Monday 16th April 2018

- Tonga. 30 Mar 2018. Tonga has recorded 124 cases of dengue since the beginning of the year [2018].
<https://www.radionz.co.nz/ international/pacific-news/353742/dengue-affecting-124- people-in-tonga-so-far-this- year>
22nd March 2018

- Tonga. 15 Mar 2018. At least 70 cases of dengue in Tonga with one death.
<https://www.radionz.co.nz/international/pacific-news/352580/at-least-70-cases-of-dengue-in-tonga>
9th February 2018

 - Tonga. 30 Jan 2018. Tonga has declared a dengue outbreak following the death of a New Zealand girl in the country last week. The 12-year-old had been visiting family in Tonga over the Christmas holidays. The chief executive of Tonga's Ministry of Health said there were 19 confirmed cases of dengue in the country, all on the main island Tonga'tapu.
<https://www.radionz.co.nz/international/pacific-news/349271/dengue-death-and-outbreak-confirmed-in-tonga>

 - Tonga. 1 Feb 2018. A national campaign to control the spread of dengue started today as the number of people who have caught the disease climbed to 33 as of this afternoon, 1 February. Schools are waiting for funding to start spraying.
<http://matangitonga.to/2018/02/01/dengue-cases-climb-33>

 - Tonga. 5 Feb 2018. As dengue cases increase to 52 on Tongatapu as of this afternoon, 5 February, a medical officer from the Ministry of Health admitted they lack the ability to treat haemorrhagic dengue because they are waiting to replace a broken centrifuge.
<http://matangitonga.to/2018/02/05/tonga-lacks-equipment-treat-hemorrhagic-dengue>
Date: Sat 9 Dec 2017
Source: NewsHub [edited]
<http://www.newshub.co.nz/home/health/2017/12/nats-hit-health-minister-over-tongan-mumps-outbreak.html>

A mumps outbreak in Tonga could have started in Auckland and the Government should take responsibility, 2 Opposition MPs say.  Shane Reti and Alfred Ngaro believe Tongan and other Pacific Island rugby league players at the recent World Cup could have been exposed to mumps while they were in Auckland. They're upset because when Health Minister David Clark was asked about it, he said individual countries were responsible for their own immunisation regimes.  "There are currently 1600 recorded cases in Tonga," Mr Reti and Mr Ngaro said in a joint statement. "Is the minister saying that the complications of this disease such as deafness, sterility and meningitis don't matter in Pacific Island people?"

The MPs thinks the Government should offer advice to Tonga and help with its vaccination programme. "The minister is displaying an appalling lack of responsibility," they said. Dr Clark told Newshub mumps outbreaks in the Pacific are not uncommon. "The latest outbreak in Tonga began in March and peaked in June [2017] - before the Rugby League World Cup. The suggestion from the 2 National MPs that Tongan Rugby league players that contracted mumps in New Zealand have somehow caused the outbreak in Tonga does not make sense and is irresponsible at best."

He said the Ministry of Health isn't aware of any requests for assistance from Tonga, which would actually come through the Ministry of Foreign Affairs and Trade.  "Anyone who needs treatment while in New Zealand will receive it, but individual countries are responsible for their own vaccination programmes."
========================
[Before sports teams travel to countries where mumps outbreaks are occurring, MMR vaccination status of each player should be checked. The coaches should advise unvaccinated players to immediately go to clinics that conduct immunizatons. Because measles and mumps are highly infectious, sports teams should take extra precautions to protect their players from disease even in country. They can become infected at home and when travelling, and can spread infection to other non-immunized individuals.

A Healthmap/ProMED of Tonga can be seen at
<http://healthmap.org/promed/p/3>. - ProMED Mod.LK]
Date: Sat, 4 Nov 2017 11:54:53 +0100

Sydney, Nov 4, 2017 (AFP) - A 6.8-magnitude earthquake struck off the coast of Tonga Saturday in the tectonically active Pacific region, but there was no tsunami threat, seismologists said.   The tremor hit at a depth of 10 kilometres (six miles) some 90 kilometres off the Tonga island of Niuatoputapu, and 230 kilometres southwest of the Samoan capital Apia, the US Geological Survey reported.

The Pacific Tsunami Warning Center said there was no current tsunami threat.   The quake lasted for almost one minute, and caused residents to leave their homes for open spaces across Samoa, according to reports cited by the Samoa Observer news website.   Tonga and Samoa are part of the "Ring of Fire", a zone of tectonic activity around the Pacific that is subject to frequent earthquakes and volcanic
eruptions.
More ...