National Capital Regional Office
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Republic of the Philippines Department of Health NATIONAL CAPITAL REGIONAL OFFICE Annual Report January 1 – December 31, 2017 ADVANCE COPY DENGUE SURVEILLANCE REPORT FINDINGS: Partial reports showed there were 26,032 cases admitted at different reporting institutions of the Region from January 1 to December 31, 2017. There were 298 admissions for this week. Quezon City has the highest (33.48/10,000 population) attack rate (Table 2). 159 deaths were reported (CFR 0.61) (Table 1/Figure 1). This is 53% higher compared to the same period last year (16,977) [Table 1/Figure 2]; and 17% higher than previous five-year average (2012- 2016) [Figure 3]. Table 1. Distribution of Dengue Cases and Deaths by LGU (N=26,032) National Capital Region, January 1 – December 31, 2017 Cases Change 2017 LGU Rate 2016 2017 (%) Deaths CFR (%) Quezon City† 4,942 9,862 100 86 0.87 Caloocan City† 1537 3,184 107 11 0.35 Manila City† 2,677 2,816 5 7 0.25 Parañaque City† 1,043 1,661 59 8 0.48 Pasig City† 1,352 1,360 1 5 0.37 Makati City† 713 1,224 72 10 0.82 Valenzuela City† 693 1,022 47 2 0.20 Taguig City* 601 834 39 15 1.80 Malabon City† 516 830 61 4 0.48 Las Piñas City† 561 785 40 3 0.38 Marikina City† 442 666 51 5 0.75 Muntinlupa City† 320 389 22 2 0.51 Mandaluyong City 637 388 -39 0 0.00 San Juan City† 277 367 32 1 0.27 Navotas City† 192 307 60 0 0.00 Pasay City 368 288 -22 0 0.00 Pateros 106 49 -54 0 0.00 N C R 16,977 26,032 53 159 0.61 *Case-Fatality Rate should be less than 1.0 †Increase number of cases Disclaimer: Figures from previous report may differ due to late reports submitted and further verification. DOH-NCRO Epidemiology and Health Emergency Cluster, 1/F Bldg. 1, Barangay Road, Welfareville Subdivision, Barangay Addition Hills, Mandaluyong City 1554 Telephone No.. 531-0037 x. 116 or 118 / E - mail: [email protected] Table 2. Attack Rates by LGU per 10,000 Population (N=26,032) National Capital Region, January 1 – December 31, 2017 Total Attack LGU Cases Population Rate Quezon City 9,862 2,945,629 33.48 San Juan City 367 122,576 29.94 Parañaque City 1,661 667,979 24.87 Malabon City 830 366,709 22.63 Makati City 1,224 584,490 20.94 Caloocan City 3,184 1,589,110 20.04 Pasig City 1,360 757,747 17.95 Valenzuela City 1,022 622,432 16.42 Manila City 2,816 1,785,917 15.77 Marikina City 666 452,201 14.73 Las Piñas City 785 590,802 13.29 Navotas City 307 250,271 12.27 Taguig City 834 807,523 10.33 Mandaluyong City 388 387,528 10.01 Muntinlupa City 389 506,144 7.69 Pateros 49 64,047 7.65 Pasay City 288 417,872 6.89 N C R 26,032 12,918,977 20.15 Figure 1. Distribution of Dengue Cases and Case Fatality Rates by Age-group (n=25,950) National Capital Region, January 1 – December 31, 2017 Number of Cases Case Fatality Rate (%) 12,600 5 12,000 11,400 10,800 10,200 4 9,600 9,000 8,400 7,800 3 7,200 6,600 6,000 5,400 4,800 2 4,200 3,600 3,000 2,400 1 1,800 1,200 600 0 0 <1 1-4 5-14 15-49 50-64 65 and above Cases 533 4005 11288 9467 491 166 CFR 1.1 0.6 0.9 0.2 0.6 0.6 *Ages unknown = 82 Figure 2. Distribution of Dengue Cases by Morbidity Week National Capital Region, 2016 vs. 2017 Number of Cases 1,400 2017 1,200 2016 1,000 800 600 400 200 0 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51 Morbidity Week Figure 3. Distribution of Dengue Cases by Morbidity Week National Capital Region, Alert and Epidemic Threshold, 2012-2016 vs. 2017 Number of Cases 2000 1800 1600 1400 1200 1000 800 600 400 200 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 2017 31 46 33 34 31 29 29 27 26 25 22 20 20 17 14 13 11 11 13 14 14 17 21 30 33 40 43 55 91 86 85 12 13 11 98 11 87 84 85 68 73 73 82 61 73 63 61 52 41 48 38 29 ATH 54 46 46 45 43 42 34 33 34 35 31 28 22 21 21 26 23 24 29 25 27 31 38 45 51 55 78 93 10 10 10 97 13 13 12 14 13 12 12 12 12 11 10 88 84 66 60 50 46 40 36 40 ETH 71 54 56 56 55 56 42 42 45 49 43 39 29 29 30 39 34 35 42 37 39 46 58 67 76 79 11 13 14 14 13 13 18 18 17 19 18 16 16 17 17 14 14 11 10 77 73 60 53 47 44 52 Morbidity Week Profile of Cases Ages of cases ranged from 1 month to 96 years old (median 11 years). Most 11,288 (44%) of those affected was the 5-14-year age-group (Figure 4). Majority of cases 13,836 (53%) were male. Figure 4. Distribution of Dengue Cases by Age-group and Sex (n=25,950) National Capital Region, January 1 – December 31, 2017 Age-group Female Male ≥65 50 - 64 15 - 49 5 - 14 1 - 4 <1 6000 5400 4800 4200 3600 3000 2400 1800 1200 600 0 600 1200 1800 2400 3000 3600 4200 4800 5400 6000 Number of Cases Geographic Distribution Most of the cases were from the following Cities: Quezon City (38%), Caloocan (12%), Manila (11%). Paranaque (6%) and Pasig (5%). (Figure 5). Figure 5. Distribution of Dengue Cases by City (N=26,032) National Capital Region 2016 vs. 2017 10800 10200 9600 9000 8400 7800 7200 6600 6000 5400 4800 4200 Cases 3600 3000 2400 1800 1200 600 0 QC Cal Mnl Pque Psg Mkt Val Mlbn LsPns Tguig Mrkn Mnda Mnlpa SJ Nvots Psy Ptrs 2016 4942 1537 2677 1043 1352 713 693 516 561 601 442 637 320 277 192 368 106 2017 9862 3184 2816 1661 1360 1224 1022 830 785 834 666 388 389 367 307 288 49 CLUSTERING OF CASES: Clustering of cases were noted in the Cities of Caloocan, Las Pinas, Makati, Malabon, Manila, Marikina, Muntinlupa, Navotas, Paranaque, Pasay, Pasig, Quezon, Taguig and Valenzuela (Table 3). Table 3. Barangays with Clustering of Cases National Capital Region, MW49 - 52, 2017 CASES LGU Barangay MW49 MW50 MW51 MW52 TOTAL Barangay 35 2 0 0 1 3 Barangay 174 1 1 3 1 6 Barangay 176 8 3 3 0 14 Barangay 177 0 5 0 0 5 CALOOCAN CITY Barangay 178 3 1 1 0 5 Barangay 179 0 2 1 0 3 Barangay 181 2 0 1 0 3 Barangay 187 0 2 3 0 5 B. F. International Village 4 6 3 1 14 Manuyo Dos 3 2 5 1 11 Pamplona Dos 2 0 0 3 5 LAS PINAS CITY Pamplona Tres 8 8 2 2 20 Pamplona Uno 0 3 0 0 3 Pulang Lupa Dos 0 2 1 0 3 Pulang Lupa Uno 0 2 2 0 4 Bangkal 0 1 2 0 3 Cembo 1 1 1 1 4 East Rembo 0 2 1 1 4 Guadalupe Nuevo 3 1 1 0 5 Palanan 1 0 1 1 3 MAKATI CITY Pembo 5 0 0 3 8 Pitogo 1 1 0 2 4 Rizal 1 3 1 8 13 San Lorenzo 0 2 0 1 3 West Rembo 1 0 2 1 4 Dampalit 2 0 0 1 3 MALABON CITY Potrero 4 1 2 0 7 Barangay 232 1 2 0 2 5 MANILA CITY Barangay 235 2 1 0 0 3 Calumpang 0 3 3 1 7 Concepcion Dos 0 1 3 0 4 MARIKINA CITY Concepcion Uno 4 1 1 1 7 Malanday 1 2 1 1 5 Marikina Heights 1 1 2 2 6 Nangka 0 2 3 1 6 Parang 1 0 1 1 3 Santo Nino 1 1 1 0 3 Tumana 2 3 1 4 10 Alabang 1 1 0 1 3 Cupang 2 4 2 1 9 MUNTINLUPA CITY Poblacion 4 3 1 0 8 Putatan 3 0 0 0 3 Tunasan 0 2 3 2 7 North Bay Blvd., North 1 3 1 0 5 NAVOTAS CITY North Bay Blvd., South 2 0 0 1 3 B. F. Homes 6 7 3 2 19 Baclaran 1 3 0 0 4 Don Bosco 4 4 2 8 18 La Huerta 2 1 0 0 3 Marcelo Green Village 0 0 2 1 3 Merville 2 1 2 2 8 Moonwalk 2 0 5 8 15 PARANAQUE CITY San Antonio 10 24 12 5 51 San Dionisio 7 12 3 7 29 San Isidro 4 13 6 7 30 Santo Nino 4 1 0 1 6 Sucat 3 2 2 1 8 Sun Valley 2 1 1 2 6 Tambo 1 4 1 1 7 PASAY CITY Barangay 193 1 1 1 0 3 Bagong Ilog 0 3 3 2 8 Bambang 1 3 1 1 6 Caniogan 2 3 5 1 11 Malinao 0 1 1 1 3 Manggahan 4 0 2 3 9 Maybunga 3 4 4 2 13 PASIG CITY Palatiw 0 3 0 3 6 Pinagbuhatan 6 9 13 5 33 Pineda 1 1 1 0 3 Rosario 0 9 9 5 23 San Miguel 1 3 3 3 10 Santa Lucia 0 2 1 1 4 Santolan 3 6 1 0 10 DISTRICT I Bahay Toro 1 0 1 1 3 Maharlika 2 1 1 0 4 Manresa 0 0 4 3 7 Paang Bundok 0 2 2 1 5 San Antonio 1 1 1 0 3 DISTRICT II Batasan Hills 2 4 2 4 12 Commonwealth 4 3 4 2 13 Holy Spirit 4 3 4 1 12 Payatas 4 5 4 1 14 DISTRICT III E.