Rachel Ramirez, a health educator with the Department of Public Health and Social Services, gives a demonstration on how to properly apply mosquito repellent at the Northern Region Community Health Center in Dededo, Guam on Jan. 15. Photo by Dontana Keraskes/The Guam Daily Post
But since Christmas, the number of dengue fever cases in the capital of the Marshall Islands has been climbing, with a record 41 cases seen at Majuro hospital January 13. The hospital has been seeing an average of over 20 dengue cases daily for the past three weeks, according to data provided Sunday by the Ministry of Health and Human Services.
“People think this is over and it’s worse than ever,” said Health Secretary Jack Niedenthal Friday.
A total of 162 dengue cases were reported in Majuro this past week — the highest one-week total since the outbreak in Majuro started five months ago, confirming that dengue is not only not on the wane, it is getting worse.
The mosquito-borne illness is hammering the hundreds of local residents getting sick as well as Majuro hospital, sapping resources and energy from the health system that has spent an estimated $2 million to deal with the extended outbreak, according to Niedenthal.
A 2011 dengue outbreak in Majuro peaked and declined after only about three months and 1,600 cases. The current outbreak originated on Ebeye Island in July 2019. Ebeye, one small island compared to Majuro Atoll, managed to get the problem under control relatively quickly and has not reported a new case for nearly two months.
Majuro has accounted for the vast majority of the 2,073 confirmed and suspected dengue cases through last Wednesday, with 1,762 cases identified in Majuro. The end of the travel ban to outer islands has seen three outer atolls report a handful of dengue cases over the past four weeks.
Niedenthal said mosquito prevention needs to ramp up again in Majuro. In August and September, there was a big focus on cleaning and removal of trash to eliminate mosquito-breeding areas in Majuro. But these efforts slowed with the November 18 election and the holidays that followed.
The government’s National Disaster Committee met recently to renew focus on the ongoing dengue outbreak.
“We are gathering all the data to have some serious meetings with a variety of organizations,” said Niedenthal. “We need community members, individual home and business owners to take care of their areas.”
