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00000000Recent data from the Philippines suggest that 1980, 1981 and 1985 saw little disease activity whilst more serologically confirmed cases were detected in 1982, 1983 and 1984 (Table 4). The age distribution of recent cases of DHF indicates that more than 40 per cent of cases are in the five to nine years age group (Table 5). The sex ratio of cases shows approximately equal distribution of cases between males and females (131 males and 141 females between 1982 - 84). The years 1982 and 1983 showed the typical pattern of increased disease activity during the rainy months. In 1984, however, most cases were seen during the dry months; the reasons for this are unknown(16). All four serotypes of dengue have been isolated in the Philippines and, in recent years, dengue-1, 2 and 3 (DEN-1, -2 and -3) appear to have been equally prevalent (Table 6).

Table 4. Dengue infections confirmed by serology*

Year
Clinical diagnosis
Serologically confirmed
Percentage positive
1980
152
25
16.45
1981
68
20
29.4
1982
250
122
48.8
1983
288
129
44.8
1984
244
118
48.4
1985
28
9
28.6

* Source of data : (16)


Table 5. Age distribution of serologically confirmed
dengue cases : 1982 - 1984*

Age group (years)
1982
1983
1984
NO.
Percent
NO.
Percent
NO.
Percent
Under 4
7
10.8
14
15.7
34
24.1
5 - 9
28
43.1
37
41.6
57
40.4
10 - 14
23
35.4
26
29.2
39
27.7
Over 15
7
10.8
12
13.5
11
7.8

* Source of data : (16)


Table 6. Dengue viruses isolated in the Philippines, 1983 - 1984*

Serotype
1983
1984
Total
Per cent
Dengue-1
54
34
88
35.8
Dengue-2
58
12
70
28.4
Dengue-3
45
33
78
31.7
Dengue-4
8
2
10
4.1
Total
165
81
246
100.0

* Source of data : (16)

Table 7. Dengue fever/Dengue Haemorrhagic Fever
(DF/DHF) in the Pacific Islands, 1975 - 1984*

Country/Area
Reportd cases of DF/DHF
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
American Samoa 239 - - - - 1 - - ... ...
Cook Island - 468 249 2 - 356 - - ... ...
Fiji 72 506 10 1 3 6 914 127 18 581 237 190
French Polynesia 1 460 701 427 345 4 593 561 673 247 ... 453
Kiribati 282 - 3 - 49 808 109 11 ... 7
Nauru - - - - - 538 - - ... ...
New Caledonia 11 283 260 56 66 831 1 - ... 6
New Zealand - - - 4 15 5 2 ... 5 1
Niue 26 - - - 1 616 ... 2 ... ...
Papua New Guinea 9 631 60 25 ... ... ... ... ... ...
Samoa 2 547 157 15 - 415 112 11 6 - ...
Tokelau 67 10 - - - ... ... ... ... ...
Tonga 8 384 2 - 18 2 1 871 432 202 575 176
Vanuatu 1 412 97 17 8 31 4 7 - 3 ...
Wallis & Futuna - - - - 222 1 - - ... ...

* Source of data : (12), (15), (17), (18), (21)
… = Data not available