Country: Vanuatu Source: Pacific Community Please refer to the attached file. Below key highlights: Two (2) new pertussis cases were reported from Efate in Epiweek 14, bringing the cumulative total to 827 comprising 784 clinically diagnosed and 43 laboratory-confirmed cases. The cumulative number of pertussis‑associated deaths remains at seven, including six deaths in Tanna and one in Shefa. Overall pertussis activity in 2026 continues to show a declining trend compared with the peak observed in late 2025, although case numbers remain above the alert threshold. Cases have been reported across all age groups, with the highest burden among children aged 1–9 years; a substantial proportion of cases also occurred in infants under one year of age. Among pertussis cases with known vaccination status, 48% were unvaccinated, while 35% had received one dose, 6% two doses, and 11% have received three doses of pertussis‑containing vaccine. Geographically, pertussis remains concentrated in Efate (~54%) and Tanna (~38%), which together account for the majority of reported cases (Figure 4). A smaller cluster has been observed in Futuna (~8%), and one case from Erromango. Although no cases were reported in the last two weeks, ongoing monitoring will continue to ensure the outbreak has been fully controlled.