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Measles and rubella monthly update for the WHO Europen Region

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Data as of 30 July

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Measles and rubella monthly update for the WHO Europen Region

  1. 1. Measles and rubella monthly update for the WHO European Region Data as of 30 July 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 30 July 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, July 2018–June 2019 3 Top 10 countries Country Cases Ukraine 84394 Kazakhstan 9430 Georgia 4950 Israel 3982 Russian Federation 3494 Kyrgyzstan 2928 Turkey 2669 France 2368 North Macedonia 1885 Italy 1831
  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 30 July 2019 Measles incidence per million population in the WHO European Region, July 2018–June 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 1917.64 Georgia 1266.91 North Macedonia 904.05 Kazakhstan 512.39 Kyrgyzstan 477.42 Israel 471.08 Bosnia and Herzegovina 377.62 Lithuania 264.56 Albania 215.04 Bulgaria 147.65
  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 30 July 2019 1831 1885 2368 2669 2928 3494 3982 4950 9430 84394 0 10000 20000 30000 40000 50000 60000 70000 80000 90000 Italy North Macedonia France Turkey Kyrgyzstan Russian Federation Israel Georgia Kazakhstan Ukraine Number of cases Ten countries with the highest numbers of measles cases in the WHO European Region, July 2018–June 2019 Out of 130 281 measles cases reported for July 2018 to June 2019, 117 931 (91%) 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 30 July 2019 Measles cases by month in the WHO European Region, 2017–June 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 Apr May Jun 2017 (n=25870) 2018 (n=84462) 2019 (n=89994) Numberofcases Month Lab confirmed Epi linked Clinically compatible
  7. 7. Measles genotypes by week of sample collection in the WHO European Region, week 27, 2016 to week 26, 2019 7Data source: WHO measles nucleotide surveillance online database (MeaNS) data as of 30 July 2019 0 20 40 60 80 100 120 140 160 180 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 14 15 16 17 18 19 20 21 22 23 24 25 26 2016 2017 2018 2019 Numberofsequencesreported Week of sample collection H1 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 30 July 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 3159 France 2913 Italy 2686 Russian Federation 2290 Georgia 2203 Greece 2193 Romania 2190 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 30 July 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 373.72 Montenegro 322.62 Greece 196.82 Kyrgyzstan 180.01 Romania 111.85 Slovakia 104.96
  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 30 July 2019 1466 2190 2193 2203 2290 2686 2913 3159 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 84 462 measles cases reported for 2018, 77 394 (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 30 July 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=25870) 2018 (n=84462) 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 30 July 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. 631 331 238 186 166 115 29 0 100 200 300 400 500 600 700 0 2000 4000 6000 8000 10000 12000 14000 16000 18000 20000 <1 (n=6811) 1–4 (n=14923) 5–9 (n=13483) 10–14 (n=9902) 15–19 (n=8512) 20–29 (n=13565) 30+ (n=17259) Incidencepermillionpopulation Numberofcases Age group (years) 0 dose 1 dose 2+ doses Unknown Incidence
  14. 14. 14 7884 30604 33254 26788 32857 18869 28413 5273 25870 84462 94 93 94 95 95 94 94 93 95 95 73 80 82 83 89 89 89 88 90 91 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 30 July 2019. 2) MCV1 and MCV2 coverage - WHO/UNICEF Estimates of National Immunization Coverage (WUENIC) as of 15 July 2019. 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 30 July 2019 24 24 35 55 182 372 0 50 100 150 200 250 300 350 400 Russian Federation Italy Turkey Germany Ukraine Poland Number of cases Six countries* with the highest numbers of rubella cases in the WHO European Region, July 2018–June 2019 16 Out of 740 rubella cases reported for July 2018 to June 2019, 692 (94%) cases were reported by these 6 countries. *Six countries are shown this month rather than five because both Italy and the Russian Federation are reporting the same number of cases.
  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 30 July 2019 Rubella cases by month in the WHO European Region, 2017–June 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 Apr May Jun 2017 (n=702) 2018 (n=852) 2019 (n=410) 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 30 July 2019 21 22 58 235 450 0 50 100 150 200 250 300 350 400 450 500 Italy Turkey Germany Ukraine Poland Number of cases Five countries with the highest numbers of rubella cases in the WHO European Region, 2018 19 Out of 852 rubella cases reported for 2018, 786 (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 30 July 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=852) 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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