WHO Measles monthly data collection aug 14

Global Measles Surveillance Update

August 2014

Number of Reported Measles Cases by WHO Regions, 2013-2014

Countries not reporting in the last 12 months (from 7-2013 to 6-2014):AFR (4.4% of pop): Algeria, Comoros, Mauritius, Sao Tome and Principe, Seychelles.AMR (2% of pop): (Canada and USA do not report suspected cases). Caribbean, Ecuador, Grenada and UruguayEMR (0.1% of pop): DjiboutiEUR (0.4% of pop): Bosnia and Herzegovina, MonacoSEAR (67% of pop): India.

Data source: surveillance DEF fileData in HQ as of 4 August 2014

This is surveillance data, hence for the last month, the data may be incomplete.

As of 27 May 2013, South Sudan has reassigned to the Africa region (AFR) from the Eastern Mediterranean region (EMR). For data presentation and statistical purposes, South Sudan data is presented in AFR for both the years (2013 and 2014).

2013

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov DecUnkno

wn

AFR 42 (47) 104805 77392 14581 52471 10340 0 9083 14770 20017 11093 6058 2970 2511 2186 2019 2209 2918 1558 0 Aug-14

AMR 33 (35) 18178 651 0 0 651 0 14 8 27 62 73 46 46 43 16 17 81 218 0 Aug-14

EMR 20 (21) 34714 16667 878 2707 13082 0 4393 2359 2002 1938 2043 1517 808 348 314 311 306 328 0 Aug-14

EUR 51 (53) 34568 32894 10017 3948 18929 0 1718 2565 3450 4917 5714 4329 2741 1174 1151 1472 1843 1820 0 Aug-14

SEAR 10 (11) 26971 16935 12154 1943 2838 0 1510 2142 1514 1482 1705 1479 1448 1329 1346 1224 1059 697 0 Aug-14

WPR 27 (27) 101024 35262 3017 1258 30987 0 2760 2756 4262 5047 4957 2982 2710 2168 1421 1358 2203 2638 0 Aug-14

Total 183 (194) 320260 179801 40647 62327 76827 0 19478 24600 31272 24539 20550 13323 10264 7248 6267 6591 8410 7259 0

2014

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov DecUnkno

wn

AFR 41 (47) 31750 19201 6723 7283 5195 0 3931 5033 4129 2406 2196 1306 197 0 0 0 1 2 0 Aug-14

AMR 29 (35) 10212 1490 0 0 1490 0 121 125 107 97 321 99 619 0 0 0 0 1 0 Aug-14

EMR 20 (21) 13427 4542 912 622 3008 0 605 634 1235 1031 901 136 0 0 0 0 0 0 0 Aug-14

EUR 49 (53) 11240 10583 4381 1058 5142 2 2479 1711 1844 1958 1611 977 1 0 0 0 0 2 0 Aug-14

SEAR 8 (11) 9478 5770 3744 437 1589 0 1215 1201 1320 1073 655 306 0 0 0 0 0 0 0 Aug-14

WPR 27 (27) 141061 84392 25840 9891 48661 0 20592 15244 15924 14506 11345 6748 6 3 3 10 3 8 0 Aug-14

Total 174 (194) 217168 125978 41600 19291 65085 2 28943 23948 24559 21071 17029 9572 823 3 3 10 4 13 0

WHO region

Member states reported

(expected)

Total suspected

cases

Total measles cases

Monthly case distributionData

receivedClinically confirmed

Epidemiological link

Laboratory confirmed Other

Data received

Member states reported

(expected)

Total suspected

casesLaboratory confirmed

WHO region

Total measles cases

Clinically confirmed

Epidemiological link

Monthly case distribution

Other

Measles Case Distribution by Month and WHO Regions, 2008-2014

This is surveillance data, hence for the last month, the data may be incomplete. SEAR India is not included in this graph.As of 27 May 2013, South Sudan has reassigned to the Africa region (AFR) from the Eastern Mediterranean region (EMR).Data source: surveillance DEF file

Data in HQ as of 4 August 2014

0

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Jan2008

Apr Jul Oct Jan2009

Apr Jul Oct Jan2010

Apr Jul Oct Jan2011

Apr Jul Oct Jan2012

Apr Jul Oct Jan2013

Apr Jul Oct Jan2014

Apr

AFR SEAR AMR EMR EUR WPR

Measles Surveillance System SensitivityJul 2013 to Jun 2014 (12M period)

reporting rate of discarded cases* per 100'000 population**

Target: at least 2 discarded cases per 100'000 population by country in last 12 month period.

*discarded cases are suspected measles cases which have been investigated and discarded as non-measles cases using laboratory testing and/or epidemiological-linkage.

** World population prospects, 2012 revision.


The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. ©WHO 2014. All rights reserved.

≥2 (63 countries or 32%)>1 - <2 (20 countries or 10%)

≤1 (47 countries or 24%)

No case basedsurveillance or No or insufficient data reported

(64 countries or 34%)

Not applicable

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Reported Measles Incidence Rate*,Jul 2013 to Jun 2014 (12M period)

*Rate per 1'000'000 population



<1 (86 countries or 44%)≥1 - <5 (23 countries or 12%)

≥5 - <10 (21 countries or 11%)

≥10 - <50 (37 countries or 19%)

≥50 (15 countries or 8%)No data reported to WHO HQ


Not applicable

Number of Reported Measles Cases with onset date from Jan 2014 to Jun 2014 (6M period)



0 (64 countries or 33%)1 - 9 (24 countries or 12%)

10 - 99 (32 countries or 16%)

100 - 999 (40 countries or 21%)

≥1000 (15 countries or 8%)No data reported to WHO HQ


Not applicable

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Percentage of suspected measles cases tested in the LabNetwith IgM positive result,

Jan 2014 to Jun 2014 (6M period)

Data source: Lab DEF fileData in HQ as of 4 August 2014


<5% (56 countries or 29%)5% - <10% (11 countries or 6%)

10% - <20% (14 countries or 7%)

20% - 50% (30 countries or 15%)

≥ 50% (26 countries or 13%)No data reported to WHO HQ


Not applicable

Not applicable

Distribution of measles genotypesfrom Apr 2013 to Mar 2014

Data source: MeaNS DatabaseData as of 21 May 2014


Not applicable

Distribution of rubella genotypesfrom Apr 2013 to Mar 2014

Data source: RubeNS DatabaseData as of 21 May 2014


Measles and Rubella Laboratory Data Summary, WHO Regions,2013-2014


2013

Tested Positive % Equiv. % Negative % Tested Positive % Equiv. % Negative % Data

received

AFR 37 (47) 27000 26968 8924 (33%) 719 (3%) 17325 (64%) 17788 3607 (20%) 852 (5%) 13329 (75%) Aug-14

AMR 24 (35) 6317 6121 202 (3%) 87 (1%) 5686 (93%) 5641 208 (4%) 138 (2%) 5154 (91%) Aug-14

EMR 20 (21) 30892 30035 13094 (44%) 187 (1%) 16754 (56%) 27341 2085 (8%) 148 (1%) 25108 (92%) Aug-14

EUR 44 (53) 60013 54582 16702 (31%) 818 (1%) 36949 (68%) 27539 1020 (4%) 129 (0%) 26321 (96%) Aug-14

SEAR 10 (11) 15258 13466 4658 (35%) 264 (2%) 8647 (64%) 9525 2434 (26%) 346 (4%) 6744 (71%) Aug-14

WPR 25 (27) 17514 16342 3254 (20%) 437 (3%) 12651 (77%) 13493 1135 (8%) 516 (4%) 11843 (88%) Aug-14

Total 160 (194) 156994 147514 46834 (32%) 2512 (2%) 98012 (66%) 101327 10489 (10%) 2129 (2%) 88499 (87%)

2014

Tested Positive % Equiv. % Negative % Tested Positive % Equiv. % Negative % Data

received

AFR 33 (47) 12452 12452 3429 (28%) 330 (3%) 8693 (70%) 8703 2352 (27%) 447 (5%) 5904 (68%) Aug-14

AMR 23 (35) 2925 2826 68 (2%) 29 (1%) 2712 (96%) 2797 83 (3%) 40 (1%) 2622 (94%) Aug-14

EMR 20 (21) 11583 10257 2989 (29%) 79 (1%) 7189 (70%) 9172 1277 (14%) 116 (1%) 7779 (85%) Aug-14

EUR 41 (53) 18580 15387 5657 (37%) 139 (1%) 9555 (62%) 12324 422 (3%) 34 (0%) 11853 (96%) Aug-14

SEAR 10 (11) 10938 9737 4155 (43%) 222 (2%) 5359 (55%) 5878 1201 (20%) 150 (3%) 4517 (77%) Aug-14

WPR 26 (27) 50559 31229 13073 (42%) 1123 (4%) 9482 (30%) 17916 403 (2%) 194 (1%) 10092 (56%) Aug-14

Total 153 (194) 107037 81888 29371 (36%) 1922 (2%) 42990 (52%) 56790 5738 (10%) 981 (2%) 42767 (75%)

WHO region

WHO region

RubellaMeasles

Member states reporting

(expected)Specimens

received

Member states reporting

(expected)Specimens

received

Measles Rubella

Measles and Rubella SIA ActivitiesRolling 6 months (May-2014 to Oct-2014)

Data in HQ as of 4 August 2014

Region Country Activity Interventio YearDone StartDate EndDate AgeGroup Extent Status Target ReachedAFR Democrati FollowUp Measles 2014 27-May-2014 31-May-2014 6 M-9 Y Sub-Nationdone 6137295 6211685AFR Chad FollowUp Measles 2014 16-Jun-2014 22-Jun-2014 6 M-9 Y Sub-Nationdone 2441686 2536912AFR Democrati FollowUp Measles 2014 24-Jun-2014 28-Jun-2014 6 M-9 Y Sub-nationplanned 2754425AFR Democrati FollowUp Measles 2014 29-Jul-2014 02-Aug-2014 6 M-9 Y Sub-Nationplanned 4022570AFR Angola FollowUp Measles 2014 01-Sep-2014 21-Sep-2014 9 M-9 Y National planned 7950091AFR Mauritania FollowUp Measles 2014 22-Sep-2014 31-Oct-2014 9 M-14 Y National planned 1363387AFR United RepCatchUp MR 2014 24-Sep-2014 30-Sep-2014 9 M-14 Y National planned 21159130AFR Gabon FollowUp Measles 2014 01-Oct-2014 31-Oct-2014 9-59 M National planned 264458AFR Chad FollowUp Measles 2014 03-Oct-2014 09-Oct-2014 6 M-9 Y Sub-Nationplanned 2530874AFR Equatorial FollowUp Measles 2014 9-59 M National planned 116686AFR Togo FollowUp Measles 2014 9 M-9 Y Sub-Nationplanned 808527AMR Grenada CampaignMMR 2014 01-Jun-2014 National plannedAMR Argentina FollowUp MMR 2014 01-Sep-2014 30-Oct-2014 1-4 Y National plannedEMR Pakistan FollowUp Measles 2014 19-May-2014 31-May-2014 9 M-9 Y Sub-Nationdone 23646459EMR Pakistan FollowUp Measles 2014 01-Aug-2014 31-Aug-2014 9 M-9 Y National planned 29985821EMR Pakistan FollowUp Measles 2014 01-Aug-2014 31-Aug-2014 9 M-9 Y National planned 8861130EMR Qatar Fill in MMR 2014 01-Sep-2014 School-ag National plannedEMR Yemen CatchUp MR 2014 01-Sep-2014 30-Sep-2014 9 M-19 Y National planned 14629556EMR Morocco FollowUp MR 2014 01-Oct-2014 31-Oct-2014 20-34 Y National planned 8000000EMR Syrian Ara FollowUp MMR 2014 01-Oct-2014 01-Nov-2014 9-59 M Sub-Nationplanned 400000EMR AfghanistaMopUp Measles 2014 9-59 M Sub-Nationplanned 1500000EUR Romania FollowUp MMR 2014 29-Feb-1904 1-21 Y National planned 2746436EUR AzerbaijanMop up MR 2014 01-Oct-2014 <5 Y Sub-nationplanned 1636EUR Georgia Mop up MMR 2014 14 Y+ National planned 150000SEAR Timor-Les FollowUp Measles 2014 01-Sep-2014 31-Oct-2014 9-59 M National planned 93789WPR Vanuatu CatchUp MR 2014 01-Jul-2014 31-Jul-2014 6-14 Y National planned 64000WPR PhilippinesFollowUp MR 2014 01-Sep-2014 30-Sep-2014 9-59 M National planned 11634000WPR Viet Nam CatchUp MR 2014 15-Sep-2014 31-Oct-2014 1-5 Y National planned

Links to regional bulletins

Link to global Measles Surveillance

• AFR monthly feedback tables– http://www.afro.who.int/en/clusters‐a‐programmes/ard/immunization‐and‐

vaccines‐development/programme‐components/measles‐pre‐elimination.html

• AMR: (weekly bulletin published every Friday)– http://www.paho.org/English/AD/FCH/IM/MeaslesWeeklyBulletin.htm

• EMR: http://www.emro.who.int/health‐topics/measles/• EUR :

– periodical bulletin: http://www.euro.who.int/en/health‐topics/communicable‐diseases/measles‐and‐rubella

– Monthly data: http://data.euro.who.int/cisid/?TabID=96712• SEAR: (monthly bulletin)

– http://www.searo.who.int/entity/immunization/data/en/• WPR: (periodical newsletter)

– http://www.wpro.who.int/entity/immunization/documents/measles_rubella_bulletin/en/index.html

• HQ website– http://www.who.int/immunization/monitoring_surveillance/burden/vpd/surv

eillance_type/active/measles/en/index.html

Health & Medicine

WHO Measles monthly data collection aug 14