Republic of the Philippines } Department of Health Monthly Dengue Report Koganaran ra Kaluougan Report No. Z rou merine atu ae ue need REACT Dengue Surveillance Update Dengue fever and the more severe form, dengue hemorrhagic fever, are caused by any of the four serotypes of dengue vius (types 1,2, 3, and 4). An infected day-biting female Aedes mosquito transmits this viral disease to humans. This repor provides data from the period of January 1 to July 28, 2018 or Morbidity Weeks 1 - 30, PIDSR Case Definition for Dengue Diseases Clinical Classification + Dengue Without Warning Signs A previously well person with acute febrile illness of 2-7 days duration plus two of the following: = “Headache > Body malaise > Myalaia = arthralgia = Retro-orbital pain > Anorexia Nausea = Vomiting > Diarrhea = Flushed skin ~ Rash (petecheal, Herman's sign) ‘+ Dengue With Warning Signs A previously well person with acute febrile illness of 2-7 days duration fA L. SUCALDITO, MD, PHSAE Medical Gfficer V MARIE! A. DEJESA, MB, MPM plus any one of the following: y icerlv Abdominal pain or tenderness = Persistent vomiting , HERI L. HIzoN = Ginical signs of fuid accumulation onto) Healt prams omncee ~ Mucosal bleeding Data Integrity Manager ~ Lethargy, restlessness ed a = Liver enlargement ____Labastoryereasein Het andor decreasing pate count Eee tonn clnetaicen ~_ Apreviously well person with acute febrile ines of 2-7 days Nursilll duration and any of the clinical manifestations for dengue with or 4 Without waming signs, | JUNE CANTAT#/B. CORPUZ, RN Plus any othe folowing paket Severe plasma leakage leading to urse ~ Shock a - Fluid accumulation wih respiratory distress sovsS.Conico, RN Sovere bieoding 5 ha urge ~ Liver: AST or ALT >1000 ‘ CNS: eg. seizures, impaired consciousness VAN FARRAR &:IBEA, Rit = Heart: eg. myocarditis Kidneys: e.g renal failure Nurse il Case Classification + Suspect Appreviously well person with acute febrile ness of 2-7 days duration ‘with clinical signs and symptoms of dengue . ible A suspect case plus: Laboratory test, at least CBC (leucopenia with or without thrombocytopenia) and/or Dengue NS", antigen test or ‘dengue IgM antibody test (optional) + Confirmed = Viral culture isolation, = Polymerase Chain Reaction ose counts reported here do NOT represent the fino number ond are subject to change ofter inclusion of delayed reports and review ofcases. Al 20t7 end 2018 ‘dota elects portal data aly of al regions. ‘A POF fle ofthis report is avaiable ot wns doh aovahstoistics, Page 1 of 6Republic othe Philippines Department of Health Monthly Dengue Report Kagaworan ng Kaliougan Report No. 7 Eyer aati) = tue Seu R LL Lad |. Trend in the Philippines A total of 69,088 dengue cases were reported nationwide from January 1 to July 28, 2018. This is 6% lower compared to the ‘same time period last year (65,878). ‘Figure 1 shows weekly comparative data of Reported Dengue cases 2018 vs 5-year average ‘same time period, Figure 1. Reported Dengue Cases by Morbidity Week vs 5-Year Average Philippines, January 1 - July 28, 2018 (N=89,088) No. ofCases 000 5.00 5.000 4500 4,00 2600 3.00 2500 2,000 1300 1,000 sa ]afalels[7[e[ololuinlwlw[wl wiv iw) wl alate etme Tpit =a 7 9 oe eta 2 toa ra ara ea at a ae faa isan. card 7 [Fie aur Avera Phen o,f. 50 az a i 7a aa cr a8 a (remaasions soibonr anlar Morbidity Week |. Geographic Distribution “Table 1 shows that majority of the cases were from the following regions: Region Il (16%), NCR and Region IV-A(13%), Region X (6%) and Region VI and Region | (7%) ‘Some regions have a significant increase in the number of cases compared to same time period from last year: Region | (98%), MIMAROPA (88%), CAR (74%) Region X (57%), Region I! (33%), Region V (24%), Region IVA (22%), Region Ill (20%), and Region VI (19%), CARAGA (11%), NCR (6%). ose counts reported here do NOT represent the fina number and are subject to chengeofter inclusion of delayed reports and review of cases All2017 and 2018 dota elects porte data only ofa egos. ‘ADF fle ofthis reports avalobeat wnnw.doh.gov.oh/stattics. Page 2 of 6Republic ofthe Philippines Department of Health Monthly Dengue Report ‘Kagawaran ng Kalusugan Report No Eocene erie January to Jul PIS e aster Table 1. Reported Dengue Cases by Region Philippines, January 1 ~ July 28, 2018 vs January 1 — July 28, 2017 t 4800, (794) 20, (6%) | 2318, (4%) 8, (2%) 798 w 2042, (3%) 8, 2%) 1532, (2%) 6. (2%) 793) tw 10804, (16%) | 31, (8%) | 8087, (14%) | 29, (8%) 720 VA ‘8901, (13%) 56, (15%) | 7286, (11%) | 23, (6%) 722. MIMAROPA 2423, (4%) 12, (8%) | 1288, (2%) 3.1%) 788 Vv 1401, (2%) 17, (5%) | 1133, @%) 8.2%) 724 vi 5080, (7%) 28, (8%) | 4289, (79%) 37.10%) | M19 vil 3803, (6%) 28, (6%) | 8184, (12%) | 77, (22%) | Vea vil 2187, (3%) 22, 16%) | 2627, (4%) 12, (3%) Mir x 2181, (3%) 42.(9%) | 3202, (6%) 22, (6%) a2 x (6176, (9%) 44, (12%) _ | 3922, (6%) 16, (5%) 087 x! 1995, (3%) 6. (25%) 2378, (4%) 18, (6%) vie xi 3370, (5%) 13, (436) | 5848, (8%) 22, (6%) wan ‘ARMIN 1066, (2%) 44.14%) | 1308, (2%) 12, (3%) vig CAR 1904, (8%) 4, (1%) 1093, (2%) 2.1%) a74 CARAGA 1682, (3%) 5. (136) 1711, %) 8, (236) ait NCR 9263, (13%) 46, (13%) | 8778, (13%) | 54, (15%) | 08 IL Profile of Cases ‘A. Profile of Reported Dengue Cases ‘Age of suspect cases ranged from less than 1 month to 99 years (median age of 13 years), Majorty of the cases (36,617, 53%) were male, Most of the cases belonged to the 10-14 years age group (15,686,23%). (Figure 2) Figure 2. Reported Dengue Cases by Age Group and Sex (N= 69,088) Philippines, January 1 ~July 2 ‘Age group (in years) Male OFemale 60 and above 56.50 50.54 45.49 40-44 35-39 3034 25.29 20.24 1519 10-14 59 04 10000 8000 6000 4000 2000 ~=-0 ~=— 2000 4000-6000 8000 10000 No. of Cases ose counts reported here do NOT represent the fina number and are subject to change after inclusion of delayed repots ond review of cases Al!2017 ond 2018 ‘eta efletsportiol dota only of al regions. ‘ADF fie of this reports valabe at yn doh av. oh/stotste Page 3 of 6‘Republic of the Philippines Department of Health Monthly Dengue Report Keganaren og Kahugan Report No. 7. exonerate teas ace eu eed RCN eI} B. Profile of Confirmed Dengue Cases Out of (69,088 reported Dengue cases nationwide, 29,925 (43%) cases were tested. Out of the tested, 301 (1%) cases were confirmed via PCR, Figure 3. Confirmed Dengue Cases by Morbidity Week (n=301) Philippines, January 1- July 28, 2018 No. of Cases 25 23 21 19 7 18 3 1" 9 7 8 3 1 '13|14|15|16|17|18|19] '23|24|25|26|27|28 29] 2018 /16|11|24/24]13)/11]11/ 7 |13]10/ 6 | 4[3[2 6/4] 7] §)10|7| 8 | 8 [13] 6 |14]12/11| 7 j2ole Morbidity Week Table 2 shows that majority of the confirmed Dengue cases were from the following regions: Region Ill (71, 24%), Region XI (64, 18%), NCR (41, 14%), ARMM (22.7%), and Region IX (18, 6%). The predominant serotype from January 1 to July 28, 2018 is DENVS (162 cases, 54%) followed by DENV 1 (76 cases, 25%), DENV 2 (65 cases, 18%) and DENV4 (8 cases. 3%) Table 2. Confirmed Dengue Cases by Region and Serotype ( Philippines, January 1-July 28, 2018 =301) nae ery Dengue 1 Dengue 2 Denguo3 Dengue 4 Total q 2 4 12 0 18 w o 4 5 0 6 0 15 9 45 2 71 WA 3 2 5 0 10 ‘MIMAROPA O oO oO oO oO Vv 3 o 14 0 a7 vi oO O 4 o 1 vil o 3 5 1 8 Vu 0 2 4 oO 8 x 7 1 0 0 18 x 7 4 o oO 8 xi 14 12 26 2 54 xi 0 o 4 0 4 ARMM. 5 6 1" oO 22 CAR i 2 6 i 2 CARAGA 1 6 o oO id NCR 6 9 24 2 a ose counts reported here do NOY represent the fia] number and are subject to change after inclusion of deloyed reports and review of cases All 2017 and 2018 iota reflect parti data ory ofa egions ‘A PDF fil ofthis report i avollobleot won doh ov ph/ttistis. Page 4 of 6Republic of the Philippines Department of Health Monthly Dengue Report ‘Kagawaran ng Kalusugan Report No. 7 Saree metic ese eure nee SCO URR ae} ‘Age of confirmed Dengue cases ranged from less than 1 year old to 84 years old (median year of 12 years). Majority ofthe confirmed cases (156, 52%) were female. 108 (36%) of the confirmed cases belonged to the 10-14 years age group. (Figure 4) Figure 4. Confirmed Dengue Cases by Age Group and Sex (n=301) Philippines, January 1 ~ July 28, 2018 5 Male oFemale ‘Age group (in years) 60 and above 55-59 50-54 45-49 40-44 35-39 30-34 25-29 20-24 16-19 10-14 59 04 60 55 50 45 40 35 30 25 20 15 10 5 0 § 10 15 20 25 30 35 40 45 50 55 60 No. of Cases C. Profile of Reported Dengue Deaths There were 286 deaths (CFR = 0.53%) reported from January 1 to July 28, 2018. This is higher compared to the same period last year, 355 deaths (CFR=0.53%). The provinces with the highest number of deaths were from Rizal (29 deaths, 8%), Nogros Occidental (19,6%), Misamis Occidental (19,5%), Cebu (18 deaths, 5%), Cavite (11 deaths, 3%), Zamboanga del Sur (11 deaths, 3%), Camarines Sur (11 deaths, 35%), Quezon City (11 deaths, 3%), Leyte (11 deaths, 3%), and Pangasinan (11 deaths, 3%), Table 3. Top Provinces with Highest Reported Dengue Deaths (n=366) Philippines January 1 — July 28, 2018 29 Rizal 8 Negros Occidental 19 5 Misamis Occidental 19 5 Cebu 18 5 Cavite 11 3 Zamboanga Del Sur 11 3 Camarines Sur 14 3 Quezon City iL 3 Leyte iL 3 Pangasinan a 3 ose counts reported here do NOT represent the final number and ore subject te chonge ater inclsion of delayed reports and review of cose. All 2017 ond 2018 dota rjlects pata data only fal regions. ‘APOF le of this report is avalobeat ww doh aov.oh/satstes Page 5 of 6Ropubli of the Philippines Department of Health Monthly Dengue Report Kagaweran og Kahusugan Report No. 7 Epidemiology Bureau ROU ACN Ne} fata Stare eud) ‘Age of deaths ranged from less than 1 year old to 93 years old (median age of 7 years). Majority (193, 53%) of the cases were female. Most of the reported Dengue deaths belonged to 6-9 years age group (132, 36%). (Figure 6) Figure 6. Reported Dongue Deaths by Age Group and Sex (n=366) Philippines, January 1 ~July 28, 2018 aMale Female ‘Age group (in years) 60 and above 55-59 50-54 48-49 40-44 35.39 30-34 25-29 20-24 15-19 10-14 5.9 04 80 70 60 50 40 30 20 10 0 10 20 30 40 50 60 70 80 No. of Cases cose counts reported here do NOT represent he final number and are ubjectto change after inclusion of deloyed reports ond review of eases All2017 ond 2018 ‘iota reflects paral dota only ofa regions. ‘APOF il ofthis report is avaoble at www doh gv.ph/statisties. Page 6 of 6