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significant rise in igG levels.
isolation of the dengue virus.

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- Health professionals are required to inform their local Medical Officer of Health of any suspected or diagnosed notifiable disease.
- Laboratories have also been required to report notifiable diseases to their local Medical Officer of Health.

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Notifiable Disease Surveillance System (NDSS) = NZ's passive surveillance system.

Passive surveillance in some dengue-endemic areas (Pacific Islands) is limited.

Good surveillance systems are crucial for early identification and effective control of outbreaks – NZ's surveillance systems could potentially provide valuable data to supplement surveillance in the Pacific region.

Lowering the burden of disease in Pacific Islands beneficial for NZ too, due to close links between regions.

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when in dengue infected areas:
- keep covered (day and night)
- use mosquito nets
- use insect repellent
- use screens
-avoid ares where the mosquitoes are most active
- reduce areas where the mosquitoes can breed and spread
- where enclosed shoes
-is a vaccine available for people who have already had Dengue fever

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Anomalies in reported incidences of dengue in NZ can therefore provide alerts to Paciﬁc Islands and the global community about possible outbreaks, particularly for countries where comprehensive surveillance systems are developing.

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All cases
reported to the Notifiable Disease Surveillance
System (NDSS)

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can not be spread form person to person
spread via mosquitos

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Anonymized information on demographics, travel history, mosquito avoidance behaviour, and diagnostic tests used were obtained from the NDSS. The travel history included up to three recently visited countries or territories.

Data for NZ travellers (short-term departures) and visitors to NZ from 1997 to 2009 were obtained from Statistics New Zealand , and included information on age and sex of travellers, annual and monthly travel patterns, destinations of NZ travellers, and home countries of NZ’s visitors.

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- Positive dengue IgM

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644 cases in NZ residents
35 cases in international visitors

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Main vectors:
Aedes aegypti & Ades albopictus mosquitoes

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Prevention of Dengue Fever in the Pacific Islands and reduce morbidity from outbreaks in both NZ and the Pacific Islands.

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679 cases in NZ,

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‘probable’ case was deﬁned as a clinically compatible illness in a person who has travelled to a dengue-endemic area. If the diagnosis is conﬁrmed or excluded by laboratory tests, a case may be subsequently deﬁned as a ‘conﬁrmed case’ or ‘not a case’.
Incubation period of 3 - 8 days.