The Cook Islands secretary of health, Josephine Herman, said the country is holding and containing the latest outbreak of dengue.

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She saids to date there are 50 cases of type 1 dengue in the Cooks.

Of these, 22 people have had the virus confirmed after analysis in New Zealand, and the remaining 28 have been identified as likely to have dengue after clinical diagnosis, Dr Herman said.

She also said that while health authorities anticipate more victims, extensive efforts are being made to ensure the spread is minimised. </s> The Philippine government has declared the country’s outbreak of dengue to be a national epidemic, following the deaths of at least 622 patients since January.

The country’s health department announced late on Tuesday that Francisco Duque III, the health secretary, made the declaration to improve the response to the outbreak by allowing local governments to draw on a special Quick Response Fund.

It said the Philippines recorded 146,062 cases of dengue from January through July 20 this year, 98% more than the same period in 2018. That is roughly 5,036 cases every week.

Among the worst-hit areas are central Philippines as well as some regions in the northern island of Luzon and the southern island of Mindanao.

Duque said a campaign is being launched focusing on the destruction of mosquito breeding sites.

Dengue is a mosquito-borne viral infection found in tropical countries worldwide. It can cause joint pain, nausea, vomiting and a rash, and can cause breathing problems, haemorrhaging and organ failure in severe cases.

While there is no specific treatment for the illness, medical care to maintain a person’s fluid levels is seen as critical.

The department of health said that starting on Tuesday, it was conducting a campaign to focus on finding and destroying mosquito breeding sites, which is a primary means of containing dengue.

Other government agencies, local government units, schools, offices and communities will join in the effort, it said.

In 2017, the administration of President Rodrigo Duterte banned the dengue vaccine, Dengvaxia, after its French manufacturer reported that it could cause severe effects on patients not previously exposed to the virus.

Some critics have blamed the decision for the current outbreak, but Duque, the health secretary, said that the World Health Organization did not recommend the use of the vaccine as an outbreak response.

Other Southeast Asian countries have also reported an upsurge in dengue cases this year, according to the UN’s WHO.

The organisation said Malaysia had registered 62,421 cases through June 29, including 93 deaths, compared to 32,425 cases with 53 deaths for the same period last year.

Vietnam over the same period had 81,132 cases with four deaths reported, compared to 26,201 cases including six deaths in 2018.

In South Asia, Bangladesh has been facing its worst-ever dengue fever outbreak, putting a severe strain on the country’s already overwhelmed medical system.

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The Cook Islands secretary of health, Josephine Herman, says that the country is holding and containing the latest outbreak of Dengue, which has killed 22 people and infected another 28.