Department of Health National Epidemiology Center Public Health Surveillance and Informatics Division

Disease Surveillance Report Morbidity Week

Morbidity Week 35, August 24 - 30, 2008

150/20*

35

TH

August. 24 - 30, 2008

DISEASE SURVEILLANCE REPORT

Dengue Update

Trend A total of 28,488 dengue cases were admitted to different sentinel hospitals nationwide from January 1 to August 30, 2008. This is 6.3 % lower compared to same time period last year (30,406) (Table 1). Cases had exceeded and reached epidemic threshold on the 1st to 24th week and the alert threshold on the 25 th to 27th week. (Figure 2). Geographic Distribution The regions with the highest number of cases were: NCR (30.3%), III (13.1%), VII (9.3%), IVA (8.1%), XI (6.2%), and VI (5.8%). Cluster of cases were noted in the following areas
Region NCR Province Muncity Manila Kalookan Malabon Makati Mandaluyong Marikina Navotas Pasig Quezon City Barangay Sampaloc Camarin, Deparo, Maligaya,Tala Longos, Panghulo Comembo, Cembo, Pembo Addition Hills Concepcion NBBS, Tangos Pineda, Rosario Bagong Silanganan, Balintawak, Botocan, Batasan Hills, Balingasa, Commonwealth, Cubao, Culiat, Diliman, Del Monte, Fairview, Galas, Gulod-Novaliches, Holy Spirit, Krus na Ligas, Manresa, North Fairview, Old Balara, Pansol Balara, Pasong Tamo, Payatas, Pinyahan, Project 4, 8, SFDM, Tandang Sora, Tatalon Signal Village, West Bicutan Hen. T. de Leon, Malinta, Ugong Ilocanos Sur, Lingsot, Pagdaraoan, Tanqui Calumbaya, Central West Poblacion,Payocpoc Norte Oeste, Santiago, Pilar Poblacion San Cornelio Sinapongan Alacan Brgy 26, San Marc
Page 1 of 9

La Union

Taguig Valenzuela San Fernando Bauang Caba San Juan Malasique Laoag City

Pangasinan Ilocos Norte

A PDF file of this report is available at www.doh.gov.ph/NEC. For more inquiries, you may contact us on the following telephone numbers: (02) 741-7048 or 743-6076

Department of Health National Epidemiology Center Public Health Surveillance and Informatics Division

Disease Surveillance Report

Morbidity Week 35, August 24 - 30, 2008

Ilocos Sur CAR Benguet Mountain Province II Cagayan

III

Isabela Bulacan Pampanga

San Ildefonso Vigan Baguio City Itogon Bontoc Bauko Tuguegarao City Aparri Peablanca Tuao San Pablo Marilao Norzagaray Angeles City Apalit Mabalacat Magalang Mexico Porac San Fernando

IVA IVB V VI VII

Nueva Ecija Zambales Rizal Occidental MIndoro Camarines Sur Iloilo Guimaras Cebu

San Simon Palayan City Olongapo City Antipolo City Magsaysay Naga City Iloilo City Miagao Nueva Valencia Cebu City

Danao City Lapu-Lapu City Talisay City Toledo City Cardoba Sibonga Sogod Cagayan de Oro City Davao City

X XI

Misamis Oriental Davao del Sur

Bahet San Julian Sur San Vicente Virac Poblacion Abatan Caggay, Centro, Larion Bajo Punta Camasi Bagumbayan, San Luis Bungad Lambakin Bitungol Balibago, Bareto, Cutcut, Lourdes Sur, Malabanias, Pampang, Pulung Bato, Sapang Bato Cansinala Dau, Mabiga, Mawaque Sto Nio Pandacaqui, Parian (Pob.) Santa Cruz Baliti, Calulut, Dela Paz Norte, Quebiauan, San Nicolas, Sindalan San Isidro, San Pedro Caballero Gordon Heights, Sta Rita Peafrancia Poblacion Concepcion Grande, Concepcion Pequeo San Isidro La Paz Naulid, Banuyao Guiwanon Apas, Pasak Pardo, Basak San Nicolas Central, Bulacao, Camputhaw Poblacion, Duljo, Guadalupe, Labangon, Mabolo, Sambag II, Tinago Looc, Taytay Babag, Basak, Calawisan, Caubina, Gun-ob, Pajo, Poblacion Tabunac Poblacion Catarman Abugon Tabunak Balulang, Bulua, Carmen, Gusa, Iponan Brgys. 19B, 5A, 76A, Buhangin, Cabantian, Cataluna Grande, Lanang, Lasang, Ma-a, Pampanga, Panacan, Sasa, San
Page 2 of 9

A PDF file of this report is available at www.doh.gov.ph/NEC. For more inquiries, you may contact us on the following telephone numbers: (02) 741-7048 or 743-6076

Department of Health National Epidemiology Center Public Health Surveillance and Informatics Division

Disease Surveillance Report

Morbidity Week 35, August 24 - 30, 2008

XII

South Cotabato

Polomolok

Antonio,Tibungco Poblacion

Hotspot of cases were noted in the following areas: Region NCR VII Province Cebu Muncity Marikina Lapu Lapu City Barangay Parang Marigondon

Profile of Cases Ages of cases ranged from <1 month to 89 years old (median 12 years). Majority of cases were male (52%). Seventy six percent of the cases belonged to the 1 to 20 years age group (Fig. 4). The age group with case fatality ratio greater than 1 is age group <1 years and 1-10 years (Fig. 5). There were 280 deaths (CFR 1%). The regions with CFR greater than 1% were Region I, V, VII, VIII, ARMM and CARAGA (Table 1).

EDITORI AL BO AR D
NOTICE TO THE READER Support Staff Enrique A. Tayag, MD, PHSAE, FPSMID, CEO VI Director IV Marlow O. Nial, MD, PHSAE Medical Officer VII, Chief, PHSID Editor, DSR Series Vito G. Roque, Jr., MD, PHSAE Medical Specialist IV Assistant Editor, DSR Series Edna M. Lopez, RN Nurse VI Dulce C. Elfa, RN, MPH Nurse IV Vidal E. Pantilano, Jr., RN Nurse III Allan P. Ignacio The Disease Surveillance Report (DSR) is published by the National Epidemiology Center, Public Health Surveillance Division. The data in this report were obtained from the National Epidemic Sentinel Surveillance System (NESSS) - a hospital-based information system. DSR can only provide information on disease trends and does not reflect the total burden of disease in the country.

Approved for release: ____________________ PHSID _____________________ Directors Office

___________________ Date

10/03/2008

A PDF file of this report is available at www.doh.gov.ph/NEC. For more inquiries, you may contact us on the following telephone numbers: (02) 741-7048 or 743-6076

Page 3 of 9

Department of Health National Epidemiology Center Public Health Surveillance and Informatics Division

Disease Surveillance Report

Morbidity Week 35, August 24 - 30, 2008

Fig. 1. Dengue Cases by Month Philippines, 2008 vs. 2007

10000 9000 8000

No. of Cases

7000 6000 5000 4000 3000 2000 1000 0

2008 5746 4101 2729 2103 2044 3466 4665 3634 2007 2740 2153 1733 1220 1518 3415 8814 9268 7558 7122 5839 4461 Month
Fig. 2. Distribution of Dengue Cases by Morbidity Week
Philippines, as of August 30, 2008
3000
2008 Alert Threshold

2500

Epidemic threshold

2000

No. of Cases

1500

1000

500

0
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51

Morbidity Week

A PDF file of this report is available at www.doh.gov.ph/NEC. For more inquiries, you may contact us on the following telephone numbers: (02) 741-7048 or 743-6076

Page 4 of 9

Department of Health National Epidemiology Center Public Health Surveillance and Informatics Division

Disease Surveillance Report

Morbidity Week 35, August 24 - 30, 2008

Tables 1. Dengue Cases & Deaths by Region Philippines, 2007 & 2008 Cases 2007 % Change 953 902 471 1401 2897 180 3390 941 5577 3953 937 1325 2030 2240 1678 542 989 30,406 37.3 -25.6 14.2 166.5 -20.5 -43.3 154.5 -45.7 -70.5 -32.8 -30.3 16.2 -58.7 -21.5 -38.3 -61.8 -63.4 -6.3 Deaths 2008 CFR (%) 2007 CFR (%) 17 6 2 30 20 1 58 7 14 85 9 6 7 6 5 3 4 280 1.3 0.9 0.4 0.8 0.9 1.0 0.7 1.4 0.9 3.2 1.4 0.4 0.8 0.3 0.5 1.4 1.1 1.0 15 10 1 21 35 0 25 5 56 68 8 10 21 10 3 8 9 305 1.6 1.1 0.2 1.5 1.2 0.0 0.7 0.5 1.0 1.7 0.9 0.8 1.0 0.4 0.2 1.5 0.9 1.0

Region I II CAR III IV-A IV-B NCR V VI VII VIII IX X XI XII ARMM CARAGA TOTAL

2008 1308 671 538 3733 2303 102 8629 511 1643 2657 653 1539 838 1759 1035 207 362 28,488

*** as of August 30, 2007 & 2008

A PDF file of this report is available at www.doh.gov.ph/NEC. For more inquiries, you may contact us on the following telephone numbers: (02) 741-7048 or 743-6076

Page 5 of 9

Department of Health National Epidemiology Center Public Health Surveillance and Informatics Division

Disease Surveillance Report

Morbidity Week 35, August 24 - 30, 2008

Table 2. Weekly Dengue Summary Report as of August 30, 2008 35th 34th 70 22 24 66 24 2 422 5 31 42 4 * 18 58 2 1 1 792 2008 50 40 28 10 9 2 361 11 13 47 2 * 10 38 7 1 4 633 2007 62 56 25 79 149 19 217 21 363 207 19 43 75 89 25 7 12 1468 Cummulative Total 1st wk to 35th wk 2008 2007 1308 671 538 3733 2303 102 8629 511 1643 2657 653 1539 838 1759 1035 207 362 28488 953 902 471 1401 2897 180 3390 941 5577 3953 937 1325 2030 2240 1678 542 989 30406

REGION 31st

Weeks
32nd 64 37 35 169 37 1 435 10 49 76 10 * 20 65 6 0 6 1020 33rd 80 30 20 97 38 2 464 13 26 102 6 3 19 64 3 3 7 977 85 40 26 179 26 3 389 5 56 66 12 6 14 61 13 2 8 991

I II CAR III IV-A IV-B NCR V VI VII VIII IX X XI XII ARMM CARAGA
TOTAL * no available data

A PDF file of this report is available at www.doh.gov.ph/NEC. For more inquiries, you may contact us on the following telephone numbers: (02) 741-7048 or 743-6076

Page 6 of 9

Department of Health National Epidemiology Center Public Health Surveillance and Informatics Division

Disease Surveillance Report

Morbidity Week 35, August 24 - 30, 2008

Tables 3. Dengue Cases & Deaths by Municipality National Capital Region, 2007 & 20008 Cases 2007 % Change 284 32 136 177 123 602 132 45 69 84 119 205 24 1053 61 125 119 3390 337.0 128.1 81.6 86.4 51.2 194.2 29.5 6.7 447.8 240.5 123.5 97.1 -8.3 106.3 75.4 173.6 391.6 154.5 Deaths CFR (%) 2007 0.6 1.4 1.6 0.0 0.5 0.3 2.3 2.1 0.8 0.7 0.8 0.5 0.0 0.7 0.0 2.6 0.2 0.7 1 1 2 1 0 4 2 0 0 0 3 2 0 5 0 1 3 25

Municipality Kalookan Las Pias Makati Malabon Mandaluyong Manila Marikina Muntinlupa Navotas Paraaque Pasay Pasig Pateros Quezon City San Juan Taguig Valenzuela TOTAL

2008 1241 73 247 330 186 1771 171 48 378 286 266 404 22 2172 107 342 585 8629

2008 8 1 4 0 1 5 4 1 3 2 2 2 0 15 0 9 1 58

CFR (%) 0.4 3.1 1.5 0.6 0.0 0.7 1.5 0.0 0.0 0.0 2.5 1.0 0.0 0.5 0.0 0.8 2.5 0.7

* Data as of August 30, 2007 & 2008

A PDF file of this report is available at www.doh.gov.ph/NEC. For more inquiries, you may contact us on the following telephone numbers: (02) 741-7048 or 743-6076

Page 7 of 9

Department of Health National Epidemiology Center Public Health Surveillance and Informatics Division

Disease Surveillance Report

Morbidity Week 35, August 24 - 30, 2008

Fig. 3. Dengue Cases by Region (N=28,488) Philippines, as of August 30, 2008

8500 8000 7500 7000 6500 6000 5500 5000 4500 4000 3500 3000 2500 2000 1500 1000 500 0 I Alive Fatality 1291 17 II 665 6 CAR 536 2 III NCR IV-A IV-B 101 1 V 504 7 VI VII VIII 644 9 IX 1533 6 X 831 7 XI XII

No. of cases

ARM M 204 3

CAR AGA 358 4

3703 8571 2283 30 58 20

1629 2572 14 85

1753 1030 6 5

Region

Fig. 4. Dengue Cases by Age Group & Gender (N=28,488) Philippines, as of August 30, 2008
5500 5000 4500 4000

Female

Male

No. of cases

3500 3000 2500 2000 1500 1000 500 0

<1YR 1-10 YRS 11-20 YRS 21-30 YRS 31-40 YRS >40 YRS

Age group

A PDF file of this report is available at www.doh.gov.ph/NEC. For more inquiries, you may contact us on the following telephone numbers: (02) 741-7048 or 743-6076

Page 8 of 9

Department of Health National Epidemiology Center Public Health Surveillance and Informatics Division

Disease Surveillance Report

Morbidity Week 35, August 24 - 30, 2008

Fig. 5. Dengue Case Fatality Ratios by Age Group

Philippines, as of August 30, 2008

3
Case fatality ratio (%)

0
<1 yr 1- 10 yr s 11- 2 0 yr s 2 1- 3 0 yr s 3 1- 4 0 yr s >4 0 yr s

A PDF file of this report is available at www.doh.gov.ph/NEC. For more inquiries, you may contact us on the following telephone numbers: (02) 741-7048 or 743-6076

Page 9 of 9