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Measles and Rubella monthly update for the WHO Europes Region January 2019

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Measles and Rubella monthly update for the WHO Europes Region January 2019

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Measles and Rubella monthly update for the WHO Europes Region January 2019

  1. 1. Measles and rubella monthly update for the WHO European Region Data as of 1 February 2019 Vaccine-preventable Diseases and Immunization programme Division of Health Emergencies and Communicable Diseases
  2. 2. Measles 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 1 February 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, January–December 2018 3 Top 10 countries Country Cases Ukraine 53218 Serbia 5076 Israel 2919 France 2913 Italy 2517 Russian Federation 2256 Georgia 2203 Greece 2193 Albania 1466 Romania 1087
  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 1 February 2019 Measles incidence per million population in the WHO European Region, January–December 2018 Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2017 Revision. 4 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. Top 10 countries Country Incidence Ukraine 1209.25 Serbia 579.32 Georgia 563.84 Albania 499.60 Israel 345.33 Montenegro 322.62 Greece 196.82 Kyrgyzstan 164.36 Slovakia 104.96 Republic of Moldova 84.14
  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 1 February 2019 1087 1466 2193 2203 2256 2517 2913 2919 5076 53218 0 10000 20000 30000 40000 50000 60000 Romania 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, January–December 2018 Out of 82 596 measles cases reported for 2018, 75 848 (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 1 February 2019 367 518 651 702 897 936 1067 4782 5393 9072 0 1000 2000 3000 4000 5000 6000 7000 8000 9000 10000 Belgium France Tajikistan Serbia Russian Federation Germany Greece Ukraine Italy Romania Number of cases Ten countries with the highest numbers of measles cases in the WHO European Region, January–December 2017 6 Out of 25 863 measles cases reported for 2017, 24 385 (94%) cases were reported by these 10 countries.
  7. 7. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 1 February 2019 Measles cases by month in the WHO European Region, 2016–2018 7 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=25863) 2018 (n=82596) Numberofcases Month Lab confirmed Epi linked Clinically compatible
  8. 8. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 1 February 2019 Measles cases and incidence by age group and vaccination status in the WHO European Region, January–December 2018* 8 Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2017 Revision. *Age was unknown for 7 cases. 596 319 235 182 164 114 29 0 100 200 300 400 500 600 700 0 2000 4000 6000 8000 10000 12000 14000 16000 18000 <1 (n=6441) 1–4 (n=14371) 5–9 (n=13292) 10–14 (n=9694) 15–19 (n=8409) 20–29 (n=13383) 30+ (n=16998) Incidencepermillionpopulation Numberofcases Age group (years) 0 dose 1 dose 2+ doses Unknown Incidence
  9. 9. Ten countries with the highest numbers of measles cases in the WHO European Region for the period January–December 2018 (in alphabetical order) 9
  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 1 February 2019 Albania: measles cases by month, 2016–2018 10 Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems. 0 50 100 150 200 250 300 350 400 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=0) 2017 (n=12) 2018 (n=1466) Numberofcases Month Lab confirmed Epi linked Clinically compatible
  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 1 February 2019 Albania: measles cases and incidence by age group and vaccination status, January–December 2018 11 Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2017 Revision. 8014 1488 286 430 1170 605 194 0 1000 2000 3000 4000 5000 6000 7000 8000 9000 0 50 100 150 200 250 300 350 400 <1 (n=270) 1–4 (n=208) 5–9 (n=46) 10–14 (n=72) 15–19 (n=256) 20–29 (n=273) 30+ (n=341) Incidencepermillionpopulation Numberofcases Age group (years) 0 dose 1 dose 2+ doses Unknown Incidence
  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 1 February 2019 France: measles cases by month, 2016–2018 12 Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems. 0 100 200 300 400 500 600 700 800 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=79) 2017 (n=518) 2018 (n=2913) 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 1 February 2019 France: measles cases and incidence by age group and vaccination status, January–December 2018* 13 Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2017 Revision. *Age was unknown for 1 case. 374 201 74 88 87 63 13 0 50 100 150 200 250 300 350 400 0 100 200 300 400 500 600 700 <1 (n=283) 1–4 (n=614) 5–9 (n=290) 10–14 (n=349) 15–19 (n=341) 20–29 (n=479) 30+ (n=556) Incidencepermillionpopulation Numberofcases Age group (years) 0 dose 1 dose 2+ doses Unknown Incidence
  14. 14. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 1 February 2019 Georgia: measles cases by month, 2016–2018 14 Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems. 0 100 200 300 400 500 600 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=14) 2017 (n=96) 2018 (n=2203) Numberofcases Month Lab confirmed Epi linked Clinically compatible
  15. 15. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 1 February 2019 Georgia: measles cases and incidence by age group and vaccination status, January–December 2018 15 Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2017 Revision. 4635 1451 486 750 744 1121 258 0 500 1000 1500 2000 2500 3000 3500 4000 4500 5000 0 100 200 300 400 500 600 700 <1 (n=220) 1–4 (n=309) 5–9 (n=130) 10–14 (n=173) 15–19 (n=158) 20–29 (n=591) 30+ (n=622) Incidencepermillionpopulation Numberofcases Age group (years) 0 dose 1 dose 2+ doses Unknown Incidence
  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 1 February 2019 Greece: measles cases by month, 2016–2018 16 Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems. 0 100 200 300 400 500 600 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=0) 2017 (n=1067) 2018 (n=2193) Numberofcases Month Lab confirmed Epi linked Clinically compatible
  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 1 February 2019 Greece: measles cases and incidence by age group and vaccination status, January–December 2018 17 Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2017 Revision. 2780 1349 544 484 230 175 71 0 500 1000 1500 2000 2500 3000 0 100 200 300 400 500 600 <1 (n=234) 1–4 (n=496) 5–9 (n=298) 10–14 (n=277) 15–19 (n=127) 20–29 (n=201) 30+ (n=560) Incidencepermillionpopulation Numberofcases Age group (years) 0 dose 1 dose 2+ doses Unknown Incidence
  18. 18. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 1 February 2019 Israel: measles cases by month, 2016–2018 18 Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems. 0 100 200 300 400 500 600 700 800 900 1000 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=10) 2017 (n=16) 2018 (n=2919) Numberofcases Month Lab confirmed Epi linked Clinically compatible
  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 1 February 2019 Israel: measles cases and incidence by age group and vaccination status, January–December 2018 19 Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2017 Revision. 3131 1258 581 422 251 179 100 0 500 1000 1500 2000 2500 3000 3500 0 100 200 300 400 500 600 700 800 900 <1 (n=506) 1–4 (n=847) 5–9 (n=464) 10–14 (n=301) 15–19 (n=164) 20–29 (n=210) 30+ (n=427) Incidencepermillionpopulation Numberofcases Age group (years) 0 dose 1 dose 2+ doses Unknown Incidence
  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 1 February 2019 Italy: measles cases by month, 2016–2018 20 Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems. 0 200 400 600 800 1000 1200 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=861) 2017 (n=5393) 2018 (n=2517) Numberofcases Month Lab confirmed Epi linked Clinically compatible
  21. 21. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 1 February 2019 Italy: measles cases and incidence by age group and vaccination status, January–December 2018* 21 Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2017 Revision. *Age was unknown for 2 cases. 334 166 33 35 54 137 21 0 50 100 150 200 250 300 350 400 0 100 200 300 400 500 600 700 800 900 1000 <1 (n=160) 1–4 (n=325) 5–9 (n=90) 10–14 (n=100) 15–19 (n=151) 20–29 (n=805) 30+ (n=884) Incidencepermillionpopulation Numberofcases Age group (years) 0 dose 1 dose 2+ doses Unknown Incidence
  22. 22. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 1 February 2019 Romania: measles cases by month, 2016–2018 22 Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems. 0 200 400 600 800 1000 1200 1400 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=2432) 2017 (n=9072) 2018 (n=1087) Numberofcases Month Lab confirmed Epi linked Clinically compatible
  23. 23. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 1 February 2019 Romania: measles cases and incidence by age group and vaccination status, January–December 2018 23 Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2017 Revision. 1707 449 143 100 51 23 6 0 200 400 600 800 1000 1200 1400 1600 1800 0 50 100 150 200 250 300 350 400 <1 (n=314) 1–4 (n=335) 5–9 (n=144) 10–14 (n=105) 15–19 (n=53) 20–29 (n=54) 30+ (n=82) Incidencepermillionpopulation Numberofcases Age group (years) 0 dose 1 dose 2+ doses Unknown Incidence
  24. 24. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 1 February 2019 Russian Federation: measles cases by month, 2016–2018 24 Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems. 0 50 100 150 200 250 300 350 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=180) 2017 (n=897) 2018 (n=2256) Numberofcases Month Lab confirmed Epi linked Clinically compatible
  25. 25. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 1 February 2019 Russian Federation: measles cases and incidence by age group and vaccination status, January–December 2018 25 Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2017 Revision. 122 75 27 22 19 17 7 0 20 40 60 80 100 120 140 0 100 200 300 400 500 600 700 <1 (n=214) 1–4 (n=569) 5–9 (n=241) 10–14 (n=163) 15–19 (n=127) 20–29 (n=298) 30+ (n=644) Incidencepermillionpopulation Numberofcases Age group (years) 0 dose 1 dose 2+ doses Unknown Incidence
  26. 26. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 1 February 2019 Serbia: measles cases by month, 2016–2018 26 Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems. 0 200 400 600 800 1000 1200 1400 1600 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=14) 2017 (n=702) 2018 (n=5076) Numberofcases Month Lab confirmed Epi linked Clinically compatible
  27. 27. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 1 February 2019 Serbia: measles cases and incidence by age group and vaccination status, January–December 2018* 27 Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2017 Revision. *Age was unknown for 3 cases. 4408 1885 401 275 445 630 474 0 500 1000 1500 2000 2500 3000 3500 4000 4500 5000 0 500 1000 1500 2000 2500 3000 <1 (n=410) 1–4 (n=699) 5–9 (n=188) 10–14 (n=137) 15–19 (n=235) 20–29 (n=715) 30+ (n=2689) Incidencepermillionpopulation Numberofcases Age group (years) 0 dose 1 dose 2+ doses Unknown Incidence
  28. 28. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 1 February 2019 Ukraine: measles cases by month, 2016–2018 28 Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems. 0 2000 4000 6000 8000 10000 12000 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=90) 2017 (n=4782) 2018 (n=53218) Numberofcases Month Lab confirmed Epi linked Clinically compatible
  29. 29. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 1 February 2019 Ukraine: measles cases and incidence by age group and vaccination status, January–December 2018 29 Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2017 Revision. 6091 4500 4421 3451 3272 1629 292 0 1000 2000 3000 4000 5000 6000 7000 0 2000 4000 6000 8000 10000 12000 <1 (n=2666) 1–4 (n=8393) 5–9 (n=10863) 10–14 (n=7551) 15–19 (n=6305) 20–29 (n=8743) 30+ (n=8697) Incidencepermillionpopulation Numberofcases Age group (years) 0 dose 1 dose 2+ doses Unknown Incidence
  30. 30. Measles genotypes 30
  31. 31. Measles genotypes by week of sample collection in the WHO European Region, 2016–2018 31Data source: WHO measles nucleotide surveillance online database (MeaNS) data as of 1 February 2019 0 20 40 60 80 100 120 140 160 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 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 2016 2017 2018 Numberofsequencesreported Week of sample collection B3 D4 D8 D9 2016 2017 2018
  32. 32. Rubella 32
  33. 33. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 1 February 2019 16 23 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, January–December 2018 33 Out of 850 rubella cases reported for 2018,781 (92%) cases were reported by these 5 countries.
  34. 34. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 1 February 2019 9 41 68 74 476 0 50 100 150 200 250 300 350 400 450 500 Romania Austria Italy Germany Poland Number of cases Five countries with the highest numbers of rubella cases in the WHO European Region, January–December 2017 34 Out of 702 rubella cases reported for 2017,668 (95%) cases were reported by these 5 countries.
  35. 35. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 1 February 2019 Rubella cases by month in the WHO European Region, 2016–2018 35 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=850) Numberofcases Month Lab confirmed Epi linked Clinically compatible Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems.
  36. 36. Five countries with the highest numbers of rubella cases in the WHO European Region for the period January–December 2018 (in alphabetical order) 36
  37. 37. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 1 February 2019 Germany: rubella cases by month, 2016–2018 37 0 2 4 6 8 10 12 14 16 18 20 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=96) 2017 (n=74) 2018 (n=57) Numberofcases Month Lab confirmed Epi linked Clinically compatible Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems.
  38. 38. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 1 February 2019 Italy: rubella cases by month, 2016–2018 38 Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems. 0 2 4 6 8 10 12 14 16 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=30) 2017 (n=68) 2018 (n=23) Numberofcases Month Lab confirmed Epi linked Clinically compatible
  39. 39. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 1 February 2019 Poland: rubella cases by month, 2016–2018 39 0 20 40 60 80 100 120 140 160 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=1105) 2017 (n=476) 2018 (n=450) Numberofcases Month Lab confirmed Epi linked Clinically compatible Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems.
  40. 40. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 1 February 2019 Turkey: rubella cases by month, 2016–2018 40 Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems. 0 1 2 3 4 5 6 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=0) 2017 (n=2) 2018 (n=16) Numberofcases Month Lab confirmed Epi linked Clinically compatible
  41. 41. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 1 February 2019 Ukraine: rubella cases by month, 2018 41 *Rubella cases reporting began January 2018. 0 5 10 15 20 25 30 35 40 45 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* 2017* 2018 (n=235) Numberofcases Month Lab confirmed Epi linked Clinically compatible Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems.
  42. 42. Verification of measles and rubella elimination 42
  43. 43. Measles and rubella elimination status in the WHO European Region, 2017 43Data source: 7th meeting of the European Regional Verification Commission for Measles and Rubella Elimination (RVC). Meeting report (2018). 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.
  44. 44. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 1 February 2019 Measles discard rate per hundred thousand population in the WHO European Region, January–December 2018 Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2017 Revision. 44 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.

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