Republic ofthe Philippines Department of Health Monthly Dengue Report ‘Kagawaran ng Kalusugan Report No. 9 See i Giraud CELT a TU EA ATS) Dengue Surveillance Update Dengue fever and the more severe form, dengue hemorrhagic ever, ae caused by any ofthe four serotypes of dengue virus (types 4, 2, 3, and 4), An infected day-bling female Aedes mosquito iransmi's this viel disease te humans. This eport provides data ‘om the period of January 1 to September 28, 2019 or Morbidity Weeks 1 ~ 39. PIDSR Case Definition for Dengue Diseases ‘Chinical Classification + Denaue Without Warning Signs ‘A previously well person with acute febrile lines of 2-7 days duration Editorial Board plus two of the folowing: = Headache + Body malaise Myalsia FERCHIT L,AVELINO, MD, MPH, PHSAE > Anthraigla Officer-i\ Charge/Epidemiology Bureau = Retro-orbital pain + Anorexia * Nevsea = Vomiting MA. NEMIA L. SUCALDITO, MD, PHSAE = Diarrhea ‘Medical Officer V = Flushed skin ~ Rash (petecheal, Horman's sign) * Dengue With Werning Sians ‘A previously well person wih acute febrile ness of 2-7 days duration VIKKICARR DI EYES, MD, PHSAE ius any one ofthe following: ais I + Abdominal pain or tenderness -Porsistent vomiting = Giinical signs of fluid accumulation Her HIZON = Mucosal bleeding Supervising Héaith Program Officer Lethargy, restlessness Data integrity Manager Liver enlargement = Laboratory: increase in Hot andlor decreasing platelet count + Severe Dengue. JEZZA JONAHE. ACLAN, RN, MPH A previously well person with acute febrile ilness of 2-7 days duration ‘and any of the clinical manifestations for dangue with or without warning signs, ‘Nurse! JOYSA\D. LORICO, RN ‘Severe plasma leakage leading to ‘Nurse! = Shock - Fluid accumulation with respiratory distress Wy ‘Severo bleeding VAN FARRAH 8. IBEA, RN Severe organ impairment Nurse i ~ Liver AST oF ALT >1000 c = CNS: 69. seizures, Impaired consciousness rug ~~ Heart: myocarditis. EDRIZ NOELLE E. RUEZO, RN = Kidneys: 69. renal fellure ‘Nurse! Case Classification ‘Suspect ‘A previously well person with acute febrile lness of 2-7. days duration with linical signs and symptoms of dengue | + Probable A suspect case plus, Laboratory test, at least CBC (leucopenia with or without thrombocytopenia) and/or Dengue NS1, antigen test or dengue IoM antibody test (optional) Sonfirmed = Val cuture isolation, {___- Polymerase Chain Reaction ose counts reported here do NOT represent the fina number andar subject to change after incon of delayed reports and revew of cases. AY 208 data reflects porto deta ony of al regions, subject to chonge ance onnual 2028 datas completed Percentage ay not eque to 100 dve (rounding of of Pes. ‘POF feof hs epotovaable at wn Soh go ph/ttiste Page 1 of 6Repubic ofthe Philippines Department of Health Monthly Dengue Report eganaran rg Kaicugan eae ith Surveillance Division SCOUT |. Trend in the Philippines A total of 336,114 Dengue cases were reported nationwide from January 1 to September 28, 2019, This is 114% higher compared to the same period last year (187,168). Figure 1 shows weekly data of reported dengue cases in 2019 compared to alert and epidemic thresholds, Figure 1. Reported Dengue Cases (N=336,114)" Morbidity Weeks 1 - 39 (January 1- September 28, 2019) vs Epidemic and Alert Thresholds —=210 = = Aen ees ——sscame meats No. of Cases 25,000 ) 20,000 15,000 10,000 - 5,000 129.4 5 6 7 8 8 1011 12 15 16 15 96 47 18 19 20 21 22 29 24 25 28 77 28 29 40 31 92.93.34 96 96 37 $6.99 ‘Morbidity Week “Note: Partial data only for N39, Ml. Geographic Distribution Table 1 shows that majority ofthe cases were from the following regions: Region IV-A CALABARZON (55,388 of 16%), Region ‘I (51,522 oF 15%), NCR (26,816 or 8%), Region Il (26,007 or 8%) and Region X (22,784 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 (419%), Region VI (336%), Region Vl (312%), Region V (284%), and Region Xil (200%). ose counts reported here do NOT represent the fina number ond ore subject to change ofter inclusion of delayed repots ond review of cases All 2018 dota ‘reflect part! dato only fal regions, subject to change once annual 2018 dato is completed. Percentage may not equ! to 100 due to rounding off of gure. A POF fle ofthis reports ovcilable at wure. doh gov ohstatist Page 2 of 6Remus ofthe Philipines Department of Health agra ng Kegan eNotes ieee? Table 1. Reported Dengue Cases by Region Philippines, January 1 ~ September 28, 2019 vs January 1 ~ September 28, 2018 i w Wh IVA-CALABARZON. IV-B MIMAROPA Vv vi Vil Vill ik x Xi iL BARMN CAR Caraga NCR Ill, Profile of Cases A. Profile of Reported Dengue Cases Monthly Dengue Report Report No. 9 Cre cure Ue) Figure 2. Attack Rate of Reported Dengue Cases by Region Philippines, January 1 ~ September 28, 2019 a ‘Age of suspect cases ranged from less than 1 month to 100 years (median age of 12 years). Majority of the cases (176,569 cr 53%) were male. Most of the cases belonged to the 5-9 years age group (75,993 or 23%) (Figure 3), Figure 3. Reported Dengue Cases by Age Group and Sex (N=336,114) Philippines, January 1 - September 28, 2019 ‘Age group (in years) Male Female 260 on 55-50 088 50.54 792 4549 4407 aoa ait 3509 =7.779 3004 1038 2520 7031 20-24 8,392 am isi9 842 a 59 5.908 a 3.269 40000 30000 20000 0 10000 20000 ©=©30000 §©=. 40000 No, of Cases Case counts reported here do NOT raresen the final number and ae objet to change ofter inclusion of delayed reports ond review of cases All 2018 dota ‘reflects panialéata only ofall regions, subject to change ance annual 2018 deta is completed. Percentages may nok equa 0100 due to rounding eff of igure. POF fle ofthis reports available ot www. dh. gov oh/staistic. Page 3 of 6Republic of the Philippines. Department of Health Monthly Dengue Report Report No. 9 Sue cur oe Oe) B. Profile of Confirmed Dengue Cases Out of 336,114 reported Dengue cases nationwide, 168,698 (50%) cases were tested. Out of the tested, 875 (1%) cases were confirmed via PCR, Figure 4. Confirmed Dengue Cases by Morbidity Week (n=875) Philippines, January 1 ~ September 28, 2019 No. of Cases «0 50 40 ig|17|19|19]20/21/22 5240 34)39) 171929162529] 13|12]22[29| 1917 12|13|14|tela7|t6|16|27|37\45|ai|aa|ze|ta|t7|ralio| s [3 |0|o (a2010 5 Morbidity Week The predominant serotype from January 1 to September 28, 2019 is Dengue 3 (587 cases or 67%) followed by Dengue 1 (140 cases or 16%), Dengue 2 (132 cases or 15%), Dengue 4 (13 cases or 1%) and mixed serotype (three cases). Dengue 1 and 2 (two cases) and Dengue 1 and Dengue 4 (one case) were identified as mixed serotype. Majorty of the confirmed Dengue cases were from the following regions: Region IVA (147 or 17%), Region IX (141 or 16%), NCR (100 or 11%), and Region Il (98 or 11%) (Table 2), Table 2. Confirmed Dengue Cases by Region and Serotype (n=875) Philippines, January 1 - September 28, 2019 108. 0 272 i 81 IV-A CALABARZON| 15% 1B-B MIMAROPA 13 28 i 12, i 19 12 ix 251 2 q 75 a 35 RMN 21 CAR 46 (Caraga 26. INCR tot 33 95 31 13 14 10. 4 7 95 oO 20 28 10 21 12 77 lo|~s)s/or}|3|ns] = ho] lof lo[p3lglo +}a]alerlglo|g|e||-|-/olo|a)0 00) ‘Case couns reported here do NOT represent the final number and ore subject tochonge fr inclusion of delayed reverts ond review ofcases. All 2018 data ‘reflects parti! date only of l regions, subject to chenge ence anual 2018 datas competed. Percentoges may not equal t 400 due to rounding off of figures ‘APOF fle of this reports avalobeat wn doh gov. p0/ sais Page 4 of 6Republic ofthe Phippines Department of Health Monthly Dengue Report Kagawaran ng Kasuga Report No. 9 Tee ae tucker esis Br PRE Cue TCT REE) Pie) ‘Age of confirmed Dengue cases ranged from less than 1 year old to 80 years old (median age of 19 years). Majority ofthe confirmed cases (491 or 56%) were male. Two hundred twenty-five or 26% of the confirmed cases belonged to the 5-9 years age ‘group (Figure 5). Figure 5. Confirmed Dengue Cases by Age Group and Sex (n=675) Philippines, January 1 ~ September 28, 2018, ‘Age group ( in years) Male Female 260 oa 55.59 50-54 45-49 40-44 35-39 30-34 2529 20-24 i519 10-14 59 4 120 100 8 60 40 20 0 2 40 60 No. of Cases C. Profile of Reported Dengue Deaths There were 1,302 deaths (CFR = 0.44%) reported from January 1 to September 28, 2019. The case fatality rate is lower ‘comparad to the same period last yoar, 806 deaths (CFR=0.51%). The provinces or cty withthe highest number of deaths were: Hilo (99 0° 7%), Quezon City (70 or 5%), Cebu (65 or 5%), Negros Occidental (61 or 5%), and Zamboanga del Sur (52 or 4%), ‘Table 3. Top ProvincesICities with Highest Reported Dengue Deaths (n=1,302) Philippines January 1 ~ September 28, 2019 antes Deaths | reer Hilo 93 7 Quezon City 70 5 Cebu 65 5 Negros Occidental 61 5 Zamboanga Del Sur 52 4 ose courts reported here do NOT represent the fina number and are subject Lo change ofterincuson of layed reports ond review of cases Al 2018 data ‘efet partial data only of el regions, subject te change once annul 2018 date is completed Percentages ry nt equal 9 100 doe t rounding offof fares. ‘APOF fl ofthis report aaa at wasn oh gov asta Page 5 of 6Republic of the Philippines Department of Health Monthly Dengue Report Kagawaran ng Kalusugan Report No. 9 Ero atic Gated ieee eee see Reg e/rartapsadnee sy baclga leis) Wer | wor | 9 | w | w | 4 Fe ee ‘Age of confmed Dengue cases ranged Torn Iss than 1 year old fo 80 years ld (wedlan age of 73 years) Majoty ofthe confirmed eases (491 or 56%) were male. Two hundred twenty ive or 20% ofthe eonfimed cases belonged fone S93 yoars age group gure 3) Figure 5. Confirmed Dengue Cases by Age Group and Sex (n=875) Philippines, January 1 ~ Soptomber 28, 2019 ‘Age group ( in years) male Female 260 55.59 50-54 45.49 40-44 36-39, 30-34 25-29 20-24 15-19 10-14 59 sé 9 120 100 8 60 40 20 0 2 40 60 80 100 120 No. of Cases ©. Profile of Reported Dengue Deaths ‘There were 1,302 deaths (CFR = 0.44%) reported from January 1 to September 28, 2018. The case fatality rate is lower ‘compared to the same period last year, 806 deaths (CFR=0.51%). The provinces or city with the highest numer of deaths were: Iloilo (@3 or 7%), Quezon Clty (70 or 5%), Cebu (65 or 8%), Negros Occidental (61 or 5%), and Zamboanga del Sur (52 or 4%), Table 3, Top Provinces/Cites with Highest Reported Dengue Deaths (n=1,302) Philippines January 1~ September 28, 2019 Cee Pe ee lloilo 93 7 Quezon Clty 70 5 Cebu 65 5 Negros Occidental : 61 5 Zamboanga Del Sur 52 4 {Case counts reported here do NOT represent the fina number and ae subject to change ofter inclusion of delayed reports ond review of cases All 2018 dota ‘reflects portal deta only of all region, subject to change once annual 2018 datas complete. Percentages may not equa to 100 due to rounding off of fires ‘A POF fle ofthis reports ovoiable at wn. dh. gow phstaities Page 5 of 6Republic of the Philippines Department of Health Monthly Dengue Report Kaganiran ng Kalusugan Report No. 9 Mn atien Penta aceure) APO Cue EU ) ‘Age of deaths ranged from less than 1 year old to 88 years old (median age of 8 years). Most ofthe reported deaths (703 of 53%) were female. Majority belonged to 5-8 years age group (502 deaths or 38%) (Figure 6). Figure 6, Reported Dengue Deaths by Age Group and Sex (n=1,302) Philippines, January 1 - September 28, 2019 ‘Age group (in years) aMale Female 260 55-59 50-54 45-49 40-44 35.39 30-34 25.29 20.24 15-19 to-18 300 260 200 150 100 50 0 50 100 150 200 250 300 No. of Cases ose counts reported heve de NOT represen he fina number ond are subject to chonge afer inclusion of delayed reports and review of cases, All2018 dota reflects parol dato only of ol regions, subject to change once annuel 2018 det is completed, Percentages may not equal 100 due to rouneng off of figures. ‘POF file ofthis reports ovalable at wn. doh.abudstoustis. Page 6 of 6