Health authorities have declared a dengue emergency in Metro Manila following an alarming rise to over 100 000 confirmed cases. Public hospitals report overwhelmed wards, and paediatric ICUs are nearing capacity. Officials attribute the spike to early monsoon-driven rainfall, creating widespread mosquito breeding grounds. Local governments have launched vector-control teams, and a mass vaccination campaign using Takeda’s Qdenga vaccine is underway, targeting half a million schoolchildren by August. Mortality remains low at 0.36%, but officials stress that early response is vital to avoid a repeat of the major 2019 outbreak.