This document summarizes measles and rubella surveillance data from multiple countries between January and April 2014. It includes the total suspected and laboratory confirmed cases of measles and rubella, the number of specimens tested, and epidemiological indicators for each country. Several countries met the targets of testing at least 80% of suspected cases and reporting results within 4 days for over 80% of specimens. The highest measles incidence per million was reported in Yemen and Somalia.

1. 01/01/2014 - 30/04/2014
Table 1: Cumulative measles/rubella case counts and surveillance indicators between
Country Total
suspected
cases for
measles
Number
specimens
tested for
measles
Measles
Lab
confirme
d
Measles
Epi-
Linked
Measles
clinicaly
compatib
le
Total
measle
s
Measles
discarded
cases
Numb
er of
rubella
tested
Rubel
la lab
confir
med
Rubella
Epi-
Linked
Rubella
discarde
d
cases
with
complet
e
investiga
tion
specimens
recieved
at the lab
within
5days
%specim
ens with
good
condition
results
reported
back within
4days
Indicators : target ≥80%Measles case finding report Rubella case finding report
*suspect
s tested
for
measles
Genotypes
reported
***
Reporti
ng rate last Date reportedTotal
Rubella
**Mea
sles
incide
nce
/1000,
000
Afghanistan 418 275 177 50 0 227 191 175 15 0 160 0% 53% 97% 100%75%0.7 30/04/201415 8.6
Bahrain 433 433 0 0 0 0 433 433 9 0 424 100% 100% 100% 100%100% D4, B3(imp.)35.1 30/04/20149 0.0
Iran 815 728 4 0 0 4 811 728 4 0 724 89% 89% 100% 94%89% B31.0 30/04/20144 0.1
Iraq 855 800 343 22 0 365 490 826 9 1 817 67% 60% 100% 99%96%1.5 30/04/201410 11.0
Jordan 37 37 14 0 0 14 23 37 0 0 37 62% 78% 100% 92%100%0.4 13/04/20140 2.3
Egypt 526 494 194 3 29 226 300 492 5 0 487 100% 91% 100% 100%94% B30.4 31/03/20145 2.8
Lebanon 221 136 80 11 72 163 58 21 1 8 20 99% 40% 100% 100%67%1.4 30/04/20149 38.2
Libya 128 128 98 0 0 98 30 128 2 0 126 97% 21% 100% 95%100%0.5 31/03/20142 16.9
Morocco 80 78 3 0 0 3 77 78 0 0 78 93% 85% 100% 98%98%0.2 28/04/20140 0.1
Oman 413 403 0 0 0 0 413 281 0 0 281 99% 76% 100% 100%98% D413.0 30/04/20140 0.0
Pakistan 1175 1175 703 0 0 703 472 1175 138 0 1037 91% 68% 100% 100%100%0.3 29/04/2014138 4.0
Palestine 52 52 0 0 0 0 52 52 0 0 52 98% 90% 100% 100%100%1.2 29/04/20140 0.0
Qatar 111 111 26 0 0 26 85 103 2 0 101 100% 66% 100% 100%100%4.9 28/04/20142 15.0
Saudi Arabia 150 150 36 0 0 36 114 150 5 0 145 85% 97% 100% 100%100%0.4 29/03/20145 1.3
Somalia 517 105 76 2 416 494 23 82 1 0 81 99% 53% 100% 82%20%0.3 27/04/20141 56.8
Sudan 1120 1039 119 4 9 132 988 1039 575 52 464 100% 96% 100% 100%98%3.0 29/04/2014627 4.0
Syria 578 494 199 82 2 283 295 304 3 0 301 99% 54% 100% 99%100%1.4 30/04/20143 13.4
Tunisia 54 50 4 0 0 4 50 52 4 0 48 80% 81% 100% 91%93%0.5 25/04/20144 0.4
UAE 214 185 110 4 25 139 75 75 4 0 71 97% 87% 100% 98%88%0.9 31/03/20144 16.8
Yemen 2337 941 35 375 14 424 1913 941 327 62 614 99% 85% 98% 51%50%8.4 30/04/2014389 18.5
"Individual equivocal cases of measles and rubella added in total cases are discribed in the following pages.
Definition of importation :Case exposed out side the country during the period of 7 to 21 days prior to rash
onset; supported by epi and/or virological evidence.
* excluding Epi-Linked cases.
** This figure represents the measles lab confirmed+measles Epi linked +meales clinically compatible
cases/per million.
*** This figure represents the rate of non-measles/Rubella suspected cases/100,000 population."
Green cells= indicator
met.
Yellow cells=indicator not met.
Red cells=missing data for
calculating indicator.
Gray cells=no data reported
Cases which have been completely investigated contains:
-district.
-Age.
-Gender.
-date of onset.
-known vaccination status.
-Date last vaccination.
-Date specimen collected.
Countries that did not report
Djibouti and Kuwait