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Vaccine-preventable Diseases and Immunization programme
Division of country health programmes
Data as of 01 September 2021
Measles and rubella monthly update—
WHO European Region
www.euro.who.int
Measles
Updates including 2021
2
3
Measles cases—WHO European Region,
August 2020–July 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 August not yet be full agreement. © WHO 2021. All rights reserved.
Top 10 countries
Country Cases
Turkey 30
Ukraine 25
Belgium 20
Poland 13
France 12
Georgia 6
Ireland 6
Kazakhstan 6
Kyrgyzstan 6
Germany 5
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 01 September 2021
4
Measles incidence per million population—
WHO European Region, August 2020–July 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 August not yet be full agreement. © WHO 2021. All rights reserved.
Top 10 countries
Country Incidence
Belgium 1.72
Georgia 1.51
Ireland 1.20
Kyrgyzstan 0.91
Ukraine 0.58
Turkey 0.35
Albania 0.35
Poland 0.34
Belarus 0.32
Kazakhstan 0.32
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 01 September 2021
5
6
6
6
6
12
13
20
25
30
0 5 10 15 20 25 30 35
Germany
Kyrgyzstan
Kazakhstan
Ireland
Georgia
France
Poland
Belgium
Ukraine
Turkey
Number of cases
5
Ten countries with the highest numbers of measles cases—
WHO European Region, August 2020–July 2021
Out of 145 measles cases reported for August 2020 to July
2021, 129 (89%) 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 01 September 2021
6
Measles cases by month—WHO European Region,
2019–July 2021
Criteria for date of case inclusion August 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 01 September 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
2019
(n=104442)
2020
(n=12198)
2021
(n=84)
Number
of
cases
Month
Lab confirmed Epi linked Clinically compatible
30604
33254
26788
32857
18869
28413
5273
25872
88693
104442
12198
84
93 94 95 95 94 94 93
95 95 96
94
80
82 83
89 89 89 88
90 91 91 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
7
Measles cases, MCV1 and MCV2 coverage by year—
WHO European Region, 2010–July 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 01 September 2021.
2) MCV1 and MCV2 coverage - WHO/UNICEF Estimates of National Immunization Coverage (WUENIC) as of 15 July 2021.
MCV1: first dose of measles-containing vaccine
MCV2: second dose of measles-containing vaccine
*January –July 2021
8
Measles genotypes by week of sample collection—
WHO European Region, week 31, 2018 to week 30, 2021
0
20
40
60
80
100
120
140
160
180
200
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
2018 2019 2020 2021
Number
of
sequences
reported
Week of sample collection
C2 D4 D9 H1 B3 D8
2018 2019 2020
Data source: WHO measles nucleotide surveillance online database (MeaNS) data as of 01 September 2021
2021
Measles
Latest update for 2020
9
10
Measles cases—WHO European Region, 2020
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 August not yet be full agreement. © WHO 2021. All rights reserved.
Top 10 countries
Country Cases
Uzbekistan 4053
Kazakhstan 3269
Russian Federation 1100
Romania 976
Kyrgyzstan 714
Turkey 603
Bulgaria 245
France 240
Ukraine 211
Tajikistan 168
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 01 September 2021
11
Measles incidence per million population—
WHO European Region, 2020
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 August not yet be full agreement. © WHO 2021. All rights reserved.
Top 10 countries
Country Incidence
Kazakhstan 174.1
Uzbekistan 121.1
Kyrgyzstan 109.44
Romania 50.73
Bulgaria 35.26
Tajikistan 17.61
Russian Federation 7.54
Turkey 7.15
Belgium 5.18
Georgia 5.01
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 01 September 2021
12
Ten countries with the highest numbers of measles cases—
WHO European Region, 2020
168
211
240
245
603
714
976
1100
3269
4053
0 500 1000 1500 2000 2500 3000 3500 4000 4500
Tajikistan
Ukraine
France
Bulgaria
Turkey
Kyrgyzstan
Romania
Russian Federation
Kazakhstan
Uzbekistan
Number of cases
Out of 12 198 measles cases reported for 2020, 11 579 (95%) 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 01 September 2021
13
Measles cases by month—WHO European Region,
2018–2020
Criteria for date of case inclusion August 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 01 September 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
2018
(n=88693)
2019
(n=104442)
2020
(n=12198)
Number
of
cases
Month
Lab confirmed Epi linked Clinically compatible
14
Measles cases and incidence by age group* and vaccination
status—WHO European Region, 2020
*Age was unknown for 31 cases.
Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2019 Revision.
390
71
17 12 9 9 3
0
50
100
150
200
250
300
350
400
450
0
500
1000
1500
2000
2500
3000
3500
4000
4500
<1
(n=4201)
1–4
(n=3212)
5–9
(n=1009)
10–14
(n=652)
15–19
(n=463)
20–29
(n=1061)
30+
(n=1569)
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 01 September 2021
Rubella
Updates including 2021
15
16
Five countries with the highest numbers of rubella cases—
WHO European Region, August 2020–July 2021
3
8
10
10
48
0 10 20 30 40 50 60
Italy
Turkey
Ukraine
Germany
Poland
Number of cases
Out of 80 rubella cases reported for August 2020 to July 2021, 79
(99%) cases were reported by these 5 countries.
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 01 September 2021
17
Rubella cases by month—WHO European Region,
2019–July 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
2019
(n=630)
2020
(n=190)
2021
(n=54)
Number
of
cases
Month
Lab confirmed Epi linked Clinically compatible
Criteria for date of case inclusion August 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 01 September 2021
Rubella
Latest update for 2020
18
19
Five countries with the highest numbers of rubella cases—
WHO European Region, 2020
15
15
17
27
96
0 10 20 30 40 50 60 70 80 90 100
Turkey
Italy
Germany
Ukraine
Poland
Number of cases
Out of 190 rubella cases reported for 2020, 170 (89%) cases
were reported by these 5 countries.
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 01 September 2021
20
Rubella cases by month—WHO European Region,
2018–2020
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
2018
(n=839)
2019
(n=630)
2020
(n=190)
Number
of
cases
Month
Lab confirmed Epi linked Clinically compatible
Criteria for date of case inclusion August 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 01 September 2021
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

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EpiData 8/2021

  • 1. Vaccine-preventable Diseases and Immunization programme Division of country health programmes Data as of 01 September 2021 Measles and rubella monthly update— WHO European Region www.euro.who.int
  • 3. 3 Measles cases—WHO European Region, August 2020–July 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 August not yet be full agreement. © WHO 2021. All rights reserved. Top 10 countries Country Cases Turkey 30 Ukraine 25 Belgium 20 Poland 13 France 12 Georgia 6 Ireland 6 Kazakhstan 6 Kyrgyzstan 6 Germany 5 Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 01 September 2021
  • 4. 4 Measles incidence per million population— WHO European Region, August 2020–July 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 August not yet be full agreement. © WHO 2021. All rights reserved. Top 10 countries Country Incidence Belgium 1.72 Georgia 1.51 Ireland 1.20 Kyrgyzstan 0.91 Ukraine 0.58 Turkey 0.35 Albania 0.35 Poland 0.34 Belarus 0.32 Kazakhstan 0.32 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 01 September 2021
  • 5. 5 6 6 6 6 12 13 20 25 30 0 5 10 15 20 25 30 35 Germany Kyrgyzstan Kazakhstan Ireland Georgia France Poland Belgium Ukraine Turkey Number of cases 5 Ten countries with the highest numbers of measles cases— WHO European Region, August 2020–July 2021 Out of 145 measles cases reported for August 2020 to July 2021, 129 (89%) 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 01 September 2021
  • 6. 6 Measles cases by month—WHO European Region, 2019–July 2021 Criteria for date of case inclusion August 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 01 September 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 2019 (n=104442) 2020 (n=12198) 2021 (n=84) Number of cases Month Lab confirmed Epi linked Clinically compatible
  • 7. 30604 33254 26788 32857 18869 28413 5273 25872 88693 104442 12198 84 93 94 95 95 94 94 93 95 95 96 94 80 82 83 89 89 89 88 90 91 91 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 7 Measles cases, MCV1 and MCV2 coverage by year— WHO European Region, 2010–July 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 01 September 2021. 2) MCV1 and MCV2 coverage - WHO/UNICEF Estimates of National Immunization Coverage (WUENIC) as of 15 July 2021. MCV1: first dose of measles-containing vaccine MCV2: second dose of measles-containing vaccine *January –July 2021
  • 8. 8 Measles genotypes by week of sample collection— WHO European Region, week 31, 2018 to week 30, 2021 0 20 40 60 80 100 120 140 160 180 200 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 2018 2019 2020 2021 Number of sequences reported Week of sample collection C2 D4 D9 H1 B3 D8 2018 2019 2020 Data source: WHO measles nucleotide surveillance online database (MeaNS) data as of 01 September 2021 2021
  • 10. 10 Measles cases—WHO European Region, 2020 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 August not yet be full agreement. © WHO 2021. All rights reserved. Top 10 countries Country Cases Uzbekistan 4053 Kazakhstan 3269 Russian Federation 1100 Romania 976 Kyrgyzstan 714 Turkey 603 Bulgaria 245 France 240 Ukraine 211 Tajikistan 168 Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 01 September 2021
  • 11. 11 Measles incidence per million population— WHO European Region, 2020 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 August not yet be full agreement. © WHO 2021. All rights reserved. Top 10 countries Country Incidence Kazakhstan 174.1 Uzbekistan 121.1 Kyrgyzstan 109.44 Romania 50.73 Bulgaria 35.26 Tajikistan 17.61 Russian Federation 7.54 Turkey 7.15 Belgium 5.18 Georgia 5.01 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 01 September 2021
  • 12. 12 Ten countries with the highest numbers of measles cases— WHO European Region, 2020 168 211 240 245 603 714 976 1100 3269 4053 0 500 1000 1500 2000 2500 3000 3500 4000 4500 Tajikistan Ukraine France Bulgaria Turkey Kyrgyzstan Romania Russian Federation Kazakhstan Uzbekistan Number of cases Out of 12 198 measles cases reported for 2020, 11 579 (95%) 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 01 September 2021
  • 13. 13 Measles cases by month—WHO European Region, 2018–2020 Criteria for date of case inclusion August 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 01 September 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 2018 (n=88693) 2019 (n=104442) 2020 (n=12198) Number of cases Month Lab confirmed Epi linked Clinically compatible
  • 14. 14 Measles cases and incidence by age group* and vaccination status—WHO European Region, 2020 *Age was unknown for 31 cases. Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2019 Revision. 390 71 17 12 9 9 3 0 50 100 150 200 250 300 350 400 450 0 500 1000 1500 2000 2500 3000 3500 4000 4500 <1 (n=4201) 1–4 (n=3212) 5–9 (n=1009) 10–14 (n=652) 15–19 (n=463) 20–29 (n=1061) 30+ (n=1569) 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 01 September 2021
  • 16. 16 Five countries with the highest numbers of rubella cases— WHO European Region, August 2020–July 2021 3 8 10 10 48 0 10 20 30 40 50 60 Italy Turkey Ukraine Germany Poland Number of cases Out of 80 rubella cases reported for August 2020 to July 2021, 79 (99%) cases were reported by these 5 countries. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 01 September 2021
  • 17. 17 Rubella cases by month—WHO European Region, 2019–July 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 2019 (n=630) 2020 (n=190) 2021 (n=54) Number of cases Month Lab confirmed Epi linked Clinically compatible Criteria for date of case inclusion August 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 01 September 2021
  • 19. 19 Five countries with the highest numbers of rubella cases— WHO European Region, 2020 15 15 17 27 96 0 10 20 30 40 50 60 70 80 90 100 Turkey Italy Germany Ukraine Poland Number of cases Out of 190 rubella cases reported for 2020, 170 (89%) cases were reported by these 5 countries. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 01 September 2021
  • 20. 20 Rubella cases by month—WHO European Region, 2018–2020 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 2018 (n=839) 2019 (n=630) 2020 (n=190) Number of cases Month Lab confirmed Epi linked Clinically compatible Criteria for date of case inclusion August 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 01 September 2021
  • 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