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: ochaphilippines@un.org www.unocha.org www.reliefweb.int

PHILIPPINESDengue Cases Snapshot (January - June 2019)

Batanes

Bukidnon

Cagayan

Cavite

Cebu

NorthCotabato

CotabatoCity

Iloilo

Negros Occidental

South Cotabato

ZamboangaSibugay

1 - 56 - 1011 - 2021 - 30

> 30

< 1,0001,001 - 2,0002,001 - 3,0003,001 - 4,000> 4,000

No. of cases

No. of deaths

National Capital Region

NCRSecondDistrict

ThirdDistrict

FourthDistrict

FirstDistrict

MANILA

Government & partners’ major responses/interventions

Regions that exceeded the epidemic threshold

Region IV-A(CALABARZON)

Region V(Bicol

Region)

Region VI(WesternVisayas)

Region IX(ZamboangaPeninsula)

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

DavaoCity

TaclobanCity

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 2019Period from January-June of each year

0 0

106,630

Epidemic threshold level

reported cases106,630 deaths

456

53%

47%

most affectedage group

5-9

Strengthen Infomation& Education Campaign

Clean-up efforts& vector control

National healthcluster coordination

Community-levelcapacity building

Reactivation ofdengue fastlanesin health facilities

Conduct of riskassessments &

analysis (brgy. level)