Volume 9 • Issue 6 • June 2015
ISSN 1814 3601
Figure 1. Distribution of confirmed measles cases with rash onset 1–31 May 2015, 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 June 2015
Table 1. Confirmed measles cases by month of onset, June 2014 – May 2015, WHO Western Pacific Region 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 Western Pacific Region 2014 Jun 34 0 0 6113 4 1 38 0 18 0 98 640 1260 44 6 457 128 8841 Jul 32 0 0 3779 7 0 12 0 19 0 31 259 1305 25 12 257 114 5852 Aug 23 0 0 2007 3 0 19 0 19 0 5 64 1386 3 9 210 9 3757 Sep 2 0 0 1033 3 0 5 28 17 0 0 29 957 2 0 170 3 2249 Oct 17 0 0 778 1 0 2 36 23 0 1 10 448 1 2 155 2 1476 Nov 5 0 0 755 0 0 6 1 7 0 3 37 204 0 0 38 0 1056 Dec 14 0 0 1356 0 0 2 0 13 0 0 21 45 0 2 10 0 1463 Jan 10 0 0 2359 0 0 1 0 16 0 0 34 150 0 2 38 3 2613 Feb 6 0 0 4312 1 0 2 2 25 0 2 4 190 0 3 14 2 4563 2015 Mar 11 0 0 5767 1 0 3 0 46 159 2 7 133 4 2 12 7 6154 Apr 9 0 0 7937 2 0 10 0 68 262 2 2 54 1 7 19 0 8373 May 0 0 0 7035 2 0 2 0 39 124 3 0 12 0 1 8 0 7226
Source: Case based and aggregate data reports to the Western Pacific Regional Office by 20 June 2015
Figure 2. Measles cases by month of onset, WHO Western Pacific Region, 2010–20151 18 000
16 000
14 000
12 000 Number of measles cases
10 000
8 000
6 000
4 000
2 000
Source: Measles and rubella monthly country reports to WHO by 20 June 2015 1 Includes laboratory confirmed, epi-linked and clinically confirmed cases for 2010–2012
Countries and areas
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 June 2015
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
0
2010
2011
2012
2013
2014
2015
China
Japan
Philippines
Viet Nam
Others
Table 2. Status of measles verification, WHO Western Pacific Region 2014 Year verified No. of confirmed cases 2014 2015 2015 2014 2015 2014 2014 340 0 0 48 123 46 1 434 70 213 0 263 2 589 21 420 442 134 6 498 268 80 841 Imported 139 0 18 1 0 0 51 0 0 0 21 37 0 0 267 Source of infection Importrelated 101 0 3 0 0 0 14 0 0 0 407 0 0 0 525 Unknown 100 48 123 0 0 434 70 51 263 2 589 21 420 14 67 6 498 268 79 897 Endemic 0 0 25 0 0 0 97 0 0 0 0 30 0 0 152 No. of confirmed cases 38 0 0 27 410 6 0 18 2 194 545 9 47 539 5 15 91 17 28 936 Imported 15 0 2 6 0 2 0 0 0 0 2 5 0 0 32 2015 Source of infection Importrelated 16 0 0 2 0 0 172 0 0 0 0 0 0 0 190 Unknown 7 27 410 4 10 2 79 373 9 47 539 3 10 91 17 28 601 Endemic 0 0 0 0 0 113 0 0 0 0 0 0 0 0 113
Table 3. Measles case classification and incidence by country and area, WHO Western Pacific Region, 2011—2015 1 2011 Measles incidence per 1 million pop. 8.5 9.9 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 2012 Measles 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 2013 Measles 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 2.2 10.6 9.9 0.0 17.7 2014 Measles incidence per 1 million pop. 14.5 0.0 0.0 35.3 6.3 1.7 3.4 10.7 7.0 0.0 57.7 345.9 214.7 9.0 25.1 71.0 81.9 44.0 Green Yellow Red
2015 Confirmed measles cases Population (in millions) 3
Rash Deaths due to measles onset of last confirmed measles case
Country
Total confirmed2
Total confirmed2
Total confirmed
Total confirmed
Suspected measles cases NA4 13 214 67 675 55 3 160 369 1 656 3 013 17 119 1 902 168 43 646 127 76 180 Lab Epilinked 35 0 0 27 277 6 0 16 2 191 544 8 47 481 5 15 91 17 28 735 3 0 0 133 0 0 2 0 3 1 1 0 58 0 0 0 0 201
Annualized measles
Compatible Discarded cases cases5
Pending classification
Confirmed incidence per 1 million pop. 38 0 0 27 410 6 0 18 2 194 545 9 47 539 5 15 91 17 28 936 4.0 0.0 0.0 47.1 1.9 0.0 0.3 0.7 15.5 458.2 4.8 14.7 12.7 0.2 7.1 2.3 12.5 37.1
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 areas6 Western Pacific Region 1 2 3 4 5 6
192 4 722 9 943 12 1 411 113 1 603 0 599 0 6 555 43 143 745 2 21 088
199 1 0 6 183 8 1 228 36 1 868 0 55 0 1 536 2 40 637 0 10 794
154 0 0 26912 34 3 141 68 177 0 9 7 3777 107 56 895 0 32 340
340 0 0 48 123 46 1 434 70 213 0 263 2 589 21 420 442 134 6 498 268 80 841
22.6 0.4 16.4 1396.0 7.4 0.6 125.8 7.0 30.0 2.9 4.5 7.7 101.7 49.2 5.1 93.6 3.3 1874.1
0 0 0 1 388 3 0 6 0 2 1 548 0 0 680 0 2 30 0 3 659
0 13 214 36 483 46 3 136 195 1 123 796 2 72 663 156 23 495 107 40 527
0 0 0 2 394 0 0 0 172 321 121 6 0 20 0 1 30 3 3 068
0 27-May-15 0 24-Jul-12
0 15-Nov-11 19 31-May-15 0 27-May-15 0 3-Jun-14
0 18-May-15 0 1-Feb-15
0 26-May-15 0 28-May-15 0 22-May-15 0 19-Apr-15
2 14-May-15 0 0 21-Apr-15 7-May-15
0 25-May-15 0 21 29-Apr-15
Includes all cases reported to the Western Pacific Regional Office by 20 June 2015. 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.
<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, 2014—2015 1 2014 1 Discarded nonSecond level units with Suspected cases with Suspected cases with adequate blood adequate investigation specimens 2
2015 1 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 2
Country
measles rate per 100 000 pop
≥ 2 discarded cases per
100 000 pop (annualized)
≥2
≥ 80% Insufficient data
≥ 80% Insufficient data
≥ 80% Insufficient data
≥2 Insufficient data
≥ 80% Insufficient data
≥ 80% Insufficient data
≥ 80% Insufficient data
Australia 3 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
Insufficient data
3.5 4.3 4.3 2.1 2.7 0.5 4.1 14.3 4.7 1.0 27.6 3.3 2.4 1.6 3.2 3.8 4.1
100.0% 83.3% 71.0% 100.0% 100.0% 0.0% 58.8% 93.8% 31.8% Insufficient data
93.8% 68.9% 91.0% 99.0% 100.0% Insufficient data
100.0% 99.4% 87.6% 92.8% 100.0% Insufficient data
7.0 3.1 6.3 1.5 1.3 0.3 6.7 9.0 66.9 0.0 2.3 1.6 0.8 1.1 1.3 7.9 5.2
100.0% 50.0% 90.3% 0.0% 0.0% 0.0% 52.9% 87.5% 77.3% Insufficient data
100.0% 84.6% 91.3% 94.5% 100.0% Insufficient data
100.0% 99.5% 83.8% 92.7% 100.0% Insufficient data
74.5% 73.2% 100.0% Insufficient data
74.9% 91.1% 100.0% Insufficient data
87.8% 77.9% 45.6% Insufficient data
87.5% 89.7% 44.3% Insufficient data
75.0% 58.8% 43.8% 0.0% 40.6% Insufficient data
0.0% 85.8% 95.6% 82.5% 44.0% Insufficient data
63.5% 85.8% 63.3% 25.3% 82.0% Insufficient data
20.0% 23.5% 81.3% 0.0% 9.4% Insufficient data
47.9% 64.2% 71.4% 86.0% 47.4% 0.0% 87.8%
82.4% 71.9% 76.2% 20.9% 77.6% 52.8% 82.0%
54.9%
28.6% Green Yellow Red
85.8% Reached or surpassed target
39.0%
Includes all cases reported to the Western Pacific Regional Office by 20 June 2015. 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
3
4 2
Table 5. Rubella case classification and incidence by country and area, WHO Western Pacific Region, 2014–2015 1 2014 Population Investigated number of rubella (in millions) rubella cases confirmed incidence per 2 cases 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 areas4 Western Pacific Region 1 2 3 4
2015 1 Confirmed rubella cases Epilinked 0 0 0 0 0 3 0 0 0 0 0 0 3 Congenital rubella Compatible Discarded Pending rubella cases incidence per classification cases3 syndrome 1 million pop. No data 0.0 0.4 10.9 1.0 4.2 No data 1.4 1.7 10.9 No data No data 2.1 0.1 0.0 3.9 0.0 8.5 Green Yellow Red Gray
Total
Annualized
Annualized
Country
Lab
Total
1 million pop. 0 No data 0.0 2.0 8.7 0.1 0.0 No data 2.8 7.5 0.0 No data No data 3.4 0.0 0.0 0.5 1.2 6.8 22.61 0.44 16.36 1 396.00 7.40 0.57 125.79 7.03 30.04 2.85 4.49 7.68 101.73 49.15 5.06 93.65 3.26 1 874.11 No data 13 214 67 675 6 3 No data 198 1 656 1 006 No data No data 1 902 168 10 548 127 73 526 0 3 3 1 4 18 13 91 2 0 154 0 289
0 3 6 316 3 1 4 21 13 91 2 0 154 0 6 608
0 0 0 2 0 0 0 0 0 0 0 16 0 18
13 211 0 0 2 193 1 314 983 1 791 166 9 335 80 5 097
0 0 0 1 0 1 321 10 20 0 1 43 1 398
0
30 11 887 1 0 18 226 0 343 2 0 50 4 12 561
Includes all cases reported to the Western Pacific Regional Office by 20 June 2015. 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 testing, WHO Western Pacific Region, 20141 Measles Measles and rubella Serum Samples Total number of samples received Total number Total number of samples tested of cases tested tested for measles IgM No. No. % Measles IgM (+) Serology Blood Measles IgM equiv DBS samples Timeliness of reults ≤4 days 2 ≤7 days V irus detec tion Measles Virus isolation/detection (swab, urine and others) No. received No. (+) No. of % % samples tested No. of isolates Measles Reverse Transcription- Total number Polymerase Chain Reaction No. of samples tested No. (+) of lab c onfirmed c ases No. No. % No.
Rubella Serum and blood (includes DBS) Samples tested for rubella IgM Rubella IgM (+) Rubella IgM equiv
Country
Laboratory
No.
Australia Brunei Darussalam Cambodia China 3
VIDRL DLS NIPH CCDC PHLC PHLC NIID NCLE NPHL NCCD CHL CPHL RITM KCDC SGH Nha Trang IHE NIHE PI FCCDC FFCDC
312 51 635 NA 791 58 2 396 370 5 789 138 787 4 595 41 235 2 609 675 1 800 483 4 804 12 684 131 13 80 356
312 51 635 105 219 791 58 854 370 5 789 138 787 4 595 19 297 2 609 675 1 800 483 4 804 12 684 131 13 162 095
226 51 635 105 167 665 58 854 369 5 134 137 704 4 591 19 151 1 873 619 1 800 483 4 763 11 444 131 13 158 868
66 51 577 105 219 698 58 362 370 4 751 137 249 4 583 18 766 1 324 222 1 736 482 4 650 11 342 112 13 155 768
42 1 0 45 751 34 1 172 74 257 0 45 2 270 12 736 270 41 999 266 2 636 6 917 0 4 72 516
63.6 2.0 0.0 43.5 4.9 1.7 47.5 20.0 5.4 0.0 18.1 49.5 67.9 20.4 18.5 57.5 55.2 56.7 61.0 0.0 30.8 46. 6
3 0 0 NA 21 0 15 9 100 0 5 316 665 115 13 30 3 261 142 0 2 1 700
0 0 58 NA 0 0 0 0 0 0 0 0 364 0 0 0 0 0 0 19 0 441
0 187 1 188
100.0 71.2 98.6 81.0 93.6 100.0 No data
100.0 98.1 100.0 NA 98.9 100.0 No data
0 0 0 NA 39 0 9 0 997 0 15 0 1 247 332 170 0 0 130 1 342 0 0 4 281
7 863 28 9 6 8 444 231 6 5 134 8 734
258 0 0 0 204 1 780 0 0 0 519 37 830 1 440 0 99 0 131 1 343 0 0 5 642
236 58 1 365 162 32 760 328 50 16 16 2 024
207 1 0 NA 49 1 190 74 261 0 181 2 266 13 431 469 47 1 023 266 2 648 6 924 1 4 28 043
24 52 604 NA 645 57 11 366 4 434 137 103 2 270 5 870 770 278 780 425 2 196 4 637 128 13 23 800
0 2 31 NA 8 0 2 11 220 1 4 89 235 28 9 6 1 18 20 3 1 689
0.0 3.8 5.1 NA 1.2 0.0 18.2 3.0 5.0 0.7 3.9 3.9 4.0 3.6 3.2 0.8 0.2 0.8 0.4 2.3 7.7 2.9
0 0 0 NA 5 0 0 28 87 1 1 93 104 39 4 3 0 21 11 0 3 400
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 (central) Viet Nam (highland) Viet Nam (northern) Viet Nam (southern) Fiji Vanuatu Total 1 2 3
92.6 67.5 99.3 98.6 67.7 0.3 75.1 93.6 72.6 35.6 61.6 12.0 83.3 91.7 31.3
99.7 90.2 99.3 99.0 88.7 1.3 89.7 96.9 90.5 51.5 84.6 18.4 95.0 100.0 40.7
Includes all cases reported to the Western Pacific Regional Office by 20 January 2015. Recommendation from the Fourth Meeting on Vaccine Preventable Diseases Laboratory Networks in the Western Pacific Region China Measles Surveillance System (MSS) and China Measles LabNet
NA - not available
6
Table 6B. Measles and rubella laboratory testing, WHO Western Pacific Region, 20151 Measles Measles and rubella Serum Samples Serology Blood Measles IgM equiv DBS samples Timeliness of reults 2 ≤4 days
Rubella V irus detec tion Measles Virus isolation/detection ≤7 days (swab, urine and others) Measles Reverse Transcription- Total number Polymerase Chain Reaction No. of samples tested No. (+) of lab c onfirmed c ases No. No. % No. Serum and blood (includes DBS) Samples tested for rubella IgM Rubella IgM (+) Rubella IgM equiv
Country
Laboratory
Total number of samples received
Total number of samples tested
Total number of cases tested
tested for measles IgM No.
Measles IgM (+)
No.
%
No.
No. received
No. (+)
No. of % % samples tested
No. of isolates
Australia Brunei Darussalam Cambodia China 3
VIDRL DLS NIPH CCDC PHLC PHLC NIID NCLE NPHL NCCD CHL CPHL RITM KCDC SGH Nha Trang IHE NIHE PI FCCDC FFCDC
63 15 213
63 15 213
39 15 213
19 15 182
12 0 0
63.2 0.0 0.0
1 0 0
0 0 31
0
89.5 100.0 97.7 91.0
100.0 100.0 99.5
0 0 0
-
46 0 0
42 -
36 0 0
1 15 213
0 0 3
0.0 1.4
0 0 0
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 (central) Viet Nam (highland) Viet Nam (northern) Viet Nam (southern) Fiji Vanuatu Total 1 2 3
218 19 229 305 2 000 1 144 145 145 1 403 347 249 109 15 136 425 69 58 7 307
218 19 184 305 2 000 1 144 145 145 1 378 347 249 109 15 136 425 69 58 7 237
183 19 160 305 1 782 1 144 125 145 1 378 249 230 109 15 136 393 69 58 6 767
193 19 40 305 1 688 1 144 52 145 1 344 211 57 108 15 136 393 67 49 6 182
6 0 7 9 300 378 2 46 543 11 5 4 7 45 42 1 15 1 433
3.1 0.0 17.5 3.0 17.8 33.0 3.8 31.7 40.4 5.2 8.8 3.7 46.7 33.1 10.7 1.5 30.6 23. 2
1 2 8 8 48 93 0 14 63 9 0 3 0 7 4 1 2 264
0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 2 9 76
9 0 1 10
88.3 100.0 No data
98.9 100.0 No data
5 0 0 0 197 0 0 0 27 0 59 0 0 0 32 0 0 320
4 0 7 5 0 16
26 0 98 0 0 103 60 0 0 137 0 0 1 0 32 0 0 503
10 13 43 3 4 0 0 0 115
8 0 17 9 244 388 7 46 493 13 5 4 7 45 42 1 16 1 381
185 19 0 301 1 338 1 025 29 21 781 119 122 108 15 98 393 69 58 4 910
7 1 19 25 16 0 1 60 4 2 7 0 5 135 0 0 285
3.8 5.3 6.3 1.9 1.6 0.0 7.7 3.4 1.6 6.5 0.0 5.1 34.4 0.0 0.0 5.8
0 1 30 19 8 0 0 43 5 0 1 0 3 7 1 0 118
96.1 78.9 99.0 94.2 54.0 68.9 92.9 97.8 48.1 73.3 96.3 89.1 No data No data 83.2
96.4 87.0 100.0 96.2 88.5 98.5 100.0 99.5 94.4 93.3 98.5 96.7 No data No data 95.1
Includes all cases reported to the Western Pacific Regional Office by 20 June 2015 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 2014 and 2015, WHO Western Pacific Region
2014
2015
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 June 2014 to May 2015, 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
2014 2015 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May 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 B3 D8 D9 H1 B3 D8 D9 H1 B3 D8 D9 H1 14 7 1 1 9 4 1 3 2 9 1 1 2 2 4 2 10 1 5 2 2 2 5 1 5
3 576 2 1 13 7 2 3 6
1 302 6 1 1 5 5 3
188 3
85 3
74 1 3
48
137
408
461 1 1
654 1 2 2 2
276 2
22 2
1
16 3 1 1 1 2 1 1 1 1 2
63 1
2 29 4
2 1
2 1
1 1 3 1 1 3
1 1 10 1 1
1 2
1 2 1
Sources: Includes all cases reported to the Western Pacific Regional Office by 20 June 2015 and the Measles Nucleotide Sequence online database (MeaNS).
8
Figure 4. Rubella genotype distribution of cases with onset in 2014 and 2015, WHO Western Pacific Region
2014
2015
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 June 2014 to May 2015, 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
2014 2015 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May 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
2 1
1
1
3 1
1
9
18 1
1
Sources: Includes all cases reported to the Western Pacific Regional Office by 20 June 2015
9
Table 9A. Completeness and timeliness of epidemiologic reporting, WHO Western Pacific Region, 2013—2015 2013 Country Completeness 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 97% Timeliness 100% 100% 100% 83% 100% 100% 83% 100% 100% 100% 92% 92% 100% 100% 100% 100% 100% 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% Jan 10 Feb 09 Feb 07 Feb 10 Feb 25 Feb 10 Feb 04 Feb 07 Feb 10 Feb 09 Feb 10 Feb 03 Feb 10 Feb 06 Feb 04 Feb 10 Feb 10 Feb 04 Feb 100% 94% Feb 10 Mar 06 Mar 09 Mar 10 Mar 15 Mar 10 Mar 10 Mar 10 Mar 10 Mar 10 Mar 09 Mar 03 Mar 11 Mar 09 Mar 06 Mar 04 Mar 03 Mar 05 Mar 100% 94% Mar 10 Apr 02 Apr 09 Apr 10 Apr 10 Apr 10 Apr 01 Apr 09 Apr 10 Apr 06 Apr 10 Apr 10 Apr 08 Apr 10 Apr 07 Apr 10 Apr 10 Apr 10 Apr 100% 100% 2015 Apr 10 May 05 May 07 May 10 May 15 May 08 May 08 May 10 May 10 May 10 May 10 May 07 May 06 May 08 May 05 May 09 May 10 May 05 May 100% 100% 1
May 10 Jun 05 Jun 08 Jun 10 Jun 10 Jun 10 Jun 05 Jun 07 Jun 10 Jun 10 Jun 10 Jun 10 Jun 10 Jun 10 Jun 02 Jun 10 Jun 09 Jun 09 Jun 100% 100%
Completeness 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
2
Timeliness 100% 100% 100% 80% 100% 100% 100% 100% 100% 100% 100% 80% 100% 100% 100% 100% 100%
3
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
98%
National measles surveillance monthly reports from May 2015. 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. 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
Legend: black = timely report; red = untimely report
2 3
by the 15th (or the next working day) of the following month.
Table 9B. Completeness and timeliness of laboratory reporting, WHO Western Pacific Region, 2013—2015 2013 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 (central) Viet Nam (highlands) Viet Nam (northern) Viet Nam (southern) Fiji Completeness Timeliness 1 2 3
2014 Completeness 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 82% 91% Timeliness 100% 100% 100% 100% 100% 100% 42% 100% 83% 100% 100% 92% 92% 100% 100% 73% 82% 83% 100% 100% Jan 10 Feb 05 Feb 07 Feb 10 Feb 02 Feb 06 Feb 04 Feb 07 Feb 10 Feb 09 Feb 09 Feb 09 Feb 11 Feb 10 Feb 09 Feb 09 Feb 11 Feb 11 Feb 11 Feb 09 Feb 04 Feb 100% 92% 89% Feb 10 Mar 02 Mar 28 Feb 10 Mar 02 Mar 06 Mar 10 Mar 10 Mar 10 Mar 10 Mar 05 Mar 09 Mar 17 Mar 09 Mar 09 Mar 07 Mar 16 Mar 16 Mar 16 Mar 10 Mar 05 Mar 100% 80% Mar 10 Apr 02 Apr 06 Apr 10 Apr 08 Apr 08 Apr 01 Apr 09 Apr 10 Apr 08 Apr 10 Apr 10 Apr 07 Apr 08 Apr 10 Apr 08 Apr 04 Apr 04 Apr 04 Apr 08 Apr 10 Apr 100% 100%
2015 Apr 10 May 04 May 30 Apr 10 May 07 May 08 May 08 May 10 May 10 May 08 May 15 May 07 May 08 May 06 May 07 May 08 May 15 May 15 May 15 May 07 May 05 May 100% 80%
1
Completeness 100% 100% 100% 100% 100% 100% 100% 92% 100% 100% 100% 83% 100% 100% 100%
Timeliness 100% 78% 100% 100% 100% 100% 100% 92% 100% 100% 100% 83% 100% 100% 100%
May 10 Jun 02 Jun 03 Jun 10 Jun 02 Jun 09 Jun 09 Jun 07 Jun 10 Jun 11 Jun
Completeness 100% 100% 100% 100% 100% 100% 100% 100% 100% 80%
2
Timeliness 100% 100% 100% 100% 100% 100% 100% 100% 80% 60% 100% 60% 100% 100% 100% 40% 40% 40% 100% 100%
3
07 Jun 05 Jun 08 Jun 07 Jun 07 Jun 08 Jun 08 Jun 08 Jun 08 Jun 09 Jun 95% 85%
100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 99%
100% 100% 100% 99%
50% 67% 100%
100% 100% 100% 99%
92%
85%
National measles laboratory monthly reports from May 2015. 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: WPR_EPIdata@wpro.who.int
10