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Measles and rubella monthly update for the WHO European Region

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Measles and rubella monthly update for the WHO European Region
Data as of 06 May 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 06 May 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 06 May 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, April 2018–March 2019 3 Top 10 countries Country Cases Ukraine 78659 Kazakhstan 5908 Georgia 4678 Israel 3755 Kyrgyzstan 2534 Russian Federation 2422 Italy* 2107 France 2028 Serbia 1426 Romania 1390 *Based on data from April 2018 to February 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 06 May 2019 Measles incidence per million population in the WHO European Region, April 2018–March 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 1787.33 Georgia 1197.30 Israel 444.23 North Macedonia 424.45 Kyrgyzstan 413.18 Albania 398.38 Kazakhstan 321.02 Montenegro 211.37 Serbia 162.75 Slovakia 130.83
  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 06 May 2019 1390 1426 2028 2107 2422 2534 3755 4678 5908 78659 0 10000 20000 30000 40000 50000 60000 70000 80000 90000 Romania Serbia France Italy Russian Federation Kyrgyzstan Israel Georgia Kazakhstan Ukraine Number of cases * Ten countries with the highest numbers of measles cases in the WHO European Region, April 2018–March 2019 Out of 114 798 measles cases reported for April 2018 to March 2019, 104 907 (91%) cases were reported by these 10 countries. 5 *Based on data from April 2018 to February 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 06 May 2019 Measles cases by month in the WHO European Region, 2017–March 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 Mar 2017 (n=25869) 2018 (n=84089) 2019 (n=51235) Numberofcases Month Lab confirmed Epi linked Clinically compatible
  7. 7. Measles genotypes by week of sample collection in the WHO European Region, week 14, 2016 to week 13, 2019 7Data source: WHO measles nucleotide surveillance online database (MeaNS) data as of 06 May 2019 0 20 40 60 80 100 120 140 160 180 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 9 10 11 12 13 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 06 May 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 3154 France 2913 Italy 2686 Russian Federation 2256 Georgia 2203 Greece 2193 Romania 2005 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 06 May 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 373.13 Montenegro 322.62 Greece 196.82 Kyrgyzstan 180.01 Slovakia 104.96 Romania 102.40
  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 06 May 2019 1466 2005 2193 2203 2256 2686 2913 3154 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 84 089 measles cases reported for 2018, 77 170 (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 06 May 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=84089) 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 06 May 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. 677 418 339 289 284 197 51 0 100 200 300 400 500 600 700 800 0 2000 4000 6000 8000 10000 12000 14000 16000 18000 20000 <1 (n=6760) 1–4 (n=14774) 5–9 (n=13428) 10–14 (n=9863) 15–19 (n=8498) 20–29 (n=13539) 30+ (n=17220) Incidencepermillionpopulation Numberofcases Age group (years) 0 dose 1 dose 2+ doses Unknown Incidence
  14. 14. 14 7884 30604 33254 26788 32857 18869 28413 5273 25869 84089 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 06 May 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 06 May 2019 17 20 54 215 437 0 50 100 150 200 250 300 350 400 450 500 Russian Federation Italy Germany Ukraine Poland Number of cases * Five countries with the highest numbers of rubella cases in the WHO European Region, April 2018–March 2019 16 Out of 807 rubella cases reported for April 2018 to March 2019, 743 (92%) cases were reported by these 5 countries. *Based on data from April 2018 to February 2019
  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 06 May 2019 Rubella cases by month in the WHO European Region, 2017–March 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 Mar 2017 (n=702) 2018 (n=847) 2019 (n=213) 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 06 May 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 847 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 06 May 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=702) 2018 (n=847) 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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