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Measles and rubella monthly update for the WHO European Region

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Data as of 28 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 28 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 28 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, March 2018–February 2019 3 Top 10 countries Country Cases Ukraine 72408 Kazakhstan 3990 Israel 3541 Georgia* 3017 Serbia 2947 Italy 2498 France 2474 Russian Federation 2212 Kyrgyzstan 2043 Albania 1376 *Based on data from March 2018 to January 2019
  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 28 March 2019 Measles incidence per million population in the WHO European Region, March 2018–February 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 1645.29 Georgia* 772.18 Albania 468.93 Israel 418.91 Serbia 336.34 Kyrgyzstan 333.12 Montenegro 297.19 Kazakhstan 216.80 Slovakia 118.17 Greece 114.52 *Based on data from March 2018 to January 2019
  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 28 March 2019 1376 2043 2212 2474 2498 2947 3017 3541 3990 72408 0 10000 20000 30000 40000 50000 60000 70000 80000 Albania Kyrgyzstan Russian Federation France Italy Serbia Georgia Israel Kazakhstan Ukraine Number of cases * Ten countries with the highest numbers of measles cases in the WHO European Region, March 2018–February 2019 Out of 105 266 measles cases reported for March 2018 to February 2019, 96 506 (92%) cases were reported by these 10 countries. 5 *Based on data from March 2018 to January 2019
  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 28 March 2019 Measles cases by month in the WHO European Region, 2017–February 2019 6 Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems. 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 2017 (n=25869) 2018 (n=83540) 2019 (n=34300) Numberofcases Month Lab confirmed Epi linked Clinically compatible
  7. 7. Measles genotypes by week of sample collection in the WHO European Region, week 9, 2016 to week 8, 2019 7Data source: WHO measles nucleotide surveillance online database (MeaNS) data as of 28 March 2019 0 20 40 60 80 100 120 140 160 180 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 5 6 7 8 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 28 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 3140 France 2913 Italy 2686 Russian Federation 2256 Georgia 2203 Greece 2193 Romania 1471 Albania 1466
  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 28 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 371.47 Montenegro 322.62 Greece 196.82 Kyrgyzstan 179.85 Slovakia 104.96 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 28 March 2019 1466 1471 2193 2203 2256 2686 2913 3140 5076 53218 0 10000 20000 30000 40000 50000 60000 Albania Romania 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 83 540 measles cases reported for 2018, 76 622 (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 28 March 2019 Measles cases by month in the WHO European Region, 2016–2018 12 Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems. 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=83540) Numberofcases Month Lab confirmed Epi linked Clinically compatible
  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 28 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 8 cases. 615 324 236 184 166 115 29 0 100 200 300 400 500 600 700 0 2000 4000 6000 8000 10000 12000 14000 16000 18000 20000 <1 (n=6639) 1-4 (n=14602) 5-9 (n=13365) 10-14 (n=9795) 15-19 (n=8465) 20-29 (n=13495) 30+ (n=17171) Incidencepermillionpopulation Numberofcases Age group (years) 0 dose 1 dose 2+ doses Unknown Incidence
  14. 14. 14 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 28 March 2019. 2) MCV1 and MCV2 coverage - WHO/UNICEF Estimates of National Immunization Coverage (WUENIC) as of 8 Nov 2018. 7884 30604 33254 26788 32857 18869 28413 5273 25869 83540 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 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 28 March 2019 16 22 54 218 440 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, March 2018–February 2019 16 Out of 815 rubella cases reported for March 2018 to February 2019, 750 (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 28 March 2019 Rubella cases by month in the WHO European Region, 2017–February 2019 17 Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems. 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 Feb 2017 (n=703) 2018 (n=850) 2019 (n=144) Numberofcases Month Lab confirmed Epi linked Clinically compatible
  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 28 March 2019 16 21 58 235 450 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, 780 (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 28 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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