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Guam 2011-2012 Flu Season: Weeks 40-29 (No Activity)
Guam 2011-2012 Flu Season: Weeks 40-29 (No Activity)
Week 40: No Activity
No cases were reported by sentinel physician
H1N1 INFLUENZA SURVEILLANCE, WEEK 40, 2011
Cumulative 2011: 2 civilian & 4 military cases
1 CASE OF H1N1 REPORTED FOR WEEK 40
ED ILI: 106.51 per 100,000 cases
Week 41: Sporadic
One case reported by sentinel physician
NO CASES OF H1N1 REPORTED FOR WEEK 41
ED ILI: 111.97 per 100,000 cases
Re: Guam 2011-2012 Flu Season: Weeks 40-44 (No Activity)
Weeks 42-44: No Activity
H1N1 cumulative 2011: 2 civilian & 4 military cases
ED ILI: 119.07 per 100,000 cases
ED ARI cases peaked in week 42
The main island of Yap State reports additional confirmed cases as a result of the ongoing dengue (total of 25) and leptospirosis (total of 7) outbreaks there. Both of these diseases are frequently associated with the rainy season and/or flooding, dengue being spread by mosquitoes and leptospirosis contracted by contact with water that has been contaminated with wild or domestic animal waste. A second case of dengue has been referred to Guam for treatment.
Week 46: Sporadic
Two cases reported by sentinel physician
ED ILI: 122.35 per 100,000 cases
REGIONAL NEWS
While dengue fever cases in Majoro, capitol of the Republic of the Marshall Islands, appear to be on the decline (possibly due to most susceptible individuals already having been infected), new cases have now appeared on Ebeye, famous for being the world?s most densely populated island. Since dengue fever is only spread by mosquitoes and not from person to person, and Ebeye lacks any jungle ?boonie? areas, it will be informative to see if resources of the community can be successfully mustered to control mosquito breeding and minimize the spread of the disease there.
REGIONAL NEWS
On November 23 Governor Anefal of Yap State issued an Emergency Declaration due to the dengue fever epidemic there which has so far accounted for 560 cases. A Task Force was subsequently created to mobilize a cleanup campaign intended to control mosquito breeding throughout the State. Traditional chiefs will take the lead in this effort and be responsible for implementation of the cleanup effort in their respective villages.
Source: Yap State Government
Week 48: Sporadic
Two cases reported by sentinel physician
NO CASES OF H1N1 REPORTED FOR WEEK 48
ED ILI: 125.63 per 100,000 cases
Week 49: Sporadic
While ARI cases peaked in week 42 then sharply declined, they appear to be on the increase again. Acute URI cases appear to be following this same pattern.
One case of influenza was reported by sentinel physician.
ED ILI: 127.27 per 100,000 cases
Conjunctivitis: 21 cases reported
E. coli MDR: 1 case reported
Enterobacter MDR: 1 case reported
Influenza: 1 case reported
Klebsiella pneumoniae MDR: 2 cases reported
MRSA: 21 cases reported
Meningitis: 1 case reported
Pertussis: 1 case reported
Streptococcal disease, other: 9 cases reported
Re: Guam 2011-2012 Flu Season: Weeks 40-7 (No Activity)
Week 1: No Activity
3 cases of influenza A reported (Japanese tourists treated as outpatients at a private clinic)
ED ILI: 1.64 per 100,000
Week 2: No Activity
ED ILI: 5.46 per 100,000
Week 3: Sporadic
1 confirmed case by sentinel
1 case of Influenza A (Japanese tourist treated as outpatient by private physician)
ED ILI: 6.55 per 100,000
Week 4: Sporadic
1 confirmed case by sentinel
ED ILI: 9.21 per 100,000
Week 5: No Activity
11 cases of influenza A (8 cases in Japanese tourists, all 11 treated as outpatients)
ED ILI: 11.47 per 100,000
Week 6: Sporadic
5 cases of influenza A (4 Japanese tourists and 1 resident Japanese tour guide; none required hospitalization.)
ED ILI: 14.2 per 100,000
Week 7: No Activity
No hospitalizations have been reported this flu season.
ED ILI: 19.12 per 100,000
Week 8: Sporadic
7 cases of influenza A reported (6 reported cases were in Japanese tourists, 1 was in a Guam resident)
1 case of influenza B
ED ILI: 19.66 per 100,000
Week 9: Sporadic
No hospitalizations or deaths have been reported in weeks 1-9.
4 cases of influenza B reported ( 3 of 4 reported cases were in Japanese tourists, 1 was in a Guam resident ) 1 case of Dengue reported (recent travel to Philippines)
MRSA: 8 cases
ED ILI: 20.76 per 100,000
Re: Guam 2011-2012 Flu Season: Weeks 40-17 (No Activity)
Week 15: No Activity
No new hospitalizations; total 3
ED ILI: 30.59 per 100,000
Week 16: No Activity
No new hospitalizations; total 3
ED ILI: 33.32 per 100,000
Week 17: No Activity 1 new hospitalization (age 65+); total 4
ED ILI: 35.5 per 100,000
A case of rotavirus infection in a Guam resident has been reported by a local pediatrician. Although this is the first such case known to us, the CDC reports that rotavirus infection is a leading cause of severe diarrhea in infants and young children and is responsible for more than a half a million deaths worldwide each year in children younger than 5 years. At present laboratory testing for rotavirus is not available locally and patient specimens must be sent off-island for confirmation of diagnosis...
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