NATIONAL NOTIFIABLE DISEASE SURVEILLANCE … · NATIONAL NOTIFIABLE DISEASE MONTHLY BULLETIN: ......

NATIONAL NOTIFIABLE DISEASE MONTHLY BULLETIN: ISSUE 12: VOLUME 12: 2017

The Notifiable Diseases analyses has been compiled from the Notifiable Disease Certificates received from

112 public health facilities, 101 private health facilities and 2 private labs nationally. This report has been

compiled from 88% data from December 2016 and 78% data from December 2017 (public health facilities

only). The following division is congratulated for being the best division in NNDSS reporting for this

period:

The Central division had the lowest rates of reporting at 64% for December 2017 compared to 88%

reporting for December 2016 (a 24% decrease in reporting). The Western division stands at 76% reporting

for December 2017 compared to 92% reporting for December 2016 (a 16% decrease in reporting).

Similarly, the Eastern division stands at 81% reporting for the same period in 2017 compared to 72% for

December 2016 (a 9% decrease in reporting).

HIU urges all divisions to improve their submissions and capture of notifiable diseases as the deadline for

receiving of all the notifiable diseases certificates is on a weekly basis. All outbreak situations still require

routine reporting on the Notifiable Disease Certificates. The HIU draws attention to the timeliness of

submissions which continues to require marked improvement from all health facilities.

The Public Health Act confers the responsibility of reporting notifiable diseases to medical practiitoners:

“Notification of infectious diseases

71. (1) When any person is suffering or has died from an infectious disease; any medical practitioner

attending or called in to visit such person, on diagnosing that such person suffers or has died from an

infectious disease, shall send at the prescribed times to the Permanent Secretary or to the medical officer

of health of the Division where such person is residing or has died, a notice signed by him in the prescribed

form containing such particulars as may be prescribed.

(2) Any medical practitioner required by this section to give a notice or certificate whether of sickness or

of death or of both sickness and death who fails to give the same shall be liable to a fine not exceeding

forty dollars.”

Notifiable Disease Certificates should be populated with all cases of notifiable diseases, both suspected

and lab confirmed cases. Please note that this edition contains some of the reports from the General

Practitioners – we congratulate these GPs for their initiative and their commitment towards CD

surveillance in the country:

NATIONAL NOTIFIABLE DISEASE SURVEILLANCE BULLETIN

VOL 12 : December, 2017

Northern Division – 97% for December 2017 & 2016 - 93%


FijiCare Medical Centre – Suva, Hansons Medical Centre – Makoi, MIOT Pacific Hospitals – Suva, Nadera

Medical Clinic – Nadera, Riverside Medical – Navua, Dr Y Raju's Surgery - Lautoka and Wellcare Medical

Centre – Ba.

Please note that all other GPs are yet to report notifiable diseases: All GP’s from the Northern division

have not reported on any notifiable diseases for the reporting period of 2017.

We also advise all practitioners to immediately report any case of suspected emerging infectious

disease to the Acting National Advisor Communicable Disease, Dr Aalisha Sahu-Khan, of the Ministry of

Health and Medical Services on or report any unusual cluster or unusual presentations/events on the

event based surveillance to Mr. Isireli Rabukawaqa on 3323106.


ANALYSES: 1.0 NNDSS by Epi Weeks The top five diseases most commonly reported nationally on the NNDSS [2017 compared to 2016] are as follows:

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0

2016 2017 2016 2017 2016 2017 2016 2017

40 41 42 43

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Epi Weeks

NNDSS Diseases by Epi Weeks 2016 vs 2017 for October Whooping Cough

Viral Illness

Veneral Warts

Typhoid Fever

Trichomoniasis

Trachoma

TB - Pulmonary

TB - Others

Syphilis

Rubella

Rheumatic Fever

Relapsing Fever

Pneumonia

PID

Mumps

Meningitis

Measles

Malaria

Leptospirosis

Influenza

Herpes Zoster

Hepatitis

Gonorrhoea

Fish Poisoning

Dysentry - Bacillary

Dysentry - Amoebic

Diarrhoea

Dengue Fever

Conjunctivitis

Congential Syphilis

Ciguatera Fish Poisoning

Chicken Pox

Candidiasis

ARI

Top 5 Diseases in 2017 Top 5 Diseases in 2016

1. ARI 2. Diarrhoea 3. Viral Infection 4. Influenza 5. Pnuemonia


The rates were calculated using 2017 projections from Fiji Bureau Of Statistics (872948) and reported as per 10,000 population. The predominance of ARI, Viral illness and Diarrhoea is noted in both 2017 and 2016. The 5th leading condition in 2017 & 2016 was pneumonia for this reporting period. Reported cases of diseases that have significance in the international arena and those that are being vaccinated against were noted and referred to the VPD surveillance mechanism for verification (refer to tables).

There was a decrease in the reports received in 2017 compared to 2016. There is a time lag noted for this reporting period as a result of pending submissions. Time lags affect analysis and comprehensivity of reports markedly. Please note that an epi week commences from Sunday and ends on the following Saturday (7 days). Diarrhoea in the Northern division continues to push the ranking for Diarrhoea in the National dataset.

On average there was 78% reporting for this period from the divisions which makes surveillance for infectious diseases difficult as sensitivity of the system reduces with reduction of complete and timely reports.


2.0 NNDSS Divisional Comparison Intra and inter divisional comparisons are denoted below (top five diseases):

Central Western Northern Eastern

2017 2016 2017 2016 2017 2016 2017 2016

1. Viral Infection 2. Diarrhoea 3. ARI 4. Influenza 5. Pnuemonia

1. ARI 2. Diarrhoea 3. Viral Infection 4. Mumps 5. Influenza

1. ARI 2. Diarrhoea 3. Influenza 4. Viral Infection 5. Pnuemonia

1. ARI 2. Diarrhoea 3. Influenza 4. Pnuemonia 5. Viral Infection

1. Diarrhoea 2. ARI 3. Influenza 4. Dengeue Fever 5. Viral Infection

1. ARI 2. Diarrhoea 3. Influenza 4. Viral Infection 5. Dengue Fever

1. ARI 2. Diarrhoea 3. Viral Infection 4. Influenza 5. Conjunctivitis

1. Viral Infection 2. Influenza 3. Diarrhoea 4. Mumps 5. ARI

0.0

20.0

40.0

60.0

80.0

100.0

120.0

140.0

160.0

2016 2017 2016 2017 2016 2017 2016 2017


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Divisions

NNDSS Diseases by Divisions 2016 vs 2017 for DecemberViral Illness/ Infection

Typhoid Fever

Trichomoniasis

Trachoma

TB - Pulmonary

TB - Others

Syphilis

Pneumonia

PID

Opthalmia Neonatorium

Mumps

Meningitis

Measles

Leptospirosis

Influenza

Herpes Zoster

Hepatitis

Gonorrhoea

Food Poisoning

Fish Poisoning


Dysentry - Amoebic

Diarrhoea

Dengue Fever

Conjunctivitis


Chicken Pox

Candidiasis

ARI

The rates were calculated using 2017

projections from Fiji Bureau Of Statistics

(Central 370620, Western 341865, Northern

124911 and Eastern 35553) and reported as

per 10,000 population. Over both the years,

a predominance of diseases with viral origins

was noted, such as influenza, ARI and viral

illnesses. Diarrhoea of both viral and

bacterial aetiology are captured among the

top five conditions 2016 and 2017.

Central and Western divisions simulate the national conditions but in different rank order. Northern and Eastern division simulate the national conditions partially but in differing rank order. Northern 4th leading condition is Dengue Fever and Eastern divisions 5th leading condition is Conjunctivitis. Generally, reporting was lower in 2017 compared to the same period last year. Diarrhoea in the Northern division continues to have an impact in the ranking for diarrhoea in the National dataset. Dengue Fever was mostly reported from

Northern (n=132), Central (n=68), Western

(n=41) and Eastern (n=2). Mumps was

reported in the Western (n=122), Central

(n=59), Northern (n=20) and Eastern (n=3)

Conjunctivitis was reported in the Central

(n=20), Western (n=8) and Northern (n=6)

divisions, signaling the need for early public

health interventions in these areas.


3.0 NNDSS Comparison by Sex The top five diseases by Sex are reported below:

Male Female

2017 2016 2017 2016


1. ARI 2. Diarrhoea 3. Viral Infection 4. Influenza 5. Mumps

1. ARI 2. Diarrhoea 3. Influenza 4. Viral Infection 5. Conjunctivitis

1. ARI 2. Diarrhoea 3. Viral Infection 4. Influenza 5. Mumps

0.0

20.0

40.0

60.0

80.0

100.0

120.0

2016 2017 2016 2017

Male Female

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Gender

NNDSS Diseases by Gender 2016 vs 2017 for DecemberViral Illness/ Infection

Typhoid Fever

Trichomoniasis

Trachoma

TB - Pulmonary

TB - Others

Syphilis

Pneumonia

PID


Mumps

Meningitis

Measles

Leptospirosis

Influenza

Herpes Zoster

Hepatitis

Gonorrhoea

Food Poisoning

Fish Poisoning


Dysentry - Amoebic

Diarrhoea

Dengue Fever

Conjunctivitis


Chicken Pox

Candidiasis

ARI

The rates were calculated using 2016 population projections from FBOS (Male 442151 and Female 428833) and reported as per 10,000 population. These are gender specific rates. The male and female categories simulate the national rankings. Generally, there is no difference between the two sexes. Similar to previous reiterations, reporting was generally lower in 2017 compared to 2016.


0

200

400

600

800

1000

1200

1400

1600

1800

2016 2017 2016 2017 2016 2017 2016 2017


Nu

mb

er o

f C

ases

Divisions

NNDSS Diseases by Unknown Gender 2016 vs 2017 for December

Viral Illness/ Infection

Typhoid Fever

Trachoma

Syphilis

Pneumonia

Mumps

Influenza

Gonorrhoea

Food Poisoning

Fish Poisoning

Diarrhoea

Dengue Fever

Conjunctivitis

Chicken Pox

ARI

The cases of unknown sex made up 23.6% (n= 2518) in 2017 and 18.4% in 2016 (n=2049); it is important for those reporting Notifiable diseases to specify sex, ethnicity and age. The current percentage demonstrates that those reporting on NNDSS are still unresponsive to the request to clearly state sex, ethnicity and age. A remainder to all divisional heads to ensure reporting is made on the basis of sex, age, ethnicity and facility.


4.0 NNDSS Distributed by Ethnicity

The top five diseases by ethnicity by year are reported below:

I-Taukei Fijian (Ind) Fijian (Oth)

2017 2016 2017 2016 2017 2016



1. ARI 2. Influenza 3. Diarrhoea 4. Viral Infection 5. Conjunctivitis

1. ARI 2. Diarrhoea 3. Influenza 4. Viral Infection 5. Mumps


1. ARI 2. Viral Infection 3. Diarrhoea 4. Mumps 5. Influenza

0.0

20.0

40.0

60.0

80.0

100.0

120.0

2016 2017 2016 2017 2016 2017

I-Taukei Fijians (Indian) Fijian (Others)

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Ethnicity

NNDSS Diseases by Ethnicity 2016 vs 2017 for December Viral Illness/ Infection

Typhoid Fever

Trichomoniasis

Trachoma

TB - Pulmonary

TB - Others

Syphilis

Pneumonia

PID


Mumps

Meningitis

Measles

Leptospirosis

Influenza

Herpes Zoster

Hepatitis

Gonorrhoea

Food Poisoning

Fish Poisoning


Dysentry - Amoebic

Diarrhoea

Dengue Fever

Conjunctivitis


Chicken Pox

Candidiasis

ARI

The rates were calculated

using ethnicity populations

from 2015 MoHMS (I-Taukei

527844, Fijian (Ind) 351087

and Fijian (Others) 44807) and

reported as per 10,000

population.

All the categories simulates

the national conditions

partially but in different rank

order. The 5th leading

condition for these categories

is Conjunctivitis.


0

200

400

600

800

1000

1200

1400

1600

1800

2016 2017 2016 2017 2016 2017 2016 2017


Nu

mb

er o

f C

ases

Divisions

NNDSS Diseases by Ethnicity 2016 vs 2017 for DecemberViral Illness/ Infection

Typhoid Fever

Trachoma

Syphilis

Pneumonia

Mumps

Influenza

Gonorrhoea

Food Poisoning

Fish Poisoning


Diarrhoea

Dengue Fever

Conjunctivitis

Chicken Pox

ARI

The cases of unknown ethnicity made up 21.0% (n= 2242) in 2017 and 15.8% in 2016 (n=1755); it is important for those reporting Notifiable diseases to specify sex, ethnicity and age. The Central and Northern Divisions demonstrate the highest frequency of unknown cases by ethnicity. This demonstrates that these divisions may not be reporting according to prescribed processes.


1.0 NNDSS Central Division: The top five diseases by sub-division by year are reported below:

Suva* Serua* Rewa* Tailevu Naitasiri*

2017 2016 2017 2016 2017 2016 2017 2016 2017 2016

Viral Infection Diarrhoea ARI Influenza Pnuemonia

ARI Diarrhoea Viral Infection Mumps Conjunctivitis

ARI Viral Infection Diarrhoea Conjunctivitis

ARI Viral Infection Conjunctivitis Diarrhoea Mumps

Viral Infection Influenza Diarrhoea ARI Dengue Fever

Influenza Viral Infection Diarrhoea ARI Mumps

ARI Viral Infection Influenza Diarrhoea Conjunctivitis

ARI Diarrhoea Influenza Viral Infection Conjunctivitis

Viral Infection Conjunctivitis Dengue Fever Leptospirosis

ARI Diarrhoea Viral Infection Influenza Mumps

0.0

20.0

40.0

60.0

80.0

100.0

120.0

140.0

160.0

180.0

2016 2017 2016 2017 2016 2017 2016 2017 2016 2017

Suva Serua Rewa Tailevu Naitasiri

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Sub Divisions

NNDSS by Sub Divisions (Central) for December 2016 vs 2017 Viral Illness/ Infection

Typhoid Fever

Trichomoniasis

Trachoma

TB - Pulmonary

TB - Others

Syphilis

Pneumonia

PID

Mumps

Meningitis

Measles

Leptospirosis

Influenza

Herpes Zoster

Hepatitis

Gonorrhoea

Food Poisoning

Fish Poisoning


Dysentry - Amoebic

Diarrhoea

Dengue Fever

Conjunctivitis

Chicken Pox

Candidiasis

ARI

The rates were calculated using 2017 projections from Fiji Bureau Of Statistics (Suva 217670, Serua 29504, Rewa 84659, Tailevu 19770 and Naitasiri 19017) and reported as per 10,000 population. Out of all the cases received nationally, the Central division reported 38.1% of the total cases for 2017 and 43.2% of the total cases from 2016. A total of 8866 cases were reported between the year 2016 and 2017; 22.1% (n=4,810) were from 2016 and 18.6% (n=4,056) from 2017. Suva subdivision simulates the national ranking but in different rank order. All other subdivisions simulates the national ranking partially but in different rank order. The leading conditions for all of these subdivisions are: Conjunctivitis in Serua, Tailevu and Naitasiri; Dengue Fever in Rewa and Naitasiri and Leptospirosis in Naitasiri SD. Dengue was reported from the Rewa (n=44), Suva (n=23) and Naitasiri (n=1) sub division, signaling the need for public health interventions in these areas to reduce risks of outbreaks and institute effective control. Mumps was reported in the Rewa (n=15) and Suva (n=5) sub division. Conjunctivitis were reported from Suva (n=172), Rewa (n=16), Tailevu (n=9), Naitasiri (n=3) and Serua (n=1). Please note that Suva SD (CWM Hosp O&G, ED, Eye department, STI Clinic, Raiwaqa HC, Samabula HC), Serua SD (Navua HC & Korovisilou HC), Rewa SD (Nausori Maternity and Wainibokasi)) and Naitasiri SD (Vunidawa Hosp, Naqali HC & Laselevu HC) had pending notifiables when the issue was compiled. * This seems to be a recurring issue where these facilities have been noted to submit their notifiables in an untimely manner.


6.0 NNDSS Western Division: The top five diseases by sub-division by year are reported below:

Lautoka* Nadi* Ba Tavua* Nadroga Ra*

2017 2016 2017 2016 2017 2016 2017 2016 2017 2016 2017 2016

ARI Diarrhoea Influenza Conjunctivitis Viral Infection

Influenza Conjunctivitis Mumps Chicken Pox Diarrhoea

Diarrhoea Pnuemonia ARI Influenza Conjunctivitis

Pnuemonia Diarrhoea ARI Influenza Dengue Fever

Influenza ARI Viral Infection Diarrhoea Pneumonia

Influenza ARI Diarrhoea Viral Infection Pneumonia

ARI Diarrhoea Pneumonia Conjunctivitis Fish Poisoning

ARI Diarrhoea Pneumonia Conjunctivitis Gonorrhoea

ARI Diarrhoea Viral Infection Connunctivitis Chicken Pox

ARI Diarrhoea Viral Infection Influenza Mumps

ARI Diarrhoea Chicken Pox Conjunctivitis Dysentry - Bacillary

ARI Diarrhoea Viral Infection Chicken Pox Conjunctivitis

0.0

50.0

100.0

150.0

200.0

250.0

300.0

350.0

2016 2017 2016 2017 2016 2017 2016 2017 2016 2017 2016 2017

Lautoka Nadi Ba Tavua Nadroga Ra

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Sub Divisions

NNDSS by Sub Divisions (Western) for December 2016 vs 2017 Viral Illness/ Infection

Typhoid Fever

Trachoma

TB - Pulmonary

TB - Others

Syphilis

Pneumonia


Mumps

Meningitis

Leptospirosis

Influenza

Herpes Zoster

Gonorrhoea

Fish Poisoning


Diarrhoea

Dengue Fever

Conjunctivitis


Chicken Pox

ARI

The rates were calculated using 2017 projections from Fiji Bureau Of Statistics (Lautoka 97503, Nadi 87392, Ba 54526, Tavua 25609, Nadroga 50021 and Ra 26814) and reported as per 10,000 population. Out of all the cases received nationally, the Western division reported 40.4% of the total cases for 2016 and 47.9% of the total cases for 2017. A total of 9,607 cases were reported in the Western division between the year 2016 and 2017; 20.7% (n=4,501) were from 2016 and 23.4% (n= 5,106) from 2017.

All SDs have different disease category in the top 5 conditions. This may indicate greater public health interventions to reduce risks of outbreaks.

Dengue Fever was reported from Nadi SD (n=27), Nadroga (n=8) Lautoka (n=5) and Ra (n=1).

Mumps was reported from the Nadroga (n=6) and Ba SD (n=2).

Please note that Lautoka SD (Lautoka Paeds, GOPD, Lautoka DOTS, Punjas Medical, Kamikamica HC & Nacula HC), Nadi SD (Nadi Hosp and Bukuya HC), Tavua SD (Tavua Hosp and Nadarivatu HC), and Ra SD (Rakiraki Hosp, Nanukuloa HC, Namarai HC & Nasau HC) had pending notifiables when the issue was compiled. * This seems to be a recurring issue where these facilities have been noted to submit their notifiables in an untimely manner.


7.0 NNDSS Northern Division: The top five diseases by sub-division by year are reported below:

Macuata* Cakaudrove Bua Taveuni

2017 2016 2017 2016 2017 2016 2017 2016

Dengue Fever Diarrhoea Influenza ARI Viral Infection

ARI Diarrhoea Influenza Viral Infection Dengue Fever

ARI Diarrhoea Influenza Viral Infection Conjunctivitis

ARI Diarrhoea Viral Infection Influenza Chicken Pox

Diarrhoea ARI Viral Infection Conjunctivitis Dengue Fever

Diarrhoea Influenza Fish Poisoning ARI Conjunctivitis

Diarrhoea Fish Poisoning Dengue Fever Leptospirosis TB-Pulmonary

Viral Infection Diarrhoea Fish Poisoning ARI Conjunctivitis

0.0

20.0

40.0

60.0

80.0

100.0

120.0

140.0

160.0

180.0

2016 2017 2016 2017 2016 2017 2016 2017

Macuata Cakaudrove Bua Taveuni

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Sub Divisions

NNDSS by Sub Divisions (Northern) for December 2016 vs 2017Viral Illness/InfectionTyphoid Fever

Trachoma

TB - Pulmonary

TB - Others

Syphilis

Pneumonia

Mumps

Meningitis

Measles

Leptospirosis

Influenza

Hepatitis

Gonorrhoea

Fish Poisoning

Dysentry -BacillaryDiarrhoea

The rates were calculated using 2017 projections from Fiji Bureau Of Statistics (Macuata 58721, Cakaudrove 33787, Bua 16099 and Taveuni 16304) and reported as per 10,000 population. Out of all the cases received nationally, the Northern division reported 11.5% of the total cases for 2017 and 12.3% of the total cases from 2016. A total of 2, 594 cases were reported in the Northern division between the year 2016 and 2017; 6.3% (n=1,370) were from 2016 and 5.6% (n= 1,224) from 2017.

All SDs have different disease category in the top 5 conditions. This may indicate greater public health interventions to reduce risks of outbreaks. Bua SD continues to drive the increased ranking of diarrhea in the Northern and National datasets.

Conjunctivitis was reported from Cakaudrove (n=36), Bua (n=27), Macuata (n=7) and Taveuni (n=1).

Dengue fever was reported from Macuata (n=102), Bua (n=18), Taveuni (n=8) and Cakaudrove (n=4) signaling the need for public health interventions in these areas to reduce risks of outbreaks.

Congratulations to Northern Division health

facilities for submitting the 97% reports for

the month of December.


8.0 NNDSS Eastern Division: The top five diseases by sub-division by year are reported below:

Lomaiviti* Lakeba* Rotuma Lomaloma* Kadavu*

2017 2016 2017 2016 2017 2016 2017 2016 2017 2016

ARI Diarrhoea Conjunctivitis Viral Infection Chicken Pox

Diarrhoea Influenza Mumps Conjunctivitis ARI

Influenza Viral Infection Conjunctivitis Diarrhoea

Viral Infection Influenza Fish Poisoning ARI Conjunctivitis

ARI Diarrhoea Viral Illness Fish Poisoning Conjunctivitis

Chicken Pox

Influenza Diarrhoea Conjunctivitis Gonorrhoea

Influenza ARI Diarrhoea Conjunctivitis

Viral Infection Fish Poisoning Conjunctivitis Gonorrhoea

Viral Infection Diarrhoea Pnuemonia Mumps Chicken Pox

0.0

100.0

200.0

300.0

400.0

500.0

600.0

700.0

800.0

2016 2017 2016 2017 2016 2017 2016 2017 2016 2017

Lomaiviti Lakeba Rotuma Lomaloma Kadavu

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Sub Divisions

NNDSS by Sub Divisions (Eastern) for December 2016 vs 2017Viral Illness/ Infection

Trachoma

Pneumonia

Mumps

Meningitis

Leptospirosis

Influenza

Gonorrhoea

Fish Poisoning


Diarrhoea

Dengue Fever

Conjunctivitis


Chicken Pox

ARI

The rates were calculated using 2017

projections from Fiji Bureau Of Statistics

(Lomaiviti 14400, Lakeba 6593, Rotuma 1703,

Lomaloma 2318 and Kadavu 10539) and

reported as per 10,000 population. Out of all

the cases received nationally, the Eastern

division reported 2.5% of the total cases for

2017 and 4.0% of the total cases from 2016. A

total of 715 cases were reported in the Eastern

division between the year 2016 and 2017; 2.1%

(n=447) were from 2016 and 1.2% (n= 268)

from 2017.

Diarrhoeal diseases, Influenza, Viral illness and

ARI were the most common diseases afflicting

the Eastern division.

Please note that Lomaiviti SD (Koro HC), Lakeba SD (Lakeba Hosp, Matuku HC, Kabara HC), Lomaloma SD (Cicia HC) and Kadavu SD (Kavala HC) had pending notifiables when the issue was compiled. * Acknowledgement to all the health facilities in Eastern division for submitting the timely reports in the month of December.


9.0 NNDSS LTD Mapping:

Leptospirosis Cases 2016

The Leptospirosis cases (syndromic and lab confirmed) for December 2016 was mostly reported in Macuata, Suva, Nadi and Lomaiviti Subdivisions.


2017

The Leptospirosis cases (syndromic and lab confirmed) for December 2017 reported in Suva, Lomaiviti, Naitasiri, Ra, Lautoka, Bua, Macuata and Taveuni Sub divisions.


Typhoid Fever Cases 2016

The Typhoid Fever cases (syndromic and lab confirmed) for December 2016 mostly reported in Suva, Lautoka, Nadroga, Ra and Macuata Sub divisions.


2017

The Typhoid Fever cases (syndromic and lab confirmed) for December 2017 mostly reported in Suva, Ra, Macuata, Cakaudrove and Bua Sub divisions.


Dengue Fever Cases 2016

The Dengue Fever cases (syndromic and lab confirmed) for December 2016 was predominant in Suva, Lomaiviti, Nadi, Nadroga, Macuata and Cakaudrove Sub divisions.


2017


The Dengue Fever cases (syndromic and lab confirmed) for December 2017 was predominant in all the Divsions.


ANNEX:

Tables:

1. Diseases by Epi Weeks

2. Diseases by Divisions

3. Diseases by Sex

4. Diseases by Ethnicity

5. Diseases by SubDivision (Central)

6. Diseases by SubDivision (Western)

7. Diseases by SubDivision (Northern)

8. Diseases by SubDivision (Eastern)

Contact the Health Information Unit for other analysis and queries on:

[email protected]

Compilation Team:

Compilation of Bulletin : Ms Anjana Deo (Statistical Officer)

Bulletin Supervisors: Dr Devina Nand (Director Epidemiology) and Ms Varanisese Smith (Senior Statistician)

Publishing Authority: Mr Shivnay Naidu (Director Health Information and Research Analysis)

Please inform us if there are possible communicable disease events of unusual occurrence at your facilities so that proper

investigations may ensue.

mailto:[email protected]


NNDSS Diseases by Epi Weeks 2016 vs 2017 for December

Diseases 48 49 50 51 52

2016 2017 2016 2017 2016 2017 2016 2017 2016 2017

ARI 696 901 630 608 716 664 703 605 577 480

Candidiasis 4 6 3 3 8 10 6 3 9 0

Chicken Pox 60 45 51 48 28 50 32 32 46 29

Ciguatera Fish Poisoning 5 1 0 0 0 0 0 0 0 1

Conjunctivitis 54 104 93 99 102 75 84 101 75 93

Dengue Fever 23 40 29 52 29 61 36 52 38 38

Diarrhoea 471 499 390 480 476 448 473 457 467 438

Dysentry - Amoebic 1 0 0 0 0 0 0 0 0 0

Dysentry - Bacillary 1 6 1 1 2 1 0 2 0 4

Fish Poisoning 21 28 22 38 26 60 29 34 28 46

Food Poisoning 0 0 0 0 1 0 0 0 0 8

Gonorrhoea 25 22 19 17 14 13 26 14 24 12

Hepatitis 6 1 4 0 0 1 1 1 2 3

Herpes Zoster 2 0 0 0 1 0 0 0 1 0

Influenza 427 305 334 294 353 318 239 255 257 257

Leptospirosis 0 11 4 8 2 8 2 5 1 7

Measles 4 0 0 0 0 0 0 0 0 2

Meningitis 0 3 7 1 3 3 4 6 2 6

Mumps 171 4 143 9 134 9 129 6 88 6

Opthalmia Neonatorium 0 0 0 0 0 0 0 0 1 0

PID 0 0 0 0 0 0 0 0 1 0

Pneumonia 91 126 72 130 99 105 102 98 136 116

Syphilis 13 2 5 6 6 27 7 10 5 10

TB - Others 1 1 6 3 5 0 0 4 1 2

TB - Pulmonary 1 3 4 3 6 3 1 6 5 13

Trachoma 6 7 7 5 1 6 0 1 4 2

Trichomoniasis 3 7 2 0 4 0 2 2 9 1

Typhoid Fever 4 4 5 3 4 4 7 1 4 4

Viral Illness/ Infection 400 336 315 294 330 258 246 358 232 335


NNDSS Diseases by Divisions 2016 vs 2017 for December

Diseases Central Western Northern Eastern

2016 2017 2016 2017 2016 2017 2016 2017

ARI 1294 800 1486 2107 507 268 35 83

Candidiasis 30 22 0 0 0 0 0 0

Chicken Pox 111 110 65 76 21 12 20 6

Ciguatera Fish Poisoning 0 0 0 1 0 0 5 1

Conjunctivitis 174 201 176 181 34 71 24 19

Dengue Fever 12 68 86 41 46 132 11 2

Diarrhoea 1027 865 884 1018 291 380 75 59

Dysentry - Amoebic 1 0 0 0 0 0 0 0

Dysentry - Bacillary 0 1 1 6 2 7 1 0

Fish Poisoning 62 98 13 69 38 29 13 10

Food Poisoning 1 8 0 0 0 0 0 0

Gonorrhoea 59 29 29 31 12 14 8 4

Hepatitis 8 2 0 2 5 2 0 0

Herpes Zoster 3 0 1 0 0 0 0 0

Influenza 498 447 834 824 182 134 96 24

Leptospirosis 1 8 1 5 4 24 3 2

Measles 4 0 0 0 0 2 0 0

Meningitis 0 13 7 2 9 3 0 1

Mumps 499 20 122 8 7 6 37 0

Opthalmia Neonatorium 0 0 1 0 0 0 0 0

PID 1 0 0 0 0 0 0 0

Pneumonia 54 231 409 340 22 2 15 2

Syphilis 20 28 15 22 1 5 0 0

TB - Others 3 4 3 3 7 3 0 0

TB - Pulmonary 8 19 5 3 4 6 0 0

Trachoma 3 17 15 0 0 3 0 1

Trichomoniasis 20 10 0 0 0 0 0 0

Typhoid Fever 5 3 12 2 7 11 0 0

Viral Illness/ Infection 912 1052 336 365 171 110 104 54


NNDSS Diseases by Gender 2016 vs 2017 for December

Diseases Male Female

2016 2017 2016 2017

ARI 1354 1217 1140 1151

Candidiasis 0 0 30 22

Chicken Pox 117 79 95 105

Ciguatera Fish Poisoning 4 2 1 0

Conjunctivitis 192 218 167 183

Dengue Fever 89 112 66 70

Diarrhoea 1081 1016 787 763

Dysentry - Amoebic 1 0 0 0

Dysentry - Bacillary 2 5 2 9

Fish Poisoning 66 75 55 76

Food Poisoning 0 4 0 4

Gonorrhoea 69 62 35 12

Hepatitis 4 5 9 1

Herpes Zoster 3 0 1 0

Influenza 687 680 526 621

Leptospirosis 8 26 1 13

Measles 0 2 4 0

Meningitis 12 11 4 8

Mumps 272 12 284 22

Opthalmia Neonatorium 1 0 0 0

PID 0 0 1 0

Pneumonia 227 57 237 53

Syphilis 20 15 16 38

TB - Others 7 5 6 5

TB - Pulmonary 14 12 3 16

Trachoma 9 13 7 8

Trichomoniasis 0 0 20 10

Typhoid Fever 15 10 8 6

Viral Illness/ Infection 734 715 586 587


NNDSS Diseases by Ethnicity 2016 vs 2017 for December

Diseases I-Taukei Fijians (Indian) Fijian (Others)

2016 2017 2016 2017 2016 2017

ARI 1638 1438 1089 799 77 212

Candidiasis 15 10 12 11 3 1

Chicken Pox 161 139 36 36 10 5

Ciguatera Fish Poisoning 5 2 0 0 0 0

Conjunctivitis 254 265 92 90 14 31

Dengue Fever 79 84 74 83 2 10

Diarrhoea 1309 1213 629 531 37 103

Dysentry - Amoebic 1 0 0 0 0 0

Dysentry - Bacillary 3 11 0 1 1 1

Fish Poisoning 55 85 57 81 1 3

Food Poisoning 0 3 0 5 0 0

Gonorrhoea 79 53 19 21 4 0

Hepatitis 11 4 1 0 1 2

Herpes Zoster 1 0 2 0 1 0

Influenza 662 576 457 665 15 32

Leptospirosis 7 31 2 6 0 2

Measles 1 2 0 0 3 0

Meningitis 14 16 2 1 0 2

Mumps 283 16 331 17 25 0

Opthalmia Neonatorium 1 0 0 0 0 0

PID 0 0 1 0 0 0

Pneumonia 342 201 146 61 11 16

Syphilis 35 36 1 15 0 2

TB - Others 9 9 0 0 4 1

TB - Pulmonary 14 16 1 10 2 2

Trachoma 15 4 1 14 0 3

Trichomoniasis 18 7 2 3 0 0

Typhoid Fever 16 11 6 5 0 0

Viral Illness/ Infection 726 793 391 447 56 57


NNDSS by Sub Divisions (Central) for December 2016 vs 2017

Diseases Suva Serua Rewa Tailevu Naitasiri

2016 2017 2016 2017 2016 2017 2016 2017 2016 2017

ARI 891 534 33 30 228 144 102 92 40 0

Candidiasis 30 22 0 0 0 0 0 0 0 0

Chicken Pox 70 83 0 0 31 24 5 3 5 0

Conjunctivitis 114 172 4 1 44 16 11 9 1 3

Dengue Fever 12 23 0 0 0 44 0 0 0 1

Diarrhoea 669 670 4 4 253 168 70 23 31 0

Dysentry - Amoebic 0 0 0 0 0 0 1 0 0 0


Fish Poisoning 50 89 0 0 12 7 0 2 0 0

Food Poisoning 0 0 0 0 1 8 0 0 0 0

Gonorrhoea 53 24 0 0 2 3 3 2 1 0

Hepatitis 8 2 0 0 0 0 0 0 0 0

Herpes Zoster 3 0 0 0 0 0 0 0 0 0

Influenza 87 233 0 0 365 180 32 34 14 0

Leptospirosis 1 7 0 0 0 0 0 0 0 1

Measles 4 0 0 0 0 0 0 0 0 0

Meningitis 0 12 0 0 0 1 0 0 0 0

Mumps 370 5 2 0 115 15 2 0 10 0

PID 1 0 0 0 0 0 0 0 0 0

Pneumonia 53 230 0 0 0 1 0 0 1 0

Syphilis 19 19 0 0 0 8 1 1 0 0

TB - Others 3 4 0 0 0 0 0 0 0 0

TB - Pulmonary 8 19 0 0 0 0 0 0 0 0

Trachoma 0 17 0 0 3 0 0 0 0 0

Trichomoniasis 20 10 0 0 0 0 0 0 0 0

Typhoid Fever 5 3 0 0 0 0 0 0 0 0



NNDSS by Sub Divisions (Western) for December 2016 vs 2017

Diseases Lautoka Nadi Ba Tavua Nadroga Ra

2016 2017 2016 2017 2016 2017 2016 2017 2016 2017 2016 2017

ARI 1 147 211 159 273 499 189 404 380 643 432 255

Chicken Pox 24 10 19 22 12 1 0 6 3 29 7 8

Ciguatera Fish Poisoning 0 1 0 0 0 0 0 0 0 0 0 0

Conjunctivitis 61 53 32 36 10 26 19 16 48 44 6 6

Dengue Fever 0 5 85 27 0 0 0 0 1 8 0 1

Diarrhoea 18 84 339 274 215 226 36 94 262 310 14 30

Dysentry - Bacillary 1 1 0 0 0 0 0 0 0 1 0 4

Fish Poisoning 0 4 9 21 1 24 0 12 1 7 2 1

Gonorrhoea 18 20 5 5 5 3 1 3 0 0 0 0

Herpes Zoster 1 1 0 0 0 0 0 0 0 1 0 0

Influenza 148 78 111 90 384 656 0 0 191 0 0 0

Leptospirosis 0 3 1 0 0 0 0 0 0 1 0 1

Meningitis 5 2 0 0 0 0 0 0 2 0 0 0

Mumps 54 0 16 0 2 2 0 0 50 6 0 0

Opthalmia Neonatorium 1 0 0 0 0 0 0 0 0 0 0 0

Pneumonia 0 0 343 246 31 37 35 57 0 0 0 0

Syphilis 9 8 6 10 0 1 0 0 0 2 0 1

TB - Others 3 3 0 0 0 0 0 0 0 0 0 0

TB - Pulmonary 5 3 0 0 0 0 0 0 0 0 0 0

Trachoma 15 0 0 0 0 0 0 0 0 0 0 0

Typhoid Fever 2 0 0 0 0 0 0 0 8 0 2 2

Viral Illness/ Infection 0 35 57 12 71 106 0 0 200 210 8 2


NNDSS by Sub Divisions (Northern) for December 2016 vs 2017

Diseases Macuata Cakaudrove Bua Taveuni

2016 2017 2016 2017 2016 2017 2016 2017

ARI 368 68 128 138 6 62 5 0

Chicken Pox 9 2 7 5 5 4 0 1

Conjunctivitis 20 7 6 36 6 27 2 1

Dengue Fever 39 102 7 4 0 18 0 8

Diarrhoea 218 101 41 133 20 82 12 64

Dysentry - Bacillary 0 4 2 3 0 0 0 0

Fish Poisoning 18 12 4 7 11 0 5 10

Gonorrhoea 6 11 0 2 5 1 1 0

Hepatitis 5 2 0 0 0 0 0 0

Influenza 132 77 30 56 20 0 0 1

Leptospirosis 4 15 0 0 0 3 0 6

Measles 0 2 0 0 0 0 0 0

Meningitis 9 3 0 0 0 0 0 0

Mumps 2 1 5 4 0 1 0 0

Pneumonia 20 1 1 1 1 0 0 0

Syphilis 1 5 0 0 0 0 0 0

TB - Others 7 3 0 0 0 0 0 0

TB - Pulmonary 4 2 0 0 0 0 0 4

Trachoma 0 2 0 0 0 0 0 1

Typhoid Fever 7 6 0 2 0 2 0 1

Viral Illness/ Infection 125 18 31 46 0 46 15 0


NNDSS by Sub Divisions (Eastern) for December 2016 vs 2017

Diseases Lomaiviti Lakeba Rotuma Lomaloma Kadavu

2016 2017 2016 2017 2016 2017 2016 2017 2016 2017

ARI 14 13 8 0 0 70 12 0 1 0

Chicken Pox 9 6 0 0 2 0 0 0 9 0

Ciguatera Fish Poisoning 5 0 0 0 0 0 0 0 0 1

Conjunctivitis 19 11 2 1 0 1 1 3 2 3

Dengue Fever 11 2 0 0 0 0 0 0 0 0

Diarrhoea 42 12 0 1 0 37 9 9 24 0


Fish Poisoning 2 4 9 0 0 2 2 0 0 4

Gonorrhoea 1 0 2 0 0 0 0 2 5 2

Influenza 36 0 33 12 0 0 26 12 1 0

Leptospirosis 3 2 0 0 0 0 0 0 0 0

Meningitis 0 1 0 0 0 0 0 0 0 0

Mumps 27 0 0 0 0 0 0 0 10 0

Pneumonia 0 0 0 0 0 0 0 0 15 2

Trachoma 0 0 0 0 0 0 0 0 0 1


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