Immunization and Vaccine
Development (IVD) SEARO
Protecting People from Vaccine
Preventable Diseases
Monthly Vaccine Preventable Disease and
Immunization Update
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
% Adequate Stool Specimen Collection
Non-polio AFP Rate
AFP Surveillance Indicators by First Administrative Level*, 2017
Total AFP Cases = 43339 Non-Polio AFP Rate =6.80 Adequate Stool specimen = 86%
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. ** 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
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 3427 Feb 4016 3990 3718 3749 3036 Mar 4279 4185 3680 3610 3161 Apr 4305 4018 3497 3472 3038 May 4430 4500 3788 4064 3288 Jun 5035 5149 4124 4175 3289 Jul 5832 5518 4155 5304 4233 Aug 5940 6414 5124 6034 4944 Sep 6034 6122 5421 4943 3862 Oct 5282 5086 4994 4023 3252 Nov 5171 4952 4196 3655 2993 Dec 4534 4095 4091 3495 2555
0
BAN
BHU
DPRK
IND
INO
MAV
MMR
NEP
SRL
THA
TLS
N
2014
2015
2016
2017
2018
Non-polio AFP Rate*
SEAR, 2014
–
2018
* Number of discarded AFP cases per 100,000 children under 15 years of age
SEAR Minimum Target
Percent Adequate Stool Specimen Collection*
SEAR, 2014-2018
0
20
40
60
80
100
BAN
BHU
DPRK
IND
INO
MAV
MMR
NEP
SRL
THA
TLS
2014
2015
2016
2017
2018
Minimum Target
Per
cent
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
Total AFP Cases = 39226 Non-Polio AFP Rate =8.51 Adequate Stool specimen = 86%
Districts reporting AFP cases= 688(97%)
* Number of discarded AFP cases per 100,000 children under 15 years of age ** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset. Note: Some AFP cases may still be pending final classification.
Adequate Stool Specimen Collection
< 60% 60% – 79% > 80% No AFP Case
Non-Polio AFP Rate
< 1 1 – 1.99 >2
No Non-Polio AFP Case
AFP Surveillance Indicators by District
India, 2017
Non-polio AFP Rate*
Percent Adequate Stool
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
Jan 4132 4110 3774 3838 3122 Feb 3644 3657 3442 3440 2722 Mar 3885 3781 3329 3214 2842 Apr 3864 3621 3207 3124 2716 May 4007 4042 3430 3691 2981 Jun 4622 4683 3763 3787 3061 Jul 5385 5168 3888 4911 3865 Aug 5555 6035 4765 5635 4571 Sep 5590 5747 5082 4579 3548 Oct 4888 4711 4612 3675 2863 Nov 4777 4565 3866 3361 2644 Dec 4245 3790 3799 3229 2376
AFP Surveillance Indicators by District
Nepal, 2017
Total AFP Cases = 362 Non-Polio AFP Rate =4.13 Adequate Stool specimen = 98% Districts reporting AFP cases= 69 (92%)
* Number of discarded AFP cases per 100,000 children under 15 years of age. ** 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 **
Adequate Stool Specimen Collection
< 60% 60% – 79% > 80% No AFP Case
Non-Polio AFP Rate
< 1 1 – 1.99 >2
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
AFP Surveillance Indicators by Province
Myanmar, 2017
Total AFP Cases = 394 Non-Polio AFP Rate = 2.79 Adequate Stool specimen = 95%
Provinces reporting AFP cases= 18 (100%)
Non-polio AFP Rate*
Percent Adequate Stool
Specimen Collection **
Adequate Stool Specimen Collection
< 60% 60% – 79% > 80% No AFP Case
Non-Polio AFP Rate
< 1 1 – 1.99 >2
No Non-Polio AFP Case
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
AFP Surveillance Indicators by District
Bangladesh, 2017
Total AFP Cases = 1368 Non-Polio AFP Rate =2.71
Non-polio AFP Rate*
Percent Adequate Stool Specimen
Collection **
Adequate Stool Specimen Collection
< 60% 60% – 79% > 80% No AFP Case
Non-Polio AFP Rate
< 1 1 – 1.99 >2
No Non-Polio AFP Case
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
Jan 155 73 87 126 111 Feb 110 69 100 118 117 Mar 107 115 127 139 135 Apr 125 130 121 136 147 May 148 169 171 143 123 Jun 149 198 134 121 95 Jul 134 154 110 146 152 Aug 116 168 139 122 105 Sep 125 117 101 122 111 Oct 95 102 137 100 131 Nov 94 104 115 99 78 Dec 54 79 71 65 46
AFP Surveillance Indicators by Province
Indonesia, 2017
Total AFP Cases = 1611 Non-Polio AFP Rate = 2.00 Adequate Stool specimen = 83%
Provinces reporting AFP cases= 32 (94%)
Non-polio AFP Rate*
* Number of discarded AFP cases per 100,000 children under 15 years of age.
Percent Adequate Stool Specimen Collection **
Adequate Stool Specimen Collection
< 60% 60% – 79% > 80% No AFP Case
Non-Polio AFP Rate
< 1 1 – 1.99 >2
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 95 Feb 181 149 110 101 105 Mar 174 198 123 163 108 Apr 195 184 107 135 100 May 163 172 110 130 111 Jun 144 155 129 109 64 Jul 166 66 53 75 100 Aug 131 87 115 134 125 Sep 205 158 133 102 131 Oct 182 165 150 117 186 Nov 158 170 136 113 206 Dec 94 125 109 129 74
AFP Surveillance Indicators by Province
Thailand, 2017
Total AFP Cases = 187 Non-Polio AFP Rate = 1.13 Adequate Stool specimen = 67%
Provinces reporting AFP cases= 68 (88%)
Annualized Non-polio AFP Rate*
* Number of discarded AFP cases per 100,000 children under 15 years of age.
Percent Adequate Stool Specimen Collection **
Adequate Stool Specimen Collection
< 60% 60% – 79% > 80% No AFP Case
Non-Polio AFP Rate
< 1 1 – 1.99 >2
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 26
VPD Reporting, 2017
Bangladesh 5941 15 5468 2318 197 162 162 2285 9 71 1321 4 60 12 262 94 7 0 187 2162 16-Jan-18 12 100 92 Bhutan 440 0 436 65 31 3 0 0 0 0 0 0 0 0 0 0 0 0 0 9 12-Jan-18 12 83 75 DPR Korea 104 0 104 0 0 104 104 104 0 0 0 0 0 0 0 0 0 0 0 0 13-Dec-17 12 75 42 India 45768 98 NR NR NR 1695 997 16675 71 552 9458 124 2375 15 226 NR NR NR NR NR 19-Jan-18 12 67 0 Indonesia 10025 2 5342 456 146 346 334 3032 0 175 1444 78 757 20 247 25 1067 11 628 NR 18-Jan-18 12 100 67
Maldives 66 0 66 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 10 04-Jan-18 12 75 50 Total 67468 121 15870 5002 428 2363 1650 23122 84 831 12951 206 3192 47 735 141 1127 109 2668 12495
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
Measles and Rubella Serology (IgM), 2017
# % # %
Banglade s h Dhaka 6497 6497 2696 41.5 228 6.0 69.1
Bhutan Thimphu 441 441 65 14.7 8 2.1 93.0
DPR Kore a Pyongyang 104 104 0 0.0 0 0.0 0.0
Ahmedabad 464 464 327 70.5 30 21.9 100.0
Bengaluru 779 705 165 23.4 174 32.2 92.1
Bhopal 193 193 143 74.1 4 8.0 98.4
Chandigarh 123 123 43 35.0 11 13.8 100.0
Chennai 1029 200 50 25.0 75 50.0 98.5
Delhi 159 159 105 66.0 6 11.1 97.5
Guw ahati 278 158 108 68.4 14 28.0 100.0
Hyderabad 80 80 32 40.0 7 14.6 100.0
Jaipur 343 343 238 69.4 9 8.6 81.9
Kolkata 1070 1070 450 42.1 344 55.5 89.2
Lucknow 2124 1926 1212 62.9 96 13.4 77.8
Patna 488 488 184 37.7 120 39.5 68.9
Pune 699 522 310 59.4 45 21.2 91.4
7829 6431 3367 52.4 935 30.5 86.5
Bandung 1184 1184 585 49.4 182 30.4 93.2
Jakarta 5350 4942 1260 25.5 1548 42.0 20.3
Surabaya 4277 3122 1569 50.3 534 34.4 55.6
Yogyakarta 3990 3990 1024 25.7 1319 44.5 73.1
14801 13238 4438 33.5 3583 40.7 51.1
Maldive s Male 66 66 1 1.5 1 1.5 89.4
Myanm ar Yangon 1583 1581 1023 64.7 8 1.4 0.0
Ne pal Kathmandu 916 916 63 6.9 22 2.6 92.5
Sri Lank a Colombo 241 240 5 2.1 10 4.3 87.5
Bangkok 615 615 316 51.4 3 1.0 100.0
Chiang Mai 170 170 103 60.6 0 0.0 100.0
Chiang Rai 39 39 9 23.1 0 0.0 89.7
Chon Buri 255 174 59 33.9 1 0.9 100.0
Khon Kaen 55 55 11 20.0 1 2.3 100.0
Nakhon Saw an 8 8 3 37.5 0 0.0 100.0
Nakhonratchasima 71 71 28 39.4 4 9.3 97.2
Phitsanulok 58 58 15 25.9 2 4.7 100.0
Samut Songkhram 460 460 276 60.0 5 2.7 98.3
Songkhla 795 795 631 79.4 3 1.8 100.0
Surat Thani 18 18 3 16.7 0 0.0 100.0
Trang 64 64 10 15.6 9 16.7 100.0
Ubon Ratchathani 57 57 10 17.5 1 2.1 100.0
Udon Thani 15 15 5 33.3 0 0.0 100.0
2680 2599 1479 56.9 29 2.6 99.5
Tim or-Le s te Dili 126 126 0 0.0 3 2.4 92.1
35284 32239 13137 40.7 4827 25.3 65.3
Indone s ia
Indone s ia Total
