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Archive Number 20090706.2425
Published Date 06-JUL-2009
Subject PRO/EDR> Dengue/DHF update 2009 (27)

DENGUE/DHF UPDATE 2009 (27)
***************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

In this update:
[1] Cambodia
[2] Viet Nam
[3] Taiwan
[4] Malaysia
[5] Philippines (Cebu)
[6] American Samoa
[7] Brazil (Mato Grosso)

******
[1] Cambodia
Date: Wed 1 Jul 2009
Source: Xinhua News Agency [edited]
<http://news.xinhuanet.com/english/2009-07/01/content_11632960.htm>


More than 3330 children treated for dengue fever during 1st 6 months of [2009]
------------------------------------------------------------------------------
Cambodia's dengue fever is a serious problem for children because most  
infected cases occurred in children, an official of the Health  
Ministry said on Wednesday [1 Jul 2009].

"We have treated 3333 children infected with dengue and another 10  
have been killed by [dengue] hemorrhagic fever so far this year  
[2009]," said Ngan Chantha, director of the anti-dengue fever  
department of the Health Ministry.

"It increased sharply compared with the total cases last year [2008],  
when there were only 1811 child cases and 23 children died," he said,  
adding that "We have to enhance education and the public campaign on  
dengue to raise awareness among our people in rural and urban areas."

The local community has to be careful with children because the rainy  
season is starting now. It will be easy for the mosquitoes to lay eggs  
in [water catchments]. The tiger mosquito is [a vector for the virus  
that causes dengue fever]. [People] have to clean the areas  
surrounding their houses, and children [especially] should sleep under  
nets, he said.

Duong Socheat, director of the National Malaria Center, which deals  
with dengue, was quoted by the Phnom Penh Post as saying that the  
worst weeks for dengue fever are in August, and that families need to  
learn about the disease and make sure that young children with dengue  
are treated by doctors.

[Byline: Zhang Xiang, editor]

--
Communicated by:
Promed-MBDS
<promed-mbds@promedmail.org>

[As of 25 May 2009, a total of 1500 cases and 3 deaths from dengue  
infection had been identified in Cambodia during 2009 (see prior  
PRO/MBDS posting Dengue - Cambodia (02) 20090525.1953).

According to dengue annual data from WHO's Regional Office for the  
Western Pacific (WHO/WPRO) available at
<http://www.wpro.who.int/sites/mvp/data/dengue/>, as of 15 Jun 2009,  
there were 2431 cases and 7 deaths from dengue fever (DF) and dengue  
hemorrhagic fever (DHF) in Cambodia from January to May 2009.

For a map of Cambodia with provinces, see
<http://www.lib.utexas.edu/maps/middle_east_and_asia/cambodia_pol_97.jpg>.
For the interactive HealthMap/ProMED-mail map of Cambodia with links  
to other PRO/MBDS and ProMED-mail postings in Cambodia and surrounding  
countries, see
<http://healthmap.org/r/00bb>. - Mod.YMA]

******
[2] Viet Nam
Date: 2 Jul 2009
Source: China View [edited]
<http://news.xinhuanet.com/english/2009-07/02/content_11639477.htm>


Viet Nam's Ministry of Health confirmed 26 deaths out of the country's  
27 000 cases of dengue fever in the 1st half of this year [2009],  
local newspaper the New Hanoi reported Thursday [2 Jul 2009]. The  
number of infected cases represents a 32 percent increase  
year-on-year, said the ministry.

The disease mostly occurs in the country's southern provinces such as  
Ho Chi Minh City, Kien Giang, Soc Trang, Ben Tre and Dong Nai. The  
ministry has dispatched working groups to 15 provinces and  
municipalities to inspect the prevention and control work on dengue  
fever.

[Byline: Zhang Xiang, editor]

--
Communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>

[In a 27 Jun 2009 post by ProMED-MBDS citing a 26 Jun 2009 report in  
Viet Nam News
(<http://vietnamnews.vnagency.com.vn/showarticle.php?num=01HEA260609>), the  
number of dengue cases in Viet Nam increased by 40 percent and the  
number of fatalities increased by 27 percent compared with the same  
period last year [2008], according to the Director of the Preventive  
Medicine and Environment Department, Nguyen Huy Nga. - Mod.TY

The number of reported cases of dengue fever and dengue hemorrhagic  
fever (DF/DHF) in the Western Pacific Region, by country in 2009 (as  
of 15 Jun 2009) is available at
<http://www.wpro.who.int/NR/rdonlyres/3C44FCF3-78D2-4655-BBEC-046DC7E2BCBB/0/Dengue_WPRO_2009_300409.pdf>.
A total of 16 655 cases and 14 fatalities from dengue fever and dengue  
hemorrhagic fever (DF/DHF) were reported in Viet Nam from January -  
May 2009.

For maps of Viet Nam with provinces, see
<http://www.lib.utexas.edu/maps/middle_east_and_asia/vietnam_admin01.jpg> and
<http://www.angelfire.com/co/hongnam/vnmap.html>. The interactive  
HealthMap/ProMED-mail map with direct links to other outbreaks in Viet  
Nam and surrounding countries reported on ProMED-mail and PRO/MBDS can  
be accessed at
<http://healthmap.org/r/008c>. - Mod.YMA]

******
[3] Taiwan
Date: 2 Jul 2009
Source: The China Post [edited]
<http://www.chinapost.com.tw/taiwan/national/national-news/2009/07/02/214673/CDC%2Dwarns.htm>


The [Taiwan] Centers for Disease Control (CDC) on Thursday [2 Jul  
2009] advised travelers to Southeast Asia to take proper precautions  
against dengue fever, as a large number of imported cases has been  
confirmed in Taiwan so far this year.

"The 90 imported cases of dengue fever reported in Taiwan indicate a  
dramatic escalation of the mosquito-borne disease in recent years,"  
CDC spokesman Lin Ting said. The number of imported dengue fever cases  
would likely reach a peak in August, the CDC said.

The 90 imported cases of dengue fever recorded in Taiwan so far this  
year represent a steep rise compared to the same period last year  
[2008] when 64 cases were confirmed, the CDC's statistics show.  
According to the data, 46 of the cases were contracted in Indonesia,  
22 were imported from Viet Nam, 6 from Thailand, 5 from Cambodia, 4  
from the Philippines and 2 each from Myanmar and Singapore [=87;  
presumably the origin of 3 cases was not determined. - Mod.JW]

[Byline: Roger Chou]

--
Communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>

[There has been local transmission of dengue viruses in Taiwan in the  
past. These imported cases represent a real threat of initiating a  
dengue outbreak there again.

A map of Taiwan can be accessed at
<http://www.lib.utexas.edu/maps/middle_east_and_asia/taiwan_pol92.jpg>
- Mod. TY]

******
[4] Malaysia
Date: 3 Jul 2009
Source: Bernama.com [edited]
<http://www.bernama.com/bernama/v5/newsgeneral.php?id=422864>


The level of involvement of communities in 'gotong-royong' (self-help)  
activities for combating and controlling dengue fever is still low, as  
only 28 activities were held throughout the country compared to the 69  
called for the 1st 25 weeks of the year [2009].

Health Director-General Tan Sri Dr Mohd Ismail Marican said in the  
period of 21-27 Jun 2009 vector control activity could also not be  
implemented wholly as only 320 845 houses were fogged compared to the  
682 648 houses identified. Besides that 731 compound notices [fines  
for _Aedes_ mosquito breeding sites on the premises] amounting to RM36  
870 [USD 10 455] and 256 clean-up notices were issued in the week to  
house dwellers found to be breeding the _Aedes_ mosquito.

In the same period, there were 749 dengue fever cases with one death  
each in Kuala Lumpur and Kelantan compared to 738 cases the week  
before, he said in a statement here Friday [3 Jul 2009]. "The 5 states  
that showed sharp rises in dengue cases were Perlis (57 percent),  
Melaka (36 percent), Kuala Lumpur and Putrajaya (34 percent), Penang  
(30 percent) and Kedah (15 percent)," he said.

According to him, the total number of dengue cases was 24 534 cases  
with 62 deaths compared to 20 721 cases with 45 deaths in the same  
period last year [2008].

--
Communicated by:
HealMap Alerts via ProMED-mail
<promed@promedmail.org>

[A map showing the administrative divisions in Malaysia can be accessed at
<http://www.lib.utexas.edu/maps/middle_east_and_asia/malaysia_adm98.jpg>.
A HealthMap/ProMED-mail interactive map of Malaysia can be accessed at
<http://healthmap.org/r/009L>. - Mod.TY]

******
[5] Philippines (Cebu)
Date: Sat 4 Jul 2009
Source: Sun Star [edited]
<http://www.sunstar.com.ph/network/child-3-11th-victim-dengue-cebu>


Dengue has claimed its 11th victim in this city this year with the  
death of a 3-year-old child on 1 Jul [2009], a day after she was  
brought to the Cebu City Medical Center (CCMC). The child was the 3rd  
victim to die of dengue fever in Barangay Labangon this year [2009].  
Her death came 12 days after a 4-year-old boy from Barangay Talamban  
succumbed to dengue last month [June 2009]. A 10-year-old girl from  
Sikatuna St. died of dengue on 9 May 2009. She was the 9th dengue  
fatality in the city this year.

Macasocol said that City Hall offers free complete blood counts and  
platelet counts to possible cases of dengue, so there should have been  
no reason for residents not to bring the sick to the CCMC or to the  
barangay health centers for consultation.

City Health Department records showed that 381 persons have contracted  
dengue fever in Cebu City from 1 Jan - 20 Jun 2009. That figure is  
41.65 percent lower compared to the 653 [dengue] cases recorded during  
the same period last year [2008]. While 11 lives were lost this year,  
the number is 62 percent lower compared to 29 deaths due to dengue  
last year.

Assistant City Epidemiologist Durinda Macasocol said awareness of  
dengue and proper sanitation are necessary to combat the disease. That  
is why, she said, the CHD and the 80 barangay captains of the city  
have agreed to make every 1st Saturday of the month a "cleaning day,"  
when residents should "seek and destroy" mosquito breeding sites.

[Byline: RHM]

--
Communicated by:
ProMED-mail Rapporteur Brent Barrett

[Cebu City, the Philippines 2nd largest, is located on the east coast  
of Cebu Island and is the capital of Cebu province. Additional  
information and a map showing the location of Cebu City can be  
accessed at
<http://en.wikipedia.org/wiki/Cebu_City>

A HealthMAP/ProMED-mail interactive map of the Philippines can be accessed at
<http://healthmap.org/r/00uP>. - Mod.TY]

******
[6] American Samoa
Date: Tue 12 May 2009
Source: SamoaObserver.ws [edited]
<http://www.samoaobserver.ws/index.php?view=article&id=7946%3Aamerican-samoa&option=com_content&Itemid=66>


While swine flu has become the focus of public health, the main  
hospital in American Samoa, along with the health department, has  
issued a reminder to residents that dengue fever also remains a  
problem in the territory.

The Health Department's medical director Dr. Ivan Tuliau said the  
public must remember that dengue is still an issue in the territory  
and urged communities to continue their efforts to eradicate breeding  
grounds for mosquitoes. However, the good news is that the number of  
dengue cases continues to decrease.

In January [2009] there were 80, and 85 in February. For the month of  
April 2009 only 33 people have been confirmed to have dengue fever.

--
Communicated by:
Health Map Alerts via ProMED-mail
<promed@promedmail.org>

[This reports dengue cases only through April 2009. ProMED would  
appreciate receiving information on the numbers of dengue virus  
infections since that time.

Interactive maps of the South Pacific islands, including American  
Samoa, can be accessed at
<http://www.mapsouthpacific.com/pacific/index.html> and the  
HealthMap/ProMED-mail map at
<http://healthmap.org/promed/en?g=5880801&v=-14.333,-170,5>.
- Mod.TY]

******
[7] Brazil (Mato Grosso)
Date: Mon 29 Jun 2009
Source: Expresso MT [in Portuguese, trans. Mod.TY, edited]
<http://www.expressomt.com.br/noticia.asp?cod=32215&codDep=3>


The recorded [number] of dengue cases in the state has increased  
around 2000 per week, showing that the situation is still worrying,  
warned the state Secretariat of Health (SES) through the  
epidemiological bulletin issued yesterday [28 Jun 2009], which also  
revealed 36 deaths due to the disease. The warning is that the  
municipalities continue with the monitoring and implementation of  
actions required by the state dengue contingency plan.

So far, the SES records show 29 977 cases of classical dengue fever  
reported -- last week there were 27 153, or 2824 fewer cases of the  
disease. Of the total identified yesterday 1152 are of serious cases  
of dengue. The State recorded to date 36 notified deaths of cases of  
serious [dengue] illness. Of these deaths reported, 22 of them were  
confirmed as severe cases and 14 of these are under investigation.  
These numbers are from the Coordinating [Unit] of the Epidemiological  
Monitoring of SES-MT. In Cuiaba, the data report the notification of  
13 deaths. Of these, 8 were confirmed as severe cases of dengue and 5  
are still under investigation.  Currently in the city of Varzea  
Grande, up to now the [number of] recorded deaths is 7. Of that total,  
6 of them were confirmed [dengue cases] and one case is still under  
investigation.

According to the SES, this year [2009] the State reported an increase  
in dengue [cases] of 196 percent. In January - June 2008, the recorded  
[number] of dengue cases was 10 111. Already in 2009, during same  
period, 29 977 cases of the disease have been reported.

The information is that Mato Grosso continues to be on alert for the  
epidemic of severe cases of dengue and also for the increase in  
reported cases of classical dengue fever. The contingency plan should  
be maintained and implemented by 141 municipalities, in addition to  
[creating] awareness on the part of the population, which is not doing  
its part [to control the disease].

--
Communicated by:
ProMED-PORT
<promed@promedmail.org>

[see also:
Dengue/DHF update 2009 (26)  20090629.2353
Dengue/DHF update 2009 (25)  20090622.2286
Dengue/DHF update 2009 (24)  20090614.2211
Dengue/DHF update 2009 (23)  20090608.2121
Dengue/DHF update 2009 (22)  20090601.2040
Dengue/DHF update 2009 (21)  20090525.1952
Dengue/DHF update 2009 (20)  20090518.1868
Dengue/DHF update 2009 (10)  20090302.0854
Dengue/DHF update 2009 (01)  20090105.0041]
....................yma/ty/ejp/jw
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