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Measles-Rubella Bulletin - Vol 08 Issue 06

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Volume 8 • Issue 6 • June 2014

ISSN 1814 3601

Figure 1. Confirmed measles cases, WHO Western Pacific Region, 1–31 May 2014

Country Confirmed cases Australia 16 Brunei Darussalam 0 Cambodia 0 China 8587 Hong Kong (China) 3 Macao (China) 0 Japan 25 0 Lao People's Democratic Republic Malaysia 6 Mongolia 0 New Zealand 7 Papua New Guinea 0 Philippines 0 Republic of Korea 141 Singapore 9 Viet Nam 13 Pacific island countries and areas 0

1 dot = 1 case

Legend: No confirmed case With confirmed case No data 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

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 June 2014 1 Includes laboratory confirmed, epi-linked and clinically confirmed cases for 2008–2012

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

0

2008

2009

2010

2011

2012

2013

2014

China

Japan

Philippines

Viet Nam

Others

Table 1. Measles case classification and incidence by country and area, WHO Western Pacific Region, 2010—2014 1 2010 2011 Measles incidence per 1 million pop. 3.3 0.0 192 4 8.5 9.9 199 1 2012 Measles incidence per 1 million pop. 8.7 2.4 154 0 0 26912 34 3 141 68 174 0 3 7 2992 107 56 802 0 2013 Measles incidence per 1 million pop. 6.6 0.0 0.0 19.8 4.7 5.2 1.1 10.5 5.8 0.0 0.7 1.0 30.5 2.2 10.6 8.8 0.0 17.2 23.50 0.43 N/A ⁴ 8 191 0 11 0 202 0 2014 1 Confirmed measles cases Annualized Suspected Deaths measles Pending Compatible Discarded measles due to incidence Epi5 cases classification cases Lab Total cases measles per linked 1 million 20.6 0.0 0 0 0 8 0 0 0 29-May-14 0 24-Jul-12 Rash onset of last confirmed measles case Measles incidence per 1 million pop. 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 areas6 Western Pacific Region 1 2 3 4 5 6

Country

Total confirmed2

Total confirmed2

Total confirmed2

Total confirmed2

Population (in millions) 3

70 0

1 156 38 159 11 0 432 153 74 7 48 0 6 388 111 54 1 826 1 48 490

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

92

0

0 102 0 0 17 0 15 0 29 2 5 958 5 0 515 0

0 32 302 26 0 325 1 75 0 116 310 10 676 304 102 2 119 0

0.0 56.8 8.5 0.0 6.2 0.4 6.0 0.0 61.1 99.4 256.8 14.9 45.9 55.5 0.0 60.8 Green Yellow Red

0 2 541 2 0 26 0 7 0 7 4 7 214 0 24 160 0 9 985

90 32 806 60 5 316 125 1 798 63 0 319 1 553 462 47 701 60 38 413

2 2 795 0 0 0 25 573 0 9 63 17 050 122 1 1 739 0 22 379

0 15-Nov-11 3 31-May-14 0 17-May-14 0 4-Aug-13

70 444 32 200 88 5 667 151 2 470 63 132 696 36 493 900 174 4 720 60 26 0 308 1 60 0 87 308 4 718 299 102 1 604 0

0 24-May-14 0 22-Feb-14 1 17-May-14 0 19-Jun-10 0 26-May-14 0 16-Apr-14 77 30-Apr-14 0 27-May-14 0 19-May-14 2 15-May-14 0 10-Sep-09 83

31 453

117 163 39 904 6 654 46 558

Includes all cases reported to the Western Pacific Regional Office by 20 June 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.

<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

2

Table 2. 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 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

Insufficient data

3.8 3.7 3.7 2.5 2.9 0.7 7.5 21.0 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

4.5 1.5 5.8 2.0 2.0 0.6 4.6 14.3 5.2 Insufficient data

100.0% 16.7% 77.4% 100.0% 100.0% 0.0% 47.1% 93.8% 22.7% Insufficient data

100.0% 75.0% 98.9% 100.0% 100.0% Insufficient data

100.0% 97.8% 90.4% 90.9% 100.0% Insufficient data

36.1% 82.3% 100.0% Insufficient data

66.5% 81.0% 100.0% Insufficient data

92.1% 79.1% 100.0% Insufficient data

93.4% 90.2% 100.0% Insufficient data

1.4 3.2 0.9 1.3 1.0 2.0 3.5

25.0% 64.7% 6.3% 0.0% 21.9% Insufficient data

0.0% 45.0% 63.7% 75.4% 57.5% 0.0% 91.7% Green Yellow Red

76.3% 61.5% 72.9% 18.1% 74.8% Insufficient data

10.2 3.7 2.3 2.1 1.8 4.4 5.0

35.0% 41.2% 43.8% 100.0% 28.1% Insufficient data

0.0% 25.6% 91.1% 83.3% 27.6% 0.0% 74.6%

81.4% 82.6% 60.2% 27.0% 84.9% Insufficient data

38.0%

90.0% Reached or surpassed target

37.4%

87.6%

Includes all cases reported to the Western Pacific Regional Office by 20 June 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

3 2

Table 3. Rubella case classification and incidence by country and area, WHO Western Pacific Region, 2014 1

2014 1 Confirmed rubella cases

Country

Population (in millions) 2

Investigated rubella cases No data 8 92 7 952 88 4 No data 126 2 470 63 No data No data 36 493 900 9 3 709 60 51 974

Lab 0 17 0 0 5 109 0 54 0 0 4 3 192

Epi-linked 0 0 0 0 7 34 0 0 0 0 0 0 41

Total 0 17 7 952 0 0 12 143 0 54 0 0 4 3 8 185

Annualized rubella incidence per 1 million pop. No data

Compatible cases 0 1 0 0 0 0 0 0 0 0 0 0 0 1

Discarded cases3 8 72 87 4 114 1 754 63 19 389 899 8 1 257 57 23 712

Pending classification 0 2 1 0 0 573 0 17 050 1 1 2 448 0 20 076

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 2.8 14.0 0.0 0.0 No data

4.4 11.3 0.0 No data No data

1.3 0.0 0.0 0.1 2.2 10.7 Green Yellow Red Gray

3.27 1 838.36

Includes all cases reported to the Western Pacific Regional Office by 20 June 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

4 2

Table 4A. 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 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

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

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 20th of February 2014 Recommendation from the Fourth Meeting on Vaccine Preventable Diseases Laboratory Networks in the Western Pacific Region

5

Table 4B. 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 Measles Measles Total number Virus isolation/detection Reverse Transcriptionof lab (swab, urine and Polymerase Chain confirmed others) Reaction cases No. of No. of No. of samples samples No. (+) isolates tested tested

Rubella Serum and blood (includes DBS) Samples tested for rubella IgM No. No. Rubella IgM (+) %

Country

Laboratory

Total number of cases tested

Total number of samples received

Rubella IgM equiv

No.

No. received

No. (+)

%

%

No.

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 (highland) Viet Nam (northern) Viet Nam (southern) Fiji Total 1 2

VIDRL DLS NPHL CCDC PHLC PHLC NIID NCLE NPHL NCCD CHL CPHL RITM KCDC SGH Nha Trang IHE NIHE PI Mataika House

145 24 89

207 24 89

48 23 85

30 0 0

62.5 0.0 0.0

0 0 0

0 0 4

0

100.0 91.7 100.0

100.0 100.0 100.0

0 0 0

0 0 0

166 0 0

151 0 0

128 0 0

21 24 89

0 1 17

0.0 4.2 19.1

0 0 0

288 25 669 123 2 747 50 267 2 498 27 268 1 205 281 384 293 2 017 6 250 67 44 690

348 25 1 189

302 25 315 124 2 526 50 111 2 527 10 803 731 115 371 292 1 990 6 241 49 26 728

16 0 132 1 79 0 27 1 210 6 721 181 32 216 154 1 126 1 902 0 11 827

5.3 0.0 41.9 0.8 3.1 0.0 24.3 47.9 62.2 24.8 27.8 58.2 52.7 56.6 30.5 0.0 44. 2

9 0 137 1 41 0 3 213 460 73 9 3 3 118 68 0 1 138

0 0 0 0 0 0 0 0 175 0 0 0 0 0 0 18 197

85 1 86

91.7 100.0 No data

99.6 100.0 No data

21 0 245 0 595 0 2 0 944 186 88 0 0 35 1 181 0 3 297

13 0 245 0 5 0 0 0 272 186 5 0 0 1 30 0 757

51 0 472 0 0 0 186 3 0 866 0 13 0 35 1 183 0 2 975

30 0 279 0 0 0 96 2 0 240 0 6 0 0 16 0 820

27 0 319 1 82 0 106 1 210 6 986 347 37 222 154 1 127 1 909 1 12 656

269 25 9 120 2 423 50 65 1 996 1 917 413 105 162 292 1 030 4 928 67 14 005

5 0 2 4 146 0 1 52 68 17 4 0 0 14 4 3 338

1.9 0.0 22.2 3.3 6.0 0.0 1.5 2.6 3.5 4.1 3.8 0.0 0.0 1.4 0.1 4.5 2.4

2 0 0 9 45 1 1 66 10 13 0 1 0 19 6 0 173

124 3 137

89.3 52.8 100.0 98.7 63.1 0.9 76.4 75.7 81.6 47.1 84.8 32.1 90.9 56.6

99.2 89.6 100.0 98.7 94.5 6.6 92.4 100.0 98.9 63.9 95.1 41.7 98.5 76.8

50 307 2 538 28 346 1 490 308 384 293 2 025 7 422 67 48 373

National measles laboratory monthly reports received in the Western Pacific Regional Office by 20th of June 2014 Recommendation from the Fourth Meeting on Vaccine Preventable Diseases Laboratory Networks in the Western Pacific Region

6

Figure 3. Measles genotype distribution of cases with onset in 2013 and 2014, WHO Western Pacific Region 2014 2013

* Size of the pie chart is proportional to the number of genotypes reported by the country

B3

D4

D8

D9

D11

G3

H1

Table 5. Measles genotype distribution of cases with onset in 2013 and 2014, WHO Western Pacific Region Country Australia Brunei Darussalam Cambodia D8(28), D9(10), H1(1253) D9(1), H1(5) H1(1) B3(2), D8(6), D9(2), H1(3) H1(10 D8(1), D9(5) D8(2) D8(4) H1(6) B3(1), D8(3), D9(1), H1(2) D8(15), D9(9), H1(585) B3(2), D9(1), H1(4) H1(2) B3(11), D8(5), D9(1) B3(8), D9(1) B3(161), D8(13), D9(12), H1(4) B3(36), D8(6), D9(8), H1(2) B3(8), D8(2), B3(3), D8(8), D9(3), G3(1), D9(22), H1(235) H1(1300) B3(7), D9(2), H1(3) B3(7), D8(1), D9(1), H1(9) 2013 1st Quarter B3(1), D9(3), H1(1) 2nd Quarter B3(3), D9(2) 3rd Quarter B3(5), D9(10), H1(2), G3(5) 4th Quarter B3(5), D9(6), H1(3), G3(18) 1st Quarter B3(93), D8(13), D9(9), H1(1) 2014 2nd Quarter B3(4), D8(1), D9(2) 3rd Quarter 4th Quarter

China

H1 (112)

H1(314)

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

H1(4)

B3(1), H1(4)

D8(1)

B3(1) D9(1)

B3(23), D8(2), D9(2), H1(1) B3(13), D9(2) B3(40), D9(1)

B3(10) B3(14), D9(1)

B3(13) B3(3) D8(1) B3(41) B3(3), H1(3) H1(7)

B3(17) B3(17) D9(7) H1(4) B3(10), D9 (2) B3(3), D8(2), D9(2), G3(10) H1(3), D8(1)

B3(33), D9(1) B3(26), D8(3), D9(14), G3(2) B3(4), D8(15), H1(1)

B3(52), D8(2), H1(1) B3(1), D8(3), D9(1), H1(3)

Sources: National and regional measles reference laboratory monthly reports from April 2014 and the Measles Nucleotide Sequence online database (MeaNS). 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.

7 2

Figure 4. Rubella genotype distribution of cases with onset in 2013 and 2014, WHO Western Pacific Region 2014 2013

* Size of the pie chart is proportional to the number of genotypes reported by the country

2B

1E

1J

Table 6. Rubella genotype distribution of cases with onset in 2013 and 2014, WHO Western Pacific Region 2013 Country 1st Quarter 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 2B(1) 1j(2) 2B(1) 1E(3),2B(25) 2B(15) 1E(2) 2B(1) 2B(6) 1E(3), 2B(14) 2B(1) 2B(5) 1E(21), 2B(7) 1E(1), 2B(2) 1E(62), 2B(22) 1E(3) 1E(2), 2B(2) 1E(9), 2B(6) 1E(1), 2B(3) 2nd Quarter 3rd Quarter 4th Quarter 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter 2014

Sources: National and regional measles reference laboratory monthly reports from April 2014 and the Measles Nucleotide Sequence online database (MeaNS). 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.

8 2

Table 7A. 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% 2014 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% 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%

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%

Completeness 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%

2

Timeliness

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

80% 100% 100% 40% 100% 100% 20% 100% 100% 100% 100% 80% 100% 100% 100% 100% 100%

89%

National measles surveillance monthly reports from May 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 7B. 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%

2014 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%

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%

May 10 Jun 03 Jun 06 Jun 10 Jun 10 Jun 09 Jun 10 Jun 11 Jun 10 Jun 10 Jun

Completeness 100% 100% 100% 100% 100% 100% 100% 100% 100% 80%

3

Timeliness

4

100% 100% 100% 100% 100% 100% 40% 100% 80% 80% 100% 80% 80% 100% 100% 75% 100% 80% 100% 100%

09 Jun 10 Jun 09 Jun 10 Jun 06 Jun

100% 100% 100% 100% 100% 75%

10 Jun 10 Jun 09 Jun 04 Jun 90% 85%

100% 100% 100% 100% 98%

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 May 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

9

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