Volume 7 • Issue 9 • September 2013
ISSN 1814 3601
Figure 1. Measles cases by month of onset, WHO Western Pacific Region, 2008–20131 30 000
Number of measles cases
25 000
20 000
15 000
10 000
5 000
1
Source: Measles and rubella monthly country reports to WHO by 20 September 2013 Includes laboratory confirmed, epi-linked and clinically confirmed cases for 2008–2012
Figure 2. Measles cases and immunization coverage, Western pacific Region, 1990-2012 1400 Cases (in thousands) Coverage 100% 90% 1200 80% 1000 70% 60% 50% 600 40% 30% 20% 200 10% 0 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
800
400
Source: WHO-UNICEF Joint Reporting Form (JRF) for Immunization
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
0
2008
2009
2010
2011
2012
2013
China
Japan
Philippines
Viet Nam
Others
0%
EPI
Measles control
Measles accelerated control
Measles elimination
Measles cases
MCV1 coverage
MCV2 coverage
Table 1. Measles case classification and incidence by country and area, WHO Western Pacific Region, 2008—2013 1 2009 2010 Measles incidence per 1 million pop. 3.3 0.0 2011 Measles incidence per 1 million pop. 8.5 9.9 2012 Measles incidence per 1 million pop. 8.7 2.4 2013 1 Confirmed measles cases Annualized Suspected Deaths measles Compatible Discarded Pending measles due to incidence Epi5 cases classification cases Lab Total cases measles per linked 1 million 23.21 0.42 N/A ⁴ 11 45 0 5 0 50 0 3.2 0.0 0 0 0 10 0 1 0 0 31-Aug-13 24-Jul-12 Measles incidence per 1 million pop. 5.0 5.0 Rash onset of last confirmed measles case
Country
Total confirmed2
Total confirmed2
Total confirmed2
Total confirmed2
Population (in millions) 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 areas6 Western Pacific Region 1 2 3 4 5 6
104 2
70 0
192 4
199 1
865 52 461 22 0 705 72 56 8 253 0 1 490 17 16 5 222 4 61 297
58.9 39.5 3.0 0.0 5.5 12.1 2.1 3.0 60.0 0.0 16.6 0.4 3.6 59.0 1.3 34.0
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 6183 8 1 228 36 1868 0 55 0 1536 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
14.66 1 359.37 7.27 0.58 126.35 6.46 29.79 2.89 4.51 7.33 98.11 48.77 5.30 90.66 3.23 1 828.90
522
0
0 242 0 0 2 45 3 0 0 0 90 0 0 79 0
0 23 994 14 3 119 68 153 0 1 0 529 85 17 186 0
0.0 26.5 2.9 7.8 1.4 15.8 7.7 0.0 0.3 0.0 8.1 2.6 4.8 3.1 0.0 20.7 Green Yellow Red
0 778 4 0 45 0 24 0 0 0 246 2 6 121 0 1 226
463 41 142 129 13 212 432 4 225 143 2 89 1 914 302 45 550 34 49 705
59 588 0 0 3 6 465 0 1 0 130 6 1 42 1 1 303
0 15-Nov-11 27 31-Aug-13 0 0 0 0 31-Jul-13 4-Aug-13 29-Jul-13 5-May-13
66 502 23 752 147 16 379 506 4 891 143 5 89 2 819 406 69 899 35 14 3 117 23 150 0 1 0 439 85 17 107 0
0 18-Aug-13 0 19-Jun-10 0 0 2-Mar-13 6-Jan-08
7 26-Aug-13 0 22-Aug-13 0 27-Aug-13 0 22-Aug-13 0 34 9-Aug-11
77 439 24 753
466 25 219
Includes all cases reported to the Western Pacific Regional Office by 20 September 2013. Includes laboratory confirmed, epi-linked and clinically confirmed cases for 2009 to 2012. United Nations, Department of Econimic 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
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Table 2. Measles surveillance performance indicators by country and area, WHO Western Pacific Region, 2012—2013 1
2012 Discarded non-
2013
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
Insufficient data
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
1.5 6.8 2.3 2.5 3.9 0.1 7.6 22.7 22.0 Insufficient data
0.0% 62.5% 71.0% 4
71.4% 56.1% 99.0% 92.0% 95.7% Insufficient data
85.7% 99.2% 97.9% 97.3% 100.0% Insufficient data
3.6 4.7 4.5 2.7 3.4 0.3 10.0 21.3 7.4 Insufficient data
100.0% 45.8% 64.5% 100.0% 100.0% 0.0% 58.8% 100.0% 36.4% Insufficient data
0.0% 68.0% 99.4% 17.7% 31.3% Insufficient data
100.0% 98.1% 94.6% 93.2% 100.0% Insufficient data
100.0% 100.0% 0.0% 64.7% 93.8% 31.8% Insufficient data
49.3% 74.4% 64.2% Insufficient data
76.6% 83.3% 100.0% Insufficient data
34.5% 0.0% 0.0% Insufficient data
66.6% 87.6% 100.0% Insufficient data
0.6 2.1 0.3 Insufficient data
10.0% 64.7% 0.0% Insufficient data
61.9% 56.5% 84.0% Insufficient data
81.0% 79.5% 90.4% Insufficient data
1.8 2.9 0.9 Insufficient data
35.0% 58.8% 6.3% Insufficient data
0.0% 59.4% 61.3% Insufficient data
71.9% 85.7% 68.0% Insufficient data
0.9 5.7 2.4
12.5% Insufficient data
44.3% 0.0% 88.8% Green Yellow Red
55.0% Insufficient data
0.9 1.6 4.1
10.9% Insufficient data
60.2% 0.0% 89.8%
78.7% Insufficient data
35.1%
93.1% Reached or surpassed target
35.1%
93.3%
Includes all cases reported to the Western Pacific Regional Office by 20 September 2013. 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
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Table 3A. Measles and rubella laboratory performance, WHO Western Pacific Region, 20121 Measles Measles and rubella Serum Samples tested for measles IgM No. 14 872 Measles IgM (+) No. 9 0 % 64.3 0.0 Serology Blood Measles IgM equiv No. 1 1 DBS samples Virus detection
Rubella Serum and blood (includes DBS) Rubella IgM (+) No. 7 185 % 50.0 19.2 Rubella IgM equiv
Country
Laboratory
Total number of cases tested
Total number of samples received
No. received 0 112
No. (+) 0
Measles Measles Results Samples Virus isolation/detection Reverse Transcription≤ 7 days tested for Polymerase Chain (swab, urine and rubella IgM Reaction others) No. of No. of No. of samples No. of (+) No. % samples isolates tested tested 100.0 98.3 0 0 0 0 112 0 108 0 14 962
No. 0 0
Australia Cambodia China Hong Kong (China) Macao (China) Japan2 Lao People's Democratic Republic Malaysia Mongolia New Zealand Papua New Guinea Philippines Republic of Korea Singapore Viet Nam (northern) Viet Nam (southern) Fiji Samoa Solomon Islands Total 1 2
VIDRL NPHL CCDC PHLC PHLC NIID NCLE NPHL NCCD CHL CPHL RITM KCDC SGH NIHE, Nha Trang PI Mataika House VIDRL VIDRL
116 985
133 987
489 58 362 396 9 195 627 331 66 3 065 243 590 563 349 182 10 10 17 637
560 58 462 396 9 644 628 362 66 3 080 251 781 563 370 183 16 10 18 550
511 58 248 396 8 619 606 171 66 3 048 249 249 483 349 181 5 4 16 129
6 2 142 7 1 829 0 11 0 654 18 14 5 1 0 0 0 2 698
1.2 3.4 57.3 1.8 21.2 0.0 6.4 0.0 21.5 7.2 5.6 1.0 0.3 0.0 0.0 0.0 16.7
8 0 39 6 128 0 5 0 125 15 5 9 1 1 0 0 344
0 0 0 0 0 0 0 0 3 0 0 0 0 2 0 0 117
0 0 0
98.7 96.6 No data 73.7 97.7 100.0 99.3 57.6 95.3 100.0 96.9 82.3 97.7 93.4 No data No data 96.0
18 0 214 0 1 512 2 4 0 62 1 179 0 21 0 0 0 2 013
3 0 78 0 87 0 0 0 3 0 4 0 0 0 0 0 175
29 0 0 0 0 22 165 0 12 30 0 0 21 0 0 0 391
7 0 0 0 0 0 46 0 2 0 0 0 0 0 0 0 163
470 58 3 396 6 732 626 51 66 2 405 242 406 563 349 183 9 10 13 545
21 3 0 50 1 011 240 5 24 131 13 23 97 24 25 0 3 1 862
4.5 5.2 0.0 12.6 15.0 38.3 9.8 36.4 5.4 5.4 5.7 17.2 6.9 13.7 0.0 30.0 13.7
5 0 0 68 318 10 2 8 147 23 14 35 19 9 0 3 661
National measles laboratory monthly reports received in the Western Pacific Regional Office by 20th of January 2013 Data from the national measles surveillance report received in the Western Pacific Regional Office by 20th of January 2013
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Table 3B. Measles and rubella laboratory performance, WHO Western Pacific Region, 20131 Measles Measles and rubella Serum Samples tested for measles IgM No. 27 20 411 No. 19 0 0 Measles IgM (+) % 70.4 0.0 0.0 Serology Blood Measles IgM equiv No. 0 1 0 DBS samples Timeliness of reults <4 days2 <7 days Virus detection
Rubella Serum and blood (includes DBS) Rubella IgM (+) No. 1 1 99 % 9.1 5.3 21.4
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 0 0 0 No. of isolates 0 0 0 No. of samples tested 39 0 0 No. of (+) 26 0 0 No. 11 19 463
Rubella IgM equiv
No. received 0 0 52
No. (+) 0
% 100.0 85.7 80.6
% 100.0 95.2 90.5
No. 0 0 0
Australia Brunei Darussalam Cambodia China Hong Kong (China) Macao (China) Japan 3 Lao People's Democratic Republic Malaysia Mongolia New Zealand Papua New Guinea Philippines Republic of Korea Singapore Viet Nam (northern) Viet Nam (southern) Fiji Samoa Solomon Islands Total 1 2 3
VIDRL DLS NPHL CCDC PHLC PHLC NIID NCLE NPHL NCCD CHL CPHL RITM KCDC SGH NIHE, Nha Trang PI Mataika House VIDRL VIDRL
36 21 522
60 21 522
428 34 337 313 5 406 143 83 24 2 643 458 276 679 151 35 3 4 11 596
500 34 337 329 6 124 143 86 24 2 832 585 430 687 155 36 3 4 12 912
464 34 150 313 4 901 143 49 19 2 607 368 123 679 151 35 3 0 10 497
13 4 112 29 211 0 1 0 440 70 4 123 0 0 0 1 026
2.8 11.8 74.7 9.3 4.3 0.0 2.0 0.0 16.9 19.0 3.3 18.1 0.0 0.0 0.0 9.8
7 1 1 20 48 0 1 0 70 39 3 13 2 0 0 206
0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 55
0 0
88.6 100.0 No data 83.0 54.7 99.3 89.1 62.5 83.5 64.2 78.3 84.8 82.8 77.1 0.0 0.0 69.2
98.6 100.0 No data 95.5 85.0 99.3 93.5 91.7 95.2 92.5 97.9 94.4 97.4 85.7 100.0 100.0 90.2
15 0 176 0 1 111 0 1 0 134 272 128 8 4 0 0 0 1 849
8 0 24 0 9 0 0 0 30 72 3 0 0 0 0 0 146
32 0 0 0 0 0 27 0 30 46 0 36 4 0 0 0 214
20 0 0 0 0 0 2 0 4 46 0 21 0 0 0 0 119
426 34 8 313 4 809 143 43 23 2 173 331 187 679 151 25 1 4 9 843
8 0 2 17 664 8 4 0 93 19 11 13 2 1 0 1 944
1.9 0.0 25.0 5.4 13.8 5.6 9.3 0.0 4.3 5.7 5.9 1.9 1.3 4.0 0.0 25.0 9.6
9 0 0 43 169 7 0 2 126 11 7 20 3 0 0 0 397
National measles laboratory monthly reports received in the Western Pacific Regional Office by 20th of September 2013 Recommendation from the Fourth Meeting on Vaccine Preventable Diseases Laboratory Networks in the Western Pacific Region Data from the national measles surveillance report received in the Western Pacific Regional Office by 20th of September 2013
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Figure 2. Measles genotype distribution of cases with onset in 2012 and 2013, WHO Western Pacific Region 2013 2012
* Size of the pie chart is proportional to the number of genotypes reported by the country
B3
D4
D8
D9
D11
G3
H1
Table 4. Measles genotype distribution of cases with onset in 2012 and 2013, 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 Total 2012 B3 8 8 D4 6 7 13 D8 63 1 1 44 36 1 146 D9 8 13 2 9 64 5 4 105 D11 0 G3 1 1 H1 449 2 7 13 471 A 5 6 1 2 2 16 Total 85 0 0 469 6 0 68 13 100 0 10 0 5 0 4 0 0 760 B3 4 9 43 2 58 D4 0 D8 8 37 1 3 1 50 D9 1 22 1 3 5 32 2013 D11 0 G3 4 4 H1 1805 10 3 5 1 11 1835 A 1 12 1 3 17 Total 18 0 0 1876 12 3 18 0 8 0 1 0 0 46 3 11 0 1996
Sources: National and regional measles reference laboratory monthly reports from August 2013 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.
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Figure 3. Rubella genotype distribution of cases with onset in 2012 and 2013, WHO Western Pacific Region 2013 2012
* Size of the pie chart is proportional to the number of genotypes reported by the country
2B
1E
1j
Table 5. Rubella genotype distribution of cases with onset in 2012 and 2013, WHO Western Pacific Region Country 1E 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 Total 199 8 1 208 1j 2 2 2012 2B 3 89 8 1 3 2 1 107 Total 3 288 16 1 3 3 3 317 1E 57 3 3 63 1j 0 2013 2B 25 4 22 51 Total 82 7 25 114
Sources: National and regional measles reference laboratory monthly reports from August 2013 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.
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Table 6A. Completeness and timeliness of epidemiologic reporting, WHO Western Pacific Region, 2011—2013 2011 Country 2012 Jan 10 Feb 07 Feb 10 Feb 10 Feb 13 Feb 08 Feb 05 Feb 13 Feb 06 Feb 09 Feb 08 Feb 08 Feb 08 Feb 08 Feb 07 Feb 04 Feb 10 Feb 06 Feb 100% 92% 94% Feb 10 Mar 06 Mar 09 Mar 10 Mar 13 Mar 07 Mar 04 Mar 08 Mar 10 Mar 08 Mar 07 Mar 08 Mar 05 Mar 10 Mar 08 Mar 05 Mar 10 Mar 05 Mar 100% 100% Mar 10 Apr 05 Apr 08 Apr 10 Apr 16 Apr 09 Apr 03 Apr 10 Apr 10 Apr 09 Apr 09 Apr 08 Apr 10 Apr 09 Apr 05 Apr 04 Apr 10 Apr 08 Apr 100% 94% Apr 10 May 09 May 07 May 10 May 16 May 10 May 08 May 13 May 03 May 10 May 09 May 10 Jun 09 May 02 May 10 May 07 May 10 May 02 May 100% 82% May 10 Jun 07 Jun 08 Jun 10 Jun 15 Jun 10 Jun 06 Jun 10 Jun 10 Jun 05 Jun 07 Jun 10 Jun 07 Jun 10 Jun 10 Jun 04 Jun 10 Jun 05 Jun 100% 100% 2013 1
Completeness Timeliness Completeness Timeliness 100% 100% 75% 100% 100% 100% 100% 92% 100% 100% 100% 75% 100% 100% 100% 75% 75% 95% 89% 100% 100% 42% 100% 100% 100% 100% 92% 92% 100% 83% 42% 92% 92% 92% 50% 67% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 83% 100% 100% 100% 100% 100% 99% 100% 100% 92% 83% 100% 100% 100% 75% 92% 100% 83% 33% 100% 100% 100% 92% 100%
Jun 10 Jul 08 Jul 08 Jul 10 Jul 15 Jul 10 Jul 05 Jul 10 Jul 17 Jul 08 Jul 09 Jul 08 Jul 04 Jul 10 Jul 10 Jul 05 Jul 10 Jul 03 Jul 100% 94%
Jul 10 Aug 10 Aug 07 Aug 10 Aug 13 Aug 09 Aug 05 Aug 08 Aug 08 Aug 06 Aug 06 Aug 08 Aug 18 Aug 09 Aug 08 Aug 05 Aug 10 Aug 08 Aug 100% 94%
Aug 10 Sep 10 Sep 10 Sep 10 Sep 10 Sep 10 Sep 09 Sep 10 Sep 10 Sep 09-Sep 09 Sep 06 Sep 07 Sep 10 Sep 09 Sep 09 Sep 10 Sep 02 Sep 100% 100%
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
100% 100% 100% 75% 100% 100% 75% 100% 100% 100% 88% 88% 100% 100% 100% 100% 100%
95%
National measles surveillance monthly reports from August 2013. 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 6B. Completeness and timeliness of laboratory reporting, WHO Western Pacific Region, 2011—2013 2011 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 (northern) Viet Nam (southern) Fiji Completeness Timeliness 1 2 3 4 4
2012 Jan 05 Feb Feb 01 Mar Mar 09 Apr Apr 01 May 07 May May 04 Jun 10 Jun 07 Jun 08 Jun 08 Jun 07 Jun 10 Jun
2013
1
Completeness Timeliness Completeness Timeliness 100% 100% 100% 100%
Jun 01 Jul 11 Jul 10 Jul 10 Jul 09 Jul 08 Jul 10 Jul 10 Jul
Jul 02 Aug 06 Aug 10 Aug 02 Aug 08 Aug 02 Aug 08 Aug 10 Aug 16 Aug 05 Aug 08 Aug 06 Aug 08 Aug 10 Aug 09 Aug 08 Aug 22 Aug 08 Aug 100% 94%
Aug 05 Sep 09 Sep 10 Sep 10 Sep 10 Sep 10 Sep 10 Sep 06 Sep 09 Sep 05 Sep 06 Sep 06 Sep 09 Sep 09 Sep 09 Sep 12 Sep 11 Sep 02 Sep 100% 94%
Completeness 100% 100% 100% 100% 100% 100% 100% 88% 100% 100% 100% 88% 100% 100% 100% 100% 100% 100% 99%
3
Timeliness
4
100% 80% 100% 100% 100% 100% 100% 88% 100% 100% 100% 88% 100% 100% 100% 75% 75% 100%
100% 0% 100% 100% 100% 100% 100% 100% 100% 83% 100% 100% 100% 100% 100% 92% 93%
100% 0% 100% 100% 100% 100% 100% 100% 92% 67% 100% 100% 100% 75% 100% 58%
100% 17% 100% 100% 100% 100% 100% 100% 100% 92% 100% 100% 100% 92% 83% 100% 93%
100% 17% 100% 100% 100% 92% 58% 100% 100% 50% 92% 100% 100% 83% 83% 100%
08 Feb 09 Feb 08 Feb 07 Feb 08 Feb 08 Feb 08 Feb 07 Feb 08 Feb 10 Feb 06 Feb 08 Feb 08 Feb 07 Feb 09 Feb 06 Feb 100%
10 Mar 01 Mar 08 Mar 05 Mar 08 Mar 10 Mar 05 Mar 08 Mar 07 Mar 08 Mar 08 Mar 08 Mar 08 Mar 12 Mar 08 Mar 05 Mar 100% 94%
10 Apr 07 Apr 09 Apr 04 Apr 10 Apr 10 Apr 09 Apr 05 Apr 09 Apr
09 May 02 May 09 May 03 May 08 May 09 May 10 May 06 May 10 May 08 May
10 Jun 05 Jun 10 Jun 07 Jun 10 Jun 07 Jun 06 Jun 10 Jun 07 Jun 05 Jun 94% 100%
10 Jul 05 Jul 08-Jul 10 Jul 09 Jul 09 Jul 09 Jul 11 Jul 10 Jul 03 Jul 100% 94%
10 Apr 09 Apr 09 Apr 07 Apr 10 Apr 08 Apr 94% 94%
07 May 10 May 09 May 12 May 09 May 02 May 100% 94%
88%
87%
100%
93%
National measles laboratory monthly reports from August 2013. 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. Brunei Darussalam joined WHO accreditation programme from April 2013
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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