Pago Pago, AMERICAN SAMOA — The Department of Health issued an update regarding the recent outbreak of dengue fever during a press conference yesterday, which has now reached 381 confirmed cases. In conjunction with this update, the department is also intensifying efforts to raise public awareness about the increasing incidence of measles cases in the Pacific region.

Adam Konrote, the Epidemiologist from the Department of Health, reported that since the beginning of the outbreak, a total of 381 dengue cases have been confirmed. He noted that most cases are among children, particularly in the age group of 10 to 15 years.

The geographic spread of the disease is widening, with cases now appearing throughout the island. Fortunately, there are currently no critical cases, and there have been no ICU admissions since the outbreak began. Additionally, hospital admissions for confirmed dengue cases have decreased over the past few weeks.

“We urge the public to remain vigilant by eliminating standing water, using mosquito repellents, wearing long sleeves and pants, securing windows and door screens, and seeking prompt medical care if symptoms such as fever, nausea, or joint pain develop,” Konrote emphasized.

The Department of Health's surveillance and control teams will continue to respond to cases appropriately, aiming to reduce the spread of the dengue virus and hopefully end the outbreak. 

Moving on to the measles situation, Konrote provided an update on regional and international outbreaks. He said the measles outbreaks are actively occurring internationally, with Australia and New Zealand reporting increased measles activity. These countries have strong travel ties to American Samoa and the wider Pacific region, heightening the risk of cases here.

In response to this growing threat, the Pacific region has entered active surveillance mode for measles. This includes enhanced case monitoring, strengthened reporting protocols, and increased coordination among island nations to support rapid detection and containment if a case arises. 

“I must clarify that American Samoa does not currently have any measles cases, nor do any of our neighboring countries. “The current threat level was activated due to cases arising in New Zealand and Australia, prompting us to take preventative measures to ensure these cases do not reach our shores. Keeping our territory measles-free remains our top priority.” 

He said as the holiday season approaches, the Department of Health is issuing a travel advisory for residents planning to travel to Australia or New Zealand, especially families with young children. 

“We strongly advise travelers to ensure that MMR vaccinations are up to date before travel, to avoid high-risk and crowded settings, to monitor for measles symptoms during and after travel, and to seek immediate medical care if symptoms such as fever, cough, runny nose, red eyes, or a rash develop.

“We also want to inform the public that American Samoa is encouraging vaccination for travelers. “We are currently seeking clarity on whether this advisory may soon include a formal mandate for proof of MMR vaccination. Similarly, if measles cases begin to appear elsewhere in the Pacific, American Samoa may consider implementing mandatory vaccination requirements for travelers or high-risk groups as part of our efforts to protect the territory.” 

Furthermore, Konrote confirmed that as of this report, there are no active travel restrictions. “If any restrictions are implemented, they will be communicated through official government channels and Department of Health announcements.

“Regarding preparedness and response, we want to reassure the public that the MMR vaccine remains safe, effective, and available for free at Department of Health clinics in American Samoa.

“Catch-up vaccination clinics will be underway in the coming weeks, which will be discussed further by my colleagues. “Parents and guardians should review their children's vaccination records to ensure they are up to date. If they are not, steps should be taken to bring them up to date. “Adults who are unsure about their immunity should consult their healthcare providers as soon as possible, especially if they intend to travel,” said Konrote. 

He also clarified that all clinical staff are on heightened alert for the early identification and rapid reporting of suspected cases. They are collaborating with LBJ Hospital to ensure physicians are aware of case definitions and trends so that they can respond swiftly if patients begin to present with symptoms.

“In addition to the concerns about measles, we also want to remind the public that we are heading into flu season. “As we enter winter, we often see an increase in respiratory viruses throughout the territory. “We are asking everyone to watch for flu symptoms, maintain standard hygiene practices such as frequent handwashing and sanitizing commonly touched surfaces, and, if feeling unwell, to stay home and rest, avoiding public gatherings whenever possible,” said Konrote.