Volume 9 • Issue 1 • January 2015
ISSN 1814 3601
Figure 1. Distribution of confirmed measles cases with rash onset 1–31 December 2014, WHO Western Pacific Region
Legend: No confirmed case With confirmed case No case based data
1 dot = 1 case Dots are placed at random within the corresponding district, and might not reflect the exact location of the case
DISCLAIMER: The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO Regional Office for the Western Pacific 2009. All rights reserved *Map of Australia is from the Australian Bureau of Statistics
Source: Measles and rubella monthly country reports to the Western Pacific Regional Office by 20 January 2015
Table 1. Confirmed measles cases by month of onset, January – December 2014, 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
2014 Jan 78 0 0 1717 5 0 73 0 3 0 Feb 61 0 0 4387 8 0 78 1 5 0 43 18 4624 29 28 1059 0 10 341 Mar 36 0 0 7675 7 0 102 0 67 0 36 231 2302 59 16 1684 0 12 215 Apr 15 0 0 9936 3 0 60 0 13 0 12 497 773 70 18 1687 0 13 084 May 23 0 0 8587 5 0 37 4 19 0 16 777 330 204 10 767 0 10779 Jun 34 0 0 6113 4 1 38 0 18 0 98 640 861 44 6 252 1 8110 Jul 32 0 0 3779 7 0 12 0 20 0 31 259 1031 25 12 170 8 5386 Aug 23 0 0 2007 3 0 19 0 18 0 5 65 857 3 9 93 6 3108 Sep 2 0 0 1033 3 0 5 28 18 0 0 29 811 2 0 77 3 2011 Oct 17 0 0 778 1 0 2 36 22 0 1 10 263 1 2 50 2 1185 Nov 5 0 0 755 0 0 6 1 7 0 3 35 16 0 0 9 0 837 Dec 9 0 0 1356 0 0 2 0 4 0 0 10 3 0 2 9 0 1395
New Zealand 18 Papua New Guinea 5 Philippines 9549 Republic of Korea 5 Singapore 31 Viet Nam 558 Pacific island countries and areas 0 Western Pacific Region 12042
Source: Case based and aggregate data reports to the Western Pacific Regional Office by 20 January 2015
Figure 2. Measles cases by month of onset, WHO Western Pacific Region, 2008–20141 30 000
25 000
20 000 Number of measles cases
15 000
10 000
5 000
Source: Measles and rubella monthly country reports to WHO by 20 January 2015 1 Includes laboratory confirmed, epi-linked and clinically confirmed cases for 2008–2012
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
2
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
0
2008
2009
2010
2011
2012
2013
2014
China
Japan
Philippines
Viet Nam
Others
Table 2. Schedule of activities for measles and rubella, WHO Western Pacific Region
Measles 2nd dose introduction 1994 (MMR) 1988 (MMR) 2012 (M) 1986 (MMR) 1997 (MMR) 1990 (MMR) 2006 (MR)
Rubella introduction 1971 1984 2013 1998 1978 1985 1989 2012
Post introduction evaluation
Supplementary immunzation activities
2002 (M) 1989 (MMR) 1992 (MMR) 2015 2010 (MMR) 1997 (MMR) 1998 (MMR) 2006 (M)
1998 2009 1979 2015 2010 1982 1990 2014 October 2014–June 2015 (MR, 9m to <15y) April–September 2015 (MR, 9m to <15y)
Table 3. Measles case classification and incidence by country and area, WHO Western Pacific Region, 2010—2014 1 2010 2011 Measles incidence per 1 million pop. 2012 Measles incidence per 1 million pop. 2013 Measles incidence per 1 million pop. Confirmed measles cases Population (in millions) 3
2014 Suspected measles cases
1
Rash onset of last confirmed measles case
Country
Total confirmed 2
Measles incidence per 1 million pop.
Total confirmed 2
Total confirmed 2
Total confirmed 2
Lab
Epilinked
Total
Annualized Deaths measles Compatible Discarded Pending due to incidence 5 cases classification cases measles per 1 million
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 6
70 0 1 156 38 159 11 0 432 153 74 7 48 0 6 388 111 54 1 826 1 48 490
3.3 0.0 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
192 4 722 9 943 12 1 411 113 1 603 0 599 0 6 555 43 143 745 2 21 088
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
199 1 0 6 183 8 1 228 36 1 868 0 55 0 1 536 2 40 637 0 10 794
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 116 56 895 0 32 349
6.6 0.0 0.0 19.8 4.7 5.2 1.1 10.5 5.9 0.0 2.0 1.0 38.5 2.4 10.6 9.9 0.0 17.7
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 3.27 1 838.36
N/A ⁴ 16 636 112 483 206 17 1 047 491 4 549 137 319 4 634 58 010 1 631 256 18 597 1 132 204 161
317 0 0 47 983 46 1 421 69 182 0 164 2 576 10 917 433 134 5 341 20
18 0 0 140 0 0 13 1 32 0 99 0 10 503 9 0 1 157 0
335 0 0 48 123 46 1 434 70 214 0 263 2 576 21 420 442 134 6 498 20
14.3 0.0 0.0 35.3 6.3 1.7 3.4 10.7 7.1 0.0 57.7 344.1 214.7 9.0 25.1 71.0 6.1 43.8 Green Yellow Red
0 0 0 4 362 4 0 18 0 32 0 11 0 32 383 0 37 1 082 0 37 929
0 15 636 59 257 154 16 592 266 3 752 137 37 2 054 3 293 1 146 85 2 888 130 74 458
0 0 0 741 0 0 3 155 526 0 7 0 914 7 0 8 129 982 11 464
0 28-Dec-14 0 24-Jul-12
0 15-Nov-11 26 31-Dec-14 0 0 3-Oct-14 3-Jun-14
0 18-Dec-14 0 19-Nov-15 1 22-Dec-14 0 19-Jun-10 0 18-Nov-14 0 18-Dec-14 110 16-Dec-14 0 12-Oct-14 0 22-Dec-14 0 10-Dec-15 0 10-Oct-14 137
68 604 11 972 80 576
Includes all cases reported to the Western Pacific Regional Office by 20 January 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. Verified as having interrupted endemic measles virus transmission
<1 confirmed measles case / 1 000 000 population 1–9.9 confirmed measles case / 1 000 000 population >= 10 confirmed cases / 1 000 000 population
3
Table 4. Measles surveillance performance indicators by country and area, WHO Western Pacific Region, 2013—2014 1 2013 Discarded non-
2014 1
Country
measles rate per 100 000 pop
≥ 2 discarded cases per
Second level units with Suspected cases with Suspected cases with Annualized discarded Second level units with Suspected cases with Suspected cases with adequate blood adequate blood adequate adequate non-measles rate per ≥ 2 discarded cases per 2 2 100 000 pop 100 000 pop (annualized) investigation 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 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
Insufficient data
3.8 3.7 3.7 2.5 2.9 0.7 7.5 22.6 7.4 Insufficient data
100.0% 45.8% 64.5% 100.0% 100.0% 4.3% 58.8% 100.0% 36.4% Insufficient data
87.5% 68.5% 99.4% 94.2% 95.0% Insufficient data
100.0% 98.0% 94.6% 91.1% 100.0% Insufficient data
3.5 4.3 4.3 2.1 2.7 0.5 4.1 12.4 4.7 Insufficient data
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% 100.5% 100.0% Insufficient data
100.0% 99.4% 87.6% 93.7% 100.0% Insufficient data
36.1% 82.3% 100.0% Insufficient data
66.5% 81.1% 100.0% Insufficient data
74.5% 73.6% 100.0% Insufficient data
74.9% 91.5% 100.0% Insufficient data
1.4 3.3 0.8 1.3 1.2 2.0 3.6
25.0% 64.7% 6.3% 0.0% 21.9% Insufficient data
0.0% 45.9% 63.7% 75.4% 49.2% 0.0% 91.6% Green Yellow Red
76.3% 62.9% 72.9% 18.1% 63.9% Insufficient data
27.4 3.3 2.3 1.6 3.2 4.0 4.1
75.0% 58.8% 43.8% 0.0% 40.6% Insufficient data
0.0% 52.5% 95.8% 82.8% 43.5% 0.0% 20.3%
63.8% 82.0% 63.4% 25.4% 82.0% Insufficient data
38.0%
89.9% Reached or surpassed target
50.9%
84.9%
Includes all cases reported to the Western Pacific Regional Office by 20 January 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
4 2
Table 5. 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 16 636 11 887 207 16 No data 330 4 549 137 No data No data 58 010 1 631 11 11 409 123 88 962
Lab 0 30 1 0 11 165 0 232 2 0 33 4 478
Epi-linked 0 0 0 0 7 61 0 5 0 0 0 0 73
Total 0 30 11 887 1 0 18 226 0 237 2 0 33 4 12 438
Annualized rubella incidence per 1 million pop. No data 0.0 2.0 8.7 0.1 0.0 No data 2.8 7.5 0.0 No data No data 2.4 0.0 0.0 0.4 1.2 6.8 Green Yellow Red Gray
Compatible cases 0 1 0 0 0 0 0 0 0 0 0 0 0 1
Discarded cases3 16 605 206 16 311 3 797 137 56 859 1 625 11 2 523 119 66 225
Pending classification 0 0 0 0 1 526 0 914 4 0 8 848 0 10 293
Congenital rubella syndrome 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 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
3.27 1 838.36
Includes all cases reported to the Western Pacific Regional Office by 20 January 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 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 2
Rubella Virus detection Serum and blood (includes DBS) Rubella IgM (+) No. %
Country
Laboratory
Total number of cases tested
Total number of samples received
<4 days
<7 days
Measles Measles Samples Virus isolation/detection Reverse Transcriptiontested for (swab, urine and Polymerase Chain rubella IgM others) Reaction No. of samples tested No. of isolates No. of samples tested No. (+) No.
Rubella IgM equiv
No. received
No. (+)
%
%
No.
Australia Brunei Darussalam Cambodia China 3
VIDRL DLS NPHL CCDC PHLC PHLC NIID NCLE NPHL NCCD CHL CPHL RITM KCDC SGH Nha Trang NIHE PI FCCDC VIDRL VIDRL
94 42 537
127 42 537
34 38 478
23 0 0
67.6 0.0 0.0
0 2 0
0 0 59
0
100.0 69.0 76.0
100.0 88.1 81.9
0 0 0
0 0 0
96 0 0
79 0 0
13 40 537
2 3 105
15.4 7.5 19.6
0 0 0
Hong Kong (China) Macao (China) Japan Lao People's Democratic Republic Malaysia Mongolia New Zealand Papua New Guinea Philippines Republic of Korea Singapore Viet Nam (central) Viet Nam (northern) Viet Nam (southern) Fiji Samoa Solomon Islands Total 1 2 3
622 43 1 136 366 7 586 213 159 85 6 057 635 434 167 979 386 60 3 4 19 608
726 43 1 136 366 8 645 213 176 85 6 069 825 691 167 987 458 61 3 4 21 361
669 43 393 366 6 863 213 107 80 5 807 487 199 167 944 368 59 3 0 17 318
25 4 195 29 241 0 5 10 2 416 108 16 0 303 81 0 0 3 456
3.7 9.3 49.6 7.9 3.5 0.0 4.7 12.5 41.6 22.2 8.0 0.0 32.1 22.0 0.0 0.0 20.0
12 1 0 21 73 0 3 0 277 6 7 5 36 7 0 0 450
0 0 0 0 0 0 0 3 120 0 0 0 0 0 1 0 0 183
0 23 0 23
91.5 97.7
98.4 100.0
24 0 52 0 1 615 0 1 0 304 65 186 0 41 90 0 0 0 2 378
13 0 52 0 14 0 0 0 90 65 5 0 0 3 0 0 0 242
63 0 717 0 0 0 49 12 32 379 0 0 71 90 0 0 0 1 509
40 0 106 0 0 0 3 2 6 96 0 0 45 3 0 0 0 380
615 43 37 366 6 783 213 93 83 3 241 430 291 167 821 368 50 1 4 14 196
9 0 16 19 807 8 4 4 106 28 16 3 19 5 4 0 1 1 159
1.5 0.0 43.2 5.2 11.9 3.8 4.3 4.8 3.3 6.5 5.5 1.8 2.3 1.4 8.0 0.0 25.0 8.2
14 0 1 48 227 7 1 2 165 22 10 7 17 9 0 0 0 530
No data No data 83.9 53.5 99.5 95.1 76.3 68.2 66.4 85.2 77.8 92.1 89.1 89.7 0.0 0.0 66.3
97.0 81.0 99.5 97.1 95.0 80.2 92.5 98.7 92.8 97.0 98.9 94.8 100.0 100.0 84.2
National measles laboratory monthly reports received in the Western Pacific Regional Office by 20 February 2014 Recommendation from the Fourth Meeting on Vaccine Preventable Diseases Laboratory Networks in the Western Pacific Region National measles laboratory report is not available
6
Table 6B. Measles and rubella laboratory performance, WHO Western Pacific Region, 20141 Measles Measles and rubella Serum Samples tested for measles IgM No. Measles IgM (+) No. % Serology Blood Measles IgM equiv DBS samples Timeliness of reults <4 days2 <7 days Virus detection 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 No. (+) samples 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 3
VIDRL DLS NIPH CCDC PHLC PHLC NIID NCLE NPHL NCCD CHL CPHL RITM KCDC SGH Nha Trang IHE NIHE PI FCCDC FFCDC
226 51 635
312 51 635
66 51 577
42 1 0
63.6 2.0 0.0
3 0 0
0 0 58
0
100.0 71.2 98.6
100.0 98.1 100.0
0 0 0
0 0 0
258 0 0
236 0 0
207 1 0
24 52 604
0 2 31
0.0 3.8 5.1
0 0 0
Hong Kong (China) Macao (China) Japan Lao People's Democratic Republic Malaysia Mongolia New Zealand Papua New Guinea Philippines Republic of Korea Singapore Viet Nam (central) Viet Nam (highland) Viet Nam (northern) Viet Nam (southern) Fiji Vanuatu Total 1 2 3
665 58 854 369 5 134 137 704 4 591 19 841 1 873 619 1 800 483 4 763 11 444 131 13 54 391
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
698 58 362 370 4 751 137 249 4 583 18 766 1 324 222 1 736 482 4 650 11 342 112 13 50 549
34 1 172 74 257 0 45 2 270 12 736 270 41 999 266 2 636 6 917 0 4 26 765
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 52. 9
21 0 15 9 100 0 5 316 665 115 13 30 3 261 142 0 2 1 700
0 0 0 0 0 0 0 0 364 0 0 0 0 0 0 19 0 441
187 1 188
93.6 100.0 No data
98.9 100.0 No data
39 0 9 0 997 0 15 0 1 247 332 170 0 0 130 1 342 0 0 4 281
28 0 9 0 6 0 8 0 444 231 6 0 0 5 134 0 0 871
204 1 780 0 0 0 519 37 830 1 440 0 99 0 131 1 343 0 0 5 642
58 1 365 0 0 0 162 32 760 328 0 50 0 16 16 0 0 2 024
49 1 190 74 261 0 181 2 266 13 431 469 47 1 023 266 2 648 6 924 1 4 28 043
645 57 11 366 4 434 137 103 2 270 5 870 770 278 780 425 2 196 4 637 128 13 23 800
8 0 2 11 220 1 4 89 235 28 9 6 1 18 20 3 1 689
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
5 0 0 28 87 1 1 93 104 39 4 3 0 21 11 0 3 400
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
National measles laboratory monthly reports received in 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 National measles laboratory report is not available
7
Figure 3. Measles genotype distribution of cases with onset in 2013 and 2014, WHO Western Pacific Region
2013
2014
B3 D4 D8 D9 The boundaries and names shown and the designations used on the maps do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO Regional Office for the Western Pacific 2009. All rights reserved.
D11 G3 H1
* Size of the pie chart is proportional to the number of genotypes reported by the country
Table 7. Measles genotype distribution of cases with onset in January to December 2014, WHO Western Pacific Region Country Australia Brunei Darussalam Cambodia China Hong Kong (China) Macao (China) Japan Lao People's Democratic Republic Malaysia Mongolia New Zealand Papua New Guinea Philippines Republic of Korea Singapore Viet Nam Pacific island countries and areas4
2014 Jan Feb Mar Apr May Jun Jul Aug B3 D8 D9 G3 H1 B3 D8 D9 G3 H1 B3 D8 D9 H1 B3 D8 D9 G3 H1 B3 D8 D9 H1 B3 D8 D9 H1 B3 D8 D9 H1 B3 D8 D9 H1 B3 53 5 7 40 5 1 1 16 4 1 2 1 1 2 10 3 5 14 7 1 1 9 4 1 3 2 9 1
Sep Oct D8 D9 H1 B3 D8 D9 H1 B3 1 2 2 4
Nov D8 D9 H1 B3 2
Dec D8 D9 H1
4 2 53 2 1
1 261 1
1 2 57 2
3 1 2
469 5
2 3
2 1 7 10
751 3
3 1 1 8
912 2 1 1
1
607 4 4
2 13
1 64
3 35 5
14 12
1 537 2 1 7
378 6 1 1 5 5 3
182 3
121 3
37 1 3
12
1
10 15 1 13
1 1 4 15 1 1
8 1 19 10 12
1 2
1
2 2
4
1
5 10 6 27 1 3 2 1 12 11
2
6 12 60 1 1 2 4
1
6 4 2 114 2 4 2
6
3
1
1
1
2
8
1
1
63 1
2
29 4
2 1
2 1
1 1 3 1 1 3
1 1 10
Sources: National and regional measles reference laboratory monthly reports from December 2014 and the Measles Nucleotide Sequence online database (MeaNS).
8
Figure 4. Rubella genotype distribution of cases with onset in 2013 and 2014, WHO Western Pacific Region
2013
2014
2B 1E 1J The boundaries and names shown and the designations used on the maps do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO Regional Office for the Western Pacific 2009. All rights reserved.
* Size of the pie chart is proportional to the number of genotypes reported by the country
Table 8. Rubella genotype distribution of cases with onset in January to December 2014, WHO Western Pacific Region Country Australia Brunei Darussalam Cambodia China Hong Kong (China) Macao (China) Japan Lao People's Democratic Republic Malaysia Mongolia New Zealand Papua New Guinea Philippines Republic of Korea Singapore Viet Nam Pacific island countries and areas 4
2014 Jan May Jun Jul Aug Sep Oct Nov Dec Feb Mar Apr 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
3
2
10 17
15 10
24 7 1
1
3 1
1
6
1
5
1
1
Sources: National and regional measles reference laboratory monthly reports from December 2014 and the Measles Nucleotide Sequence online database (MeaNS).
9
Table 9A. Completeness and timeliness of epidemiologic reporting, WHO Western Pacific Region, 2012—2014 2012 Country 2013 Jan 10 Feb 11 Feb 06 Feb 10 Feb 14 Feb 10 Feb 06 Feb 11 Feb 10 Feb 04 Feb 10 Feb 04 Feb 10 Feb 09 Feb 06 Feb 10 Feb 10 Feb 03 Feb 100% 97% 88% Feb 10 Mar 07 Mar 08 Mar 10 Mar 19 Mar 07 Mar 05 Mar 12 Mar 10 Mar 03 Mar 07 Mar 06 Mar 10 Mar 08 Mar 10 Mar 10 Mar 10 Mar 04 Mar 100% 88% Mar 10 Apr 09 Apr 08 Apr 10 Apr 11 Apr 08 Apr 04 Apr 13 Apr 10 Apr 03 Apr 07 Apr 09 Apr 09 Apr 04 Apr 09 Apr 07 Apr 10 Apr 09 Apr 100% 94% Apr 10 May 09 May 08 May 10 May 16 May 07 May 05 May 10 May 10 May 07 May 06 May 09 May 08 May 05 May 10 May 08 May 10 May 09 May 100% 94% May 10 Jun 06 Jun 03 Jun 10 Jun 23 Jun 10 Jun 09 Jun 11 Jun 10 Jun 03 Jun 09 Jun 09 Jun 13 Jun 04 Jun 10 Jun 06 Jun 10 Jun 04 Jun 100% 82% Jun 10 Jul 08 Jul 07 Jul 10 Jul 11 Jul 10 Jul 04 Jul 13 Jul 10 Jul 08 Jul 09 Jul 09 Jul 17 Jul 04 Jul 10 Jul 09 Jul 10 Jul 07 Jul 100% 88% Jul 10 Aug 08 Aug 09 Aug 10 Aug 18 Aug 08 Aug 05 Aug 10 Aug 10 Aug 05 Aug 10 Aug 08 Aug 28 Aug 08 Aug 10 Aug 10 Aug 10 Aug 08 Aug 100% 88% 08 Sep 05 Sep 04 Sep 10 Sep 04 Sep 94% 82% 2014 Aug 10 Sep 02 Sep 08 Sep 10 Sep 15 Sep 10 Sep 08 Sep 11 Sep 10 Sep 12-Sep 09 Sep 09 Sep 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%
Sep 10 Oct 10 Oct 08 Oct 10 Oct 11 Oct 10 Oct 06 Oct 13 Oct 10 Oct 10 Oct 09 Oct 07 Oct 10 Oct 09 Oct 10 Oct 09 Oct 10 Oct 09 Oct 100% 94%
Oct 10 Nov 07 Nov 08 Nov 10 Nov 13 Nov 10 Nov 07 Nov 13 Nov 10 Nov 10 Nov 10 Nov 06 Nov 10 Nov 10 Nov 07 Nov 11 Nov 10 Nov 04 Nov 100% 88%
Nov 10 Dec 05 Dec 08 Dec 10 Dec 11 Dec 10 Dec 03 Dec 12 Dec 10 Dec 10 Dec 08 Dec 04 Dec 05 Dec 10 Dec 10 Dec 10 Dec 10 Dec 04 Dec 100% 94%
Dec 10 Jan 07 Jan 06 Jan 10 Jan 13 Jan 05 Jan 05 Jan 10 Jan 10 Jan 10 Jan 09 Jan 05 Jan 21 Jan 05 Jan 08 Jan 05 Jan 10 Jan 05 Jan 100% 94%
Completeness 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 92% 100% 100% 100% 100% 100% 100%
2
Timeliness 92% 100% 100% 67% 100% 100% 17% 100% 92% 100% 100% 58% 100% 100% 92% 100% 100%
3
Australia Brunei Darussalam Cambodia China Hong Kong (China) Macao (China) Japan Lao People's Democratic Republic Malaysia Mongolia New Zealand Papua New Guinea Philippines Republic of Korea Singapore Viet Nam Pacific island countries and areas Completeness Timeliness 1 2 3
90%
National measles surveillance monthly reports from December 2014. Completeness is defined as the number of reports received by the end of the reporting month divided by the number of expected reports for the year.
Legend: black = timely report; red = untimely report
Countries and areas should submit reports by the 10th (or the next working day) of the following month; Pacific island countries and areas and China may report to the Regional Office by the 15th (or the next working day) of the following month.
Table 9B. Completeness and timeliness of laboratory reporting, WHO Western Pacific Region, 2012—2014 2012 Country Australia Brunei Darussalam Cambodia China Hong Kong (China) Macao (China) Japan Lao People's Democratic Republic Malaysia Mongolia New Zealand Papua New Guinea Philippines Republic of Korea Singapore Viet Nam (central) Viet Nam (highlands) Viet Nam (northern) Viet Nam (southern) Fiji Completeness Timeliness 1 2 3
2013 Jan 10 Feb 04 Feb 04 Feb 10 Feb 07 Feb 07 Feb 09 Feb 12 Feb 08 Feb 10 Feb 05 Feb 04 Feb 17 Feb 07 Feb 07 Feb 10 Feb Feb 10 Mar 05 Mar 04 Mar 10 Mar 07 Mar 08 Mar 05 Mar 12 Mar 10 Mar 10 Mar 05 Mar 06 Mar 05 Mar 11 Mar 10 Mar 10 Mar 10 Mar 10 Mar Mar 10 Apr 01 Apr 02 Apr 10 Apr 09 Apr 08 Apr 05 Apr 13 Apr 10 Apr 11 Apr 03 Apr 09 Apr 08 Apr 10 Apr 10 Apr 07 Apr 10 Apr 10 Apr 10 Apr 10 Apr 09 Apr 100% 95% Apr 10 May 02 May 03 May 10 May 10 May 07 May 05 May 10 May 10 May 09 May 06 May 09 May 08 May 09 May 09 May 08 May 10 May 10 May 10 May 09 May 09 May 100% 100% 10 Jun 10 Jun 09 Jun 04 Jun 95% 90% 10 Jul 10 Jul 07 Jul 90% 85% May 10 Jun 03 Jun 06 Jun 10 Jun 10 Jun 09 Jun 10 Jun 11 Jun 10 Jun 10 Jun 05 Jun 09 Jun 10 Jun 09 Jun 10 Jun 06 Jun Jun 10 Jul 02 Jul 01 Jul 10 Jul 03 Jul 09 Jul 07 Jul 13 Jul 10 Jul 10 Jul 06 Jul 09-Jul 10 Jul 07 Jul 10 Jul 08 Jul Jul 10 Aug 07 Aug 04 Aug 10 Aug 07 Aug 06 Aug 05 Aug 10 Aug 10 Aug 10 Aug 05 Aug 08 Aug 08 Aug 07 Aug 08 Aug 08 Aug 08 Aug 08 Aug 08 Aug 28 Jul 08 Aug 100% 100%
2014 Aug 10 Sep
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%
Sep 10 Oct 03 Oct 09 Oct 10 Oct 08 Oct 08 Oct 06 Oct 13 Oct 10 Oct 10 Oct 02 Oct 07 Oct 10 Oct 09 Oct 08 Oct 08 Oct 10 Oct 10 Oct 10 Oct 09 Oct 09 Oct 100% 95%
Oct 10 Nov 06 Nov 03 Nov 10 Nov 06 Nov 06 Nov 07 Nov 07 Nov 10 Nov 10 Nov 07 Nov 06 Nov 10 Nov 10 Nov 07 Nov 07 Nov 12 Nov 12 Nov 12 Nov 07 Nov 04 Nov 100% 85%
Nov 10 Dec 03 Dec 08 Dec 10 Dec 09 Dec 08 Dec 04 Dec 12 Dec 10 Dec 10 Dec 05 Dec 04 Dec 10 Dec 09 Dec 09 Dec 08 Dec 10 Dec 10 Dec 10 Dec 09 Dec 04 Dec 100% 95%
Dec 10 Jan 30 Dec 10 Jan 10 Jan 06 Jan 06 Jan 07 Jan 10 Jan 10 Jan 08 Jan 05 Jan 05 Jan 21 Jan 09 Jan 09 Jan 09 Jan 31 Dec 31 Dec 31 Dec 08 Jan 09 Jan 100% 95%
Completeness 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 82% 91% 100% 100% 100% 99%
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Timeliness 100% 100% 100% 100% 100% 100% 42% 100% 83% 100% 100% 92% 92% 100% 100% 73% 82% 83% 100% 100%
4
02 Sep 02 Sep 10 Sep 05 Sep 05 Sep 08 Sep 11 Sep 10 Sep 11 Sep 06 Sep 09 Sep 09 Sep 08 Sep 06 Sep 09 Sep 10 Sep 10 Sep 10 Sep 09 Sep 04 Sep 100% 90%
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%
92%
National measles laboratory monthly reports from December 2014. Completeness is defined as the number of reports received by the end of the reporting month divided by the number of expected reports for the year. National measles and rubella laboratories should submit monthly reports by the 10th (or the next working day) of the following month.
Expanded Programme on Immunization Regional Office for the Western Pacific World Health Organization P.O. Box 2932, 1000 Manila, Philippines Tel. No. (63 2) 5288001 Fax No. (63 2) 5211036, 5260279 Please send your comments and monthly data before the 10th of the month to: WPR_EPIdata@wpro.who.int
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