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Measles-Rubella Bulletin - Vol 11 Issue 3

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Volume 11 • Issue 3 • March 2017

ISSN 1814 3601

Figure 1. Distribution of confirmed measles cases with rash onset 1–28 February 2017, 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 March 2017

Table 1. Confirmed measles cases by month of rash onset, March 2016–February 2017, 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 "-" No data

2016 Mar 16 0 0 4663 0 0 2 0 200 850 2 0 20 2 10 4 1 5770 Apr 10 0 0 5247 1 0 0 0 187 598 20 0 7 1 18 3 1 6093 May 5 0 2 3923 2 0 3 0 154 378 37 0 6 0 31 3 1 4545 Jun 4 0 4 2619 2 0 3 0 112 79 29 0 3 0 6 3 1 2865 Jul 6 0 5 1695 0 0 5 0 70 22 5 0 3 0 3 6 0 1820 Aug 1 1 11 866 0 0 76 0 105 4 3 0 4 1 8 3 0 1083 Sep 7 0 1 350 1 0 43 0 57 2 1 0 6 8 7 1 0 484 Oct 7 0 9 208 0 0 10 0 78 2 1 0 8 4 11 2 0 340 Nov 6 0 12 222 0 0 2 0 58 2 0 0 4 0 24 0 0 330 Dec 16 0 10 531 3 0 5 8 64 4 0 0 3 0 16 0 0 660 Jan

2017 Feb 9 0 4 306 1 0 15 0 70 2 6 0 1 9 0 423 4 0 4 437 1 0 24 0 36 1 2 0 0 7 0 516

Source: Case based and aggregate data reports to the Western Pacific Regional Office by 20 March 2017

Figure 2. Confirmed measles cases by month of rash onset, WHO Western Pacific Region, 2012–2017 as of 20 March 2017 16 000

14 000

12 000

10 000 Number of measles cases

8 000

6 000

4 000

2 000

Mar

Mar

Mar

Mar

Aug

Aug

Aug

Aug

Mar

Aug

Jul

Jul

Jul

Jul

Nov

Nov

Nov

Nov

Jul

May

May

May

May

May

Nov

Jun

Jun

Jun

Jun

Jun

Jan

Jan

Jan

Jan

Jan

Apr

Apr

Apr

Apr

Feb

Feb

Feb

Feb

Feb

Apr

Jan

Dec

Dec

Dec

Dec

2012

2013

2014

2015

2016

Dec

Sep

Sep

Sep

Sep

Sep

2017

China

Philippines

Viet Nam

Malaysia

Papua New Guinea

Others

Source: Measles and rubella monthly country reports to WHO by 20 March 2017 Includes laboratory confirmed, epi-linked and clinically confirmed cases for 2012

Table 2. Status of measles verification, WHO Western Pacific Region 2016 Country/area Year No. of 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 areas Total 2014 2015 2015 2016 2014 2015 2014 99 1 56 23 960 9 0 152 8 1 569 3 587 104 0 74 18 140 36 5 29 818 Imported 30 1 0 0 1 27 0 4 0 0 1 9 16 0 0 89 Source of infection Importrelated 18 0 0 0 0 97 0 0 2 392 0 0 9 90 0 0 2 606 Unknown / not reported 50 0 56 23 960 8 28 8 437 0 104 53 0 34 36 5 24 779 % of c ases w ith

2017 No. of confirmed cases 13 0 9 743 2 0 39 0 106 3 8 0 1 16 0 940 No measles cases ≥80% 60–79% <60% Imported 7 0 0 1 7 2 0 0 1 5 23 Source of infection Importrelated 5 0 0 0 8 0 0 0 0 7 20 Unknown / not reported 1 9 743 1 24 44 3 8 0 4 837 % 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 0 1 052 1 196 0 20 0 0 0 0 2 268

48.5% 100.0% 0.0% 0.0% 11.1% 81.6% 0.0% 67.3% 100.0% 0.0% 28.4% 100.0% 75.7% 0.0% 0.0% 16.6% Blue Green Yellow Red

0 0 0 0 0 60 0 0 0 0 60

92.3% 0.0% 0.0% 50.0% 38.5% 58.5% 0.0% 0.0% 100.0% 75.0% 11.0%

Source: Measles and rubella monthly country reports to WHO by 20 March 2017

2

Feb

Oct

Oct

Oct

Oct

Oct

0

Table 3. Measles case classification and incidence by country and area, WHO Western Pacific Region, 2013 —2017 as of 20 March 2017 2013 Measles incidence 1

2014 Measles incidence 1

2015 Measles incidence 1

2016 Measles incidence per 1 million pop. 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 99 1 56 23 960 9 0 152 8 1 569 3 587 104 0 74 18 140 36 5 29 818 4.1 2.3 3.5 17.3 1.2 0.0 1.2 1.2 51.0 1193.1 22.8 0.0 0.7 0.4 24.6 0.4 1.5 16.0 Green Yellow Red

2017 Confirmed measles cases Population (in millions) 2

Rash onset of Deaths due to last confirmed measles case 24-Feb-17 7-Aug-16 2-Mar-17 28-Feb-17 15-Feb-17 3-Jun-14 26-Feb-17 27-Dec-16 22-Feb-17 13-Feb-17 14-Feb-17 21-Sep-15 10-Dec-16 9-Jan-17 21-Feb-17 22-Oct-16 9-Jun-16

Country/area

Total confirmed

per 1 million pop.

Total confirmed

per 1 million pop.

Total confirmed

per 1 million pop.

Total confirmed

Suspected measles cases 3

Pending classification

Discarded Compatible cases 3

Annualized Lab Epi-linked

cases

Total measles confirmed incidence per measles 1 million pop. 13 9 743 2 0 39 0 106 3 8 0 1 16 0 940 3.2 3.4 3.2 1.6 0.0 1.9 0.0 20.4 5.9 10.4 0.0 0.1 16.6 0.0 3.0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 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 areas Western Pacific Region 1 2 3 4

154 0 0 26912 34 3 141 68 177 0 9 7 3777 107 56 895 4

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

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

74 4 0 41 217 12 0 32 56 1 302 1 617 13 53 688 7 39 291 20 45 425

24.6 0.4 16.1 1388.2 7.4 0.6 126.0 7.0 31.2 3.1 4.6 7.9 103.8 50.7 5.8 95.4 3.3 1876.2

NA

0 0 347 0 0 1 106 121 0 3 0 0 0 0 578

0 128 2 205 3 1 49 3 738 48 0 1 34 15 21 3 246

0 0 261 0 0 1 0 14 0 0 0 0 2 0 278

12 9 736 2 0 37 0 106 3 6 0 1 16 0 928

1 0 7 0 0 2 0 0 0 2 0 0 0 0 12

0 137 3 556 5 1 90 109 987 51 11 1 Not available

38 34 Not available

0 32 340

21 5 041

Includes laboratory confirmed and epi-linked confirmed cases 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, 2016 —2017 as of 20 March 2017 2016 Discarded non-measles Second level units with ≥ 2 discarded cases per 100 000 pop [annualized]1 Suspected cases with adequate investigation Suspected cases with adequate specimens for laboratory confirmation 2

2017 Annualized discarded non-measles rate per 100 000 pop Second level units with ≥ 2 discarded cases per 100 000 pop [annualized]1 Suspected cases with adequate investigation Suspected cases with adequate specimens for laboratory confirmation 2

Country/area

rate per 100 000 pop

≥2

≥ 80% Insufficient data Not applicable

≥ 80% Insufficient data

≥ 80% Insufficient data

≥2 Insufficient data

≥ 80% Insufficient data Not applicable

≥ 80% Insufficient data Not applicable

≥ 80% Insufficient data Not applicable

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

Insufficient data

2.8 4.2 3.2 2.5 2.0 0.7 7.3 16.1 46.4 1.1 0.6 1.5 0.6 4

100.0% 88.3% 97.1% 97.9% 100.0% Insufficient data

100.0% 99.0% 87.9% 99.5% 100.0% Insufficient data

0.0 9.6 1.9 0.0 2.0 0.5 0.5 28.4 18.9 0.0 0.2 Not available

72.0% 77.4% Not applicable Not applicable

8.0% 3.2% Not applicable Not applicable

94.9% 91.3% 80.0% 100.0% Insufficient data

99.3% 81.3% 80.0% 100.0% Insufficient data

4.3% 70.6% 93.8% 95.5% Insufficient data

0.0% 5.9% 93.8% 13.6% Insufficient data

98.6% 79.7% 8.0% Insufficient data

47.6% 88.8% 14.4% Insufficient data

95.4% 78.5% 90.2% Insufficient data

96.3% 86.4% 86.3% Insufficient data

10.0% 17.6% 0.0% Not applicable

65.3% 57.3% 92.1% 85.1% 57.1% 0.0% 70.7% Green Yellow Red

89.8% 70.2% 79.9% 51.8% 78.1% 82.4% 67.7% Reached or surpassed target

0.0% Not available

0.0% Not applicable

0.0% Not applicable

0.8 3.1 Not available

0.0% Not applicable Not available

86.8% 85.3% Not applicable

92.1% 55.9% Not applicable

1.6 1.2 8.3 3.0

22.2% 13.0% 38.5%

7.7 2.1

8.7% 8.1%

0.0% 88.4%

90.5% 83.2%

This indicator is not applicable for countries which have no second-level administrative units 2 Adequate specimen defined as blood specimen collected within 28 days of rash onset or other specimen (throat swab, nasopharyngeal swab, cerebrospinal fluid, urine) collected within 5 days of rash onset; excludes epidemiologically-linked cases. 3 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 –2017 as of 20 March 2017 2014 2015 2016 2017 Confirmed rubella cases Annualized Congenital Total rubella rubella Epi-linked confirmed incidence per syndrome 1 million pop. 0 0 0 0 0 0 0 0 0 0 0 0 1 123 0 0 2 0 7 3 0 0 0 0 0 1 137 0.0 0.4 0.5 0.0 0.0 0.1 0.0 1.3 5.9 0.0 0.0 0.0 0.0 0.0 1.8 0.4 -

Country/area

Population Rubella Rubella Rubella Total Total Total Investigated Pending Discarded Compatible (in incidence per incidence per incidence per confirmed confirmed confirmed cases cases 1 rubella cases classification 1 million pop. 1 million pop. 1 million pop. millions) 0 30 11 887 1 0 18 226 0 343 2 0 50 2

Lab

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

0 4 4 476 3 1 3 21 67 17 2 165 3 0 307 1 5 070

0.0 0.3 3.2 0.4 1.7 0.0 3.0 2.2 5.7 0.3 1.6 0.1 0.0 3.3 0.3 2.7 Green Yellow Red Gray

24.64 0.43 16.08 1 388.23 7.40 0.61 126.05 7.04 31.16 3.05 4.60 7.93 103.80 50.70 5.78 95.41 3.28 1 876.21

1 137 3 556 0 1 5 109 987 42 1 35 21 4 895

0 0 0 0 106 121 0 0 0 0 227

1 136 1 3 3 859 39 1 35 20 1 098

0 0 0 0 0 0 0 0 0 0 0

0 1 0 2 0 7 3 0 0 1 14

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, 2016 as of 20 February 2017 Measles Measles and rubella Serum Country/area Laboratory Total Total number number of of samples samples received tested 92 16 719 600 46 1 585 254 8 579 10 031 842 40 1 612 633 813 332 870 183 77 243 15 27 582

Serology Blood DBS samples Samples Measles tested for Measles IgM (+) IgM measles IgM equiv No. 22 13 596 538 46 206 254 6 256 9 749 221 40 1 524 400 243 313 865 182 77 233 15 21 793

Total number of cases tested 67 13 719 509 46 802 254 6 593 9 996 757 40 1 610 530 724 318 868 183 77 243 15 24 364

No. 14 1 54 9 3 44 2 1 620 4 969 22 0 36 51 25 1 39 2 0 5 0 6 897

% 63.6 7.7 9.1 1.7 6.5 21.4 0.8 25.9 51.0 10.0 2.4 12.8 10.3 0.3 4.5 1.1 2.1 0.0 31. 6

No. 4 1 0 16 2 34 4 180 981 10 0 31 33 0 1 20 1 0 4 0 1 322

No. received 0 0 123 0 0 0 0 0 0 0 0 51 0 0 0 0 0 0 9 15 198

No. (+) 2 5 0 0 7

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 72.7 92.3 80.9 89.0 93.0 100.0 80.7 93.6 99.8 98.2 7.5 98.9 82.9 100.0 96.1 85.2 51.1 20.8 95.1

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

92 16 719 600 46 1 398 254 6 593 10 031 842 40 1 612 633 813 332 870 183 77 243 15 25 409

0 0 0 5 0 0 0 1 264 1 1 0 62 0 186 10 5 0 0 0 0 1 534

4 122 0 0 0 6 0 0 132

66 1 0 64 1 669 0 0 286 590 0 62 222 0 19 5 1 0 0 0 1 986

60 1 20 0 146 142 68 0 17 0 0 0 454

58 1 44 12 3 156 0 1 662 5 076 79 0 40 55 25 1 39 2 0 5 0 7 258

7 13 719 535 46 10 254 4 513 6 506 157 40 1 576 244 347 313 865 182 77 243 15 16 662

2 0 4 3 4 1 8 108 31 1 1 110 25 2 31 384 10 0 1 0 726

28.6 0.0 0.6 0.6 8.7 3.1 2.4 0.6 2.5 7.0 10.2 0.6 9.9 44.4 5.5 0.0 0.4 0.0 4.4

0 0 0 3 1 0 9 53 15 0 2 62 18 0 15 24 3 1 0 1 207

6

Table 6B. Measles and rubella laboratory testing, WHO Western Pacific Region, 2017 as of 20 March 2017 Measles Measles and rubella Serum Country/area Laboratory Total Total number number of of samples samples received tested 12 1 137 46 6 170 109 1 332 86 75 4 370 81 51 12 45 3 0 23 2 563

Serology Blood DBS samples Samples Measles tested for Measles IgM (+) IgM measles IgM equiv No. 3 1 113 38 6 21 109 1 018 82 22 4 355 51 8 12 45 3 0 22 1 913

Total number of cases tested 8 1 137 39 6 87 109 1 058 82 68 4 370 62 50 12 45 3 0 22 2 163

No. 2 0 9 2 0 10 0 143 0 2 0 4 5 2 0 0 0 0 179

% 66.7 0.0 8.0 5.3 0.0 47.6 0.0 14.0 0.0 9.1 1.1 9.8 25.0 0.0 0.0 0.0 9. 4

No. 1 1 0 1 0 2 0 24 3 2 0 6 3 0 1 1 0 0 45

No. received 0 0 24 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 1 36

No. (+) 0 1 0 1

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 100.0 100.0 93.8 89.5 100.0 91.5 100.0 95.5 0.0 99.7 80.6 100.0 100.0 69.2 0.0 93.5

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 Total "-" No data

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

12 1 137 46 6 166 109 1 332 82 75 4 370 81 51 12 45 3 22 2 554

0 0 0 2 0 0 0 215 0 0 0 11 0 15 0 0 0 0 0 243

0 13 0 3 16

9 0 0 11 0 70 0 0 2 42 0 15 25 43 0 0 0 0 0 217

9 5 38 0 6 0 2 15 75

8 0 4 2 0 39 0 148 0 7 0 5 6 17 0 0 0 0 236

0 1 136 35 6 1 109 851 82 20 4 371 23 8 12 45 3 0 22 1 729

0 1 0 0 0 0 12 1 0 0 59 4 0 0 2 0 1 80

0.0 0.7 0.0 0.0 0.0 1.4 1.2 0.0 0.0 15.9 17.4 0.0 0.0 4.4 4.5 4.6

0 0 0 0 1 0 0 18 3 0 0 29 5 0 1 0 0 0 57

7

Figure 3. Measles genotype distribution of cases with rash onset in 2016 and 2017, WHO Western Pacific Region

2016

2017

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 March 2016 to February 2017, WHO Western Pacific Region 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 Pacific island countries and areas

2017

Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb 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 D4 D8 D9 H1 B3 D8 D9 H1 B3 D8 D9 H1 B3 D8 D9 H1 2 7 1 8 6 5 1 4 8 1 7 8 14 2 2 2 2 4 4 11 4 2 5 7 1 615 582 2 443 241 131 42 18 2 3 8 22 1 1 2 1 2 2 1 5 13 10 9 1 1 2 7 2 6 6 20 3 1 1 1 2 2 3 1 6 5 2 3 10 16 2 10 2 1 5 2 2 4 6 1 15 15 15 18 7 10 4 2 1 1 3 4 2 2 14 2 1 1 4 14 44 22 10 10 1 1 8 1 5 3 1 1 1 4 1

Sources: Includes all cases reported to the Western Pacific Regional Office by 20 March 2017 and the Measles Nucleotide Surveillance online database (MeaNS).

8

Figure 4. Rubella genotype distribution of cases with rash onset in 2016 and 2017, WHO Western Pacific Region

2016

2017

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 March 2016 to February 2017, 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 March 2017 and the Rubella Nucleotide Surveillance online database (RubeNS).

2016 2017 Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb 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

26

27

16 5

6 1 4

2

1

1

2

15

1 1

3

2

1

1

1

1 5 1

1 1 1

1 6

9

Table 9A. Completeness and timeliness of epidemiologic reporting, WHO Western Pacific Region, 2016 —2017 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

2016 Completeness 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 92% 100% 100% 100% 100% 100% 100% 2

1

2017 3

1 2

Timeliness 75% 100% 100% 83% 100% 100% 100% 100% 100% 83% 100% 50% 75% 100% 100% 92% 100%

Jan 10 Feb 07 Feb 10 Feb 15 Feb 10 Feb 07 Feb 06 Feb 10 Feb 07 Feb 09 Feb 09 Feb 08 Feb

Feb 09 Mar 06 Mar 10 Mar 11 Mar 09 Mar 07 Mar 09 Mar 10 Mar 09 Mar 07 Mar 07 Mar 08 Mar

Completeness 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 50% 0%

Timeliness 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 0% 100% 100% 100% 100%

3

10 Feb 08 Feb 09 Feb 14 Feb 94%

09 Mar 09 Mar 10 Mar 14 Mar 94% 94%

100% 100% 100% 100% 94%

92%

94%

94%

National measles surveillance monthly reports from February 2017.

Legend: black = timely report; red = untimely report

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 Countries and areas should submit reports by the 10th (or the next working day) of the following month; Pacific island countries and areas and

year. 3

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, 2016 —2017 2016 Country/area 2017 1

Genotype results by source of data Completeness 2 Timeliness 3

Jan

Feb

Completeness 2

Timeliness

3

Measles MeaNS Submission to WPRO 5 0 0 23 2 0 11 0 0 0 4 0 0 1 13 0 0 0 0 0

Rubella Rubens 1 0 0 0 0 0 2 0 0 0 1 0 6 0 0 0 0 0 0 0 Submission to WPRO 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0

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

100% 100% 100% 100% 100% 100% 100% 100% 100% 92% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%

100% 100% 100% 100% 100% 100% 100% 100% 83% 67% 100% 33% 92% 100% 100% 92% 100% 92% 92% 92%

03 Feb 04 Feb 10 Feb 03 Feb 09 Feb 07 Feb 06 Feb 10 Feb 08 Feb 10 Feb 09 Feb 13 Feb 21 Feb 10 Feb 08 Feb 07 Feb 10 Feb 07 Feb 07 Feb 14 Feb 100%

06 Mar 02 Mar 10 Mar 06 Mar 07 Mar 08 Mar 09 Mar 10 Mar 09 Mar 06 Mar 07 Mar 10 Mar 08 Mar 10 Mar 09 Mar 07 Mar 08 Mar 07 Mar 07 Mar 14 Mar 100% 100%

100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%

100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 50% 50% 100% 100% 100% 100% 100% 100% 100%

18 0 0 23 2 0 1 0 6 0 7 0 0 1 0 0 0 0 0 0

92%

100%

95%

58

59

10

2

National measles laboratory monthly reports from February 2017. 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 More detailed information available in the Regional and country profile of measles elimination

10

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Type de document Technical Documents
Date d'adoption
Source Organisation mondiale de la santé