Outbreak declaration and emergency response measures

Criteria for declaring an outbreak and vector control measures that are deployed in emergencies (ref Q49, 51)

Country

Criteria for outbreak declaration

Emergency vector control measures

Australia

Yes
These criteria differ per disease and are outlined in our Series of National Guidelines: Dengue – CDNA National Guidelines for Public Health Units
Murray Valley encephalitis virus – CDNA National Guidelines for Public Health Units
Zika virus – CDNA National Guidelines for Public Health Units

Brunei Darussalam

Yes
Dengue disease surveillance is monitored using electronic Public Health Surveillance platform, any increase of Dengue cases over a specified time period can be detected and declared an outbreak if the number of dengue cases are greater than 2 standard deviations compared to the 5 year baseline average for a specified duration. Outbreaks can be declared by other criteria such as sudden increase in dengue cases in institutional settings such as Prisons, schools, recruit camps, etc. For other Arboviral diseases, the criteria for outbreak declaration will depend on risk assessment, endemicity of the disease, disease status e.g. eliminated and if it is declared by WHO as a Public Health Emergency of International Concern.

Fogging, awareness programme, Source reduction. (vector control activities such as fogging are conducted on every positive case)

Cambodia

No

Space spraying and abate application

China

Yes

Monitoring, effect evaluation, killing adult mosquitoes, environmental cleaning

Cook Islands

Yes
Outbreak Management Plan & Public Health Act 2004 & Ministry of Health Act 2014

Source Reduction; Larvacide; Risk Assessment, Peri Focal Spraying, Mass Spraying, Public Awareness and Cleaning Campaign,

French Polynesia

Yes
Pas de document disponible car géré par un autre service. Il existe un seuil de nombre de cas d'un nouveau sérotype qui définit une situation épidémique

Mesures périfocales autour des premiers cas (pulvérisations d'insecticides par ULV, mesures de protection individuelle des cas et entourage, pièges à moustiques, lutte contre les gîtes dans les périmètres définis.

Japan

No

The Infectious Disease Act stipulates that Ministry of Health or local government have authority to order managers to disinfect places to kill vectors or to deploy their governmental staff for disinfection activities.

Kiribati


Lao People's Democratic Republic

Yes
There is data from notifiable diseases to see at the provincial and national level if dengue has surpassed an epidemic threshold.
Risk assessments also are used to assess risk of outbreak.

RRT

Malaysia

Yes
two or more cases of Arboviruses in a locality within two weeks

Adulticiding, Larviciding, Mass Source Reduction Campaign

Nauru

I don't know

Papua New Guinea

Yes
Criteria for Emergency, Surveillance and Response
1) Laboratory confirmed disease
a) IHR notifiable diseases
b) Cluster of diseases in a time, space and area
c) New disease/pathogen of unknown origin
d) Disease of public health emergency and international/national concern
e) Vaccine preventable disease

1) Insecticide use
2) Distribution of insecticide treated bed-nets
3) Cleaning up of mosquito pools

Philippines

Yes
The surveillance system has its alert and epidemic threshold based on previous 5-year data (excluding epidemic year). For dengue and chikungunya, when the number of cases in a barangay in at least one week exceeds 2 standard deviations (SDs)2 of the five-year weekly mean, reported through routine surveillance (refer to Annex 4 for a sample computation of Vol. 6 Outbreak Preparedness and Response). For zika, upon detection of at least one case (refer to volume 2, pp. 47-48 for case definition and classifications).

Space spraying and targeted residual spraying.
Conduct (adult, larval/pupal) vector surveillance (refer to volume 2, pages 8-33 for procedures).
Pending results of the vector surveillance, map the areas that need to be covered by vector control interventions.
Conduct larviciding, fogging operations and targeted indoor residual spraying (TIRS) or targeted outdoor residual spraying (TORS) (refer to volume 3, pp. 12-32 for procedures)
Monitor the vector population post-vector control interventions (refer to volume 2, page 13 for vector indices)
Conduct/intensify ‘search and destroy’ measures (see volume 3, pages 10-12).

Singapore

Yes
a)[For endemic diseases] Rise in incidence in humans above defined statistical thresholds
b)[for emerging arboviruses] single detected case

Intensified search and destroy efforts in outbreak area to remove breeding sources, conduct larviciding and adulticiding where appropriate. Community mobilisation for public and stakeholders to do their part to remove potential breeding sources in and around their premises and take protective measures including application of repellent, wearing long sleeved clothing and application of insecticide where appropriate.

Vanuatu

Yes
one locally acquired case

IRS, LLINs for viremic individuals, larviciding, clean-up campaigns

Viet Nam

Yes

chemical spray