WorldHealthOrganizationRegionalOfficeforSouthEastAsia

Region

SEARODengueSituationUpdate,24September2012

Denguecontinuestobemajorpublichealthconcernsintheregion.Onlyin3countries
havethenumberofreportedcasesdecliningfrom2011to2012(Maldives,Nepaland
Thailand),whileIndia,Indonesia,Myanmar,SriLankaandTimorLesteontheopposite,
havereportedmorecasesin2012(duringthesamereportingperiod).

Table1Cumulativereportednumberofdenguecasesin2012tillAugustincomparisontothe
sameperiodin2011.Note:BangladeshandBhutandataisnotavailablefor2012.

Countries
Numberofreportedcases
Trend

Bangladesh
Bhutan
India
Indonesia
Maldives
Myanmar
Nepal
Sri Lanka
Thailand

2012

2011

Yet to be received
Yet to be received

Ratio 2012/2011

1362
712

11465

4186

2.7

45964

35703

1.3

751

2909

0.3

5060

3016

1.7

21

59

0.4

29835

17235

1.7

27573

34744

0.8

Timor Leste
928
352
2.6
Total
121597
100278
*Thetableisbasedonthenumberofreportedcases.Denguereportingsystemsvarybycountryandany
changeinthesurveillancesystemovertimeisnotreflectedintheabovefigures.Numberofreported
caseslistedfor2011and2012areforthesameperiodforeachrespectedyear.

India:11465casesreportedin2012.with83deaths(CFR0,7%)comparedto55deaths
(CFR1,3%)inthecorrespondingperiodof2011.Mostcasesin2012arereportedfrom
southernstatesandWestBengal.

Indonesia:408deathsin2012comparedto255deathsin2011,withCFR0,86%and
0,80%,respectively.CFRremainsthesameasnumberofcasesin2012ishigherthanthe
previousyear.

Maldives:Sofar1deathreportedin2012(CFR0,13%),whilein2011withanoutbreak
14deathsreported(CFR0,41%).

Nepalcontinuestoharborveryfewcases(<100)andlowactivity.

SriLanka:numberofcasesishigherthisyearandinterventionsaretakingplace(aerial
spraying,casemanagement).85deathshavebeenreported(CFR0,28%)against0,7%in
2011.Molecularsurveillanceisongoing,withDENV1foundasthemostcommon
serotype.

Thailand:Upto31July2012thetrendhasbeendecreasing(CFRin2011and2011are
0,1%and0,07%,respectively)comparedtothesameperiodin2011.August2012,
however,shoedasharpincreasewith9014casesand42deaths(0,47%CFR).

TimorLeste:in2012,outbreakofdengueoccurredin5outof13districts(Dili,
Manatuto,Baucau,Viqueque,Liquica)withDIliandManatutoreportingmostcases,
whileViquequeandLiquicawherenormallyreports<5caseshaveseen510times
increase.

Belowisthecumulativetablereportingnumberofcasesin2010and2011.

Table2.Reportednumberofdenguecasesin2010and2011

Countries
Bangladesh
Bhutan
India
Indonesia
Maldives
Myanmar
Nepal
Sri Lanka
Thailand
Timor Leste
Total

Trend

Number of reported cases

2010
2011
409
1362
887

712

Ratio 2011/2010
3.3
0.8

28292

17744

0.6

155777

58065

0.4

740

2909

3.9

16318

4738

0.3

917

79

0.1

34105

27162

0.8

116947

64374

0.6

745
355137

358
177503

0.5

Overallthetotalreportednumberofcasesdecreasedin2011,withonlyMaldivesand
Bangladeshreportedanincreaseofcases.

Figure1.NotificationofDengueCasesinSriLankabymonth,20102012

Notificationofdenguecasesbymonth,201012
7000

2012

5801

6000
No.ofnotifications

5029

5000

2010

2011

4804

3986

4000
3145
2628

3000

2468
1974

2000
1000
0
Jan

Source:MoH

Feb

Mar

Apr

May

Jun
Month

Jul

Aug

Sep

Oct

Nov

Dec

Figure2.WeeklytrendsofreporteddenguecasesinMaldives,2010to2012(uptoweek36:2
8September)

Source:CentreforCommunityHealthandDiseaseControl,EpidemiologyandSurveillance
Unit,MoH