Volume 8 • Issue 11 • November 2014
ISSN 1814 3601
Figure 1. Distribution of confirmed measles cases with rash onset 1–30 October 2014, WHO Western Pacific Region
Legend: No confirmed case With confirmed case No case based data
1 dot = 1 case Dots are placed at random within the corresponding district, and might not reflect the exact location of the case
DISCLAIMER: 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 Regional Office for the Western Pacific 2009. All rights reserved *Map of Australia is from the Australian Bureau of Statistics
Source: Measles and rubella monthly country reports to the Western Pacific Regional Office by 20 November 2014
Table 1. Confirmed measles cases by month of onset, November 2013–October 2014, WHO Western Pacific Region
Country Australia Brunei Darussalam Cambodia China Hong Kong (China) Macao (China) Japan Lao People's Democratic Republic Malaysia Mongolia New Zealand Papua New Guinea Philippines Republic of Korea Singapore Viet Nam Pacific island countries and areas Western Pacific Region
2013 Nov 25 0 0 688 4 0 7 0 3 0 0 0 1015 1 5 245 0 1993 Dec 13 0 0 552 4 0 13 0 4 0 8 4 1436 3 12 143 0 2192 Jan 78 0 0 1717 5 0 75 0 3 0 18 3 9556 5 31 559 0 12050 Feb 61 0 0 4387 8 0 77 1 4 0 43 17 4535 28 28 1022 0 10 211 Mar 36 0 0 7675 7 0 106 0 67 0 36 204 2164 60 16 1616 0 11 987 Apr 15 0 0 9936 3 0 66 0 13 0 12 435 754 70 18 1501 0 12 823 May 23 0 0 8587 5 0 44 4 17 0 16 389 318 204 10 675 0 10292
2014 Jun 34 0 0 6113 4 1 41 0 17 0 98 1 799 44 6 112 1 7271 Jul 32 0 0 3779 7 0 13 0 18 0 31 1 636 25 12 45 8 4607 Aug 23 0 0 2007 3 0 20 0 16 0 5 0 161 3 9 22 6 2275 Sep 2 0 0 1033 3 0 5 28 17 0 0 0 89 2 0 3 3 1185 Oct 13 0 0 778 1 0 3 0 14 0 1 0 28 1 2 10 2 853
Source: Case based and aggregate data reports to the Western Pacific Regional Office by 20 November 2014
Figure 2. Measles cases by month of onset, WHO Western Pacific Region, 2008–20141 30 000
25 000
Number of measles cases
20 000
15 000
10 000
5 000
Source: Measles and rubella monthly country reports to WHO by 20 November 2014 1 Includes laboratory confirmed, epi-linked and clinically confirmed cases for 2008–2012
Countries and areas Australia Brunei Darussalam Cambodia China Hong Kong (China) Macao (China) Japan Lao People's Democratic Republic Malaysia Mongolia New Zealand Papua New Guinea Philippines Republic of Korea Singapore Viet Nam Pacific island countries and areas
2
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct 2008 2009 2010 2011 2012 2013 2014
0
China
Japan
Philippines
Viet Nam
Others
Table 2. Schedule of activities for measles and rubella, WHO Western Pacific Region
Measles 2nd dose introduction 1994 (MMR) 1988 (MMR) 2012 (M) 1986 (MMR) 1997 (MMR) 1990 (MMR) 2006 (MR)
Rubella introduction 1971 1984 2013 1998 1978 1985 1989 2012
Post introduction evaluation
Supplementary immunzation activities
June–July 2014 (Measles second dose)
November 2014 (MR, 9m to <10y)
2002 (M) 1989 (MMR) 1992 (MMR) 2015 2010 (MMR) 1997 (MMR) 1998 (MMR) 2006 (M)
1998 2009 1979 2015 2010 1982 1990 2014 October 2014–June 2015 (MR, 9m to <15y) Federated States of Micronesia - ongoing (MMR, 6m to 49y) Solomon Islands - ongoing (MR, 6m to 30y) April–September 2015 (MR, 9m to <15y) September 2014 (MR, 9m to <5y)
Table 3. Measles case classification and incidence by country and area, WHO Western Pacific Region, 2010—2014 1 2010 Measles 2011 Measles Total confirmed 2
2012 Measles Total confirmed 2
2013 Measles Total confirmed 2
2014
1
Country
Total confirmed 2
incidence per 1 million pop. 3.3 0.0
incidence per 1 million pop. 8.5 9.9
incidence per 1 million pop. 8.7 2.4
incidence per 1 million pop. 6.6 0.0 0.0 19.8 4.7 5.2 1.1 10.5 5.9 0.0 2.0 1.0 38.5 2.4 10.6 9.9 0.0 17.7
Population (in millions) 3
Confirmed measles cases Annualized Deaths Suspected measles Compatible Discarded Pending due to measles incidence Epi5 cases classification cases Total Lab measles cases per linked 1 million N/A ⁴ 16 299 0 18 0 317 0 16.2 0.0 0 0 0 15 0 0 0 0
Rash onset of last confirmed measles case 31-Oct-14 24-Jul-12
Australia Brunei Darussalam Cambodia China Hong Kong (China) Macao (China) Japan Lao People's Democratic Republic Malaysia Mongolia New Zealand Papua New Guinea Philippines Republic of Korea Singapore Viet Nam Pacific island countries and areas Western Pacific Region 1 2 3 4 5 6
70 0
192 4
199 1
154 0 0 26912 34 3 141 68 177 0 9 7 3777 116 56 895 0
23.50 0.43
1 156 38 159 11 0 432 153 74 7 48 0 6 388 111 54 1 826 6
76.8 28.5 1.6 0.0 3.4 23.8 2.7 2.6 11.2 0.0 68.2 2.3 11.2 20.5 0.3 27.0
722 9 943 12 1 411 113 1 603 0 599 0 6 555 43 143 745 2 21 088
50.5 7.4 1.7 1.8 3.2 18.0 54.4 0.0 135.7 0.0 69.1 0.9 27.6 8.4 1.0 11.7
0 6 183 8 1 228 36 1 868 0 55 0 1 536 2 40 637 0 10 794
0.0 4.6 1.1 1.8 1.8 5.6 63.7 0.0 12.3 0.0 15.9 0.0 7.6 5.9 0.0 5.9
14.84 1 364.77 7.35 0.59 126.23 6.54 30.25 2.93 4.55 7.49 99.77 48.95 5.34 91.56 3.27 1 838.36
433
0
0 114 0 0 11 0 33 0 99 2
0 46 012 46 1 450 52 186 0 260 1 050 19 041 442 132 5 564 20
0.0 40.5 7.5 2.0 4.3 9.5 7.4 0.0 68.5 168.3 229.0 10.8 29.7 72.9 7.3 48.0 Green Yellow Red
0 3 979 4 0 20 0 28 0 10 4 32 864 0 35 986 0 37 930
425 52 646 121 11 529 203 3 247 125 28 994 2 918 1 056 72 2 321 108 64 819
8 738 0 0 1 135 592 0 9 2 495 565 10 0 8 369 982 13 904
0 15-Nov-11 26 31-Oct-14 0 0 3-Oct-14 3-Jun-14
103375 45 898 172 12 1 000 390 4 074 125 308 4 543 55 388 1 543 239 17 267 1 010 46 1 439 52 153 0 161 1 048
0 15-Oct-14 0 19-Oct-14 1 25-Oct-14 0 19-Jun-10 0 0 8-Oct-14 6-Jul-14
8 463 10 578 433 132 4 480 20 9 0 1 084 0
107 19-Oct-14 0 12-Oct-14 0 23-Oct-14 2 5-Oct-14
1 48 490
0 10-Oct-14 136
32 349
86 520 61 625 11 948 73 573
Includes all cases reported to the Western Pacific Regional Office by 20 November 2014. Includes laboratory confirmed, epi-linked and clinically confirmed cases for 2009 to 2012. United Nations, Department of Economic and Social Affairs, Population Division World Population Prospects. Australia reports confirmed cases only. Excludes vaccine-associated cases Classification is provisional based on laboratory data only. Verified as having interrupted endemic measles virus transmission
<1 confirmed measles case / 1 000 000 population 1–9.9 confirmed measles case / 1 000 000 population >= 10 confirmed cases / 1 000 000 population
3
Table 4. Measles surveillance performance indicators by country and area, WHO Western Pacific Region, 2013—2014 1 2013 Discarded non-
2014
1
Country
measles rate per 100 000 pop
≥ 2 discarded cases per
Second level units with Suspected cases with Suspected cases with Annualized discarded Second level units with Suspected cases with Suspected cases with adequate blood adequate blood adequate adequate non-measles rate per ≥ 2 discarded cases per 2 2 investigation 100 000 pop 100 000 pop (annualized) investigation 100 000 pop specimens specimens
≥2
≥ 80% Insufficient data
≥ 80% Insufficient data
≥ 80% Insufficient data
≥2 Insufficient data
≥ 80% Insufficient data
≥ 80% Insufficient data
≥ 80% Insufficient data
Australia
3
Insufficient data
Brunei Darussalam Cambodia China Hong Kong (China) Macao (China) Japan Lao People's Democratic Republic Malaysia Mongolia New Zealand Papua New Guinea Philippines Republic of Korea Singapore Viet Nam Pacific island countries and areas Western Pacific Region 1 2 3
3.8 3.7 3.7 2.5 2.9 0.7 7.5 22.6 7.4 Insufficient data
100.0% 45.8% 64.5% 100.0% 100.0% 4.3% 58.8% 100.0% 36.4% Insufficient data
87.5% 68.5% 99.4% 94.2% 95.0% Insufficient data
100.0% 98.0% 94.6% 91.1% 100.0% Insufficient data
4.2 3.4 4.6 2.0 2.2 0.5 3.7 12.9 5.1 Insufficient data
100.0% 62.5% 74.2% 100.0% 100.0% 0.0% 58.8% 93.8% 31.8% Insufficient data
93.8% 63.5% 99.0% 100.6% 100.0% Insufficient data
100.0% 99.3% 95.3% 94.2% 100.0% Insufficient data
36.1% 82.3% 100.0% Insufficient data
66.5% 81.1% 100.0% Insufficient data
83.3% 79.9% 100.0% Insufficient data
83.8% 91.6% 100.0% Insufficient data
1.4 3.3 0.8 1.3 1.2 2.0 3.6
25.0% 64.7% 6.3% 0.0% 21.9% Insufficient data
0.0% 45.9% 63.7% 75.4% 49.2% 0.0% 91.6% Green Yellow Red
76.3% 62.9% 72.9% 18.1% 63.9% Insufficient data
15.9 3.5 2.6 1.6 3.0 4.0 4.2
45.0% 58.8% 43.8% 0.0% 48.4% Insufficient data
0.0% 53.1% 93.4% 83.7% 46.9% 0.0% 50.6%
63.4% 82.9% 59.8% 25.5% 88.4% Insufficient data
38.0%
89.9% Reached or surpassed target
49.1%
218.9%
Includes all cases reported to the Western Pacific Regional Office by 20 November 2014. Excludes epidemiologically-linked cases. Reports only confirmed cases.
Nearly reached target: 1.00–1.99 for non-measles suspected case rate; 10.1–25% for percent clinically confirmed cases; 60–79% for other indicators Substantially below target
4 2
Table 5. Rubella case classification and incidence by country and area, WHO Western Pacific Region, 2014 1 2014 1 Confirmed rubella cases Annualized rubella incidence per 1 million pop. No data
Country
Population (in millions) 2
Investigated rubella cases No data 16 433 11 187 173 11 No data 256 4 074 125 No data No data 55 428 1 543 8 10 833 95 84 182
Lab 0 27 1 0 11 156 0 185 2 0 27 3 412
Epi-linked 0 0 0 0 7 56 0 5 0 0 0 0 68
Total 0 27 11 187 1 0 18 212 0 190 2 0 27 3 11 667
Compatible cases 0 1 0 0 0 0 0 0 0 0 0 0 0 1
Discarded cases3 14 397 172 11 237 3 270 125 54 633 1 541 8 2 188 90 62 686
Pending classification 0 8 0 0 1 592 0 565 0 0 8 618 2 9 786
Congenital rubella syndrome 0 0
Australia Brunei Darussalam Cambodia China Hong Kong (China) Macao (China) Japan Lao People's Democratic Republic Malaysia Mongolia New Zealand Papua New Guinea Philippines Republic of Korea Singapore Viet Nam Pacific island countries and areas Western Pacific Region 1 2 3 4
23.50 0.43 14.84 1 364.77 7.35 0.59 126.23 6.54 30.25 2.93 4.55 7.49 99.77 48.95 5.34 91.56 4
0.0 2.2 9.8 0.2 0.0 No data
3.3 8.4 0.0 No data No data
2.3 0.0 0.0 0.4 1.1 7.6 Green Yellow Red Gray
3.27 1 838.36
Includes all cases reported to the Western Pacific Regional Office by 20 November 2014. United Nations, Department of Economic and Social Affairs, Population Division World Population Prospects. Excludes vaccine-associated cases Classification is provisional based on laboratory data only.
<1 confirmed measles case / 1 000 000 population 1–9.9 confirmed measles case / 1 000 000 population >= 10 confirmed cases / 1 000 000 population No data
5 2
Table 6A. Measles and rubella laboratory performance, WHO Western Pacific Region, 20131 Measles Measles and rubella Serum Samples tested for measles IgM No. No. Measles IgM (+) % Serology Blood Measles IgM equiv No. DBS samples Timeliness of reults <4 days2 <7 days Virus detection
Rubella Serum and blood (includes DBS) Rubella IgM (+) No. %
Country
Laboratory
Total number of cases tested
Total number of samples received
Measles Measles Samples Virus isolation/detection Reverse Transcriptiontested for Polymerase Chain (swab, urine and rubella IgM Reaction others) No. of samples tested No. of isolates No. of samples tested No. (+) No.
Rubella IgM equiv
No. received
No. (+)
%
%
No.
Australia Brunei Darussalam Cambodia China 3
VIDRL DLS NPHL CCDC PHLC PHLC NIID NCLE NPHL NCCD CHL CPHL RITM KCDC SGH Nha Trang NIHE PI Mataika House VIDRL VIDRL
94 42 537
127 42 537
34 38 478
23 0 0
67.6 0.0 0.0
0 2 0
0 0 59
0
100.0 69.0 76.0
100.0 88.1 81.9
0 0 0
0 0 0
96 0 0
79 0 0
13 40 537
2 3 105
15.4 7.5 19.6
0 0 0
Hong Kong (China) Macao (China) Japan Lao People's Democratic Republic Malaysia Mongolia New Zealand Papua New Guinea Philippines Republic of Korea Singapore Viet Nam (central) Viet Nam (northern) Viet Nam (southern) Fiji Samoa Solomon Islands Total 1 2 3
622 43 1 136 366 7 586 213 159 85 6 057 635 434 167 979 386 60 3 4 19 608
726 43 1 136 366 8 645 213 176 85 6 069 825 691 167 987 458 61 3 4 21 361
669 43 393 366 6 863 213 107 80 5 807 487 199 167 944 368 59 3 0 17 318
25 4 195 29 241 0 5 10 2 416 108 16 0 303 81 0 0 3 456
3.7 9.3 49.6 7.9 3.5 0.0 4.7 12.5 41.6 22.2 8.0 0.0 32.1 22.0 0.0 0.0 20.0
12 1 0 21 73 0 3 0 277 6 7 5 36 7 0 0 450
0 0 0 0 0 0 0 3 120 0 0 0 0 0 1 0 0 183
0 23 0 23
91.5 97.7
98.4 100.0
24 0 52 0 1 615 0 1 0 304 65 186 0 41 90 0 0 0 2 378
13 0 52 0 14 0 0 0 90 65 5 0 0 3 0 0 0 242
63 0 717 0 0 0 49 12 32 379 0 0 71 90 0 0 0 1 509
40 0 106 0 0 0 3 2 6 96 0 0 45 3 0 0 0 380
615 43 37 366 6 783 213 93 83 3 241 430 291 167 821 368 50 1 4 14 196
9 0 16 19 807 8 4 4 106 28 16 3 19 5 4 0 1 1 159
1.5 0.0 43.2 5.2 11.9 3.8 4.3 4.8 3.3 6.5 5.5 1.8 2.3 1.4 8.0 0.0 25.0 8.2
14 0 1 48 227 7 1 2 165 22 10 7 17 9 0 0 0 530
No data No data 83.9 53.5 99.5 95.1 76.3 68.2 66.4 85.2 77.8 92.1 89.1 89.7 0.0 0.0 66.3
97.0 81.0 99.5 97.1 95.0 80.2 92.5 98.7 92.8 97.0 98.9 94.8 100.0 100.0 84.2
National measles laboratory monthly reports received in the Western Pacific Regional Office by 20 February 2014 Recommendation from the Fourth Meeting on Vaccine Preventable Diseases Laboratory Networks in the Western Pacific Region National measles laboratory report is not available
6
Table 6B. Measles and rubella laboratory performance, WHO Western Pacific Region, 20141 Measles Measles and rubella Serum Samples tested for measles IgM No. Measles IgM (+) No. % Serology Blood Measles IgM equiv DBS samples Timeliness of reults <4 days2 <7 days Virus detection
Rubella Serum and blood (includes DBS) Rubella IgM (+) No. %
Country
Laboratory Total number of cases tested
Total number of samples received
No.
No. received
No. (+)
%
%
Measles Measles Total number Samples Virus isolation/detection Reverse Transcriptionof lab tested for Polymerase Chain (swab, urine and confirmed rubella IgM Reaction others) cases No. of No. of No. of samples samples No. (+) No. isolates tested tested
Rubella IgM equiv
No.
Australia Brunei Darussalam Cambodia China 3
VIDRL DLS NPHL CCDC PHLC PHLC NIID NCLE NPHL NCCD CHL CPHL RITM KCDC SGH Nha Trang IHE NIHE PI Mataika House Mataika House
218 50 424
303 50 424
65 49 377
41 1 0
63.1 2.0 0.0
3 0 0
0 0 47
0
100.0 69.4 98.1
100.0 98.0 100.0
0 0 0
0 0 0
249 0 0
228 0 0
199 1 0
23 50 424
0 2 27
0.0 4.0 6.4
0 0 0
Hong Kong (China) Macao (China) Japan Lao People's Democratic Republic Malaysia Mongolia New Zealand Papua New Guinea Philippines Republic of Korea Singapore Viet Nam (central) Viet Nam (highland) Viet Nam (northern) Viet Nam (southern) Fiji Vanuatu Total 1 2 3
561 48 854 252 4 637 125 653 4 559 39 738 1 785 533 1 731 468 4 712 11 071 98 13 72 530
677 48 2 396
590 48 373 252 4 286 125 222 4 551 14 237 1 187 189 1 671 467 4 622 11 216 80 13 44 620
33 1 182 48 234 0 43 2 258 10 168 264 40 991 259 2 625 2 952 0 4 20 144
5.6 2.1 48.8 19.0 5.5 0.0 19.4 49.6 71.4 22.2 21.2 59.3 55.5 56.8 26.3 0.0 30.8 45. 1
17 0 12 5 83 0 4 313 474 102 13 25 3 261 119 0 2 1 436
0 0 0 0 0 0 0 0 967 0 0 0 0 0 0 18 0 1 032
149 1 150
93.8 100.0 No data
99.5 100.0 No data
39 0 9 0 905 0 15 0 1 240 116 150 0 0 130 1 342 0 0 3 946
28 0 9 0 6 0 8 0 438 328 6 0 0 5 133 0 0 961
96 1 780 0 0 0 487 37 830 1 373 0 95 0 131 1 344 0 0 5 423
57 1 365 0 0 0 158 32 760 321 0 50 0 16 16 0 0 2 004
48 1 190 48 238 0 177 2 258 10 827 464 46 1 015 259 2 637 2 959 1 4 21 372
540 47 11 249 4 008 125 92 2 722 4 580 682 238 723 410 2 179 9 906 98 13 27 120
8 0 2 8 203 1 4 89 167 24 9 1 1 18 4 3 1 572
1.5 0.0 18.2 3.2 5.1 0.8 4.3 3.3 3.6 3.5 3.8 0.1 0.2 0.8 0.0 3.1 7.7 2.1
5 0 0 18 82 1 1 93 85 38 3 2 0 21 6 0 3 358
252 5 233
92.8 65.6 100.0 98.3 68.1 0.4 77.6 74.5 73.1 36.6 61.4 25.0 78.2 100.0 36.8
99.6 89.9 100.0 98.9 89.0 0.9 94.9 76.8 90.4 52.9 84.6 37.5 93.1 100.0 48.0
126 725 4 559 39 872 2 468 580 1 731 468 4 753 11 243 98 13 76 019
National measles laboratory monthly reports received in the Western Pacific Regional Office by 20 November 2014 Recommendation from the Fourth Meeting on Vaccine Preventable Diseases Laboratory Networks in the Western Pacific Region National measles laboratory report is not available
7
Figure 3. Measles genotype distribution of cases with onset in 2013 and 2014, WHO Western Pacific Region
2013
2014
B3 D4 D8 D9 The boundaries and names shown and the designations used on the maps 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 Regional Office for the Western Pacific 2009. All rights reserved.
D11 G3 H1
* Size of the pie chart is proportional to the number of genotypes reported by the country
Table 7. Measles genotype distribution of cases with onset in October 2013 to September 2014, WHO Western Pacific Region Country Australia Brunei Darussalam Cambodia China Hong Kong (China) Macao (China) Japan Lao People's Democratic Republic Malaysia Mongolia New Zealand Papua New Guinea Philippines Republic of Korea Singapore Viet Nam Pacific island countries and areas 4
2013 2014 Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct B3 D8 D9 G3 H1 B3 D8 D9 H1 B3 D8 D9 G3 H1 B3 D8 D9 G3 H1 B3 D8 D9 H1 B3 D8 D9 G3 H1 B3 D8 D9 H1 B3 D8 D9 H1 B3 D8 D9 H1 B3 D8 D9 H1 B3 D8 D9 H1 B3 D8 D9 H1 1 1 3 5 2 2 53 5 7 40 5 1 1 16 4 1 2 1 2 10 3 5 14 7 1 1 8 4 1 3 2 9 1 1 1
51 1 2
3 4 7
8
132
3 2 2 1
1 258 1 1 2
3 1
462 2 2 5 3 1 1 57 5 10
723 3 3 1 2 27 1 8 5
891 2 1 1
1
589 4 3
1
2 52
50 1 2
13 8
1 482 2 1 11 7 2
336 6 1 1 2 5 2
128 3 2
93 3
21 1
1 1 20 1 1 1 2 2 3 3 2 1 1
10 1 15 1 13 15 1 4 1
8 1 1 2 19 10 12 2 4 1 1 2
1 5 2 10 6 27 1 3 2 8 1 12 11
6 12
1
6 4 2 114 4 2 2
6
3
1
1
1
60 2 1 4 1 1
63 1 1
2 29 4
2 1
2 1
1 1 3 1 1 3
1 10
Sources: National and regional measles reference laboratory monthly reports from October 2014 and the Measles Nucleotide Sequence online database (MeaNS).
8
Figure 4. Rubella genotype distribution of cases with onset in 2013 and 2014, WHO Western Pacific Region
2013
2014
2B 1E 1J The boundaries and names shown and the designations used on the maps 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 Regional Office for the Western Pacific 2009. All rights reserved.
* Size of the pie chart is proportional to the number of genotypes reported by the country
Table 8. Rubella genotype distribution of cases with onset in October 2013 to September 2014, WHO Western Pacific Region Country Australia Brunei Darussalam Cambodia China Hong Kong (China) Macao (China) Japan Lao People's Democratic Republic Malaysia Mongolia New Zealand Papua New Guinea Philippines Republic of Korea Singapore Viet Nam Pacific island countries and areas 4
2013 2014 Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct 2B 1E 1J 2B 1E 1J 2B 1E 1J 2B 1E 1J 2B 1E 1J 2B 1E 1J 2B 1E 1J 2B 1E 1J 2B 1E 1J 2B 1E 1J 2B 1E 1J 2B 1E 1J
1
1
1
3
2
10 17
15 10
24 7 1
1
3 1
1
6
1
5
1
1
Sources: National and regional measles reference laboratory monthly reports from October 2014 and the Measles Nucleotide Sequence online database (MeaNS).
9
Table 9A. Completeness and timeliness of epidemiologic reporting, WHO Western Pacific Region, 2012—2014 2012 Country 2013 Jan 10 Feb 11 Feb 06 Feb 10 Feb 14 Feb 10 Feb 06 Feb 11 Feb 10 Feb 04 Feb 10 Feb 04 Feb 10 Feb 09 Feb 06 Feb 10 Feb 10 Feb 03 Feb 100% 97% 88% Feb 10 Mar 07 Mar 08 Mar 10 Mar 19 Mar 07 Mar 05 Mar 12 Mar 10 Mar 03 Mar 07 Mar 06 Mar 10 Mar 08 Mar 10 Mar 10 Mar 10 Mar 04 Mar 100% 88% Mar 10 Apr 09 Apr 08 Apr 10 Apr 11 Apr 08 Apr 04 Apr 13 Apr 10 Apr 03 Apr 07 Apr 09 Apr 09 Apr 04 Apr 09 Apr 07 Apr 10 Apr 09 Apr 100% 94% Apr 10 May 09 May 08 May 10 May 16 May 07 May 05 May 10 May 10 May 07 May 06 May 09 May 08 May 05 May 10 May 08 May 10 May 09 May 100% 94% May 10 Jun 06 Jun 03 Jun 10 Jun 23 Jun 10 Jun 09 Jun 11 Jun 10 Jun 03 Jun 09 Jun 09 Jun 13 Jun 04 Jun 10 Jun 06 Jun 10 Jun 04 Jun 100% 82% Jun 10 Jul 08 Jul 07 Jul 10 Jul 11 Jul 10 Jul 04 Jul 13 Jul 10 Jul 08 Jul 09 Jul 09 Jul 17 Jul 04 Jul 10 Jul 09 Jul 10 Jul 07 Jul 100% 88% 2014 Jul 10 Aug 08 Aug 09 Aug 10 Aug 18 Aug 08 Aug 05 Aug 10 Aug 10 Aug 05 Aug 10 Aug 08 Aug 28 Aug 08 Aug 10 Aug 10 Aug 10 Aug 08 Aug 100% 88% 08 Sep 05 Sep 04 Sep 10 Sep 04 Sep 94% 82% 1
Completeness Timeliness Completeness Timeliness 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 83% 100% 100% 100% 100% 100% 99% 92% 100% 100% 92% 83% 100% 100% 100% 75% 92% 100% 83% 33% 100% 100% 100% 92% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 83% 100% 100% 83% 100% 100% 100% 92% 92% 100% 100% 100% 100% 100%
Aug 10 Sep 02 Sep 08 Sep 10 Sep 15 Sep 10 Sep 08 Sep 11 Sep 10 Sep 12-Sep 09 Sep 09 Sep
Sep 10 Oct 10 Oct 08 Oct 10 Oct 11 Oct 10 Oct 06 Oct 13 Oct 10 Oct 10 Oct 09 Oct 07 Oct 10 Oct 09 Oct 10 Oct 09 Oct 10 Oct 09 Oct 100% 94%
Oct 10 Nov 07 Nov 08 Nov 10 Nov 13 Nov 10 Nov 07 Nov 13 Nov 10 Nov 10 Nov 10 Nov 06 Nov 10 Nov 10 Nov 07 Nov 11 Nov 10 Nov 04 Nov 100% 88%
Completeness 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 90% 100% 100% 100% 100% 100% 99%
2
Timeliness 90% 100% 100% 60% 100% 100% 20% 100% 90% 100% 100% 60% 100% 100% 90% 100% 100%
3
Australia Brunei Darussalam Cambodia China Hong Kong (China) Macao (China) Japan Lao People's Democratic Republic Malaysia Mongolia New Zealand Papua New Guinea Philippines Republic of Korea Singapore Viet Nam Pacific island countries and areas Completeness Timeliness 1 2 3
89%
National measles surveillance monthly reports from October 2014. Completeness is defined as the number of reports received by the end of the reporting month divided by the number of expected reports for the year.
Legend: black = timely report; red = untimely report
Countries and areas should submit reports by the 10th (or the next working day) of the following month; Pacific island countries and areas and China may report to the Regional Office by the 15th (or the next working day) of the following month.
Table 9B. Completeness and timeliness of laboratory reporting, WHO Western Pacific Region, 2012—2014 2012 Country Australia Brunei Darussalam Cambodia China Hong Kong (China) Macao (China) Japan Lao People's Democratic Republic Malaysia Mongolia New Zealand Papua New Guinea Philippines Republic of Korea Singapore Viet Nam (central) Viet Nam (highlands) Viet Nam (northern) Viet Nam (southern) Fiji Completeness Timeliness 1 2 3
2013 Jan 10 Feb 04 Feb 04 Feb 10 Feb 07 Feb 07 Feb 09 Feb 12 Feb 08 Feb 10 Feb 05 Feb 04 Feb 17 Feb 07 Feb 07 Feb 10 Feb Feb 10 Mar 05 Mar 04 Mar 10 Mar 07 Mar 08 Mar 05 Mar 12 Mar 10 Mar 10 Mar 05 Mar 06 Mar 05 Mar 11 Mar 10 Mar 10 Mar 10 Mar 10 Mar Mar 10 Apr 01 Apr 02 Apr 10 Apr 09 Apr 08 Apr 05 Apr 13 Apr 10 Apr 11 Apr 03 Apr 09 Apr 08 Apr 10 Apr 10 Apr 07 Apr 10 Apr 10 Apr 10 Apr 10 Apr 09 Apr 100% 95% Apr 10 May 02 May 03 May 10 May 10 May 07 May 05 May 10 May 10 May 09 May 06 May 09 May 08 May 09 May 09 May 08 May 10 May 10 May 10 May 09 May 09 May 100% 100% 10 Jun 10 Jun 09 Jun 04 Jun 95% 90% 10 Jul 10 Jul 07 Jul 90% 85% May 10 Jun 03 Jun 06 Jun 10 Jun 10 Jun 09 Jun 10 Jun 11 Jun 10 Jun 10 Jun 05 Jun 09 Jun 10 Jun 09 Jun 10 Jun 06 Jun Jun 10 Jul 02 Jul 01 Jul 10 Jul 03 Jul 09 Jul 07 Jul 13 Jul 10 Jul 10 Jul 06 Jul 09-Jul 10 Jul 07 Jul 10 Jul 08 Jul
2014
1
Completeness Timeliness Completeness Timeliness 100% 100% 100% 100% 100% 17% 100% 100% 100% 100% 100% 100% 100% 92% 100% 100% 100% 100% 17% 100% 100% 100% 92% 58% 100% 100% 50% 92% 100% 100% 100% 100% 100% 100% 100% 92% 100% 100% 100% 83% 100% 100% 100% 100% 78% 100% 100% 100% 100% 100% 92% 100% 100% 100% 83% 100% 100% 100%
Jul 10 Aug 07 Aug 04 Aug 10 Aug 07 Aug 06 Aug 05 Aug 10 Aug 10 Aug 10 Aug 05 Aug 08 Aug 08 Aug 07 Aug 08 Aug 08 Aug 08 Aug 08 Aug 08 Aug 28 Jul 08 Aug 100% 100%
Aug 10 Sep 02 Sep 02 Sep 10 Sep 05 Sep 05 Sep 08 Sep 11 Sep 10 Sep 11 Sep 06 Sep 09 Sep 09 Sep 08 Sep 06 Sep 09 Sep 10 Sep 10 Sep 10 Sep 09 Sep 04 Sep 100% 90%
Sep 10 Oct 03 Oct 09 Oct 10 Oct 08 Oct 08 Oct 06 Oct 13 Oct 10 Oct 10 Oct 02 Oct 07 Oct 10 Oct 09 Oct 08 Oct 08 Oct 10 Oct 10 Oct 10 Oct 09 Oct 09 Oct 100% 95%
Oct 10 Nov 06 Nov 03 Nov 10 Nov 06 Nov 06 Nov 07 Nov 07 Nov 10 Nov 10 Nov 07 Nov 06 Nov 10 Nov 10 Nov 07 Nov 07 Nov 12 Nov 12 Nov 12 Nov 07 Nov 04 Nov 100% 85%
Completeness 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 78% 89% 100% 100% 100% 98%
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Timeliness 100% 100% 100% 100% 100% 100% 50% 100% 80% 100% 100% 90% 90% 100% 100% 78% 89% 90% 100% 100%
4
92% 83% 100% 93%
83% 83% 100%
100% 100% 100% 99%
50% 67% 100%
11 Feb 10 Feb 03 Feb 100%
10 Mar 10 Mar 04 Mar 100% 90%
87%
92%
83%
91%
National measles laboratory monthly reports from October 2014. Completeness is defined as the number of reports received by the end of the reporting month divided by the number of expected reports for the year. National measles and rubella laboratories should submit monthly reports by the 10th (or the next working day) of the following month.
Expanded Programme on Immunization Regional Office for the Western Pacific World Health Organization P.O. Box 2932, 1000 Manila, Philippines Tel. No. (63 2) 5288001 Fax No. (63 2) 5211036, 5260279 Please send your comments and monthly data before the 10th of the month to: WPR_EPIdata@wpro.who.int
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