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Measles and rubella monthly update for the WHO European Region

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Feb 2019, Data as of 4 March 2019

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Measles and rubella monthly update for the WHO European Region

  1. 1. Measles and rubella monthly update for the WHO European Region Data as of 4 March 2019 Vaccine-preventable Diseases and Immunization programme Division of Health Emergencies and Communicable Diseases
  2. 2. Measles Updates including 2019 2
  3. 3. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 4 March 2019 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 may not yet be full agreement. © WHO 2019. All rights reserved. Measles cases in the WHO European Region, February 2018–January 2019 3 Top 10 countries Country Cases Ukraine 63948 Serbia 4176 Israel 3377 Georgia 3176 France 2800 Italy 2632 Kazakhstan 2092 Russian Federation 2050 Greece 1727 Kyrgyzstan 1509
  4. 4. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 4 March 2019 Measles incidence per million population in the WHO European Region, February 2018–January 2019 Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2017 Revision. 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 may not yet be full agreement. © WHO 2019. All rights reserved. 4 Top 10 countries Country Incidence Ukraine 1453.06 Georgia 812.87 Albania 503.01 Serbia 476.60 Israel 399.51 Montenegro 319.44 Kyrgyzstan 246.05 Greece 155.00 Kazakhstan 113.67 Slovakia 112.66
  5. 5. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 4 March 2019 1509 1727 2050 2092 2632 2800 3176 3377 4176 63948 0 10000 20000 30000 40000 50000 60000 70000 Kyrgyzstan Greece Russian Federation Kazakhstan Italy France Georgia Israel Serbia Ukraine Number of cases Ten countries with the highest numbers of measles cases in the WHO European Region, February 2018–January 2019 Out of 95 547 measles cases reported for February 2018 to January 2019, 87 487 (92%) cases were reported by these 10 countries. 5
  6. 6. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 4 March 2019 Measles cases by month in the WHO European Region, 2017–January 2019 6 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 2017 (n=25869) 2018 (n=83103) 2019 Numberofcases Month Lab confirmed Epi linked Clinically compatible (n=18112) Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems.
  7. 7. Measles genotypes by week of sample collection in the WHO European Region, week 4, 2016 to week 4, 2019 7Data source: WHO measles nucleotide surveillance online database (MeaNS) data as of 4 March 2019 0 20 40 60 80 100 120 140 160 180 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 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 2016 2017 2018 2019 Numberofsequencesreported Week of sample collection D4 D9 B3 D8 2016 2017 2018 2019
  8. 8. Measles latest update for 2018 8
  9. 9. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 4 March 2019 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 may not yet be full agreement. © WHO 2019. All rights reserved. Measles cases in the WHO European Region, 2018 9 Top 10 countries Country Cases Ukraine 53218 Serbia 5076 Israel 3122 France 2913 Italy 2686 Russian Federation 2256 Georgia 2203 Greece 2193 Albania 1466 Kyrgyzstan 1100
  10. 10. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 4 March 2019 Measles incidence per million population in the WHO European Region, 2018 Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2017 Revision. 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 may not yet be full agreement. © WHO 2019. All rights reserved. 10 Top 10 countries Country Incidence Ukraine 1209.25 Serbia 579.32 Georgia 563.84 Albania 499.60 Israel 369.34 Montenegro 322.62 Greece 196.82 Kyrgyzstan 179.36 Slovakia 106.24 Republic of Moldova 84.14
  11. 11. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 4 March 2019 1100 1466 2193 2203 2256 2686 2913 3122 5076 53218 0 10000 20000 30000 40000 50000 60000 Kyrgyzstan Albania Greece Georgia Russian Federation Italy France Israel Serbia Ukraine Number of cases Ten countries with the highest numbers of measles cases in the WHO European Region, 2018 Out of 83 103 measles cases reported for 2018, 76 233 (92%) cases were reported by these 10 countries. 11
  12. 12. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 4 March 2019 Measles cases by month in the WHO European Region, 2016–2018 12 0 2000 4000 6000 8000 10000 12000 14000 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 2016 (n=5273) 2017 (n=25869) 2018 (n=83103) Numberofcases Month Lab confirmed Epi linked Clinically compatible Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems.
  13. 13. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 4 March 2019 Measles cases and incidence by age group and vaccination status in the WHO European Region, 2018* 13 Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2017 Revision. *Age was unknown for 7 cases. 607 321 235 182 165 114 29 0 100 200 300 400 500 600 700 0 2000 4000 6000 8000 10000 12000 14000 16000 18000 <1 (n=6553) 1-4 (n=14488) 5-9 (n=13323) 10-14 (n=9728) 15-19 (n=8439) 20-29 (n=13452) 30+ (n=17113) Incidencepermillionpopulation Numberofcases Age group (years) 0 dose 1 dose 2+ doses Unknown Incidence
  14. 14. 14 7884 30604 33254 26788 32857 18869 28413 5273 25863 83103 94 93 94 95 95 94 94 93 95 73 80 83 83 89 89 89 88 90 0 20 40 60 80 100 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 0 10000 20000 30000 40000 50000 60000 70000 80000 90000 %Coverage Year Numberofcases Measles cases MCV1 coverage MCV2 coverage Measles cases, MCV1 and MCV2 coverage by year in the WHO European Region, 2009–2018 Data source: 1) Measles cases – monthly aggregated and case-based data reported by Member States to WHO/Europe or via ECDC/TESSy as of 4 March 2019. 2) MCV1 and MCV2 coverage - WHO/UNICEF Estimates of National Immunization Coverage (WUENIC) as of 8 Nov 2018. MCV1: first dose of measles-containing vaccine MCV2: second dose of measles-containing vaccine
  15. 15. Rubella Updates including 2019 15
  16. 16. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 4 March 2019 19 22 50 228 461 0 50 100 150 200 250 300 350 400 450 500 Spain Italy Germany Ukraine Poland Number of cases Five countries with the highest numbers of rubella cases in the WHO European Region, February 2018–January 2019 16 Out of 846 rubella cases reported for February 2018 to January 2019, 780 (92%) cases were reported by these 5 countries.
  17. 17. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 4 March 2019 Rubella cases by month in the WHO European Region, 2017–January 2019 17 0 20 40 60 80 100 120 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 2017 (n=703) 2018 (n=850) 2019 Numberofcases Month Lab confirmed Epi linked Clinically compatible (n=78) Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems.
  18. 18. Rubella Latest update for 2018 18
  19. 19. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 4 March 2019 16 21 57 235 450 0 50 100 150 200 250 300 350 400 450 500 Turkey Italy Germany Ukraine Poland Number of cases Five countries with the highest numbers of rubella cases in the WHO European Region, 2018 19 Out of 850 rubella cases reported for 2018, 779 (92%) cases were reported by these 5 countries.
  20. 20. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 4 March 2019 Rubella cases by month in the WHO European Region, 2016–2018 20 Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems. 0 20 40 60 80 100 120 140 160 180 200 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 2016 (n=1322) 2017 (n=703) 2018 (n=850) Numberofcases Month Lab confirmed Epi linked Clinically compatible
  21. 21. • 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 21 Links to measles and rubella information

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