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Measles-Rubella Bulletin - Vol 10 Issue 10

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Volume 10 • Issue 10 • October 2016

ISSN 1814 3601

Figure 1. Distribution of confirmed measles cases with rash onset 1–30 September 2016, WHO Western Pacific Region

Legend: No confirmed case With confirmed case No case based data 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 October 2016

Table 1. Confirmed measles cases by month of rash onset, October 2015–September 2016, WHO Western Pacific Region Country/area Australia Brunei Darussalam Cambodia China China, Hong Kong SAR China, Macao SAR 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 2015 Oct 0 0 0 453 0 0 3 0 175 53 0 0 7 0 3 9 0 703 Nov 4 0 0 635 1 0 3 0 167 116 0 0 6 0 3 67 0 1002 Dec 5 0 0 1805 0 0 1 0 110 216 1 0 1 0 1 35 0 2175 Jan 6 0 2 1366 0 0 1 0 211 544 1 0 6 0 1 7 0 2145 Feb 14 0 0 2270 0 0 2 0 231 947 5 0 4 2 5 4 1 3485 Mar 14 0 0 4663 0 0 2 0 185 767 2 0 20 2 10 4 1 5670 Apr 10 0 0 5247 1 0 0 0 166 598 20 0 7 1 18 3 1 6072 2016 May 5 0 2 3923 2 0 3 0 127 378 34 0 6 0 31 3 1 4515 Jun 4 0 4 2619 2 0 3 0 86 78 29 0 3 0 6 3 1 2838 Jul 6 0 4 1695 0 0 5 0 59 22 5 0 3 0 3 6 0 1808 Aug 0 1 1 866 0 0 74 0 85 4 3 0 5 1 8 3 0 1051 Sep 7 0 1 350 0 0 44 0 23 2 1 0 2 7 7 0 0 444

Source: Case based and aggregate data reports to the Western Pacific Regional Office by 20 October 2016

Figure 2. Confirmed measles cases by month of rash onset, WHO Western Pacific Region, 2010–2016 as of 20 October 2016 16 000

14 000

12 000

10 000 Number of measles cases

8 000

6 000

4 000

2 000

Source: Measles and rubella monthly country reports to WHO by 20 October 2016 Includes laboratory confirmed, epi-linked and clinically confirmed cases for 2010–2012

Country/area

Australia Brunei Darussalam Cambodia China China, Hong Kong SAR China, Macao SAR 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 Total

Source: Measles and rubella monthly country reports to WHO by 20 October 2016

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 2010 2011 2012 2013 2014 2015 2016 China Philippines Viet Nam Malaysia Papua New Guinea Others

0

Table 2. Status of measles verification, WHO Western Pacific Region 2015 Year No. of cases 2014 2015 2015 2016 2014 2015 2014 74 4 0 41 217 12 0 32 56 1 302 1 617 13 53 688 7 39 291 20 45 425 Imported 33 1 0 3 16 0 2 0 0 0 0 3 9 0 0 67 Source of infection Importrelated 30 3 0 0 10 0 0 1 616 0 0 0 1 1 0 0 1 661 Unknown/ not reported 11 0 41 217 9 6 56 516 1 13 53 688 3 29 291 20 42 913 % of c ases w ith

2016 No. of confirmed cases 66 1 14 22 999 5 0 134 0 1 173 3 340 99 0 56 13 89 33 5 28 027 No measles cases ≥80% 60–79% <60% Imported 17 1 0 0 1 20 4 0 0 0 7 13 0 0 63 Source of infection Importrelated 0 0 0 0 0 81 0 3 340 0 0 6 54 0 0 3 481 Unknown / not reported 49 0 14 22 999 4 33 365 0 99 56 0 22 33 5 23 679 % of c ases w ith know n

verified confirmed

Endemic sourc e of infec tion

know n

Endemic sourc e of infec tion

0 0 0 0 0 0 617 0 0 0 0 0 0 0 0 617

85.1% 100.0% 0.0% 25.0% 81.3% 0.0% 47.5% 99.9% 0.0% 0.0% 0.0% 57.1% 25.6% 0.0% 0.0% 5.2% Blue Green Yellow Red

0 0 0 0 0 0 804 0 0 0 0 0 0 0 804

25.8% 100.0% 0.0% 0.0% 20.0% 75.4% 68.9% 100.0% 0.0% 0.0% 100.0% 75.3% 0.0% 0.0% 15.5%

Table 3. Measles case classification and incidence by country and area, WHO Western Pacific Region, 2012 —2016 as of 20 October 2016 2012 Measles Country/area Total confirmed1 incidence per 1 million pop. Australia Brunei Darussalam Cambodia China China, Hong Kong SAR China, Macao SAR 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

2013 Measles Total confirmed2 incidence per 1 million pop. 8.7 2.4 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 5.9 154 0 0 26912 34 3 141 68 177 0 9 7 3777 107 56 895 0 32 340 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 2.2 10.6 9.9 0.0 17.7 Total

2014 Measles incidence per 1 million pop. 340 0 0 48 123 46 1 434 70 213 0 263 2 589 23 708 442 134 12 223 273 88 859 14.5 0.0 0.0 35.3 6.3 1.7 3.4 10.7 7.0 0.0 57.7 345.9 237.6 9.0 25.1 133.5 83.4 48.3 Total confirmed2

2015 Measles confirmed2 incidence Population Suspected (in per measles 1 million pop. 74 4 0 41 217 12 0 32 56 1 302 1 617 13 53 688 7 39 291 20 45 425 3.3 9.0 0.0 29.5 1.6 0.0 0.3 8.0 43.3 566.4 2.9 6.9 6.8 0.1 7.7 3.1 6.1 24.2 Green Yellow Red

2016 Confirmed measles cases Pending classification Discarded Compatible cases4 cases Lab Epi-linked Annualized Total measles confirmed incidence per 1 million pop. 24.3 0.4 15.8 1382.3 7.3 0.6 126.3 6.9 30.8 3.0 4.6 7.8 102.3 50.5 5.7 94.4 3.3 1866.3 NA 4

Rash onset of Deaths due to measles last confirmed measles case 22-Sep-16 7-Aug-16 2-Sep-16 30-Sep-16 17-Jun-16 3-Jun-14 24-Sep-16 16-Apr-15 19-Sep-16 30-Sep-16 16-Sep-16 21-Sep-15 6-Sep-16 27-Sep-16 26-Sep-16 27-Aug-16 9-Jun-16

millions)

3

cases

199 1 0 6 183 8 1 228 36 1 868 0 55 0 1 536 2 40 637 5

0 0 11 549 0 0 17 40 708 110 30 0 72 1 0 162 5 1 705

0 10 365 35 252 130 4 620 374 3 266 1 054 19 37 1 094 227 64 971 256 43 743

0 0 0 810 1 0 9 0 106 25 567 0 0 336 0 15 224 0 27 068

66 1 14 22 956 5 0 133 0 1 148 2 804 72 0 54 13 89 33 5 27 393

0 0 0 43 0 0 1 0 25 536 27 0 2 0 0 0 0 634

66 1 14 22 999 5 0 134 0 1 173 3 340 99 0 56 13 89 33 5 28 027

3.6 3.1 1.2 22.2 0.9 0.0 1.4 0.0 50.9 1481.3 28.9 0.0 0.7 0.3 20.8 0.5 2.1 20.0

0 0 0 17 0 0 0 0 0 41 0 0 0 0 0 0 0 58

11 390 59 610 136 4 781 414 5 253 30 071 149 37 1 558 241 168 1 390 266 100 479

0 10 794

Includes laboratory confirmed, epi-linked and clinically confirmed cases for 2009 to 2012. Includes laboratory confirmed and epi-linked confirmed cases from 2013 to 2016. United Nations, Department of Economic and Social Affairs, Population Division World Population Prospects. Australia reports confirmed cases only. 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

3

Table 4. Measles surveillance performance indicators by country and area, WHO Western Pacific Region, 2015 —2016 as of 20 October 2016 2015 Discarded nonSecond level units with ≥ 2 discarded cases per 100 000 pop (annualized) Suspected cases with adequate investigation Suspected cases with adequate blood specimens 1

2016 Annualized discarded non-measles rate per 100 000 pop Second level units with ≥ 2 discarded cases per 100 000 pop (annualized) Suspected cases with adequate investigation Suspected cases with adequate blood specimens 1

Country/area

measles rate per 100 000 pop

≥2

≥ 80% Insufficient data

≥ 80% Insufficient data

≥ 80% Insufficient data

≥2 Insufficient data

≥ 80% Insufficient data

≥ 80% Insufficient data

≥ 80% Insufficient data

Australia 2 Brunei Darussalam Cambodia China China, Hong Kong SAR China, Macao SAR 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

Insufficient data

4.5 4.4 4.5 2.1 1.8 0.2 8.1 12.9 52.5 0.5 1.4 1.4 0.6 1.1 2.0 6.6 4.0

100.0% 91.7% 83.9% 100.0% 0.0% 0.0% 88.2% 87.5% 81.8% Insufficient data

100.0% 80.5% 95.0% 98.8% 100.0% Insufficient data

95.8% 98.7% 85.7% 97.7% 100.0% Insufficient data

3.1 3.1 3.4 2.4 0.9 0.7 7.2 14.2 46.7 0.6 0.6 1.4 0.6 1.5 1.4 10.5 3.1

100.0% 60.0% 71.0% 100.0% 0.0% 2.1% 58.8% 81.3% 95.5% Insufficient data

100.0% 92.1% 96.7% 97.8% 100.0% Insufficient data

100.0% 99.0% 86.9% 99.3% 100.0% Insufficient data

85.4% 71.9% 7.7% Insufficient data

85.7% 82.6% 13.6% Insufficient data

99.3% 75.4% 7.7% Insufficient data

43.2% 84.9% 14.1% Insufficient data

20.0% 29.4% 0.0% 0.0% 15.6% 17.4% 40.0%

60.8% 57.0% 68.8% 92.0% 33.2% 0.0% 78.2% Green Yellow Red

91.1% 69.7% 74.5% 19.0% 55.4% 68.6% 73.5% Reached or surpassed target

5.0% 17.6% 0.0% 0.0% 27.0% 13.0% 35.9%

62.2% 68.0% 91.3% 69.6% 61.2% 0.0% 67.7%

94.6% 75.8% 78.8% 10.7% 82.4% 82.0% 64.5%

Excludes epidemiologically-linked cases. Reports only confirmed cases.

2

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, 2015 –2016 as of 20 October 2016 2014 2015 2016 Confirmed rubella cases Country/area Rubella Rubella Population Investigated Total Total Pending Discarded Compatible incidence per incidence per 1 confirmed confirmed cases cases (in millions) rubella cases classification 1 million pop. 1 million pop. 0 30 11 887 1 0 18 226 0 343 2 0 50 2

Lab

Annualized Congenital Total rubella rubella Epi-linked confirmed incidence per syndrome 1 million pop. 0 4 1 0 3 3 57 9 1 0 0 0 0 0 18 0 0 0 0 0 0 0 0 18 0 4 4 218 1 0 3 21 57 9 1 104 3 0 283 1 4 705 0.0 0.3 4.1 0.2 0.0 0.0 4.0 2.5 4.0 0.2 1.4 0.1 0.0 4.0 0.4 3.4 Green Yellow Red Gray

Australia Brunei Darussalam Cambodia China China, Hong Kong SAR China, Macao SAR 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

0.0 2.0 8.7 0.1 0.0 2.8 7.5 0.0 3.4 0.0 0.0 0.5 1.2 6.8

0 18 8 245 7 2 2 24 34 28 4 154 2 1 862 0 9 383

0.0 1.1 5.9 0.9 3.5 0.0 3.4 1.1 9.8 0.5 1.5 0.0 0.2 9.2 0.0 5.0

24.31 0.43 15.83 1 382.32 7.35 0.60 126.32 6.92 30.75 3.01 4.57 7.78 102.25 50.50 5.70 94.44 3.25 1 866.32

11 390 59 610 1 4 67 414 5 292 2 751 37 1 558 241 10 1 193 266 71 845

0 0 0 0 0 40 708 10 0 72 1 0 165 2 998

11 386 0 4 64 353 4 527 2 732 36 1 382 237 10 714 263 10 719

0 0 0 0 0 0 0 0 0 0 0 0 31 0 31

-

104 3 0 283 1 469

4 12 561

United Nations, Department of Economic and Social Affairs, Population Division World Population Prospects. 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

"-" No data

5

Table 6A. Measles and rubella laboratory testing, WHO Western Pacific Region, 2015 as of 20 February 2016 Measles Measles and rubella Serum Country/area Laboratory Total Total number number of of samples samples received tested 101 40 712 613 43 448 486 6 949 4 935 383 196 2 498 641 600 309 1 340 307 43 146 87 20 877

Serology Blood DBS samples Samples Measles tested for Measles IgM (+) IgM measles IgM equiv No. 26 33 608 540 43 82 486 5 599 4 679 157 196 2 396 397 136 305 1 304 303 43 138 49 17 520

Total number of cases tested 67 33 712 506 43 318 486 5 962 4 754 317 196 2 514 492 572 311 1 308 307 43 146 87 19 174

No. 16 4 0 13 0 14 13 1 697 1 884 8 57 641 26 12 52 134 7 7 1 15 4 601

% 61.5 12.1 0.0 2.4 0.0 17.1 2.7 30.3 40.3 5.1 29.1 26.8 6.5 8.8 17.0 10.3 2.3 16.3 0.7 30.6 26. 3

No. 1 1 0 13 2 22 13 130 442 3 18 88 23 0 10 49 3 0 2 2 822

No. received 0 0 104 0 0 0 0 0 0 0 0 59 0 0 0 0 0 0 8 38 209

No. (+) 0 9 0 4 13

Rubella Virus detection Serum and blood (includes DBS) Measles Virus Measles isolation/ Reverse Total % of Samples Rubella detection Transcription- number of samples tested for Rubella IgM (+) IgM (swab, urine and Polymerase Chain lab with rubella IgM equiv others) Reaction confirmed results ≤4 No. of No. of cases No. of days No. No. % No. samples samples No. (+) isolates tested tested 92.3 90.9 96.6 90.3 89.1 100.0 88.7 71.3 96.0 94.9 48.4 80.1 86.8 97.1 93.8 96.5 54.3 55.8 83.6

Australia Brunei Darussalam Cambodia China China, Hong Kong SAR China, M acao SAR Japan Lao People's Democratic Republic M alaysia M ongolia New Zealand Papua New Guinea Philippines Republic of Korea Singapore Viet Nam national lab (Northern) Viet Nam national lab (Southern) Viet Nam subnational lab (Central) Viet Nam subnational lab (Highland) Fiji Vanuatu Total "-" No data

VIDRL DLS NIPH CCDC PHLC PHL NIID NCLE NPHL NCCD CHL CPHL RITM KCDC SGH NIHE PI PI IHE FCCDC FCCDC

101 40 712 613 43 409 486 6 949 4 935 383 196 2 461 641 607 309 1 340 307 43 146 87 20 808

0 0 0 7 0 0 0 881 14 1 0 51 0 143 4 36 0 0 0 0 1 137

6 50 1 0 10 0 0 0 67

76 4 0 70 0 207 0 0 266 208 0 51 245 0 4 36 5 0 0 0 1 172

69 1 15 23 135 9 20 4 0 0 0 0 0 276

63 4 0 18 0 30 13 1 722 1 956 15 57 646 28 12 52 134 7 7 1 19 4 784

2 29 712 522 43 4 479 3 791 2 875 103 43 1 793 236 303 258 1 304 304 43 124 87 13 055

1 0 18 12 1 0 20 58 36 0 4 90 10 6 8 654 13 2 0 0 933

0.0 2.5 2.3 2.3 4.2 1.5 1.3 0.0 9.3 5.0 4.2 2.0 3.1 50.2 4.3 4.7 0.0 0.0 7.1

0 0 0 0 1 0 45 42 38 1 0 85 16 0 5 31 8 1 1 0 274

6

Table 6B. Measles and rubella laboratory testing, WHO Western Pacific Region, 2016 as of 20 October 2016 Rubella Virus detection Serum and blood (includes DBS) Measles Virus Measles isolation/ Reverse Total % of Samples Rubella detection Transcription- number of Rubella samples tested for IgM (swab, urine and Polymerase Chain lab IgM (+) with rubella IgM equiv others) Reaction confirmed results ≤4 No. of No. of cases No. of days No. No. No. samples samples No. (+) isolates tested tested 81.3 90.9 100.0 89.0 95.1 100.0 78.6 94.0 99.8 99.0 5.1 99.3 78.8 100.0 95.3 81.6 57.9 53.3 96.3

Measles

Measles and rubella Serum Country/area Laboratory Total Total number number of of samples samples received tested 70 14 390 439 26 1 225 175 7 006 9 706 740 39 1 225 432 620 207 673 121 15 228 15 23 366

Serology Blood DBS samples Samples Measles Measles tested for IgM IgM (+) measles IgM equiv No. 19 11 324 395 26 140 175 5 067 9 454 194 39 1 171 280 187 193 668 121 15 221 15 18 715

Total number of cases tested 46 11 390 371 26 781 175 5 321 9 671 651 39 1 210 370 547 197 671 121 15 228 15 20 856

No. 14 1 25 4 2 31 0 1 376 4 950 21 0 31 34 14 1 32 1 0 5 0 6 542

No. 3 0 0 12 0 28 1 135 967 10 0 23 25 0 1 16 0 0 4 0 1 225

No. received 0 0 41 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 6 15 99

No. (+) 0 4 0 0 4

Australia Brunei Darussalam Cambodia China China, Hong Kong SAR China, M acao SAR Japan Lao People's Democratic Republic M alaysia M ongolia New Zealand Papua New Guinea Philippines Republic of Korea Singapore Viet Nam national lab (Northern) Viet Nam national lab (Southern) Viet Nam subnational lab (Central) Viet Nam subnational lab (Highland) Fiji Vanuatu Total "-" No data

VIDRL DLS NIPH CCDC PHLC PHL NIID NCLE NPHL NCCD CHL CPHL RITM KCDC SGH NIHE PI PI IHE FCCDC FCCDC

70 14 390 439 26 1 225 175 7 006 9 706 740 39 1 217 432 620 207 673 121 15 228 15 23 358

0 0 0 3 0 0 0 1 027 1 1 0 45 0 139 5 5 0 0 0 0 1 226

3 104 0 0 0 2 0 0 109

47 0 0 46 0 479 0 0 239 536 0 44 148 0 14 5 0 0 0 0 1 558

42 13 126 142 67 0 13 0 0 403

42 1 23 7 2 133 0 1 409 5 073 78 0 35 37 13 1 32 1 0 5 0 6 892

7 11 386 392 26 4 175 3 611 6 243 112 39 1 209 165 265 193 668 121 15 228 15 13 885

2 0 4 1 2 1 4 89 28 1 0 78 17 2 13 283 8 0 1 0 534

0 0 0 2 0 0 9 39 11 0 2 38 10 0 10 15 2 0 0 1 139

7

Figure 3. Measles genotype distribution of cases with rash onset in 2015 and 2016, WHO Western Pacific Region

2015

2016

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

Table 7. Measles genotype distribution of cases with rash onset in October 2015 to September 2016, WHO Western Pacific Region 2015 Country/area Australia Brunei Darussalam Cambodia China China, Hong Kong SAR China, Macao SAR 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

2016

Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep B3 D4 D8 D9 H1 B3 D8 D9 H1 B3 D4 D8 D9 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 B3 D8 D9 H1 B3 D8 D9 H1 B3 D8 D9 H1 2 1 1 4 12 1 2 7 1 8 6 5 1 9 1 1 2 4 16 14 43 90 271 1 604 563 2 431 224 123 19 1 2 1 2 9 11 1 2 6 11 11 1 1 3 1 2 1 3 2 1 1 1 7 2 4 2 1 1 13 1 7 6 16 2 1 1 6 6 1 20 3 1 2 2 3 1 6 2 5 2 4 14 23 1 1 5 13 10 9 6 15 15 15 18 7 10 4 2 1 1 2 2 14 2 1 1 4 13 40 21 7

Sources: Includes all cases reported to the Western Pacific Regional Office by 20 October 2016 and the Measles Nucleotide Sequence online database (MeaNS).

8

Figure 4. Rubella genotype distribution of cases with rash onset in 2015 and 2016, WHO Western Pacific Region

2015

2016

2B 1E

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.

Table 8. Rubella genotype distribution of cases with rash onset in October 2015 to September 2016, WHO Western Pacific Region Country/area Australia Brunei Darussalam Cambodia China China, Hong Kong SAR China, Macao SAR 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 Sources: Includes all cases reported to the Western Pacific Regional Office by 20 October 2016

2015 2016 Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep 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

9

5

10

17

12 5

5 1

2

1

1

1 4 1

1 1

9

Table 9A. Completeness and timeliness of epidemiologic reporting, WHO Western Pacific Region, 2014 —2016 Country Australia Brunei Darussalam Cambodia China China, Hong Kong SAR China, Macao SAR 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

2014 Completeness 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 92% 100% 100% 100% 100% 100% 100% 90% Timeliness 92% 100% 100% 67% 100% 100% 17% 100% 92% 100% 100% 58% 100% 100% 92% 100% 100%

2015 Completeness 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 96% Timeliness 100% 100% 100% 92% 100% 100% 92% 100% 100% 100% 100% 58% 92% 100% 100% 92% 100% Jan 04 Feb 09 Feb 10 Feb 14 Feb 05 Feb 05 Feb 06 Feb 10 Feb 05 Feb 06 Feb 09 Feb 11 Feb 11 Feb 05 Feb 02 Feb 05 Feb 10 Feb 100% 88% Feb 09 Mar 07 Mar 10 Mar 10 Mar 10 Mar 08 Mar 02 Mar 10 Mar 08 Mar 10 Mar 07 Mar 01 Apr 10 Mar 08 Mar 08 Mar 09 Mar 10 Mar 100% 94% Mar 07 Apr 07 Apr 10 Apr 12 Apr 08 Apr 05 Apr 09 Apr 10 Apr 08 Apr 09 Apr 08 Apr 10 Apr 05 Apr 07 Apr 07 Apr 07 Apr 08 Apr 100% 100% Apr 06 May 09 May 10 May 15 May 09 May 05 May 04 May 10 May 10 May 11 May 09 May 11 May 10 May 02 May 10 May 09 May 10 May 100% 82% May 06 Jun 06 Jun 10 Jun 15 Jun 10 Jun 08 Jun 10 Jun 10 Jun 10 Jun 15 Jun 10 Jun 14 Jun 08 Jun 10 Jun 10 Jun 10 Jun 10 Jun 100% 88% Jun 10 Jul 05 Jul 10 Jul 12 Jul 07 Jul 06 Jul 10 Jul 10 Jul 10 Jul 10 Jul 08 Jul 21 Jul 05 Jul 08 Jul 09 Jul 13 Jul 07 Jul 100% 88%

2016

1

Jul 09 Aug 06 Aug 10 Aug 15 Aug 09 Aug 03 Aug 10 Aug 10 Aug 10 Aug 08 Aug 10 Aug 10 Aug 08 Aug 10 Aug 08 Aug 10 Aug 15 Aug 100% 100%

Aug 14 Sep 06 Sep 10 Sep 12 Sep 08 Sep 07 Sep 10 Sep 10 Sep 09-Sep 10 Sep 06 Sep 09 Sep 05 Sep 07 Sep 08 Sep 09 Sep 15 Sep 100% 94%

Sep 10 Oct 08 Oct 10 Oct 12 Oct 07 Oct 07 Oct 09 Oct 10 Oct 10 Oct 07 Oct 10 Oct 07 Oct 06 Oct 10 Oct 10 Oct 07 Oct 13 Oct 100% 100%

Completeness 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 89% 100% 100% 100% 100% 100% 100%

2

Timeliness 78% 100% 100% 100% 100% 100% 100% 100% 100% 78% 100% 44% 89% 100% 100% 89% 100%

3

93%

National measles surveillance monthly reports from September 2016. 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, 2014 —2016 Country/area Australia Brunei Darussalam Cambodia China China, Hong Kong SAR China, Macao SAR Japan Lao People's Democratic Republic Malaysia Mongolia New Zealand Papua New Guinea Philippines Republic of Korea Singapore Viet Nam national lab (Northern) Viet Nam national lab (Southern) Viet Nam subnational lab (Central) Viet Nam subnational lab (Highland) Fiji Completeness Timeliness 1 2 3

2014 Completeness 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 82% 91% 100% 99% 92% Timeliness 100% 100% 100% 100% 100% 100% 42% 100% 83% 100% 100% 92% 92% 100% 100% 83% 100% 73% 82% 100%

2015 Completeness 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 91% Timeliness 100% 100% 100% 100% 100% 100% 92% 100% 75% 75% 100% 75% 100% 100% 100% 67% 100% 67% 67% 100% Jan 04 Feb 02 Feb 10 Feb 05 Feb 05 Feb 05 Feb 06 Feb 10 Feb 12 Feb 03 Mar 09 Feb 12 Feb 05 Feb 04 Feb 05 Feb 05 Feb 02 Feb 05 Feb 05 Feb 10 Feb 100% 94% Feb 04 Mar 01 Mar 10 Mar 08 Mar 08 Mar 09 Mar 02 Mar 10 Mar 10 Mar 10 Mar 07 Mar 15 Mar 10 Mar 10 Mar 04 Mar 11 Mar 09 Mar 11 Mar 11 Mar 10 Mar 100% 80% Mar 08 Apr 06 Apr 10 Apr 08 Apr 06 Apr 05 Apr 09 Apr 10 Apr 10 Apr 10 Apr 08 Apr 10 Apr 10 Apr 08 Apr 07 Apr 12 Apr 06 Apr 10 Apr 11 Apr 08 Apr 100% 100% Apr 03 May 07 May 10 May 10 May 09 May 06 May 04 May 10 May 09 May 10 May 09 May 12 May 06 May 10 May 07 Jun 10 May 06 May 10 May 10 May 10 May 100% 95% May 02 Jun 04 Jun 10 Jun 03 Jun 07 Jun 10 Jun 10 Jun 10 Jun 14 Jun 10 Jun 10 Jun 16 May 07 Jun 10 Jun 08 Jun 06 Jun 07 Jun 06 Jun 06 Jun 10 Jun 100% 90% Jun 07 Jul 04 Jul 10 Jul 06 Jul 06 Jul 07 Jul 10 Jul 10 Jul 05 Jul 13 Jul 08-Jul 10 Aug 13 Jul 08 Jul 05 Jul 04 Jul 06 Jul 04 Jul 04 Jul 07 Jul 100% 85%

2016

1

Jul 03 Aug 01 Aug 10 Aug 04 Aug 05 Aug 05 Aug 10 Aug 10 Aug 09 Aug 09 Aug 10 Aug 10 Aug 08 Aug 05 Aug 08 Aug 08 Aug 09 Aug 08 Aug 08 Aug 15 Aug 100% 95%

Aug 02 Sep 31 Aug 10 Sep 02 Sep 06 Sep 08 Sep 10 Sep 10 Sep 09 Sep 10 Sep 06 Sep 10 Sep 08 Sep 09 Sep 08 Sep 01 Sep 08 Sep 01 Sep 01 Sep 15 Sep 100% 100%

Sep 05 Oct 01 Oct 10 Oct 08 Oct 07 Oct 07 Oct 09 Oct 10 Oct 10 Oct 11 Oct 10 Oct 12 Oct 10 Oct 10 Oct 07 Oct 06 Oct 07 Oct 06 Oct 06 Oct 13 Oct 100% 90%

Completeness 2 100% 100% 100% 100% 100% 100% 100% 100% 100% 89% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%

Timeliness 100% 100% 100% 100% 100% 100% 100% 100% 78% 67% 100% 33% 89% 100% 100% 89% 100% 89% 89% 89%

3

91%

National measles laboratory monthly reports from September 2016. 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.

Legend: black = timely report; red = untimely report

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: WPROEPIdata@who.int

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Основные сведения
Тип документа Technical Documents
Дата принятия
Источник Всемирная организация здравоохранения