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    2019 Dengue Monthly Report No. 8 PDF

    Uploaded by

    Joebert Bangsoy

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    © All Rights Reserved
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    of 6
    Republic of the Philipines. Department ot Health Kagawaran ng Kalusugan (eae yee Dengue Surveillance Update Brite Gy Monthly Dengue Report Report No. 8 Dengue fever and the more severe form, dengue hemorrhagic fever, are caused by any of the four serotypes of dengue virus (types 1.2.3, and 4). An infected day-biting female Aedes mosquito transmits this viral disease to humans. This report provides data from the perio of January 1 to August 31 or Morbidity Weeks 1 ~ 35, PIDSR Case Definition for Dengue Diseases Clinical Classification ‘© Dengue Without Warning Sians A previously well person with acute febrile illness of 2-7 days duration plus two of the following: ~ Headache ~ Body malaise ~ Myalgia + Arthralgia ~ Retro-otbital 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 plus any one of the folowing: = Abdominal pain of tendemess Persistent vorriting + Clinical signs of fuld accumulation = Mucosal bleeding Lethargy, restlessness - Liver enlargement = Laboratory: increase in Het andlor decreasing platelet count, ‘A previously well person with acute febrile ilness of 2-7 days duration ‘and any ofthe clinical manifestations for dengue with or without ‘waming signs, Plus any of the following: ‘Severe plasma leakage leading to = Shock - Fluid accumulation with respiratory distress Severe bleeding Severe organ impairment ~ Liver: AST or ALT >1000 = CNS: e9. seizures, Impaired consciousness Heart: e.g. myocarditis Kidneys: e.g. renal failure Tase Classification + Suspect ‘A previously well person with acute febrile illness of 2-7 days duration with clinical signs and symptoms of dengue + Probable ‘A suspect case plus Laboratory tes, atleast CBC (leucopenia with or without thrombocytopenia) and/or Dengue NS1, antigen test or dengue 19M antibody test (optional) + Confirmed = Viral culture isolation, + Polymerase Chain Reaction FERCHITO LY Officer-in-Chafge, Epidemiology Bureau MA. VIKKI CARR-DELOS REYES, MD, PHSAE ical Speciaist It JERDIE L. HIZON ‘Supervising Health Program Officer ‘Nurse it EDRIZ NOELLE E. RUEZO, RN ‘Nurse I! Case counts reported here do NOT rearesen the fine number and ae subject to change ofter inclusion of delayed reprts ond review of cases. All 2038 data reflects poral data only ofa regons, subject ta change once annul 2018 deta is complete. Percentages may not equa te 100 due te rounding off of figures: ‘A POF fle ofthis report is availble at wv. doh cov phstotists. Page 1 of 6 Repubic ofthe Piprines Department of Health Monthly Dengue Report Report No. 8 SCE cee 5) |, Trend in the Philippines ‘A total of 271,480 Dengue cases were reported nationwide from January 1 to August 31, This is 95% higher compared to the same period last year (85,981). Figure 1 shows weekly data of reported dengue cases in 2019 compared to alert and epidemic thresholds. re 4. Reported Dengue Cases (N=271,480) ‘Morbidity Weeks 1 - 35 (January 1- August 31, 2019) vs Epidemic and Alert Thresholds 2019 — = Alert threshold ——Epidemic threshold No. of Cases 16,000 14,000 12,000 10,000 8,000 6,000 4000 2,000 123-4587 8 9 1011121318 151817 18192021 2225.24 25.26.27 28.29.9031 2259.94 95967 989940. 42.48.4445 4647484960 516 Morbidity Week I, Geographic Distribution ‘Table 1 shows that majority of the cases were from the following regions: Region VI (45,438 or 17%), Region IV-A (39,810 or 15%), Region X (19,925 or 7%), Region Ill (19,088 or 794) and NCR (18,136 or 7%). ‘The regions with the highest percent increase in the number of reported cases for this year compared to last year were: Region 1X (430%), Region VI (375%), Region Vill (326%), Region V (243%), and Region Xil (218%). ‘cose counts reported here do NOT represent the final number and ae subject to change after inclusion of delayed reports oneview of cases. ll 2018 dota ‘reflects parialéote oni of ol regiens, subject to chenge ance annul 2028 datas completed Percentages may not equal to 00 due to rounding of of figures ‘APOF fl ofthis reports available ot wes. doh aou.oh/staits Page 2 of 6 ‘Repubiic of the Philippines Department of Health Monthly Dengue Report Kegawaran ng Kalusugan Report No. 8 ein SE 5 Public Health Surveillance Division pv aead Mears aaetaeeanl tbs een Table 1. Reported Dengue Cases by Region Figure 2. Attack Rate of Reported Dengue Cases by Philippines, January 1 — August 31, 2019 vs January 1 — August 31, 2018 Region Philippines, January 1 — August 31, 2019 i 10,892 | 25 | 9.988 T 10,982 _59_| 6.704 i 19.088 | 55 | 19,307 IVACALABARZON | 39,810 | 124 | 16,005 IV-BMIMAROPA [7,272 | 19 | 4,761 Vv. 6976 | 62 | 2.039 Vi 45,345_| 201 | 9.651 Vil 16.338_| 97 | 7.584 Vil 18,107 |62_| 4219 ik 18505 | 94 | 3.493 x 19.925 | 76 | 11,203 xi 5975 [31 | 3.371 il 16.956_| 67 | 6,383 ARMM, 3.456 | 26 | 1,601 ‘CAR 5272 | 17_| 4,332 Caraga 3.445 | 19 | 3,450 NCR 18,196 | 93 | 14,476 Il, Profile of Cases A. Profile of Reported Dengue Cases ‘Age of suspect cases ranged from less than 1 month to 100 years (median age of 12 years). Majority of the cases (142,190 or 52%) were male, Most of the cases belonged to the 5.9 years age group (61,530 or 23%) (Figure 3). Figure 3. Reported Dengue Cases by Age Group and Sex (N=271,480) Philippines, January 1 ~ August 31, 2019 ‘Age group (in years) tale Female 260 55.59 50-54 45-49 40-44 36-39 30-34 25.29 20-24 16-19 10-14 59 1,530 <4 n=42,291 35000 28000 21000 14000 7000 0 7000 14000 21000 28000 35000 No. of Cases ose counts reported here do NOT represen the fina! number and are subject to chonge after inclusion of delayed cepors and review of cases. ll 2018 dato ‘reflects partial dato only fl regions, subject fo change once anival 2018 datas completed, Percentages may not equol to 100 dve 1 rounding of of furs. ‘APOE fil ofthis reports avaobe at win doh gouphistatsis Page 3 of 6 ‘Republic of the Philippines Department of Health Monthly Dengue Report Kagawaran ng Kalusugan Report No. 8 Cee Res) SEO) B._ Profile of Confirmed Dengue Cases Out of 271,480 reported Dengue cases nationwide, 194,213 (48%) cases were tested. Out of the tested, 714 (0.9%) cases were confirmed via PCR. Figure 4. Confirmed Dengue Cases by Morbidity Week (n=714) Philippines, January 1 - August 31, 2019 No. of Cases 60 50 40 30 20 10 e 5 8} 16|17|18) 19/29 339435 (w2018]35|45|51]35]s0sof 7] 122210252 zo] 17191914142] sles|selselsi|az|ia] «| o| fo Morbidity Week The predominant serotype from January 1 to August 31 is DENVS (481 cases or 67%) folowed by DENV 1 (122 cases or 17%), DENV 2 (87 cases or 14%), DENY 4 (11 cases or 29) and mixed serotype (3 case or 0.4%). Majoiy ofthe confirmed Dengue cases were from the folowing regions: Region IVA (127 or 18%), Region IX (105 or 15%), Region Il (97 or 14%), and Region X1(73 oF 10%) (Table 2), Table 2. Confirmed Dengue Cases by Region and Serotype (n=714) Philippines, January 1 — August 31, 2018 26 94 25 98 13 8 10 8 7 76 0 20 28 10 14 l u W IV-A CALABARZON IV-B MIMAROPA Vv vi Vil 1% x XI XI BARMM. CAR CARAGA 6 NCR 35 ase counts reported here do NOT represent the fil number ond re subject to chonge efter inclusion of delayed reports and review of cases. All2018 dota reflects partiol dot ony of ll regions, subject o change nce annuel 2018 dats complete. Percentages may act equal 0100 due to rounding off of figure. ‘A POF le ofthis reports avalable at wa. doh aov phstastis. a|p]a|a/¢)m]a|]o]o}mlo Page 4 of 6 Fepublic of the Philipines Department of Health Monthly Dengue Report agaaraen 09 Kakaeogan Report No. 8 Seu! SOOO Re) fase aS ae cue cs ‘Age of confirmed Dengue cases ranged from less than 1 year old to 80 years old (median age of 13 years). Majority of the ‘confirmed cases (385 or 55%) were male, One hundred ninety or 27% of the confirmed cases belonged to the 5-9 years age group igure 5) Figure 5. Confirmed Dengue Cases by Age Group and Sex (n=714) Philippines, January 1 ~ August 31, 2019 ‘Age group (in years) Male Female 260 55-50 50-54 45.49, 40-44 35-99 30-34 25.20 20-24 16-18 10-14 59

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