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Data Sources: Ministries of Health in SEAR Countries.

Published by

Immunization & Vaccine Development

, World Health Organization, Regional Office for South-East Asia, New Delhi

110002, India

Tel: 91-11-2337-0804 / 91-11-4304-0000 Fax: 91-11-2337-0251 / 0106 E-mail: [email protected], URL:

http://www.searo.who.int/topics/immunization/

Vol. 22, Week 16, 2018

Published 23 April 2018

Meetings/ Important events:

Ninth meeting of SEAR Immunization Technical Advisory Group (SEAR-ITAG), New Delhi, 17 to 20 July 2018

Third Meeting of the South-East Asia Regional Verification Commission for Measles Elimination and Rubella/ CRS Control (SEA-RVC),

Kathmandu, Nepal, 31 July to 2 August 2018

Table 1: Measles & Rubella Laboratory Supported Case-based Surveillance Performance Indicators by Country, 2018* (data as of 23 April 2018)

Table 2: Measles & Rubella Laboratory Supported Case-based Surveillance Performance Indicators by Country, 2017* (data as of 23 April 2018)

La

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d

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a

ll

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p

a

ti

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le

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d

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p

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ic

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e

d

Bangladesh 8,025 94 81 6,467 100 100 64 2,612 982 407 240 59 3,725 0 2.28 58 24.54 1.83

Bhutan 439 91 90 263 79 100 38 30* 0 0 3 0 406 0 51.38 90 37.96 3.80

DPR Korea 105 100 100 105 100 100 99 0 0 0 0 0 105 0 0.43 ND 0.00 0.00

India3 21,391 0 31 6,493 95 87 59 3,268 7,693 0 747 2,112 2,866 4,705 0.21 3 8.19 2.14

Indonesia4

13,215 0 99 13,032 97 99 36 4,636 0 6 4,320 0 4,082 171 1.56 16 17.72 16.50

Maldives 66 97 100 66 100 100 71 1* 0 0 1 0 64 0 18.91 60 2.95 2.95

Myanmar 1,785 40 90 1,610 99 100 93 1,032 208 77 6 0 462 0 0.88 15 25.21 0.11

Nepal 1,033 96 91 942 40 100 71 64 22 13 21 0 911 2 3.18 59 3.46 0.73

Sri Lanka 242 98 89 212 92 100 64 1 0 22 2 0 217 0 1.03 19 62.00 0.42

Thailand 2,979 28 85 2,418 59 95 60 1,467 9 579 24 0 806 94 1.23 ND 31.26 0.37

Timor-Leste 134 100 99 133 100 99 67 0 0 0 5 0 129 0 9.98 38 0.00 3.87

SEAR 49,414 22 65 31,741 93 97 53 13,111 8,914 1,104 5,369 2,171 13,773 4,972 0.70 11.81 3.85

1 Includes labo rato ry-co nfirmed, epidemio lo gically-linked and clinically-co nfirmed measles cases 4 A lso includes the cases fro m enhanced measles case-based surveillance.

ND=No data

2 Includes labo rato ry-co nfirmed and epidemio lo gically-linked rubella cases

* Impo rted cases

3 Case based surveillance is in the pro cess o f expansio n to all o ver the co untry and thus may no t reflect a co mplete picture o f the co untry

* Figures in the table 2 are restricted to availability of various dates required for calculation. Thus they may not adequately reflect cases with missing dates for various timelines.

%

s peci mens tes ted for s erol ogy

of s peci mens

recei ved i n the l a bora tory

% s erol ogy res ul ts reported w/i n 4 da ys

of s peci men recei ved a t l a bora tory

Case classification (number)

Reporti ng ra te of di s ca rded

non-mea s l es non-rubel l a ca s es a t the na ti ona l l evel per 100,000 popn

% di s tri cts reporti ng a t

l ea s t 2 di s ca rded

non-mea s l es non-rubel l a

ca s es per 100,000 popn

Mea s l es i nci dence1

per mi l l i on

popn

% s erum s peci mens recei ved a t l a bora tory w/i n 5 da ys of col l ecti on

Rubel l a i nci dence2

per mi l l i on

popn

Mea s l es Rubel l a

D

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P

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d

in

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c

la

ss

if

ic

a

ti

o

n

Countries

Number of s us pected mea s l es

ca s es % s us pected ca s es wi th a dequa te i nves ti ga ti

on i ni ti a ted

w/i n 48 hours of noti fi ca ti on

% s us pected ca s es wi th s erum s peci mens

col l ected Number of

s erum s peci mens recei ved i n l a bora tory

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d

Bangladesh 1,141 95 96 1,091 100 91 89 325 12 10 40 2 646 106 1.27 19 6.82 0.83

Bhutan 48 98 100 47 62 98 66 9* 0 0 1 0 38 0 15.63 50 37.02 4.11

DPR Korea 0 0 0 0 0 0 0 0 0 0 0 0.00 ND 0.00 0.00

India3 9,153 0 33 2,720 83 52 32 983 26 0 123 0 270 7,751 0.06 1 2.41 0.29

Indonesia4

656 0 100 655 98 95 90 133 0 1 193 0 293 36 0.36 4 1.64 2.37

Maldives 8 38 88 7 71 100 57 0 0 0 0 0 7 1 6.72 15 0.00 0.00

Myanmar 53 87 53 28 86 100 96 27 0 0 0 0 19 7 0.12 2 1.68 0.00

Nepal 289 99 96 175 76 91 0 13 0 5 5 0 149 117 1.67 23 2.02 0.56

Sri Lanka 37 89 81 28 89 100 64 1 0 2 0 0 32 2 0.48 4 62.00 0.42

Thailand 755 34 89 632 74 97 53 288 4 160 9 0 275 19 1.37 ND 22.60 0.45

Timor-Leste 58 97 97 56 102 88 86 0 0 0 2 0 48 8 12.07 23 0.00 5.03

SEAR 12,198 15 49 5,439 87 73 53 1,779 42 178 373 2 1,777 8,047 0.09 3.28 0.61

1

Includes labo rato ry-co nfirmed, epidemio lo gically-linked and clinically-co nfirmed measles cases 4

A lso includes the cases fro m enhanced measles case-based surveillance. ND=No data

2 Includes labo rato ry-co nfirmed and epidemio lo gically-linked rubella cases

* Impo rted cases

3 Case based surveillance is in the pro cess o f expansio n to all o ver the co untry and thus may no t reflect a co mplete picture o f the co untry

* Figures in the table 1 are restricted to availability of various dates required for calculation. Thus they may not adequately reflect cases with missing dates for various timelines.

%

s peci mens tes ted for s erol ogy

of s peci mens

recei ved i n the l a bora tory

% s erol ogy res ul ts reported w/i n 4 da ys

of s peci men recei ved a t l a bora tory

Case classification (number)

Reporti ng ra te of di s ca rded

non-mea s l es non-rubel l a ca s es a t the na ti ona l l evel per 100,000 popn

% di s tri cts reporti ng a t

l ea s t 2 di s ca rded

non-mea s l es non-rubel l a

ca s es per 100,000 popn

Mea s l es i nci dence1

per mi l l i on

popn % s erum

s peci mens recei ved a t l a bora tory w/i n 5 da ys of col l ecti on

Rubel l a i nci dence2

per mi l l i on

popn Mea s l es Rubel l a

D

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Countries

Number of s us pected mea s l es

ca s es % s us pected ca s es wi th a dequa te i nves ti ga ti

on i ni ti a ted

w/i n 48 hours of noti fi ca ti on

% s us pected ca s es wi th s erum s peci mens

col l ected Number of

(2)

Vol. 22,

Week 16, 2018

Vaccine Preventable Disease Surveillance Bulletin

Page 2

Table 3: Classification of AFP Cases and Key Surveillance Indicators, 2017-2018 (data as of 23 April 2018)

Table 4: Intratypic Differentiation (ITD) of Isolates from AFP Cases, 2017-2018 (data as of 23 April 2018)

T

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9

0

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s

3

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0

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3

Bangladesh

1 363

0

0

0

1 347

16

16

2.74

2.70

98

99

363

0

0

0

239

124

1

2.39

1.57

99

99

Bhutan

9

0

0

0

8

1

1

3.64

3.24

89

100

1

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0

0

0

1

0

1.31

0.00

100

100

DPR Korea

104

0

0

0

91

13

11

1.82

1.59

97

100

0

0

0

0

0

0

0

0.00

0.00

0

0

India

39 339

0

0

23

38 535

781

781

8.97

8.79

86

98

8 512

0

0

0

6 713

1 799

194

6.31

4.98

87

98

Indonesia

1 689

0

0

2

1 557

130

130

2.40

2.21

82

97

292

0

0

0

204

88

12

1.35

0.94

82

97

Maldives

7

0

0

0

6

1

1

7.40

6.34

71

100

3

0

0

0

0

3

0

10.31

0.00

67

67

Myanm ar

396

0

0

0

391

5

5

2.94

2.90

95

100

45

0

0

0

39

6

1

1.08

0.94

96

100

Nepal

371

0

0

0

369

2

2

4.28

4.25

98

100

94

0

0

0

67

27

0

3.52

2.51

95

100

Sri Lanka

70

0

0

0

69

1

1

1.29

1.27

84

100

16

0

0

0

14

2

0

0.96

0.84

69

94

Thailand

198

0

0

0

179

19

19

1.71

1.55

68

95

15

0

0

0

0

15

4

0.42

0.00

87

100

Tim or-Leste

3

0

0

0

1

2

1

0.65

0.22

33

100

0

0

0

0

0

0

0

0.00

0.00

0

0

SEAR

43 549

0

0

25

42 553

971

968

7.21

7.04

86

98

9 341

0

0

0

7 276

2 065

212

5.03

3.92

87

98

3

90 days calculation based on date of paralysis onset subtracted from date of last report received from member countries by SEARO.

2017 (Onset)

2018 (Onset)

AFP

Surveillance Indicators

AFP

Surveillance Indicators

Case Classification

1

Annualized

AFP Rates

2

Specim en

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(

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Pending

A

F

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R

a

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Case Classification

1

AFP Rates

2

Specim en

1

All countries are using the virologic classification scheme.

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s

Country

2

AFP rates per 100,000 children aged <15 years using population figures provided by member countries (AFP cases > 15 years of age or missing age information are excluded).

%

w

it

h

a

n

y

s

p

e

c

im

e

n

W

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d

V

a

c

c

in

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in

e

V

D

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il

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a

c

c

in

e

<7 Days

>7

days Wil

d

V

a

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c

in

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W

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V

a

c

c

in

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V

D

P

V

W

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a

c

c

in

e

<7 Days

>7 days

Bangladesh IPH, Dhaka 20 0 8 0 0 0 0 7 5 0 0 0 0 0 3 0 0 0 0 0 0 3 0 0 0 0 0 0

Bhutan NIH, Bangkok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

DPR Korea NPL, Pyongyong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

BJMC, Ahmedabad 231 0 78 0 0 0 0 65 79 9 0 0 0 0 111 0 25 0 0 0 0 30 54 1 0 0 1 0

NIV, Bengaluru 151 0 58 0 0 0 0 33 45 15 0 0 0 0 63 0 13 0 0 0 0 22 25 2 0 0 0 1

ERC, Mumbai 159 0 51 0 0 0 0 48 39 21 0 0 0 0 69 0 16 0 0 0 0 29 23 1 0 0 0 0

SGPGI, Lucknow 288 0 59 0 0 0 0 99 64 25 41 0 0 0 110 0 31 0 0 0 0 40 36 1 0 0 2 0

KIPM, Chennai 50 0 10 0 0 0 0 26 14 0 0 0 0 0 47 0 13 0 0 0 0 16 18 0 0 0 0 0

NCDC, Delhi 202 0 56 0 0 0 0 88 50 8 0 0 0 0 89 0 29 0 0 0 0 31 29 0 0 0 0 0

IoS, Kolkatta 175 0 55 0 0 0 0 41 57 19 3 0 0 0 82 0 23 0 0 0 0 23 32 1 1 0 2 0

CRI, Kasauli 22 0 11 0 0 0 0 6 5 0 0 0 0 0 14 0 3 0 0 0 0 3 7 0 0 0 0 1

1 278 0 378 0 0 0 0 406 353 97 44 0 0 0 585 0 153 0 0 0 0 194 224 6 1 0 5 2

Bio Farma, Bandung 2 0 0 0 0 0 0 2 0 0 0 0 0 0 0

NIHRD, Jakarta 3 0 1 0 0 0 0 0 2 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 2

PHL, Surabaya 1 0 0 0 0 0 0 1 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2 0 0 0 0 0

6 0 1 0 0 0 0 3 2 0 0 0 0 0 4 0 0 0 0 0 0 0 2 0 0 0 0 2

Myanm ar NHL, Yangon 6 0 1 0 0 0 0 4 1 0 0 0 0 0 0

Nepal NIH, Bangkok 5 0 0 0 0 0 0 3 2 0 0 0 0 0 0

Sri Lanka MRI, Colombo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Thailand NIH, Bangkok 5 0 2 0 0 0 0 3 0 0 0 0 0 0 0

1 320 0 390 0 0 0 0 426 363 97 44 0 0 0 592 0 153 0 0 0 0 197 226 6 1 0 5 4

Polio 3

V

a

c

c

in

e

m

ix

tu

re

N

P

E

V

b

y

P

C

R

N

E

V

Country of

Case ITD Labs

2017 2018

Intratypic Differentiation results Results

pending

Intratypic Differentiation results Results

pending

A

F

P

c

a

s

e

s

re

fe

rr

e

d

fo

r

IT

D

Indonesia Total

TOTAL

N

P

E

V

b

y

P

C

R

N

E

V

N

e

g

a

ti

v

e

India

India Total

Indonesia

N

e

g

a

ti

v

e

A

F

P

c

a

s

e

s

re

fe

rr

e

d

fo

r

IT

D

Polio 1 Polio 2 Polio 3

V

a

c

c

in

e

m

ix

tu

re

Gambar

Table 1:  Measles & Rubella Laboratory Supported Case-based Surveillance Performance Indicators by Country, 2018* (data as of 23 April 2018)
Table 4: Intratypic Differentiation (ITD) of Isolates from AFP Cases, 2017-2018 (data as of 23 April 2018)

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