The boundaries, names shown and the designations used on this map do not imply official endorsement or acceptance by the United Nations. Creation date: 16 July 2019 Sources: DOH, WHO, PSA Feedback: [email protected] www.unocha.org www.reliefweb.int PHILIPPINES Dengue Cases Snapshot (January - June 2019) Batanes Bukidnon Cagayan Cavite Cebu North Cotabato Cotabato City Iloilo Negros Occidental South Cotabato Zamboanga Sibugay 1 - 5 6 - 10 11 - 20 21 - 30 > 30 < 1,000 1,001 - 2,000 2,001 - 3,000 3,001 - 4,000 > 4,000 No. of cases No. of deaths National Capital Region NCR Second District Third District Fourth District First District MANILA Government & partners’ major responses/interventions Regions that exceeded the epidemic threshold Region IV-A (CALABARZON) Region V (Bicol Region) Region VI (Western Visayas) Region IX (Zamboanga Peninsula) Region X (Northern Mindanao) The Philippines is facing a surge in dengue cases, with over 100,000 dengue cases reported by the Department of Health (DOH) from 1 January to 29 June 2019, an 85 per cent increase in cases from the same period last year, with more than 450 deaths reported. On 15 July, the Department of Health declared a National Dengue Alert, urging regional DOH offices to step up surveillance, case management and outbreak response in health facilities and hospitals, as well community and school-based health education campaigns, clean-up drives, and logistics support for dengue control. While there are many reasons for the increase in the Philippines, WHO cites that drought and water shortages related to the onset of El Niño has led people to collect water in containers and an increase in mosquito breeding places. Regions which have exceeded the epidemic threshold, which is the critical number required for an epidemic to occur, are CALABARZON, Bicol Region, Western Visayas, Zamboanga Peninsula, and Northern Mindanao. Other affected regions are the Cordillera Administrative Region, Eastern Visayas, the Bangsamoro Autonomous Region in Muslim Mindanao (BARMM) and Metro Manila (NCR). The provinces of Iloilo, Capiz, Aklan Antique and Guimaras in the Western Visayas region declared an outbreak, with many municipalities seeking a state of calamity to access emergency funding to mobilise additional resources. WHO is supporting the DOH with epidemiological analysis and rapid risk assessments, preparing targeted risk communication messages for health workers and communities to ensure early detection. In 2017, the Philippines Food and Drug Administration (FDA) suspended the license of the dengue vaccine Dengvaxia following a controversy regarding a pilot vaccination campaign. In 2019, the FDA announced that it permanently revoked the license to distribute Dengvaxia in the Philippines. Trends of reported dengue cases and deaths in the last five years Davao City Tacloban City 45,338 69,297 50,835 57,564 159 334 285 317 456 50 100 150 200 250 300 350 400 450 500 20,000 40,000 60,000 80,000 100,000 120,000 Deaths Cases 2015 2016 2017 2018 2019 Period from January-June of each year 0 0 106,630 Epidemic threshold level reported cases 106,630 deaths 456 53% 47% most affected age group 5-9 Strengthen Infomation & Education Campaign Clean-up efforts & vector control National health cluster coordination Community-level capacity building Reactivation of dengue fastlanes in health facilities Conduct of risk assessments & analysis (brgy. level)