sear vpdupdate nov17

(1)

Immunization and Vaccine

Development (IVD) SEARO

Protecting People from Vaccine

Preventable Diseases

Monthly Vaccine Preventable Disease and

Immunization Update

(2)

Last wild poliovirus case by type, SEAR

*Dots are randomly placed within blocks (Sub-districts) WPV Type 2

District: Aligarh

State: Uttar Pradesh (India) Date of onset: 24-Oct-1999

WPV Type 3 District: Pakur State: Jharkhand (India) Date of onset: 22-Oct-2010

WPV Type 1 District: Howrah

State: West Bengal (India) Date of onset: 13-Jan-2011

Country

Year

Bangladesh

2006

Bhutan

1986

DPR Korea

1996

India

2011

Indonesia

2006

Maldives

1994

Myanmar

2007

Nepal

2010

Sri Lanka

1993

Thailand

1997

Timor-Leste

1995

(3)

% Adequate Stool Specimen Collection

Non-polio AFP Rate

AFP Surveillance Indicators by First Administrative Level*, 2017

Total AFP Cases = 35147 Non-Polio AFP Rate =6.15 Adequate Stool specimen = 87%

Countries reporting AFP cases= 11 (100%)

*Bhutan, Maldives & Timor-Leste by country

* Number of discarded AFP cases per 100,000 children under 15 years of age. (annualized by week 44, 2017) ** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.

Note: Some AFP cases may still be pending final classification. Non-Polio AFP Rate

< 1

1 – 1.99

>2

No Non-Polio AFP Case

Adequate Stool Specimen Collection

< 60%

60% – 79%

(4)

Non-polio AFP Cases by Month of Onset

SEAR, 2013-2017

0 Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

N

2013

2014

2015

2016

2017

Month 2013 2014 2015 2016 2017

Jan 4560 4451 4106 4166 3400 Feb 4016 3990 3718 3749 3018 Mar 4279 4185 3680 3610 3130 Apr 4305 4018 3497 3472 2973 May 4430 4500 3788 4064 3204 Jun 5035 5149 4124 4175 3113 Jul 5832 5518 4155 5304 3990 Aug 5940 6414 5124 6034 4461 Sep 6034 6122 5421 4943 3277 Oct 5282 5086 4994 4023 869 Nov 5171 4952 4196 3655 Dec 4534 4095 4091 3495

(5)

0 BAN

BHU

DPRK

IND

INO

MAV

MMR

NEP

SRL

THA

TLS

N

2013

2014

2015

2016

2017

Non-polio AFP Rate*

SEAR, 2013

–

2017

* Number of discarded AFP cases per 100,000 children under 15 years of age

SEAR Minimum Target

(6)

Percent Adequate Stool Specimen Collection*

SEAR, 2013-2017

0

20

40

60

80

100 BAN

BHU

DPRK

IND

INO

MAV

MMR

NEP

SRL

THA

TLS

2013

2014

2015

2016

2017

Minimum Target

Per

cent

(7)

0.0

2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017

Bangladesh India Indonesia Myanmar Nepal Thailand

P

er

cent

Zero OPV Dose <3 OPV Doses (Under Immunized) Unknown OPV Doses

N=

Percent of Non-Polio AFP Cases Under Immunized for OPV

(6 Months to 5 Yrs), SEAR, 2013-2017

(8)

Total AFP Cases = 32010 Non-Polio AFP Rate =7.74 Adequate Stool specimen = 86%

Districts reporting AFP cases= 681(96%)

* Number of discarded AFP cases per 100,000 children under 15 years of age (annualized by week 44, 2017) ** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.

Note: Some AFP cases may still be pending final classification.

< 60%

60% – 79%

> 80% No AFP Case

Non-Polio AFP Rate

< 1

1 – 1.99

>2

AFP Surveillance Indicators by District

India, 2017

Non-polio AFP Rate*

Percent Adequate Stool

(9)

Non-polio AFP Cases by Month of Onset

India, 2013-2017

0 Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

N

Month 2013 2014 2015 2016 2017

(10)

AFP Surveillance Indicators by District

Nepal, 2017

Total AFP Cases = 294 Non-Polio AFP Rate =3.80 Adequate Stool specimen = 98% Districts reporting AFP cases= 65 (87%)

* Number of discarded AFP cases per 100,000 children under 15 years of age. (annualized by week 44, 2017) ** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.

Note: Some AFP cases may still be pending final classification.

Non-polio AFP Rate*

Percent Adequate Stool

Specimen Collection **

< 60%

60% – 79%

> 80% No AFP Case

< 1

1 – 1.99

>2

(11)

Non-polio AFP Cases by Month of Onset

Nepal, 2013-2017

0 Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

N

Month 2013 2014 2015 2016 2017

Jan 32 50 32 31 34

(12)

AFP Surveillance Indicators by Province

Myanmar, 2017

Total AFP Cases = 300 Non-Polio AFP Rate = 2.39 Adequate Stool specimen = 97%

Provinces reporting AFP cases= 18 (100%)

Non-polio AFP Rate*

Percent Adequate Stool

Specimen Collection **

< 60%

60% – 79%

> 80% No AFP Case

< 1

1 – 1.99

>2

(13)

Non-polio AFP Cases by Month of Onset

Myanmar, 2013-2017

0 Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Num

Month 2013 2014 2015 2016 2017

Jan 32 41 22 29 18

(14)

AFP Surveillance Indicators by District

Bangladesh, 2017

Total AFP Cases = 1216 Non-Polio AFP Rate =2.68

Non-polio AFP Rate*

Percent Adequate Stool Specimen

Collection **

< 60%

60% – 79%

> 80% No AFP Case

< 1

1 – 1.99

>2

(15)

Non-polio AFP Cases by Month of Onset

Bangladesh, 2013-2017

0 Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

N

Month 2013 2014 2015 2016 2017

(16)

AFP Surveillance Indicators by Province

Indonesia, 2017

Non-polio AFP Rate*

* Number of discarded AFP cases per 100,000 children under 15 years of age. (annualized by week 44, 2017)

Percent Adequate Stool Specimen Collection **

< 60%

60% – 79%

> 80% No AFP Case

< 1

1 – 1.99

>2

(17)

Non-polio AFP Cases by Month of Onset

Indonesia, 2013-2017

0 Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

N

Month 2013 2014 2015 2016 2017

Jan 169 135 153 101 85 Feb 181 149 110 101 100 Mar 174 198 123 163 105 Apr 195 184 107 135 86 Nov 158 170 136 113 Dec 94 125 109 129

(18)

AFP Surveillance Indicators by Province

Thailand, 2017

Annualized Non-polio AFP Rate*

* Number of discarded AFP cases per 100,000 children under 15 years of age. (annualized by week 44, 2017)

Percent Adequate Stool Specimen Collection **

< 60%

60% – 79%

> 80% No AFP Case

< 1

1 – 1.99

>2

(19)

Non-polio AFP Cases by Month of Onset

Thailand, 2013-2017

0 Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Nu

Month 2013 2014 2015 2016 2017

Jan 19 24 15 25 29

(20)

VPD Reporting, 2017

Bangladesh 4969 12 4634 2072 158 151 152 2079 9 68 1247 4 60 11 257 67 3 0 0 1898 11-Oct-17 9 100 100

Bhutan 387 0 387 59 31 3 0 0 0 0 0 0 0 0 0 0 0 0 0 5 10-Oct-17 9 89 78

Total 54394 96 12053 4412 341 1745 1111 16991 65 537 8993 121 2326 28 492 97 379 66 1520 9709

1 _{At least 5 blood samples should be collected and tested from each outbreak.} 2_{Adverse Events Follow ing Immunization; Sri Lanka AEFI data do not reflect cases but events.} 3

Monthly VPD and AEFI reports due to SEARO/IVD on or before 15th of each month. NR=No report

#

Routine Reporting of clinically suspected measles cases

Suspected measles

outbreaks Laboratory Confirmed

1

Number of Cases

(21)

Measles and Rubella Serology (IgM), 2017

# % # %

Banglade s h Dhaka 5592 5592 2395 42.8 188 5.9 64.1

Bhutan Thimphu 388 388 59 15.2 7 2.1 92.0

DPR Kore a Pyongyang 67 61 0 0.0 0 0.0 100.0

Ahmedabad 434 434 299 68.9 30 22.2 100.0

Bengaluru 688 623 143 23.0 169 35.2 91.5

Bhopal 158 158 111 70.3 4 8.5 99.4

Chandigarh 118 118 38 32.2 11 13.8 100.0

Chennai 832 163 49 30.1 54 47.4 99.4

Delhi 132 132 83 62.9 6 12.2 97.0

Guw ahati 272 153 103 67.3 14 28.0 100.0

Hyderabad 80 80 32 40.0 7 14.6 100.0

Jaipur 308 308 208 67.5 7 7.0 79.9

Kolkata 812 812 318 39.2 302 61.1 86.6

Lucknow 1509 1313 763 58.1 84 15.3 84.3

Patna 384 384 101 26.3 119 42.0 77.9

Pune 619 462 264 57.1 45 22.7 90.7

6346 5140 2512 48.9 852 32.4 89.0

Bandung 1094 1094 569 52.0 158 30.1 92.7

Jakarta 4407 3263 899 27.6 1012 42.8 29.5

Surabaya 3349 2357 1235 52.4 327 29.1 47.5

Yogyakarta 3527 3527 983 27.9 1125 44.2 77.1

12377 10241 3686 36.0 2622 40.0 56.8

Maldive s Male 58 58 1 1.7 1 1.8 87.9

Myanm ar Yangon 1493 1483 991 66.8 5 1.0 99.0

Ne pal Kathmandu 709 709 56 7.9 16 2.5 90.4

Sri Lank a Colombo 138 137 5 3.6 8 6.1 86.1

Bangkok 548 548 286 52.2 2 0.8 100.0

Chiang Mai 28 28 7 25.0 0 0.0 100.0

Chiang Rai 29 29 7 24.1 0 0.0 86.2

Chon Buri 223 142 48 33.8 1 1.1 100.0

Khon Kaen 52 52 10 19.2 1 2.4 100.0

Nakhon Saw an 7 7 3 42.9 0 0.0 100.0

Nakhonratchasima 61 61 27 44.3 2 5.9 100.0

Phitsanulok 52 52 15 28.8 2 5.4 100.0

Samut Songkhram 383 383 240 62.7 4 2.8 97.9

Songkhla 776 776 631 81.3 3 2.1 100.0

Surat Thani 6 6 0 0.0 0 0.0 100.0

Trang 54 54 10 18.5 8 18.2 100.0

Ubon Ratchathani 54 54 9 16.7 1 2.2 100.0

Udon Thani 11 11 4 36.4 0 0.0 100.0

2284 2203 1297 58.9 24 2.6 99.5

Tim or-Le s te Dili 80 80 0 0.0 3 3.8 87.5

29532 26092 11002 42.2 3726 24.7 72.6

Indone s ia

Indone s ia Total