Measles and rubella monthly update—WHO European Region, 4/2022 April 2021—March 2022 (data as of 2 May 2022)

1. Vaccine-preventable Diseases and Immunization programme
Division of country health programmes
Data as of 02 May 2022
Measles and rubella monthly update—
WHO European Region
www.euro.who.int

2. Measles
Updates including 2022
2

3. 3
Measles cases—WHO European Region,
April 2021–March 2022
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 and dashed lines on maps represent approximate border lines for which there November not yet be full agreement. © WHO 2022. All rights reserved.
Top 10 countries
Country Cases
Tajikistan 97
Turkey 57
Belgium 15
Poland 14
Italy 13
France 12
Ukraine 12
Germany 11
Georgia 7
Russian Federation 7
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 02 May 2022
22 (42%) countries reported measles cases in the rolling 12-months.

4. 4
Measles incidence per million population—
WHO European Region, April 2021–March 2022
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 and dashed lines on maps represent approximate border lines for which there November not yet be full agreement. © WHO 2022. All rights reserved.
Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2019 Revision.
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 02 May 2022
Top 10 countries
Country Cases Incidence
Tajikistan 97 9.95
Georgia 7 1.76
Belgium 15 1.29
Bosnia and Herzegovina 3 0.92
Cyprus 1 0.82
Ireland 4 0.80
Turkey 57 0.67
Finland 3 0.54
Poland 14 0.37
Belarus 3 0.32

5. 5
Ten countries with the highest numbers of measles cases—
WHO European Region, April 2021–March 2022
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 02 May 2022
22 (42%) countries reported measles cases in the rolling 12-months.
7
7
11
12
12
13
14
15
57
97
0 20 40 60 80 100 120
Russian Federation
Georgia
Germany
Ukraine
France
Italy
Poland
Belgium
Turkey
Tajikistan
Number of cases
Out of 272 measles cases reported for April 2021 to March
2022, 245 (90%) cases were reported by these 10 countries.

6. 6
Measles cases by month—WHO European Region,
2020–March 2022
Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems.
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 02 May 2022
0
500
1000
1500
2000
2500
3000
3500
4000
4500
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
2020
(n=12201)
2021
(n=173)
2022
(n=135)
Number
of
cases
Month
Lab confirmed Epi linked Clinically compatible

7. 7
Measles genotypes by week of sample collection—
WHO European Region, week 14, 2019 to week 13, 2022
0
20
40
60
80
100
120
140
160
180
200
14
15
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52
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52
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52
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9
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12
13
2019 2020 2021 2022
Number
of
sequences
reported
Week of sample collection
C2 D9 B3 D8
2019 2020
Data source: WHO measles nucleotide surveillance online database (MeaNS) data as of 02 May 2022
2021 2022

8. Measles
Latest update for 2021
8

9. 9
Measles cases—WHO European Region, 2021
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 and dashed lines on maps represent approximate border lines for which there November not yet be full agreement. © WHO 2022. All rights reserved.
Top 10 countries
Country Cases
Turkey 51
Belgium 16
France 16
Ukraine 16
Poland 14
Tajikistan 10
Italy 9
Germany 7
Georgia 5
Ireland 4
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 02 May 2022
23 (43%) countries reported measles cases for 2021.

10. 10
Measles incidence per million population—
WHO European Region, 2021
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 and dashed lines on maps represent approximate border lines for which there November not yet be full agreement. © WHO 2022. All rights reserved.
Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2019 Revision.
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 02 May 2022
Top 10 countries
Country Cases Incidence
Belgium 16 1.38
Georgia 5 1.26
Tajikistan 10 1.03
Cyprus 1 0.82
Ireland 4 0.80
Bosnia and Herzegovina 2 0.61
Turkey 51 0.60
Finland 3 0.54
Kyrgyzstan 3 0.45
Poland 14 0.37

11. 11
Ten countries with the highest numbers of measles cases—
WHO European Region, 2021
4
5
7
9
10
14
16
16
16
51
0 10 20 30 40 50 60
Ireland
Georgia
Germany
Italy
Tajikistan
Poland
Ukraine
France
Belgium
Turkey
Number of cases
Out of 173 measles cases reported for 2021, 148 (86%)
cases were reported by these 10 countries.
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 02 May 2022
23 (43%) countries reported measles cases for 2021.

12. 12
Measles cases by month—WHO European Region,
2019–2021
0
2000
4000
6000
8000
10000
12000
14000
16000
18000
20000
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
2019
(n=104442)
2020
(n=12201)
2021
(n=173)
Number
of
cases
Month
Lab confirmed Epi linked Clinically compatible
Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems.
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 02 May 2022

13. 13
Measles cases and incidence by age group* and vaccination
status—WHO European Region, 2021
*Age was unknown for 15 cases.
Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2019 Revision.
2.50
1.22
0.28 0.23 0.23
0.11 0.04
0.00
0.50
1.00
1.50
2.00
2.50
3.00
0
10
20
30
40
50
60
<1
(n=27)
1–4
(n=55)
5–9
(n=16)
10–14
(n=13)
15–19
(n=12)
20–29
(n=13)
30+
(n=22)
Incidence
per
million
population
Number
of
cases
Age group (years)
0 dose 1 dose 2+ doses Unknown Incidence
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 02 May 2022

14. 30604
33254
26788
32857
18869
28413
5273
25872
88693
104442
12201
173
93 94 95 95 94 94 93
95 95 96
94
80
82 83
89 89 89 88
90 91 92 91
0
20
40
60
80
100
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021
0
20000
40000
60000
80000
100000
120000
%
Coverage
Year
Number
of
cases
Measles cases MCV1 coverage MCV2 coverage
14
Measles cases, MCV1 and MCV2 coverage by year—
WHO European Region, 2010–2021
Data source: 1) Measles cases – monthly aggregated and case-based data reported by Member States to WHO/Europe or via ECDC/TESSy as of 02 May 2022.
2) MCV1 and MCV2 coverage - WHO/UNICEF Estimates of National Immunization Coverage (WUENIC) as of 04 October 2021.
MCV1: first dose of measles-containing vaccine
MCV2: second dose of measles-containing vaccine

15. Rubella
Updates including 2022
15

16. 16
Five countries with the highest numbers of rubella cases—
WHO European Region, April 2021–March 2022
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 02 May 2022
12 (24%) countries reported rubella cases in the rolling 12-months.
4
6
13
22
65
0 10 20 30 40 50 60 70
Finland
Germany
Ukraine
Turkey
Poland
Number of cases
Out of 120 rubella cases reported for April 2021 to March 2022, 110
(92%) cases were reported by these 5 countries.

17. 17
Rubella cases by month—WHO European Region,
2020–March 2022
0
20
40
60
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
2020
(n=190)
2021
(n=102)
2022
(n=42)
Number
of
cases
Month
Lab confirmed Epi linked Clinically compatible
Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems.
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 02 May 2022

18. Rubella
Latest update for 2021
18

19. 19
Five countries with the highest numbers of rubella cases—
WHO European Region, 2021
2
7
15
19
50
0 10 20 30 40 50 60
Azerbaijan
Germany
Turkey
Ukraine
Poland
Number of cases
Out of 102 rubella cases reported for 2021, 95 (93%) cases
were reported by these 6 countries.
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 02 May 2022
Azerbaijan, Finland*
*2 countries had two cases each for 2021
13 (27%) countries reported rubella cases for 2021.

20. 20
Rubella cases by month—WHO European Region,
2019–2021
0
20
40
60
80
100
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
2019
(n=630)
2020
(n=190)
2021
(n=102)
Number
of
cases
Month
Lab confirmed Epi linked Clinically compatible
Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems.
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 02 May 2022

21. 21
Links to measles and rubella information
• WHO EpiData
www.euro.who.int/en/health-topics/disease-prevention/vaccines-and-immunization/publications/surveillance-and-data/who-epidata
• Country slides for measles and rubella
www.who.int/immunization/monitoring_surveillance/burden/vpd/surveillance_type/active/measles_monthlydata/en/
• WHO EpiBrief
www.euro.who.int/en/health-topics/disease-prevention/vaccines-and-immunization/publications/surveillance-and-data/who-epibrief