndromie du Pacifique (PSSS) a été lancé en 2010. Avec le soutien de la Communauté du Pacifique, il collecte des données de surveillance sentinelle sur 4 syndromes (dont un optionnel), provenant de 23 pays insulaires du Pacifique. L'objectif est de surveiller les tendances et de déclencher des alertes pour détecter et répondre rapidement aux épidémies présumées. En 2017, le système a été transféré vers une plate-forme en ligne appelée EWARS. Les données sont entrées en ligne par points focaux de pays et sont ensuite analysées à l'aide d'une application en ligne. Ce bulletin a été publié automatiquement à partir d'EWARS.
mailto:shakilan@who.int
Pacific Syndromic Surveillance System Weekly Bulletin
Système de Surveillance Syndromic dans le Pacifique Bulletin Hebdomadaire
W13 2021 (Mar 29-Apr 04)
WHO gratefully acknowledges the support of Ministries of Health and partners in the following Pacific Island Countries and areas for the contribution of data to this bulletin | L'OMS reconnaît avec reconnaissance le soutien des ministères de la santé et des partenaires dans les pays insulaires du Pacifique suivants pour la contribution des données à ce bulletin:
W1 2021 to W13 2021 | S1 2021 à S13 2021 Pacific Island Countries | Pays insulaires du Pacifique
W13
% n
180
78% 18
84% 151
Cumulative
% n Indicator
208 1. Number of sentinel sites
Nombre de sites sentinelles
77% 939 2. Number of PICs that reported Nombre de PICs qui ont rapporté
58% 121 3. Number of sites that reported Nombre de sites qui ont rapporté
Key indicators & Highlights | Indicateurs clé & faits saillants
1 W13 2021 (Mar 29-Apr 04)
1
2
1
1
Country/Area No. sites No. reported % reported AFR PF Diarrhoea DLI ILI SARI COVID-19
** AFR: Acute Fever and Rash; PF: Prolonged Fever; DLI:Diarrhoea-like Illness; ILI: Influenza-like Illness; SARI: Severe Acute Respiratory Infection
New Table
American Samoa 0 0 0% 0 0 0 0 0 0 0
Cook Islands 14 13 93% 0 0 0 13 0 0 0
Fiji 29 29 100% 0 6 464 212 131 4 0
French Polynesia 30 16 53% 0 0 37 10 95 0 0
Guam 0 0 0% 0 0 0 0 0 0 0
Kiribati 9 9 100% 0 0 242 0 90 8 0
Marshall Islands (the)
2 2 100% 0 3 7 0 12 0 0
Micronesia (Federated States of)
4 3 75% 0 0 56 0 46 0 0
Nauru 0 0 0% 0 0 0 0 0 0 0
New Caledonia 26 22 85% 0 0 7 0 13 0 0
New Zealand 0 0 0% 0 0 0 0 0 0 0
Niue 1 1 100% 0 0 0 0 1 0 0
Northern Mariana Islands (the)
8 8 100% 3 12 9 0 3 0 0
Palau 1 1 100% 0 0 12 1 0 0 0
Papua New Guinea
0 0 0% 0 0 0 0 0 0 0
Pitcairn Islands 1 1 100% 0 0 0 0 0 0 0
Samoa 11 11 100% 0 7 45 6 458 4 0
Solomon Islands 14 10 71% 0 71 46 3 149 4 0
Tokelau 3 3 100% 0 0 2 0 1 0 0
Tonga 11 10 91% 0 0 20 0 34 4 0
Tuvalu 3 3 100% 0 0 4 0 4 0 0
Vanuatu 11 7 64% 0 1 20 0 113 1 0
Wallis & Futuna 2 2 100% 0 4 5 6 17 0 0
Total 180 151 84% 3 104 976 251 1167 25 0
Figure 1a American Samoa | Samoa américaines Figure 1b N Mariana Isl. | Îles Mariannes du Nord Figure 1c Federated States of Micronesia Figure 1d Marshall Islands | Îles Marshall
Figure 1e Guam | Guam
Not reported
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1f | Palau
Country trends | AFR and PF
** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison. **No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
30
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
2
4
6
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
10
5
15
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
1
2
3
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Figure 1g Tonga | Tonga Figure 1h Samoa | Samoa Figure 1i Cook Islands | Îles Cook Figure 1j Niue | Niue
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1k Tokelau | Tokelau
Figure 1l Wallis & Futuna | Wallis & Futuna Figure 1m New Caledonia | Nouvelle Calédonie Figure 1n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
1
2
3
4
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
20
40
60
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 18
2 02
0
W 09
2 02
1
W 13
2 02
1
0
1
2
W 29
2 02
0
0
1
2
W 49
2 02
0
W 53
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Wallis and Futuna, New Caledonia, French Polynesia
0
10
5
15
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
25
50
75
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 18
2 02
0
Figure 1o Kiribati | Kiribati Figure 1p Nauru | Nauru Figure 1q Fiji | Fidji Figure 1r Solomon Islands | Îles Salomon
Figure 1s Tuvalu | Tuvalu Figure 1t Vanuatu | Vanuatu Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
5 W13 2021 (Mar 29-Apr 04)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
1
2
3
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0 0
25
50
75
100
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 18
2 02
0
W 13
2 02
1
0
50
100
150
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
1
2
3
W 42
2 02
0
W 43
2 02
0
0
50
100
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Figure 2a American Samoa | Samoa américaines Figure 2b N Mariana Isl. | Îles Mariannes du Nord Figure 2c Federated States of Micronesia Figure 2d Marshall Islands | Îles Marshall
Figure 2f | Palau Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
Figure 2e Guam | Guam
Country trends | Influenza like illness, SARI and Suspected COVID-19 ** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
5
10
15
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
25
50
75
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
10
20
30
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
5
10
15
20
25
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Figure 2g Tonga | Tonga Figure 2h Samoa | Samoa Figure 2i Cook Islands | Îles Cook Figure 2j Niue | Niue
Legend
SARI (Influenza-like illness that requires hospitalization) Suspected COVID-19 Influenza like illness
Figure 2k Tokelau | Tokelau
Figure 2l Wallis & Futuna | Wallis & Futuna Figure 2m New Caledonia | Nouvelle Calédonie Figure 2n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
1000
2000
3000
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
0
5
10
15
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
5
10
15
20
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
2
4
6
8
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
25
50
75
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
25
50
75
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
200
400
600
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Figure 2o Kiribati | Kiribati Figure 2p Nauru | Nauru Figure 2q Fiji | Fidji Figure 2r Solomon Islands | Îles Salomon
Figure 2s Tuvalu | Tuvalu Figure 2t Vanuatu | Vanuatu Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
5 W13 2021 (Mar 29-Apr 04)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
100
200
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
200
400
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
10
20
30
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
200
400
600
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Figure 3a American Samoa | Samoa américaines Figure 3b N Mariana Isl. | Îles Mariannes du Nord Figure 3c Federated States of Micronesia Figure 3d Marshall Islands | Îles Marshall
Figure 3e Guam | Guam Figure 3f | Palau Legend
Dengue-like Illness (DLI) Diarrhoea
Country trends | Diarrhoea and DLI ** Please note that X and Y axesvary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
5
10
15
20
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
25
50
75
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
20
40
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
10
20
30
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Figure 3g Tonga | Tonga Figure 3h Samoa | Samoa Figure 3i Cook Islands | Îles Cook Figure 3j Niue | Niue
Legend
Dengue-like Illness (DLI) Diarrhoea
Figure 3k Tokelau | Tokelau
Figure 3l Wallis & Futuna | Wallis & Futuna Figure 3m New Caledonia | Nouvelle Calédonie Figure 3n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
25
50
75
100
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
1000
2000
3000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
0
10
20
30
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
2
4
6
8
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
10
5
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
50
100
150
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
25
50
75
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
25
50
75
100
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Figure 3o Kiribati | Kiribati Figure 3p Nauru | Nauru Figure 3q Fiji | Fidji Figure 3r Solomon Islands | Îles Salomon
Figure 3s Tuvalu | Tuvalu Figure 3t Vanuatu | Vanuatu Legend
Dengue-like Illness (DLI) Diarrhoea
5 W13 2021 (Mar 29-Apr 04)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
250
500
750
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
500
1000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
W 01
2 02
6
0
10
5
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
100
200
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Case Definitions
Syndrome Case Definition Alert Threshold
Acute Fever and Rash (AFR)
Fever plus rash(non-blistering) 1 case if there is a measles outbreak.
Prolonged fever (PF)
Fever for 3 days or more Twice the average number of cases seen in the previous 2 weeks
Influenza-like illness (ILI)
An acute respiratory infection with: measured fever of ≥ 38 C° and cough; with onset within the last 10 days.
Twice the average number of cases seen in the previous 2 weeks
Diarrhoea 3 or more loose or watery stools in 24 hours (non- bloody)
Twice the average number of cases seen in the previous 2 weeks
Suspected dengue Fever for at least 2 days, plus at least two of the following: i. Nausea or vomiting; ii. Muscle or joint pain; iii. Severe headache or pain behind the eyes; iv. Rash; v. Bleeding
Twice the average number of cases seen in the previous 3 weeks
Severe acute respiratory infection, requiring hospitalisation (SARI)
Sudden onset of fever above 38°C, cough or sore throat, shortness of breath or difficulty breathing, and requiring hospitalization.
Twice moving average in 2 weeks
COVID - 19 Twice moving average in 2 weeks
Alert thresholds Please note that the alert thresholds have been set in EWARS and you will receive instant email notification once you have surpassed the alert threshold. New Indicators ∙
∙ COVID-19 one (1) case, this is as the case definition set to identify suspected COVID- 19 including Multi-system Inflammatory cases in children. In addition, use the EBS to report details. ∙ SARI The alert threshold for SARI is set at one (1) case to increase sensitivity for its investigation as a suspected COVID-19 case and hence require laboratory confirmation or exclusion.
Once you do receive an alert, you need to follow the link to verify the alert – enter brief notes to say what the cases were, what has been done to the cases (investigation, treatment) or any other cases regarding the cases – age, gender, residence, hospitalized or not? The alerts are set to auto-discard after 2 days if no action has been taken. In addition, there are now forms available on EWARS for reporting Event Based Surveillance (EBS). Please use these to report any unusual disease patterns/symptoms, unexpected deaths, disease or deaths in animals or anything that is of concern
For more help and support, please contact:
DPS Epidemiology & Surveillance Unit
World Health Organization
Division of Pacific Technical Support
Suva, Fiji
Email: wpfjisurveillance@who.int
Notes:
The Pacific Syndromic Surveillance System (PSSS) was started in 2010. With the support of the Pacific Community, it collects sentinel surveillance data on 4 syndromes (including one optional), from 23 Pacific Island Countries and areas. The aim is to monitor trends and to trigger alerts to rapidly detect and respond to suspected outbreaks. In 2017, the system was moved to an online platform called EWARS. Data is entered online by country focal points and is then analysed using an online application. This bulletin has been published automatically from EWARS.
Le système de surveillance de la syndromie du Pacifique (PSSS) a été lancé en 2010. Avec le soutien de la Communauté du Pacifique, il collecte des données de surveillance sentinelle sur 4 syndromes (dont un optionnel), provenant de 23 pays insulaires du Pacifique. L'objectif est de surveiller les tendances et de déclencher des alertes pour détecter et répondre rapidement aux épidémies présumées. En 2017, le système a été transféré vers une plate-forme en ligne appelée EWARS. Les données sont entrées en ligne par points focaux de pays et sont ensuite analysées à l'aide d'une application en ligne. Ce bulletin a été publié automatiquement à partir d'EWARS.
mailto:shakilan@who.int
Pacific Syndromic Surveillance System Weekly Bulletin
Système de Surveillance Syndromic dans le Pacifique Bulletin Hebdomadaire
W14 2021 (Apr 05-Apr 11)
WHO gratefully acknowledges the support of Ministries of Health and partners in the following Pacific Island Countries and areas for the contribution of data to this bulletin | L'OMS reconnaît avec reconnaissance le soutien des ministères de la santé et des partenaires dans les pays insulaires du Pacifique suivants pour la contribution des données à ce bulletin:
W1 2021 to W14 2021 | S1 2021 à S14 2021 Pacific Island Countries | Pays insulaires du Pacifique
W14
% n
177
78% 18
81% 143
Cumulative
% n Indicator
208 1. Number of sentinel sites
Nombre de sites sentinelles
77% 939 2. Number of PICs that reported Nombre de PICs qui ont rapporté
58% 121 3. Number of sites that reported Nombre de sites qui ont rapporté
Key indicators & Highlights | Indicateurs clé & faits saillants
1 W14 2021 (Apr 05-Apr 11)
1
2
1
1
Country/Area No. sites No. reported % reported AFR PF Diarrhoea DLI ILI SARI COVID-19
** AFR: Acute Fever and Rash; PF: Prolonged Fever; DLI:Diarrhoea-like Illness; ILI: Influenza-like Illness; SARI: Severe Acute Respiratory Infection
New Table
American Samoa 0 0 0% 0 0 0 0 0 0 0
Cook Islands 14 13 93% 0 0 1 15 0 0 0
Fiji 26 29 112% 1 11 485 178 124 1 0
French Polynesia 30 11 37% 0 0 38 7 64 0 0
Guam 0 0 0% 0 0 0 0 0 0 0
Kiribati 9 9 100% 0 0 223 0 62 8 0
Marshall Islands (the)
2 2 100% 0 0 12 0 9 0 0
Micronesia (Federated States of)
4 3 75% 0 0 41 3 26 0 0
Nauru 0 0 0% 0 0 0 0 0 0 0
New Caledonia 26 17 65% 0 0 6 1 12 0 0
New Zealand 0 0 0% 0 0 0 0 0 0 0
Niue 1 1 100% 0 0 0 0 1 0 0
Northern Mariana Islands (the)
8 8 100% 1 9 7 0 0 0 0
Palau 1 1 100% 0 0 9 0 0 0 0
Papua New Guinea
0 0 0% 0 0 0 0 0 0 0
Pitcairn Islands 1 1 100% 0 0 0 0 0 0 0
Samoa 11 10 91% 0 15 37 3 528 5 0
Solomon Islands 14 11 79% 0 39 64 3 154 4 0
Tokelau 3 3 100% 0 0 2 0 1 0 0
Tonga 11 9 82% 0 0 14 0 32 2 0
Tuvalu 3 3 100% 0 0 6 0 13 0 0
Vanuatu 11 10 91% 4 4 68 23 187 1 0
Wallis & Futuna 2 2 100% 0 2 4 4 7 0 0
Total 177 143 81% 6 80 1017 237 1220 21 0
Figure 1a American Samoa | Samoa américaines Figure 1b N Mariana Isl. | Îles Mariannes du Nord Figure 1c Federated States of Micronesia Figure 1d Marshall Islands | Îles Marshall
Figure 1e Guam | Guam
Not reported
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1f | Palau
Country trends | AFR and PF
** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison. **No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
30
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
2
4
6
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 18
2 02
0
0
2
4
6
8
10
12
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
1
2
3
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Figure 1g Tonga | Tonga Figure 1h Samoa | Samoa Figure 1i Cook Islands | Îles Cook Figure 1j Niue | Niue
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1k Tokelau | Tokelau
Figure 1l Wallis & Futuna | Wallis & Futuna Figure 1m New Caledonia | Nouvelle Calédonie Figure 1n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
1
2
3
4
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
20
40
60
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
1
2
W 29
2 02
0
0
1
2
W 49
2 02
0
W 53
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Wallis and Futuna, New Caledonia, French Polynesia
0
10
5
15
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
25
50
75
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Figure 1o Kiribati | Kiribati Figure 1p Nauru | Nauru Figure 1q Fiji | Fidji Figure 1r Solomon Islands | Îles Salomon
Figure 1s Tuvalu | Tuvalu Figure 1t Vanuatu | Vanuatu Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
5 W14 2021 (Apr 05-Apr 11)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
1
2
3
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0 0
25
50
75
100
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 18
2 02
0
0
50
100
150
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
1
2
3
W 42
2 02
0
W 43
2 02
0
0
50
100 W
18 2
02 0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Figure 2a American Samoa | Samoa américaines Figure 2b N Mariana Isl. | Îles Mariannes du Nord Figure 2c Federated States of Micronesia Figure 2d Marshall Islands | Îles Marshall
Figure 2f | Palau Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
Figure 2e Guam | Guam
Country trends | Influenza like illness, SARI and Suspected COVID-19 ** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
5
10
15
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
25
50
75
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
10
20
30
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
5
10
15
20
25
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
Figure 2g Tonga | Tonga Figure 2h Samoa | Samoa Figure 2i Cook Islands | Îles Cook Figure 2j Niue | Niue
Legend
SARI (Influenza-like illness that requires hospitalization) Suspected COVID-19 Influenza like illness
Figure 2k Tokelau | Tokelau
Figure 2l Wallis & Futuna | Wallis & Futuna Figure 2m New Caledonia | Nouvelle Calédonie Figure 2n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
1000
2000
3000
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
0
5
10
15
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
5
10
15
20
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
2
4
6
8
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
25
50
75
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
20
40
60
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
200
400
600
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Figure 2o Kiribati | Kiribati Figure 2p Nauru | Nauru Figure 2q Fiji | Fidji Figure 2r Solomon Islands | Îles Salomon
Figure 2s Tuvalu | Tuvalu Figure 2t Vanuatu | Vanuatu Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
5 W14 2021 (Apr 05-Apr 11)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
100
200
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
200
400
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
10
20
30
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
200
400
600
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Figure 3a American Samoa | Samoa américaines Figure 3b N Mariana Isl. | Îles Mariannes du Nord Figure 3c Federated States of Micronesia Figure 3d Marshall Islands | Îles Marshall
Figure 3e Guam | Guam Figure 3f | Palau Legend
Dengue-like Illness (DLI) Diarrhoea
Country trends | Diarrhoea and DLI ** Please note that X and Y axesvary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
5
10
15
20
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
25
50
75
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
20
40
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
10
20
30
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Figure 3g Tonga | Tonga Figure 3h Samoa | Samoa Figure 3i Cook Islands | Îles Cook Figure 3j Niue | Niue
Legend
Dengue-like Illness (DLI) Diarrhoea
Figure 3k Tokelau | Tokelau
Figure 3l Wallis & Futuna | Wallis & Futuna Figure 3m New Caledonia | Nouvelle Calédonie Figure 3n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
1000
2000
3000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
0
10
20
30
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
2
4
6
8
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
10
5
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
50
100
150
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
25
50
75
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
25
50
75
100
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Figure 3o Kiribati | Kiribati Figure 3p Nauru | Nauru Figure 3q Fiji | Fidji Figure 3r Solomon Islands | Îles Salomon
Figure 3s Tuvalu | Tuvalu Figure 3t Vanuatu | Vanuatu Legend
Dengue-like Illness (DLI) Diarrhoea
5 W14 2021 (Apr 05-Apr 11)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
250
500
750
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
500
1000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
W 01
2 02
6
0
10
5
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
100
200 W
18 2
02 0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Case Definitions
Syndrome Case Definition Alert Threshold
Acute Fever and Rash (AFR)
Fever plus rash(non-blistering) 1 case if there is a measles outbreak.
Prolonged fever (PF)
Fever for 3 days or more Twice the average number of cases seen in the previous 2 weeks
Influenza-like illness (ILI)
An acute respiratory infection with: measured fever of ≥ 38 C° and cough; with onset within the last 10 days.
Twice the average number of cases seen in the previous 2 weeks
Diarrhoea 3 or more loose or watery stools in 24 hours (non- bloody)
Twice the average number of cases seen in the previous 2 weeks
Suspected dengue Fever for at least 2 days, plus at least two of the following: i. Nausea or vomiting; ii. Muscle or joint pain; iii. Severe headache or pain behind the eyes; iv. Rash; v. Bleeding
Twice the average number of cases seen in the previous 3 weeks
Severe acute respiratory infection, requiring hospitalisation (SARI)
Sudden onset of fever above 38°C, cough or sore throat, shortness of breath or difficulty breathing, and requiring hospitalization.
Twice moving average in 2 weeks
COVID - 19 Twice moving average in 2 weeks
Alert thresholds Please note that the alert thresholds have been set in EWARS and you will receive instant email notification once you have surpassed the alert threshold. New Indicators ∙
∙ COVID-19 one (1) case, this is as the case definition set to identify suspected COVID- 19 including Multi-system Inflammatory cases in children. In addition, use the EBS to report details. ∙ SARI The alert threshold for SARI is set at one (1) case to increase sensitivity for its investigation as a suspected COVID-19 case and hence require laboratory confirmation or exclusion.
Once you do receive an alert, you need to follow the link to verify the alert – enter brief notes to say what the cases were, what has been done to the cases (investigation, treatment) or any other cases regarding the cases – age, gender, residence, hospitalized or not? The alerts are set to auto-discard after 2 days if no action has been taken. In addition, there are now forms available on EWARS for reporting Event Based Surveillance (EBS). Please use these to report any unusual disease patterns/symptoms, unexpected deaths, disease or deaths in animals or anything that is of concern
For more help and support, please contact:
DPS Epidemiology & Surveillance Unit
World Health Organization
Division of Pacific Technical Support
Suva, Fiji
Email: wpfjisurveillance@who.int
Notes:
The Pacific Syndromic Surveillance System (PSSS) was started in 2010. With the support of the Pacific Community, it collects sentinel surveillance data on 4 syndromes (including one optional), from 23 Pacific Island Countries and areas. The aim is to monitor trends and to trigger alerts to rapidly detect and respond to suspected outbreaks. In 2017, the system was moved to an online platform called EWARS. Data is entered online by country focal points and is then analysed using an online application. This bulletin has been published automatically from EWARS.
Le système de surveillance de la syndromie du Pacifique (PSSS) a été lancé en 2010. Avec le soutien de la Communauté du Pacifique, il collecte des données de surveillance sentinelle sur 4 syndromes (dont un optionnel), provenant de 23 pays insulaires du Pacifique. L'objectif est de surveiller les tendances et de déclencher des alertes pour détecter et répondre rapidement aux épidémies présumées. En 2017, le système a été transféré vers une plate-forme en ligne appelée EWARS. Les données sont entrées en ligne par points focaux de pays et sont ensuite analysées à l'aide d'une application en ligne. Ce bulletin a été publié automatiquement à partir d'EWARS.
mailto:shakilan@who.int
Pacific Syndromic Surveillance System Weekly Bulletin
Système de Surveillance Syndromic dans le Pacifique Bulletin Hebdomadaire
W15 2021 (Apr 12-Apr 18)
WHO gratefully acknowledges the support of Ministries of Health and partners in the following Pacific Island Countries and areas for the contribution of data to this bulletin | L'OMS reconnaît avec reconnaissance le soutien des ministères de la santé et des partenaires dans les pays insulaires du Pacifique suivants pour la contribution des données à ce bulletin:
W1 2021 to W15 2021 | S1 2021 à S15 2021 Pacific Island Countries | Pays insulaires du Pacifique
W15
% n
166
74% 17
78% 129
Cumulative
% n Indicator
208 1. Number of sentinel sites
Nombre de sites sentinelles
77% 939 2. Number of PICs that reported Nombre de PICs qui ont rapporté
58% 121 3. Number of sites that reported Nombre de sites qui ont rapporté
Key indicators & Highlights | Indicateurs clé & faits saillants
1 W15 2021 (Apr 12-Apr 18)
1
2
1
1
Country/Area No. sites No. reported % reported AFR PF Diarrhoea DLI ILI SARI COVID-19
** AFR: Acute Fever and Rash; PF: Prolonged Fever; DLI:Diarrhoea-like Illness; ILI: Influenza-like Illness; SARI: Severe Acute Respiratory Infection
New Table
American Samoa 0 0 0% 0 0 0 0 0 0 0
Cook Islands 14 13 93% 0 0 0 14 0 0 0
Fiji 29 26 90% 0 7 418 153 88 16 0
French Polynesia 30 18 60% 0 0 55 5 80 0 0
Guam 0 0 0% 0 0 0 0 0 0 0
Kiribati 9 8 89% 0 0 113 0 351 6 0
Marshall Islands (the)
2 2 100% 0 4 8 0 11 0 0
Micronesia (Federated States of)
4 2 50% 0 0 29 0 25 0 0
Nauru 0 0 0% 0 0 0 0 0 0 0
New Caledonia 26 20 77% 0 0 26 0 9 0 0
New Zealand 0 0 0% 0 0 0 0 0 0 0
Niue 1 1 100% 0 0 3 0 0 0 0
Northern Mariana Islands (the)
8 8 100% 1 15 10 0 6 0 0
Palau 1 1 100% 0 0 6 0 2 0 0
Papua New Guinea
0 0 0% 0 0 0 0 0 0 0
Pitcairn Islands 1 1 100% 0 0 0 0 0 0 0
Samoa 0 0 0% 0 9 74 0 779 4 0
Solomon Islands 14 6 43% 0 10 78 2 86 1 0
Tokelau 3 3 100% 0 0 2 0 0 0 0
Tonga 11 9 82% 0 0 10 0 44 7 0
Tuvalu 0 0 0% 0 0 0 0 0 0 0
Vanuatu 11 9 82% 0 4 27 0 97 0 1
Wallis & Futuna 2 2 100% 0 1 0 3 5 0 0
Total 166 129 78% 1 50 859 177 1583 34 1
Figure 1a American Samoa | Samoa américaines Figure 1b N Mariana Isl. | Îles Mariannes du Nord Figure 1c Federated States of Micronesia Figure 1d Marshall Islands | Îles Marshall
Figure 1e Guam | Guam
Not reported
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1f | Palau
Country trends | AFR and PF
** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison. **No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
30
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
2
4
6
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
10
5
15
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
1
2
3
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Figure 1g Tonga | Tonga Figure 1h Samoa | Samoa Figure 1i Cook Islands | Îles Cook Figure 1j Niue | Niue
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1k Tokelau | Tokelau
Figure 1l Wallis & Futuna | Wallis & Futuna Figure 1m New Caledonia | Nouvelle Calédonie Figure 1n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
1
2
3
4
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
20
40
60
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 18
2 02
0
W 09
2 02
1
W 13
2 02
1
0
1
2
W 29
2 02
0
0
1
2
W 49
2 02
0
W 53
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Wallis and Futuna, New Caledonia, French Polynesia
0
10
5
15
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
25
50
75
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Figure 1o Kiribati | Kiribati Figure 1p Nauru | Nauru Figure 1q Fiji | Fidji Figure 1r Solomon Islands | Îles Salomon
Figure 1s Tuvalu | Tuvalu Figure 1t Vanuatu | Vanuatu Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
5 W15 2021 (Apr 12-Apr 18)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
1
2
3
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0 0
25
50
75
100
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 18
2 02
0
0
50
100
150
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
1
2
3
W 42
2 02
0
W 43
2 02
0
0
50
100 W
18 2
02 0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Figure 2a American Samoa | Samoa américaines Figure 2b N Mariana Isl. | Îles Mariannes du Nord Figure 2c Federated States of Micronesia Figure 2d Marshall Islands | Îles Marshall
Figure 2f | Palau Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
Figure 2e Guam | Guam
Country trends | Influenza like illness, SARI and Suspected COVID-19 ** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
5
10
15
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
25
50
75
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
10
20
30
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
5
10
15
20
25
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Figure 2g Tonga | Tonga Figure 2h Samoa | Samoa Figure 2i Cook Islands | Îles Cook Figure 2j Niue | Niue
Legend
SARI (Influenza-like illness that requires hospitalization) Suspected COVID-19 Influenza like illness
Figure 2k Tokelau | Tokelau
Figure 2l Wallis & Futuna | Wallis & Futuna Figure 2m New Caledonia | Nouvelle Calédonie Figure 2n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
1000
2000
3000
W 44
20 20
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
0
5
10
15
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
5
10
15
20
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
2
4
6
8
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
25
50
75
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
20
40
60
W 18
2 02
0
W 23
2 02
0
W 27
2 02
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W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
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W 53
2 02
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W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
100
200
300
400
500 W
18 2
02 0
W 23
2 02
0
W 27
2 02
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W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Figure 2o Kiribati | Kiribati Figure 2p Nauru | Nauru Figure 2q Fiji | Fidji Figure 2r Solomon Islands | Îles Salomon
Figure 2s Tuvalu | Tuvalu Figure 2t Vanuatu | Vanuatu Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
5 W15 2021 (Apr 12-Apr 18)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 18
2 02
0
W 23
2 02
0
W 27
2 02
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W 31
2 02
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W 36
2 02
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0
100
200
W 40
2 02
0
W 44
2 02
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W 49
2 02
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W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
200
400
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
10
20
30
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
200
400
600
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Figure 3a American Samoa | Samoa américaines Figure 3b N Mariana Isl. | Îles Mariannes du Nord Figure 3c Federated States of Micronesia Figure 3d Marshall Islands | Îles Marshall
Figure 3e Guam | Guam Figure 3f | Palau Legend
Dengue-like Illness (DLI) Diarrhoea
Country trends | Diarrhoea and DLI ** Please note that X and Y axesvary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
5
10
15
20
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
25
50
75
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
20
40
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
10
20
30
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Figure 3g Tonga | Tonga Figure 3h Samoa | Samoa Figure 3i Cook Islands | Îles Cook Figure 3j Niue | Niue
Legend
Dengue-like Illness (DLI) Diarrhoea
Figure 3k Tokelau | Tokelau
Figure 3l Wallis & Futuna | Wallis & Futuna Figure 3m New Caledonia | Nouvelle Calédonie Figure 3n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
25
50
75
100
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
1000
2000
3000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
0
10
20
30
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
2
4
6
8
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
10
5
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
50
100
150
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
25
50
75
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
25
50
75
100
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Figure 3o Kiribati | Kiribati Figure 3p Nauru | Nauru Figure 3q Fiji | Fidji Figure 3r Solomon Islands | Îles Salomon
Figure 3s Tuvalu | Tuvalu Figure 3t Vanuatu | Vanuatu Legend
Dengue-like Illness (DLI) Diarrhoea
5 W15 2021 (Apr 12-Apr 18)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
250
500
750
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
500
1000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
W 01
2 02
6
0
10
5
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
100
200 W
18 2
02 0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Case Definitions
Syndrome Case Definition Alert Threshold
Acute Fever and Rash (AFR)
Fever plus rash(non-blistering) 1 case if there is a measles outbreak.
Prolonged fever (PF)
Fever for 3 days or more Twice the average number of cases seen in the previous 2 weeks
Influenza-like illness (ILI)
An acute respiratory infection with: measured fever of ≥ 38 C° and cough; with onset within the last 10 days.
Twice the average number of cases seen in the previous 2 weeks
Diarrhoea 3 or more loose or watery stools in 24 hours (non- bloody)
Twice the average number of cases seen in the previous 2 weeks
Suspected dengue Fever for at least 2 days, plus at least two of the following: i. Nausea or vomiting; ii. Muscle or joint pain; iii. Severe headache or pain behind the eyes; iv. Rash; v. Bleeding
Twice the average number of cases seen in the previous 3 weeks
Severe acute respiratory infection, requiring hospitalisation (SARI)
Sudden onset of fever above 38°C, cough or sore throat, shortness of breath or difficulty breathing, and requiring hospitalization.
Twice moving average in 2 weeks
COVID - 19 Twice moving average in 2 weeks
Alert thresholds Please note that the alert thresholds have been set in EWARS and you will receive instant email notification once you have surpassed the alert threshold. New Indicators ∙
∙ COVID-19 one (1) case, this is as the case definition set to identify suspected COVID- 19 including Multi-system Inflammatory cases in children. In addition, use the EBS to report details. ∙ SARI The alert threshold for SARI is set at one (1) case to increase sensitivity for its investigation as a suspected COVID-19 case and hence require laboratory confirmation or exclusion.
Once you do receive an alert, you need to follow the link to verify the alert – enter brief notes to say what the cases were, what has been done to the cases (investigation, treatment) or any other cases regarding the cases – age, gender, residence, hospitalized or not? The alerts are set to auto-discard after 2 days if no action has been taken. In addition, there are now forms available on EWARS for reporting Event Based Surveillance (EBS). Please use these to report any unusual disease patterns/symptoms, unexpected deaths, disease or deaths in animals or anything that is of concern
For more help and support, please contact:
DPS Epidemiology & Surveillance Unit
World Health Organization
Division of Pacific Technical Support
Suva, Fiji
Email: wpfjisurveillance@who.int
Notes:
The Pacific Syndromic Surveillance System (PSSS) was started in 2010. With the support of the Pacific Community, it collects sentinel surveillance data on 4 syndromes (including one optional), from 23 Pacific Island Countries and areas. The aim is to monitor trends and to trigger alerts to rapidly detect and respond to suspected outbreaks. In 2017, the system was moved to an online platform called EWARS. Data is entered online by country focal points and is then analysed using an online application. This bulletin has been published automatically from EWARS.
Le système de surveillance de la syndromie du Pacifique (PSSS) a été lancé en 2010. Avec le soutien de la Communauté du Pacifique, il collecte des données de surveillance sentinelle sur 4 syndromes (dont un optionnel), provenant de 23 pays insulaires du Pacifique. L'objectif est de surveiller les tendances et de déclencher des alertes pour détecter et répondre rapidement aux épidémies présumées. En 2017, le système a été transféré vers une plate-forme en ligne appelée EWARS. Les données sont entrées en ligne par points focaux de pays et sont ensuite analysées à l'aide d'une application en ligne. Ce bulletin a été publié automatiquement à partir d'EWARS.
mailto:shakilan@who.int
Pacific Syndromic Surveillance System Weekly Bulletin
Système de Surveillance Syndromic dans le Pacifique Bulletin Hebdomadaire
W16 2021 (Apr 19-Apr 25)
WHO gratefully acknowledges the support of Ministries of Health and partners in the following Pacific Island Countries and areas for the contribution of data to this bulletin | L'OMS reconnaît avec reconnaissance le soutien des ministères de la santé et des partenaires dans les pays insulaires du Pacifique suivants pour la contribution des données à ce bulletin:
W1 2021 to W16 2021 | S1 2021 à S16 2021 Pacific Island Countries | Pays insulaires du Pacifique
W16
% n
168
74% 17
76% 127
Cumulative
% n Indicator
208 1. Number of sentinel sites
Nombre de sites sentinelles
77% 939 2. Number of PICs that reported Nombre de PICs qui ont rapporté
58% 121 3. Number of sites that reported Nombre de sites qui ont rapporté
Key indicators & Highlights | Indicateurs clé & faits saillants
1 W16 2021 (Apr 19-Apr 25)
1
2
1
1
Country/Area No. sites No. reported % reported AFR PF Diarrhoea DLI ILI SARI COVID-19
** AFR: Acute Fever and Rash; PF: Prolonged Fever; DLI:Diarrhoea-like Illness; ILI: Influenza-like Illness; SARI: Severe Acute Respiratory Infection
New Table
American Samoa 0 0 0% 0 0 0 0 0 0 0
Cook Islands 14 13 93% 0 0 2 12 0 0 0
Fiji 29 23 79% 1 12 386 135 136 0 0
French Polynesia 30 15 50% 0 0 56 14 82 0 0
Guam 0 0 0% 0 0 0 0 0 0 0
Kiribati 9 9 100% 0 0 115 0 391 12 0
Marshall Islands (the)
2 2 100% 1 1 8 0 27 0 0
Micronesia (Federated States of)
4 2 50% 0 0 32 0 23 0 0
Nauru 0 0 0% 0 0 0 0 0 0 0
New Caledonia 26 20 77% 0 0 36 2 4 0 0
New Zealand 0 0 0% 0 0 0 0 0 0 0
Niue 0 0 0% 0 0 0 0 0 0 0
Northern Mariana Islands (the)
8 8 100% 1 10 5 0 5 0 0
Palau 1 1 100% 0 0 8 1 1 0 0
Papua New Guinea
0 0 0% 0 0 0 0 0 0 0
Pitcairn Islands 1 1 100% 0 0 0 0 0 0 0
Samoa 0 0 0% 0 24 80 6 684 9 0
Solomon Islands 14 8 57% 0 19 152 3 115 1 0
Tokelau 3 3 100% 0 0 0 0 0 0 0
Tonga 11 10 91% 0 0 18 0 79 7 0
Tuvalu 3 3 100% 0 0 7 0 23 0 0
Vanuatu 11 7 64% 1 7 24 0 85 0 0
Wallis & Futuna 2 2 100% 0 4 1 3 2 0 0
Total 168 127 76% 4 77 930 176 1657 29 0
Figure 1a American Samoa | Samoa américaines Figure 1b N Mariana Isl. | Îles Mariannes du Nord Figure 1c Federated States of Micronesia Figure 1d Marshall Islands | Îles Marshall
Figure 1e Guam | Guam
Not reported
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1f | Palau
Country trends | AFR and PF
** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison. **No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
30
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
2
4
6
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
5
10
15
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
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W 44
2 02
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W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
1
2
3
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Figure 1g Tonga | Tonga Figure 1h Samoa | Samoa Figure 1i Cook Islands | Îles Cook Figure 1j Niue | Niue
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1k Tokelau | Tokelau
Figure 1l Wallis & Futuna | Wallis & Futuna Figure 1m New Caledonia | Nouvelle Calédonie Figure 1n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
1
2
3
4
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
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W 40
2 02
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W 44
2 02
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W 49
2 02
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W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
20
40
60
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 18
2 02
0
W 09
2 02
1
W 13
2 02
1
0
1
2
W 29
2 02
0
0
1
2
W 49
2 02
0
W 53
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Wallis and Futuna, New Caledonia, French Polynesia
0
10
5
15
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 09
2 02
1
W 13
2 02
1
0
25
50
75
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Figure 1o Kiribati | Kiribati Figure 1p Nauru | Nauru Figure 1q Fiji | Fidji Figure 1r Solomon Islands | Îles Salomon
Figure 1s Tuvalu | Tuvalu Figure 1t Vanuatu | Vanuatu Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
5 W16 2021 (Apr 19-Apr 25)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
1
2
3
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0 0
25
50
75
100
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
50
100
150
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
1
2
3
W 42
2 02
0
W 43
2 02
0
0
50
100 W
18 2
02 0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Figure 2a American Samoa | Samoa américaines Figure 2b N Mariana Isl. | Îles Mariannes du Nord Figure 2c Federated States of Micronesia Figure 2d Marshall Islands | Îles Marshall
Figure 2f | Palau Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
Figure 2e Guam | Guam
Country trends | Influenza like illness, SARI and Suspected COVID-19 ** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
5
10
15
W 18
2 02
0
W 23
2 02
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W 27
2 02
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W 31
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W 49
2 02
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W 53
2 02
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W 05
2 02
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W 09
2 02
1
W 13
2 02
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0
25
50
75
W 18
2 02
0
W 23
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0
W 27
2 02
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W 31
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W 36
2 02
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2 02
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W 44
2 02
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W 49
2 02
0
W 53
2 02
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W 05
2 02
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W 09
2 02
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W 13
2 02
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20
30
W 18
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W 27
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W 31
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W 36
2 02
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2 02
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2 02
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W 49
2 02
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W 53
2 02
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W 05
2 02
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W 09
2 02
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W 13
2 02
1
0
5
10
15
20
25
W 18
2 02
0
W 23
2 02
0
W 27
2 02
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W 31
2 02
0
W 36
2 02
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W 40
2 02
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W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Figure 2g Tonga | Tonga Figure 2h Samoa | Samoa Figure 2i Cook Islands | Îles Cook Figure 2j Niue | Niue
Legend
SARI (Influenza-like illness that requires hospitalization) Suspected COVID-19 Influenza like illness
Figure 2k Tokelau | Tokelau
Figure 2l Wallis & Futuna | Wallis & Futuna Figure 2m New Caledonia | Nouvelle Calédonie Figure 2n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
1000
2000
3000
W 44
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
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W 40
2 02
0
0
5
10
15
W 18
2 02
0
W 23
2 02
0
W 27
2 02
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W 31
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0
W 36
2 02
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W 40
2 02
0
W 44
2 02
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W 49
2 02
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W 53
2 02
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W 05
2 02
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W 09
2 02
1
0
5
10
15
20
W 27
2 02
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W 31
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W 36
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W 40
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W 44
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W 53
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W 09
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W 13
2 02
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0
2
4
6
8
W 23
2 02
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W 27
2 02
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W 31
2 02
0
W 36
2 02
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W 40
2 02
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W 44
2 02
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W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
25
50
75
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
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W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
20
40
60
W 18
2 02
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W 23
2 02
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W 27
2 02
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W 31
2 02
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W 36
2 02
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W 40
2 02
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W 44
2 02
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W 49
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W 53
2 02
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W 09
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0
100
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500 W
18 2
02 0
W 23
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W 53
2 02
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2 02
1
W 13
2 02
1
Figure 2o Kiribati | Kiribati Figure 2p Nauru | Nauru Figure 2q Fiji | Fidji Figure 2r Solomon Islands | Îles Salomon
Figure 2s Tuvalu | Tuvalu Figure 2t Vanuatu | Vanuatu Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
5 W16 2021 (Apr 19-Apr 25)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
600
W 40
2 02
0
W 44
2 02
0
W 49
2 02
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W 53
2 02
0
W 05
2 02
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W 09
2 02
1
W 13
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1
W 18
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400
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2 02
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W 31
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2 02
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10
20
30
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2 02
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W 27
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W 36
2 02
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2 02
0
W 49
2 02
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W 53
2 02
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W 05
2 02
1
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2 02
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2 02
1
0
200
400
600 W
18 2
02 0
W 23
2 02
0
W 27
2 02
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W 31
2 02
0
W 36
2 02
0
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W 44
2 02
0
W 49
2 02
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W 53
2 02
0
W 05
2 02
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W 09
2 02
1
W 13
2 02
1
Figure 3a American Samoa | Samoa américaines Figure 3b N Mariana Isl. | Îles Mariannes du Nord Figure 3c Federated States of Micronesia Figure 3d Marshall Islands | Îles Marshall
Figure 3e Guam | Guam Figure 3f | Palau Legend
Dengue-like Illness (DLI) Diarrhoea
Country trends | Diarrhoea and DLI ** Please note that X and Y axesvary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
5
10
15
20
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
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W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
25
50
75
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
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W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
20
40
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
10
20
30
W 18
2 02
0
W 23
2 02
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W 27
2 02
0
W 31
2 02
0
W 36
2 02
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W 40
2 02
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W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Figure 3g Tonga | Tonga Figure 3h Samoa | Samoa Figure 3i Cook Islands | Îles Cook Figure 3j Niue | Niue
Legend
Dengue-like Illness (DLI) Diarrhoea
Figure 3k Tokelau | Tokelau
Figure 3l Wallis & Futuna | Wallis & Futuna Figure 3m New Caledonia | Nouvelle Calédonie Figure 3n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
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W 36
2 02
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W 40
2 02
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W 44
2 02
0
W 49
2 02
0
W 53
2 02
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W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
1000
2000
3000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
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W 49
2 02
5
0
10
20
30
W 18
2 02
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W 23
2 02
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W 27
2 02
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W 31
2 02
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W 36
2 02
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W 40
2 02
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W 44
2 02
0
W 49
2 02
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W 53
2 02
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W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
2
4
6
8
W 23
2 02
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W 27
2 02
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W 31
2 02
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W 36
2 02
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W 40
2 02
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W 44
2 02
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W 49
2 02
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W 53
2 02
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W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
10
5
W 18
2 02
0
W 23
2 02
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W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
50
100
150
W 18
2 02
0
W 23
2 02
0
W 27
2 02
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W 31
2 02
0
W 36
2 02
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W 40
2 02
0
W 44
2 02
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W 49
2 02
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W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
25
50
75
W 18
2 02
0
W 23
2 02
0
W 27
2 02
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W 31
2 02
0
W 36
2 02
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W 40
2 02
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W 44
2 02
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W 49
2 02
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W 53
2 02
0
W 05
2 02
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W 09
2 02
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W 13
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100 W
18 2
02 0
W 23
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W 31
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W 36
2 02
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W 40
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W 44
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W 49
2 02
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W 53
2 02
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W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Figure 3o Kiribati | Kiribati Figure 3p Nauru | Nauru Figure 3q Fiji | Fidji Figure 3r Solomon Islands | Îles Salomon
Figure 3s Tuvalu | Tuvalu Figure 3t Vanuatu | Vanuatu Legend
Dengue-like Illness (DLI) Diarrhoea
5 W16 2021 (Apr 19-Apr 25)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
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W 36
2 02
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W 40
2 02
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W 44
2 02
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W 49
2 02
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W 53
2 02
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W 05
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W 09
2 02
1
W 13
2 02
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250
500
750
W 18
2 02
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W 23
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W 27
2 02
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W 31
2 02
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W 36
2 02
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W 40
2 02
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W 44
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W 49
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W 53
2 02
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W 05
2 02
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W 09
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2 02
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W 31
2 02
5
W 36
2 02
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2 02
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2 02
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2 02
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W 01
2 02
6
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W 18
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18 2
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1
Case Definitions
Syndrome Case Definition Alert Threshold
Acute Fever and Rash (AFR)
Fever plus rash(non-blistering) 1 case if there is a measles outbreak.
Prolonged fever (PF)
Fever for 3 days or more Twice the average number of cases seen in the previous 2 weeks
Influenza-like illness (ILI)
An acute respiratory infection with: measured fever of ≥ 38 C° and cough; with onset within the last 10 days.
Twice the average number of cases seen in the previous 2 weeks
Diarrhoea 3 or more loose or watery stools in 24 hours (non- bloody)
Twice the average number of cases seen in the previous 2 weeks
Suspected dengue Fever for at least 2 days, plus at least two of the following: i. Nausea or vomiting; ii. Muscle or joint pain; iii. Severe headache or pain behind the eyes; iv. Rash; v. Bleeding
Twice the average number of cases seen in the previous 3 weeks
Severe acute respiratory infection, requiring hospitalisation (SARI)
Sudden onset of fever above 38°C, cough or sore throat, shortness of breath or difficulty breathing, and requiring hospitalization.
Twice moving average in 2 weeks
COVID - 19 Twice moving average in 2 weeks
Alert thresholds Please note that the alert thresholds have been set in EWARS and you will receive instant email notification once you have surpassed the alert threshold. New Indicators ∙
∙ COVID-19 one (1) case, this is as the case definition set to identify suspected COVID- 19 including Multi-system Inflammatory cases in children. In addition, use the EBS to report details. ∙ SARI The alert threshold for SARI is set at one (1) case to increase sensitivity for its investigation as a suspected COVID-19 case and hence require laboratory confirmation or exclusion.
Once you do receive an alert, you need to follow the link to verify the alert – enter brief notes to say what the cases were, what has been done to the cases (investigation, treatment) or any other cases regarding the cases – age, gender, residence, hospitalized or not? The alerts are set to auto-discard after 2 days if no action has been taken. In addition, there are now forms available on EWARS for reporting Event Based Surveillance (EBS). Please use these to report any unusual disease patterns/symptoms, unexpected deaths, disease or deaths in animals or anything that is of concern
For more help and support, please contact:
DPS Epidemiology & Surveillance Unit
World Health Organization
Division of Pacific Technical Support
Suva, Fiji
Email: wpfjisurveillance@who.int
Notes:
The Pacific Syndromic Surveillance System (PSSS) was started in 2010. With the support of the Pacific Community, it collects sentinel surveillance data on 4 syndromes (including one optional), from 23 Pacific Island Countries and areas. The aim is to monitor trends and to trigger alerts to rapidly detect and respond to suspected outbreaks. In 2017, the system was moved to an online platform called EWARS. Data is entered online by country focal points and is then analysed using an online application. This bulletin has been published automatically from EWARS.
Le système de surveillance de la syndromie du Pacifique (PSSS) a été lancé en 2010. Avec le soutien de la Communauté du Pacifique, il collecte des données de surveillance sentinelle sur 4 syndromes (dont un optionnel), provenant de 23 pays insulaires du Pacifique. L'objectif est de surveiller les tendances et de déclencher des alertes pour détecter et répondre rapidement aux épidémies présumées. En 2017, le système a été transféré vers une plate-forme en ligne appelée EWARS. Les données sont entrées en ligne par points focaux de pays et sont ensuite analysées à l'aide d'une application en ligne. Ce bulletin a été publié automatiquement à partir d'EWARS.
mailto:shakilan@who.int
Pacific Syndromic Surveillance System Weekly Bulletin
Système de Surveillance Syndromic dans le Pacifique Bulletin Hebdomadaire
W17 2021 (Apr 26-May 02)
WHO gratefully acknowledges the support of Ministries of Health and partners in the following Pacific Island Countries and areas for the contribution of data to this bulletin | L'OMS reconnaît avec reconnaissance le soutien des ministères de la santé et des partenaires dans les pays insulaires du Pacifique suivants pour la contribution des données à ce bulletin:
W1 2021 to W17 2021 | S1 2021 à S17 2021 Pacific Island Countries | Pays insulaires du Pacifique
W17
% n
197
78% 18
70% 138
Cumulative
% n Indicator
208 1. Number of sentinel sites
Nombre de sites sentinelles
77% 939 2. Number of PICs that reported Nombre de PICs qui ont rapporté
58% 121 3. Number of sites that reported Nombre de sites qui ont rapporté
Key indicators & Highlights | Indicateurs clé & faits saillants
1 W17 2021 (Apr 26-May 02)
1
2
1
1
Country/Area No. sites No. reported % reported AFR PF Diarrhoea DLI ILI SARI COVID-19
** AFR: Acute Fever and Rash; PF: Prolonged Fever; DLI:Diarrhoea-like Illness; ILI: Influenza-like Illness; SARI: Severe Acute Respiratory Infection
New Table
American Samoa 0 0 0% 0 0 0 0 0 0 0
Cook Islands 14 12 86% 0 0 0 11 1 0 0
Fiji 29 18 62% 0 2 115 69 68 0 0
French Polynesia 60 32 53% 0 0 148 6 146 0 0
Guam 0 0 0% 0 0 0 0 0 0 0
Kiribati 9 9 100% 0 0 162 3 325 10 0
Marshall Islands (the)
2 2 100% 0 0 13 0 5 0 0
Micronesia (Federated States of)
4 2 50% 0 0 41 0 22 0 0
Nauru 0 0 0% 0 0 0 0 0 0 0
New Caledonia 26 23 88% 0 0 36 2 14 0 0
New Zealand 0 0 0% 0 0 0 0 0 0 0
Niue 0 0 0% 0 0 0 0 0 0 0
Northern Mariana Islands (the)
8 8 100% 2 11 12 0 2 0 0
Palau 1 1 100% 0 0 9 0 0 0 0
Papua New Guinea
0 0 0% 0 0 0 0 0 0 0
Pitcairn Islands 1 1 100% 0 0 0 0 0 0 0
Samoa 0 0 0% 0 15 67 0 708 6 0
Solomon Islands 14 8 57% 0 49 107 1 142 5 0
Tokelau 3 3 100% 0 0 0 0 0 0 0
Tonga 10 10 100% 0 4 20 0 74 5 0
Tuvalu 3 3 100% 0 0 8 0 20 0 0
Vanuatu 11 4 36% 0 2 9 0 23 0 0
Wallis & Futuna 2 2 100% 0 0 1 4 5 0 0
Total 197 138 70% 2 83 748 96 1555 26 0
Figure 1a American Samoa | Samoa américaines Figure 1b N Mariana Isl. | Îles Mariannes du Nord Figure 1c Federated States of Micronesia Figure 1d Marshall Islands | Îles Marshall
Figure 1e Guam | Guam
Not reported
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1f | Palau
Country trends | AFR and PF
** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison. **No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
30
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
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2 02
1
W 13
2 02
1
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2 02
1
0
2
4
6
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W 27
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2 02
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10
15
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2 02
1
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2 02
1
0
1
2
3
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2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Figure 1g Tonga | Tonga Figure 1h Samoa | Samoa Figure 1i Cook Islands | Îles Cook Figure 1j Niue | Niue
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1k Tokelau | Tokelau
Figure 1l Wallis & Futuna | Wallis & Futuna Figure 1m New Caledonia | Nouvelle Calédonie Figure 1n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
1
2
3
4
5
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
20
40
60
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 18
2 02
0
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
1
2
W 29
2 02
0
0
1
2
W 49
2 02
0
W 53
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Wallis and Futuna, New Caledonia, French Polynesia
0
10
5
15
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 09
2 02
1
W 13
2 02
1
0
25
50
75
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Figure 1o Kiribati | Kiribati Figure 1p Nauru | Nauru Figure 1q Fiji | Fidji Figure 1r Solomon Islands | Îles Salomon
Figure 1s Tuvalu | Tuvalu Figure 1t Vanuatu | Vanuatu Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
5 W17 2021 (Apr 26-May 02)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
1
2
3
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0 0
20
40
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 18
2 02
0
W 17
2 02
1
0
50
100
150
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
1
2
3
W 42
2 02
0
W 43
2 02
0
0
50
100 W
18 2
02 0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
Figure 2a American Samoa | Samoa américaines Figure 2b N Mariana Isl. | Îles Mariannes du Nord Figure 2c Federated States of Micronesia Figure 2d Marshall Islands | Îles Marshall
Figure 2f | Palau Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
Figure 2e Guam | Guam
Country trends | Influenza like illness, SARI and Suspected COVID-19 ** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
5
10
15
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
25
50
75
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
10
20
30
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
5
10
15
20
25
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Figure 2g Tonga | Tonga Figure 2h Samoa | Samoa Figure 2i Cook Islands | Îles Cook Figure 2j Niue | Niue
Legend
SARI (Influenza-like illness that requires hospitalization) Suspected COVID-19 Influenza like illness
Figure 2k Tokelau | Tokelau
Figure 2l Wallis & Futuna | Wallis & Futuna Figure 2m New Caledonia | Nouvelle Calédonie Figure 2n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
1000
2000
3000
W 44
2 02
0
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
0
5
10
15
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
5
10
15
20
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
2
4
6
8
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
25
50
75
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
20
40
60
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
100
200
300
400
500 W
18 2
02 0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
Figure 2o Kiribati | Kiribati Figure 2p Nauru | Nauru Figure 2q Fiji | Fidji Figure 2r Solomon Islands | Îles Salomon
Figure 2s Tuvalu | Tuvalu Figure 2t Vanuatu | Vanuatu Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
5 W17 2021 (Apr 26-May 02)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
600
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
100
200
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 17
2 02
1
0
200
400
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
10
20
30
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
200
400
600
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 17
2 02
1
Figure 3a American Samoa | Samoa américaines Figure 3b N Mariana Isl. | Îles Mariannes du Nord Figure 3c Federated States of Micronesia Figure 3d Marshall Islands | Îles Marshall
Figure 3e Guam | Guam Figure 3f | Palau Legend
Dengue-like Illness (DLI) Diarrhoea
Country trends | Diarrhoea and DLI ** Please note that X and Y axesvary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
5
10
15
20
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
25
50
75
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
20
40
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
10
20
30
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
Figure 3g Tonga | Tonga Figure 3h Samoa | Samoa Figure 3i Cook Islands | Îles Cook Figure 3j Niue | Niue
Legend
Dengue-like Illness (DLI) Diarrhoea
Figure 3k Tokelau | Tokelau
Figure 3l Wallis & Futuna | Wallis & Futuna Figure 3m New Caledonia | Nouvelle Calédonie Figure 3n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
1000
2000
3000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
0
10
20
30
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
2
4
6
8
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
10
5
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
50
100
150
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
W 18
2 02
0
0
25
50
75
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
50
100
150
200 W
18 2
02 0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
Figure 3o Kiribati | Kiribati Figure 3p Nauru | Nauru Figure 3q Fiji | Fidji Figure 3r Solomon Islands | Îles Salomon
Figure 3s Tuvalu | Tuvalu Figure 3t Vanuatu | Vanuatu Legend
Dengue-like Illness (DLI) Diarrhoea
5 W17 2021 (Apr 26-May 02)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
250
500
750
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
500
1000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
W 01
2 02
6
0
10
5
W 18
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
100
200 W
18 2
02 0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
Case Definitions
Syndrome Case Definition Alert Threshold
Acute Fever and Rash (AFR)
Fever plus rash(non-blistering) 1 case if there is a measles outbreak.
Prolonged fever (PF)
Fever for 3 days or more Twice the average number of cases seen in the previous 2 weeks
Influenza-like illness (ILI)
An acute respiratory infection with: measured fever of ≥ 38 C° and cough; with onset within the last 10 days.
Twice the average number of cases seen in the previous 2 weeks
Diarrhoea 3 or more loose or watery stools in 24 hours (non- bloody)
Twice the average number of cases seen in the previous 2 weeks
Suspected dengue Fever for at least 2 days, plus at least two of the following: i. Nausea or vomiting; ii. Muscle or joint pain; iii. Severe headache or pain behind the eyes; iv. Rash; v. Bleeding
Twice the average number of cases seen in the previous 3 weeks
Severe acute respiratory infection, requiring hospitalisation (SARI)
Sudden onset of fever above 38°C, cough or sore throat, shortness of breath or difficulty breathing, and requiring hospitalization.
Twice moving average in 2 weeks
COVID - 19 Twice moving average in 2 weeks
Alert thresholds Please note that the alert thresholds have been set in EWARS and you will receive instant email notification once you have surpassed the alert threshold. New Indicators ∙
∙ COVID-19 one (1) case, this is as the case definition set to identify suspected COVID- 19 including Multi-system Inflammatory cases in children. In addition, use the EBS to report details. ∙ SARI The alert threshold for SARI is set at one (1) case to increase sensitivity for its investigation as a suspected COVID-19 case and hence require laboratory confirmation or exclusion.
Once you do receive an alert, you need to follow the link to verify the alert – enter brief notes to say what the cases were, what has been done to the cases (investigation, treatment) or any other cases regarding the cases – age, gender, residence, hospitalized or not? The alerts are set to auto-discard after 2 days if no action has been taken. In addition, there are now forms available on EWARS for reporting Event Based Surveillance (EBS). Please use these to report any unusual disease patterns/symptoms, unexpected deaths, disease or deaths in animals or anything that is of concern
For more help and support, please contact:
DPS Epidemiology & Surveillance Unit
World Health Organization
Division of Pacific Technical Support
Suva, Fiji
Email: wpfjisurveillance@who.int
Notes:
The Pacific Syndromic Surveillance System (PSSS) was started in 2010. With the support of the Pacific Community, it collects sentinel surveillance data on 4 syndromes (including one optional), from 23 Pacific Island Countries and areas. The aim is to monitor trends and to trigger alerts to rapidly detect and respond to suspected outbreaks. In 2017, the system was moved to an online platform called EWARS. Data is entered online by country focal points and is then analysed using an online application. This bulletin has been published automatically from EWARS.
Le système de surveillance de la syndromie du Pacifique (PSSS) a été lancé en 2010. Avec le soutien de la Communauté du Pacifique, il collecte des données de surveillance sentinelle sur 4 syndromes (dont un optionnel), provenant de 23 pays insulaires du Pacifique. L'objectif est de surveiller les tendances et de déclencher des alertes pour détecter et répondre rapidement aux épidémies présumées. En 2017, le système a été transféré vers une plate-forme en ligne appelée EWARS. Les données sont entrées en ligne par points focaux de pays et sont ensuite analysées à l'aide d'une application en ligne. Ce bulletin a été publié automatiquement à partir d'EWARS.
mailto:shakilan@who.int
Pacific Syndromic Surveillance System Weekly Bulletin
Système de Surveillance Syndromic dans le Pacifique Bulletin Hebdomadaire
W18 2021 (May 03-May 09)
WHO gratefully acknowledges the support of Ministries of Health and partners in the following Pacific Island Countries and areas for the contribution of data to this bulletin | L'OMS reconnaît avec reconnaissance le soutien des ministères de la santé et des partenaires dans les pays insulaires du Pacifique suivants pour la contribution des données à ce bulletin:
W1 2021 to W18 2021 | S1 2021 à S18 2021 Pacific Island Countries | Pays insulaires du Pacifique
W18
% n
168
74% 17
74% 125
Cumulative
% n Indicator
208 1. Number of sentinel sites
Nombre de sites sentinelles
77% 939 2. Number of PICs that reported Nombre de PICs qui ont rapporté
58% 121 3. Number of sites that reported Nombre de sites qui ont rapporté
Key indicators & Highlights | Indicateurs clé & faits saillants
1 W18 2021 (May 03-May 09)
1
2
1
1
Country/Area No. sites No. reported % reported AFR PF Diarrhoea DLI ILI SARI COVID-19
** AFR: Acute Fever and Rash; PF: Prolonged Fever; DLI:Diarrhoea-like Illness; ILI: Influenza-like Illness; SARI: Severe Acute Respiratory Infection
New Table
American Samoa 0 0 0% 0 0 0 0 0 0 0
Cook Islands 14 13 93% 0 0 0 7 1 0 0
Fiji 29 19 66% 0 6 94 64 37 0 0
French Polynesia 30 20 67% 0 0 81 11 131 0 0
Guam 0 0 0% 0 0 0 0 0 0 0
Kiribati 9 9 100% 0 0 109 6 190 22 0
Marshall Islands (the)
2 2 100% 0 2 12 1 9 0 0
Micronesia (Federated States of)
4 1 25% 0 0 1 0 0 0 0
Nauru 0 0 0% 0 0 0 0 0 0 0
New Caledonia 26 22 85% 0 0 45 5 25 0 0
New Zealand 0 0 0% 0 0 0 0 0 0 0
Niue 0 0 0% 0 0 0 0 0 0 0
Northern Mariana Islands (the)
8 8 100% 2 12 8 0 3 0 0
Palau 1 1 100% 1 0 9 0 0 0 0
Papua New Guinea
0 0 0% 0 0 0 0 0 0 0
Pitcairn Islands 1 1 100% 0 0 0 0 0 0 0
Samoa 0 0 0% 0 6 57 2 836 11 0
Solomon Islands 14 9 64% 0 8 152 5 150 3 0
Tokelau 3 3 100% 0 0 0 0 0 0 0
Tonga 11 5 45% 0 5 17 0 65 16 0
Tuvalu 3 3 100% 0 0 9 0 13 0 0
Vanuatu 11 7 64% 0 8 20 0 81 0 0
Wallis & Futuna 2 2 100% 0 1 6 5 3 0 0
Total 168 125 74% 3 48 620 106 1544 52 0
Figure 1a American Samoa | Samoa américaines Figure 1b N Mariana Isl. | Îles Mariannes du Nord Figure 1c Federated States of Micronesia Figure 1d Marshall Islands | Îles Marshall
Figure 1e Guam | Guam
Not reported
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1f | Palau
Country trends | AFR and PF
** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison. **No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
30
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
2
4
6
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
0
5
10
15
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
1
2
3
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
Figure 1g Tonga | Tonga Figure 1h Samoa | Samoa Figure 1i Cook Islands | Îles Cook Figure 1j Niue | Niue
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1k Tokelau | Tokelau
Figure 1l Wallis & Futuna | Wallis & Futuna Figure 1m New Caledonia | Nouvelle Calédonie Figure 1n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
2
4
6
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
20
40
60
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
1
2
W 29
2 02
0
0
1
2
W 49
2 02
0
W 53
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Wallis and Futuna, New Caledonia, French Polynesia
0
10
5
15
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
25
50
75
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
Figure 1o Kiribati | Kiribati Figure 1p Nauru | Nauru Figure 1q Fiji | Fidji Figure 1r Solomon Islands | Îles Salomon
Figure 1s Tuvalu | Tuvalu Figure 1t Vanuatu | Vanuatu Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
5 W18 2021 (May 03-May 09)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
1
2
3
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0 0
20
40
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
50
100
150
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
1
2
3
W 42
2 02
0
W 43
2 02
0
0
50
100
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 23
2 02
0
W 17
2 02
1
Figure 2a American Samoa | Samoa américaines Figure 2b N Mariana Isl. | Îles Mariannes du Nord Figure 2c Federated States of Micronesia Figure 2d Marshall Islands | Îles Marshall
Figure 2f | Palau Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
Figure 2e Guam | Guam
Country trends | Influenza like illness, SARI and Suspected COVID-19 ** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
5
10
15
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
25
50
75
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
10
20
30
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
5
10
15
20
25
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Figure 2g Tonga | Tonga Figure 2h Samoa | Samoa Figure 2i Cook Islands | Îles Cook Figure 2j Niue | Niue
Legend
SARI (Influenza-like illness that requires hospitalization) Suspected COVID-19 Influenza like illness
Figure 2k Tokelau | Tokelau
Figure 2l Wallis & Futuna | Wallis & Futuna Figure 2m New Caledonia | Nouvelle Calédonie Figure 2n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
1000
2000
3000
W 44
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
0
5
10
15
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
5
10
15
20
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
2
4
6
8
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
25
50
75
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
25
50
75
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
100
200
300
400
500
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
Figure 2o Kiribati | Kiribati Figure 2p Nauru | Nauru Figure 2q Fiji | Fidji Figure 2r Solomon Islands | Îles Salomon
Figure 2s Tuvalu | Tuvalu Figure 2t Vanuatu | Vanuatu Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
5 W18 2021 (May 03-May 09)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
600
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
100
200
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 17
2 02
1
0
200
400
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
10
20
30
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
100
200
300
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 17
2 02
1
Figure 3a American Samoa | Samoa américaines Figure 3b N Mariana Isl. | Îles Mariannes du Nord Figure 3c Federated States of Micronesia Figure 3d Marshall Islands | Îles Marshall
Figure 3e Guam | Guam Figure 3f | Palau Legend
Dengue-like Illness (DLI) Diarrhoea
Country trends | Diarrhoea and DLI ** Please note that X and Y axesvary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
5
10
15
20
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
25
50
75
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
20
40
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
10
20
30
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
Figure 3g Tonga | Tonga Figure 3h Samoa | Samoa Figure 3i Cook Islands | Îles Cook Figure 3j Niue | Niue
Legend
Dengue-like Illness (DLI) Diarrhoea
Figure 3k Tokelau | Tokelau
Figure 3l Wallis & Futuna | Wallis & Futuna Figure 3m New Caledonia | Nouvelle Calédonie Figure 3n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
1000
2000
3000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
0
10
20
30
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
2
4
6
8
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
10
5
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
50
100
150
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
25
50
75
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
50
100
150
200
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
Figure 3o Kiribati | Kiribati Figure 3p Nauru | Nauru Figure 3q Fiji | Fidji Figure 3r Solomon Islands | Îles Salomon
Figure 3s Tuvalu | Tuvalu Figure 3t Vanuatu | Vanuatu Legend
Dengue-like Illness (DLI) Diarrhoea
5 W18 2021 (May 03-May 09)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
250
500
750
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
500
1000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
W 01
2 02
6
0
10
5
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
100
200
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
Case Definitions
Syndrome Case Definition Alert Threshold
Acute Fever and Rash (AFR)
Fever plus rash(non-blistering) 1 case if there is a measles outbreak.
Prolonged fever (PF)
Fever for 3 days or more Twice the average number of cases seen in the previous 2 weeks
Influenza-like illness (ILI)
An acute respiratory infection with: measured fever of ≥ 38 C° and cough; with onset within the last 10 days.
Twice the average number of cases seen in the previous 2 weeks
Diarrhoea 3 or more loose or watery stools in 24 hours (non- bloody)
Twice the average number of cases seen in the previous 2 weeks
Suspected dengue Fever for at least 2 days, plus at least two of the following: i. Nausea or vomiting; ii. Muscle or joint pain; iii. Severe headache or pain behind the eyes; iv. Rash; v. Bleeding
Twice the average number of cases seen in the previous 3 weeks
Severe acute respiratory infection, requiring hospitalisation (SARI)
Sudden onset of fever above 38°C, cough or sore throat, shortness of breath or difficulty breathing, and requiring hospitalization.
Twice moving average in 2 weeks
COVID - 19 Twice moving average in 2 weeks
Alert thresholds Please note that the alert thresholds have been set in EWARS and you will receive instant email notification once you have surpassed the alert threshold. New Indicators ∙
∙ COVID-19 one (1) case, this is as the case definition set to identify suspected COVID- 19 including Multi-system Inflammatory cases in children. In addition, use the EBS to report details. ∙ SARI The alert threshold for SARI is set at one (1) case to increase sensitivity for its investigation as a suspected COVID-19 case and hence require laboratory confirmation or exclusion.
Once you do receive an alert, you need to follow the link to verify the alert – enter brief notes to say what the cases were, what has been done to the cases (investigation, treatment) or any other cases regarding the cases – age, gender, residence, hospitalized or not? The alerts are set to auto-discard after 2 days if no action has been taken. In addition, there are now forms available on EWARS for reporting Event Based Surveillance (EBS). Please use these to report any unusual disease patterns/symptoms, unexpected deaths, disease or deaths in animals or anything that is of concern
For more help and support, please contact:
DPS Epidemiology & Surveillance Unit
World Health Organization
Division of Pacific Technical Support
Suva, Fiji
Email: wpfjisurveillance@who.int
Notes:
The Pacific Syndromic Surveillance System (PSSS) was started in 2010. With the support of the Pacific Community, it collects sentinel surveillance data on 4 syndromes (including one optional), from 23 Pacific Island Countries and areas. The aim is to monitor trends and to trigger alerts to rapidly detect and respond to suspected outbreaks. In 2017, the system was moved to an online platform called EWARS. Data is entered online by country focal points and is then analysed using an online application. This bulletin has been published automatically from EWARS.
Le système de surveillance de la syndromie du Pacifique (PSSS) a été lancé en 2010. Avec le soutien de la Communauté du Pacifique, il collecte des données de surveillance sentinelle sur 4 syndromes (dont un optionnel), provenant de 23 pays insulaires du Pacifique. L'objectif est de surveiller les tendances et de déclencher des alertes pour détecter et répondre rapidement aux épidémies présumées. En 2017, le système a été transféré vers une plate-forme en ligne appelée EWARS. Les données sont entrées en ligne par points focaux de pays et sont ensuite analysées à l'aide d'une application en ligne. Ce bulletin a été publié automatiquement à partir d'EWARS.
mailto:shakilan@who.int
Pacific Syndromic Surveillance System Weekly Bulletin
Système de Surveillance Syndromic dans le Pacifique Bulletin Hebdomadaire
W19 2021 (May 10-May 16)
WHO gratefully acknowledges the support of Ministries of Health and partners in the following Pacific Island Countries and areas for the contribution of data to this bulletin | L'OMS reconnaît avec reconnaissance le soutien des ministères de la santé et des partenaires dans les pays insulaires du Pacifique suivants pour la contribution des données à ce bulletin:
W1 2021 to W19 2021 | S1 2021 à S19 2021 Pacific Island Countries | Pays insulaires du Pacifique
W19
% n
177
74% 17
73% 129
Cumulative
% n Indicator
208 1. Number of sentinel sites
Nombre de sites sentinelles
77% 939 2. Number of PICs that reported Nombre de PICs qui ont rapporté
58% 121 3. Number of sites that reported Nombre de sites qui ont rapporté
Key indicators & Highlights | Indicateurs clé & faits saillants
1 W19 2021 (May 10-May 16)
1
2
1
1
Country/Area No. sites No. reported % reported AFR PF Diarrhoea DLI ILI SARI COVID-19
** AFR: Acute Fever and Rash; PF: Prolonged Fever; DLI:Diarrhoea-like Illness; ILI: Influenza-like Illness; SARI: Severe Acute Respiratory Infection
New Table
American Samoa 0 0 0% 0 0 0 0 0 0 0
Cook Islands 14 13 93% 0 0 0 7 1 0 0
Fiji 29 16 55% 0 2 88 46 17 0 0
French Polynesia 30 22 73% 0 0 91 32 134 0 0
Guam 0 0 0% 0 0 0 0 0 0 0
Kiribati 9 9 100% 0 0 127 5 290 15 0
Marshall Islands (the)
2 2 100% 0 0 10 2 8 0 0
Micronesia (Federated States of)
4 2 50% 0 4 38 0 6 0 0
Nauru 0 0 0% 0 0 0 0 0 0 0
New Caledonia 26 18 69% 0 0 39 3 22 0 0
New Zealand 0 0 0% 0 0 0 0 0 0 0
Niue 0 0 0% 0 0 0 0 0 0 0
Northern Mariana Islands (the)
8 8 100% 1 14 11 0 5 0 0
Palau 1 1 100% 0 0 7 0 0 0 0
Papua New Guinea
0 0 0% 0 0 0 0 0 0 0
Pitcairn Islands 1 1 100% 0 0 0 0 0 0 0
Samoa 11 11 100% 0 17 93 0 1131 3 0
Solomon Islands 14 7 50% 0 10 226 10 104 6 0
Tokelau 3 3 100% 0 0 3 0 0 0 0
Tonga 9 10 111% 0 8 48 0 101 3 0
Tuvalu 3 3 100% 0 0 4 0 6 0 0
Vanuatu 11 1 9% 0 2 3 0 7 0 0
Wallis & Futuna 2 2 100% 0 0 3 10 3 0 0
Total 177 129 73% 1 57 791 115 1835 27 0
Figure 1a American Samoa | Samoa américaines Figure 1b N Mariana Isl. | Îles Mariannes du Nord Figure 1c Federated States of Micronesia Figure 1d Marshall Islands | Îles Marshall
Figure 1e Guam | Guam
Not reported
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1f | Palau
Country trends | AFR and PF
** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison. **No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
30
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
2
4
6
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
5
10
15
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
1
2
3
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
Figure 1g Tonga | Tonga Figure 1h Samoa | Samoa Figure 1i Cook Islands | Îles Cook Figure 1j Niue | Niue
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1k Tokelau | Tokelau
Figure 1l Wallis & Futuna | Wallis & Futuna Figure 1m New Caledonia | Nouvelle Calédonie Figure 1n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
2
4
6
8
10
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
20
40
60
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
1
2
W 29
2 02
0
0
1
2
W 49
2 02
0
W 53
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Wallis and Futuna, New Caledonia, French Polynesia
0
10
5
15
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
25
50
75
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 23
2 02
0
Figure 1o Kiribati | Kiribati Figure 1p Nauru | Nauru Figure 1q Fiji | Fidji Figure 1r Solomon Islands | Îles Salomon
Figure 1s Tuvalu | Tuvalu Figure 1t Vanuatu | Vanuatu Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
5 W19 2021 (May 10-May 16)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
1
2
3
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0 0
20
40
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 23
2 02
0
W 17
2 02
1
0
50
100
150
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
1
2
3
W 42
2 02
0
W 43
2 02
0
0
50
100
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 23
2 02
0
W 17
2 02
1
Figure 2a American Samoa | Samoa américaines Figure 2b N Mariana Isl. | Îles Mariannes du Nord Figure 2c Federated States of Micronesia Figure 2d Marshall Islands | Îles Marshall
Figure 2f | Palau Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
Figure 2e Guam | Guam
Country trends | Influenza like illness, SARI and Suspected COVID-19 ** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
5
10
15
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
25
50
75
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
10
20
30
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
5
10
15
20
25
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Figure 2g Tonga | Tonga Figure 2h Samoa | Samoa Figure 2i Cook Islands | Îles Cook Figure 2j Niue | Niue
Legend
SARI (Influenza-like illness that requires hospitalization) Suspected COVID-19 Influenza like illness
Figure 2k Tokelau | Tokelau
Figure 2l Wallis & Futuna | Wallis & Futuna Figure 2m New Caledonia | Nouvelle Calédonie Figure 2n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
150
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
1000
2000
3000
W 44
2 02
0
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
0
5
10
15
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
5
10
15
20
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
2
4
6
8
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
25
50
75
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
20
40
60
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
100
200
300
400
500
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
Figure 2o Kiribati | Kiribati Figure 2p Nauru | Nauru Figure 2q Fiji | Fidji Figure 2r Solomon Islands | Îles Salomon
Figure 2s Tuvalu | Tuvalu Figure 2t Vanuatu | Vanuatu Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
5 W19 2021 (May 10-May 16)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
600
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
100
200
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 17
2 02
1
0
200
400
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
10
20
30
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
100
200
300
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 17
2 02
1
Figure 3a American Samoa | Samoa américaines Figure 3b N Mariana Isl. | Îles Mariannes du Nord Figure 3c Federated States of Micronesia Figure 3d Marshall Islands | Îles Marshall
Figure 3e Guam | Guam Figure 3f | Palau Legend
Dengue-like Illness (DLI) Diarrhoea
Country trends | Diarrhoea and DLI ** Please note that X and Y axesvary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
5
10
15
20
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
25
50
75
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
20
40
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
10
20
30
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
Figure 3g Tonga | Tonga Figure 3h Samoa | Samoa Figure 3i Cook Islands | Îles Cook Figure 3j Niue | Niue
Legend
Dengue-like Illness (DLI) Diarrhoea
Figure 3k Tokelau | Tokelau
Figure 3l Wallis & Futuna | Wallis & Futuna Figure 3m New Caledonia | Nouvelle Calédonie Figure 3n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
1000
2000
3000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
0
10
20
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
2
4
6
8
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
10
5
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
50
100
150
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
25
50
75
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
50
100
150
200
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
Figure 3o Kiribati | Kiribati Figure 3p Nauru | Nauru Figure 3q Fiji | Fidji Figure 3r Solomon Islands | Îles Salomon
Figure 3s Tuvalu | Tuvalu Figure 3t Vanuatu | Vanuatu Legend
Dengue-like Illness (DLI) Diarrhoea
5 W19 2021 (May 10-May 16)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
250
500
750
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
500
1000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
W 01
2 02
6
0
10
5
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
100
200 W
23 2
02 0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
Case Definitions
Syndrome Case Definition Alert Threshold
Acute Fever and Rash (AFR)
Fever plus rash(non-blistering) 1 case if there is a measles outbreak.
Prolonged fever (PF)
Fever for 3 days or more Twice the average number of cases seen in the previous 2 weeks
Influenza-like illness (ILI)
An acute respiratory infection with: measured fever of ≥ 38 C° and cough; with onset within the last 10 days.
Twice the average number of cases seen in the previous 2 weeks
Diarrhoea 3 or more loose or watery stools in 24 hours (non- bloody)
Twice the average number of cases seen in the previous 2 weeks
Suspected dengue Fever for at least 2 days, plus at least two of the following: i. Nausea or vomiting; ii. Muscle or joint pain; iii. Severe headache or pain behind the eyes; iv. Rash; v. Bleeding
Twice the average number of cases seen in the previous 3 weeks
Severe acute respiratory infection, requiring hospitalisation (SARI)
Sudden onset of fever above 38°C, cough or sore throat, shortness of breath or difficulty breathing, and requiring hospitalization.
Twice moving average in 2 weeks
COVID - 19 Twice moving average in 2 weeks
Alert thresholds Please note that the alert thresholds have been set in EWARS and you will receive instant email notification once you have surpassed the alert threshold. New Indicators ∙
∙ COVID-19 one (1) case, this is as the case definition set to identify suspected COVID- 19 including Multi-system Inflammatory cases in children. In addition, use the EBS to report details. ∙ SARI The alert threshold for SARI is set at one (1) case to increase sensitivity for its investigation as a suspected COVID-19 case and hence require laboratory confirmation or exclusion.
Once you do receive an alert, you need to follow the link to verify the alert – enter brief notes to say what the cases were, what has been done to the cases (investigation, treatment) or any other cases regarding the cases – age, gender, residence, hospitalized or not? The alerts are set to auto-discard after 2 days if no action has been taken. In addition, there are now forms available on EWARS for reporting Event Based Surveillance (EBS). Please use these to report any unusual disease patterns/symptoms, unexpected deaths, disease or deaths in animals or anything that is of concern
For more help and support, please contact:
DPS Epidemiology & Surveillance Unit
World Health Organization
Division of Pacific Technical Support
Suva, Fiji
Email: wpfjisurveillance@who.int
Notes:
The Pacific Syndromic Surveillance System (PSSS) was started in 2010. With the support of the Pacific Community, it collects sentinel surveillance data on 4 syndromes (including one optional), from 23 Pacific Island Countries and areas. The aim is to monitor trends and to trigger alerts to rapidly detect and respond to suspected outbreaks. In 2017, the system was moved to an online platform called EWARS. Data is entered online by country focal points and is then analysed using an online application. This bulletin has been published automatically from EWARS.
Le système de surveillance de la syndromie du Pacifique (PSSS) a été lancé en 2010. Avec le soutien de la Communauté du Pacifique, il collecte des données de surveillance sentinelle sur 4 syndromes (dont un optionnel), provenant de 23 pays insulaires du Pacifique. L'objectif est de surveiller les tendances et de déclencher des alertes pour détecter et répondre rapidement aux épidémies présumées. En 2017, le système a été transféré vers une plate-forme en ligne appelée EWARS. Les données sont entrées en ligne par points focaux de pays et sont ensuite analysées à l'aide d'une application en ligne. Ce bulletin a été publié automatiquement à partir d'EWARS.
mailto:shakilan@who.int
Pacific Syndromic Surveillance System Weekly Bulletin
Système de Surveillance Syndromic dans le Pacifique Bulletin Hebdomadaire
W20 2021 (May 17-May 23)
WHO gratefully acknowledges the support of Ministries of Health and partners in the following Pacific Island Countries and areas for the contribution of data to this bulletin | L'OMS reconnaît avec reconnaissance le soutien des ministères de la santé et des partenaires dans les pays insulaires du Pacifique suivants pour la contribution des données à ce bulletin:
W1 2021 to W20 2021 | S1 2021 à S20 2021 Pacific Island Countries | Pays insulaires du Pacifique
W20
% n
193
74% 17
68% 132
Cumulative
% n Indicator
208 1. Number of sentinel sites
Nombre de sites sentinelles
77% 939 2. Number of PICs that reported Nombre de PICs qui ont rapporté
58% 121 3. Number of sites that reported Nombre de sites qui ont rapporté
Key indicators & Highlights | Indicateurs clé & faits saillants
1 W20 2021 (May 17-May 23)
1
2
1
1
Country/Area No. sites No. reported % reported AFR PF Diarrhoea DLI ILI SARI COVID-19
** AFR: Acute Fever and Rash; PF: Prolonged Fever; DLI:Diarrhoea-like Illness; ILI: Influenza-like Illness; SARI: Severe Acute Respiratory Infection
New Table
American Samoa 0 0 0% 0 0 0 0 0 0 0
Cook Islands 14 13 93% 0 0 0 6 1 0 0
Fiji 29 15 52% 0 2 67 38 7 0 0
French Polynesia 60 41 68% 0 0 162 86 222 0 0
Guam 0 0 0% 0 0 0 0 0 0 0
Kiribati 9 9 100% 0 1 129 8 262 16 0
Marshall Islands (the)
2 2 100% 0 1 11 1 22 0 0
Micronesia (Federated States of)
0 0 0% 0 0 0 0 0 0 0
Nauru 0 0 0% 0 0 0 0 0 0 0
New Caledonia 26 15 58% 0 0 27 4 31 0 0
New Zealand 0 0 0% 0 0 0 0 0 0 0
Niue 0 0 0% 0 0 0 0 0 0 0
Northern Mariana Islands (the)
8 8 100% 1 21 8 0 8 0 0
Palau 1 1 100% 0 0 13 1 0 0 0
Papua New Guinea
0 0 0% 0 0 0 0 0 0 0
Pitcairn Islands 1 1 100% 0 0 0 0 0 0 0
Samoa 0 0 0% 0 21 75 1 904 13 0
Solomon Islands 14 8 57% 0 12 274 8 78 7 0
Tokelau 3 3 100% 0 0 0 0 0 0 0
Tonga 10 9 90% 0 6 64 0 105 13 0
Tuvalu 3 3 100% 0 0 6 0 11 0 0
Vanuatu 11 2 18% 0 0 0 0 21 0 0
Wallis & Futuna 2 2 100% 0 0 6 10 10 0 0
Total 193 132 68% 1 64 842 163 1682 49 0
Figure 1a American Samoa | Samoa américaines Figure 1b N Mariana Isl. | Îles Mariannes du Nord Figure 1c Federated States of Micronesia Figure 1d Marshall Islands | Îles Marshall
Figure 1e Guam | Guam
Not reported
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1f | Palau
Country trends | AFR and PF
** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison. **No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
10
20
30
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
2
4
6
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
5
10
15
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
1
2
3
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
Figure 1g Tonga | Tonga Figure 1h Samoa | Samoa Figure 1i Cook Islands | Îles Cook Figure 1j Niue | Niue
Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
Figure 1k Tokelau | Tokelau
Figure 1l Wallis & Futuna | Wallis & Futuna Figure 1m New Caledonia | Nouvelle Calédonie Figure 1n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
2
4
6
8
10
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
20
40
60
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
1
2
W 29
2 02
0
0
1
2
W 49
2 02
0
W 53
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
Wallis and Futuna, New Caledonia, French Polynesia
0
10
5
15
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
25
50
75
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 23
2 02
0
Figure 1o Kiribati | Kiribati Figure 1p Nauru | Nauru Figure 1q Fiji | Fidji Figure 1r Solomon Islands | Îles Salomon
Figure 1s Tuvalu | Tuvalu Figure 1t Vanuatu | Vanuatu Legend
Acute Fever and Rash (AFR) Prolonged Fever (PF)
5 W20 2021 (May 17-May 23)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
1
2
3
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
20
40
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 23
2 02
0
W 17
2 02
1
0
50
100
150
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
1
2
3
W 42
2 02
0
W 43
2 02
0
0
50
100
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 23
2 02
0
W 17
2 02
1
Figure 2a American Samoa | Samoa américaines Figure 2b N Mariana Isl. | Îles Mariannes du Nord Figure 2c Federated States of Micronesia Figure 2d Marshall Islands | Îles Marshall
Figure 2f | Palau Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
Figure 2e Guam | Guam
Country trends | Influenza like illness, SARI and Suspected COVID-19 ** Please note that X and Y axes vary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
5
10
15
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
20
40
60
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
10
20
30
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
5
10
15
20
25
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Figure 2g Tonga | Tonga Figure 2h Samoa | Samoa Figure 2i Cook Islands | Îles Cook Figure 2j Niue | Niue
Legend
SARI (Influenza-like illness that requires hospitalization) Suspected COVID-19 Influenza like illness
Figure 2k Tokelau | Tokelau
Figure 2l Wallis & Futuna | Wallis & Futuna Figure 2m New Caledonia | Nouvelle Calédonie Figure 2n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
150
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
1000
2000
3000
W 44
2 02
0
W 49
20 20
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
0
5
10
15
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
5
10
15
20
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
2
4
6
8
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
25
50
75
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
20
40
60
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
200
400
600 W
23 2
02 0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
Figure 2o Kiribati | Kiribati Figure 2p Nauru | Nauru Figure 2q Fiji | Fidji Figure 2r Solomon Islands | Îles Salomon
Figure 2s Tuvalu | Tuvalu Figure 2t Vanuatu | Vanuatu Legend
SARI (Influenza-like illness that requires hospitalization) COVID-19 Influenza-like illness
5 W20 2021 (May 17-May 23)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
600
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
100
200
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 17
2 02
1
0
200
400
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
0
10
20
30
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
100
200
300 W
23 2
02 0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
Figure 3a American Samoa | Samoa américaines Figure 3b N Mariana Isl. | Îles Mariannes du Nord Figure 3c Federated States of Micronesia Figure 3d Marshall Islands | Îles Marshall
Figure 3e Guam | Guam Figure 3f | Palau Legend
Dengue-like Illness (DLI) Diarrhoea
Country trends | Diarrhoea and DLI ** Please note that X and Y axesvary by country depending on data availability and magnitude of data. Please pay attention to the scale of the X and Y axis prior to data interpretation and comparison.
** No line indicates data not reported.
American Samoa, CNMI, FSM, RMI, Guam, Palau
0
5
10
15
20
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
25
50
75
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
20
40
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
10
20
30
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
Figure 3g Tonga | Tonga Figure 3h Samoa | Samoa Figure 3i Cook Islands | Îles Cook Figure 3j Niue | Niue
Legend
Dengue-like Illness (DLI) Diarrhoea
Figure 3k Tokelau | Tokelau
Figure 3l Wallis & Futuna | Wallis & Futuna Figure 3m New Caledonia | Nouvelle Calédonie Figure 3n French Polynesia | Polynésie française
Tonga, Samoa, Cooks Island, Niue, Tokelau
0
50
100
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
1000
2000
3000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
0
10
20
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
2
4
6
8
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
0
2
4
6
8
10
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
Wallis and Futuna, New Caledonia, French Polynesia
0
50
100
150
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
25
50
75
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
100
200 W
23 2
02 0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
Figure 3o Kiribati | Kiribati Figure 3p Nauru | Nauru Figure 3q Fiji | Fidji Figure 3r Solomon Islands | Îles Salomon
Figure 3s Tuvalu | Tuvalu Figure 3t Vanuatu | Vanuatu Legend
Dengue-like Illness (DLI) Diarrhoea
5 W20 2021 (May 17-May 23)
Kiribati, Nauru, Fiji, Solomon Islands, Tuvalu, Vanuatu
0
200
400
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
250
500
750
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
500
1000
W 05
2 02
5
W 09
2 02
5
W 14
2 02
5
W 18
2 02
5
W 22
2 02
5
W 27
2 02
5
W 31
2 02
5
W 36
2 02
5
W 40
2 02
5
W 44
2 02
5
W 49
2 02
5
W 01
2 02
6
0
10
5
W 23
2 02
0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
0
100
200 W
23 2
02 0
W 27
2 02
0
W 31
2 02
0
W 36
2 02
0
W 40
2 02
0
W 44
2 02
0
W 49
2 02
0
W 53
2 02
0
W 05
2 02
1
W 09
2 02
1
W 13
2 02
1
W 17
2 02
1
Case Definitions
Syndrome Case Definition Alert Threshold
Acute Fever and Rash (AFR)
Fever plus rash(non-blistering) 1 case if there is a measles outbreak.
Prolonged fever (PF)
Fever for 3 days or more Twice the average number of cases seen in the previous 2 weeks
Influenza-like illness (ILI)
An acute respiratory infection with: measured fever of ≥ 38 C° and cough; with onset within the last 10 days.
Twice the average number of cases seen in the previous 2 weeks
Diarrhoea 3 or more loose or watery stools in 24 hours (non- bloody)
Twice the average number of cases seen in the previous 2 weeks
Suspected dengue Fever for at least 2 days, plus at least two of the following: i. Nausea or vomiting; ii. Muscle or joint pain; iii. Severe headache or pain behind the eyes; iv. Rash; v. Bleeding
Twice the average number of cases seen in the previous 3 weeks
Severe acute respiratory infection, requiring hospitalisation (SARI)
Sudden onset of fever above 38°C, cough or sore throat, shortness of breath or difficulty breathing, and requiring hospitalization.
Twice moving average in 2 weeks
COVID - 19 Twice moving average in 2 weeks
Alert thresholds Please note that the alert thresholds have been set in EWARS and you will receive instant email notification once you have surpassed the alert threshold. New Indicators ∙
∙ COVID-19 one (1) case, this is as the case definition set to identify suspected COVID- 19 including Multi-system Inflammatory cases in children. In addition, use the EBS to report details. ∙ SARI The alert threshold for SARI is set at one (1) case to increase sensitivity for its investigation as a suspected COVID-19 case and hence require laboratory confirmation or exclusion.
Once you do receive an alert, you need to follow the link to verify the alert – enter brief notes to say what the cases were, what has been done to the cases (investigation, treatment) or any other cases regarding the cases – age, gender, residence, hospitalized or not? The alerts are set to auto-discard after 2 days if no action has been taken. In addition, there are now forms available on EWARS for reporting Event Based Surveillance (EBS). Please use these to report any unusual disease patterns/symptoms, unexpected deaths, disease or deaths in animals or anything that is of concern
For more help and support, please contact:
DPS Epidemiology & Surveillance Unit
World Health Organization
Division of Pacific Technical Support
Suva, Fiji
Email: wpfjisurveillance@who.int
Notes:
The Pacific Syndromic Surveillance System (PSSS) was started in 2010. With the support of the Pacific Community, it collects sentinel surveillance data on 4 syndromes (including one optional), from 23 Pacific Island Countries and areas. The aim is to monitor trends and to trigger alerts to rapidly detect and respond to suspected outbreaks. In 2017, the system was moved to an online platform called EWARS. Data is entered online by country focal points and is then analysed using an online application. This bulletin has been published automatically from EWARS.
Le système de surveillance de la syndromie du Pacifique (PSSS) a été lancé en 2010. Avec le soutien de la Communauté du Pacifique, il collecte des données de surveillance sentinelle sur 4 syndromes (dont un optionnel), provenant de 23 pays insulaires du Pacifique. L'objectif est de surveiller les tendances et de déclencher des alertes pour détecter et répondre rapidement aux épidémies présumées. En 2017, le système a été transféré vers une plate-forme en ligne appelée EWARS. Les données sont entrées en ligne par points focaux de pays et sont ensuite analysées à l'aide d'une application en ligne. Ce bulletin a été publié automatiquement à partir d'EWARS.
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