6/2020

1. Vaccine-preventable Diseases and Immunization programme
Division of country health programmes
Data as of 03 July 2020
Measles and rubella monthly update—
WHO European Region
www.euro.who.int

2. Measles
Updates including 2020
2

3. 3
Measles cases—WHO European Region,
June 2019–May 2020
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 2020. All rights reserved.
Top 10 countries
Country Cases
Kazakhstan 7467
Ukraine 6721
Uzbekistan 5323
Russian Federation 2128
Romania 1652
Turkey 1388
France 1312
Kyrgyzstan 882
Bulgaria 655
Italy 590
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 03 July 2020

4. 4
Measles incidence per million population—
WHO European Region, June 2019–May 2020
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 2020. All rights reserved.
Top 10 countries
Country Incidence
Kazakhstan 402.50
Uzbekistan 161.39
Ukraine 152.77
Kyrgyzstan 137.47
North Macedonia 101.75
Bulgaria 93.57
Romania 85.31
Bosnia and Herzegovina 82.40
Georgia 49.29
San Marino 29.53
Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2019 Revision.
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 03 July 2020

5. 5
Ten countries with the highest numbers of measles cases—
WHO European Region, June 2019–May 2020
590
655
882
1312
1388
1652
2128
5323
6721
7467
0 1000 2000 3000 4000 5000 6000 7000 8000
Italy
Bulgaria
Kyrgyzstan
France
Turkey
Romania
Russian Federation
Uzbekistan
Ukraine
Kazakhstan
Number of cases
Out of 30 871 measles cases reported for June 2019 to May 2020,
28 118 (91%) cases were reported by these 10 countries.
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 03 July 2020

6. 6
Measles cases by month—WHO European Region,
2018–May 2020
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
2018
(n=88693)
2019
(n=104438)
2020
(n=11802)
Numberofcases
Month
Lab confirmed Epi linked Clinically compatible
Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems.
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 03 July 2020

7. 7
Measles genotypes by week of sample collection—
WHO European Region, week 22, 2017 to week 22, 2020
0
20
40
60
80
100
120
140
160
180
200
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
14
15
17
18
19
20
21
22
2018 2019 2020
Numberofsequencesreported
Week of sample collection
H1 D4 D9 B3 D8
2017 2018 2019 2020
Data source: WHO measles nucleotide surveillance online database (MeaNS) data as of 03 July 2020

8. Measles
Latest update for 2019
8

9. 9
Measles cases—WHO European Region, 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 2020. All rights reserved.
Top 10 countries
Country Cases
Ukraine 57332
Kazakhstan 13326
Russian Federation 4169
Georgia 3920
Turkey 2890
France 2637
Kyrgyzstan 2303
North Macedonia 1884
Uzbekistan 1750
Romania 1733
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 03 July 2020

10. 10
Measles incidence per million population—
WHO European Region, 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 2020. All rights reserved.
Top 10 countries
Country Incidence
Ukraine 1303.19
Georgia 980.79
North Macedonia 904.27
Kazakhstan 718.33
Bosnia and Herzegovina 424.42
Kyrgyzstan 358.95
San Marino 324.87
Lithuania 301.49
Bulgaria 178.14
Albania 167.31
Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2019 Revision.
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 03 July 2020

11. 11
Ten countries with the highest numbers of measles cases—
WHO European Region, 2019
1733
1750
1884
2303
2637
2890
3920
4169
13326
57332
0 10000 20000 30000 40000 50000 60000
Romania
Uzbekistan
North Macedonia
Kyrgyzstan
France
Turkey
Georgia
Russian Federation
Kazakhstan
Ukraine
Number of cases
Out of 104 438 measles cases reported for 2019, 91 944 (88%) cases were
reported by these 10 countries.
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 03 July 2020

12. 12
Measles cases by month—WHO European Region,
2017–2019
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
Jul
Aug
Sep
Oct
Nov
Dec
2017
(n=25872)
2018
(n=88693)
2019
(n=104438)
Numberofcases
Month
Lab confirmed Epi linked Clinically compatible
Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems.
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 03 July 2020

13. 13
Measles cases and incidence by age group* and vaccination
status—WHO European Region, 2019
*Age was unknown for 740 cases.
Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2019 Revision.
1063
416
229
181 158 145
42
0
200
400
600
800
1000
1200
0
5000
10000
15000
20000
25000
30000
<1
(n=11593)
1–4
(n=18942)
5–9
(n=13167)
10–14
(n=9930)
15–19
(n=8166)
20–29
(n=16794)
30+
(n=25106)
Incidencepermillionpopulation
Numberofcases
Age group (years)
0 dose 1 dose 2+ doses Unknown Incidence
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 03 July 2020

14. 14
Measles cases, MCV1 and MCV2 coverage by year—
WHO European Region, 2010–2019
Data source: 1) Measles cases – monthly aggregated and case-based data reported by Member States to WHO/Europe or via ECDC/TESSy as of 03 July 2020.
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
30604
33254
26788
32857
18869
28413
5273
25872
88693
104438
93 94 95 95 94 94 93
95 95
80
82 83
89 89 89 88
90 91
0
20
40
60
80
100
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
0
20000
40000
60000
80000
100000
120000
%Coverage
Year
Numberofcases
Measles cases MCV1 coverage MCV2 coverage

15. Rubella
Updates including 2020
15

16. 16
Five countries with the highest numbers of rubella cases—
WHO European Region, June 2019–May 2020
24
31
45
71
194
0 50 100 150 200 250
Italy
Turkey
Germany
Ukraine
Poland
Number of cases
Out of 404 rubella cases reported for June 2019 to May 2020, 365
(90%) cases were reported by these 5 countries.
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 03 July 2020

17. 17
Rubella cases by month—WHO European Region,
2018–May 2020
0
20
40
60
80
100
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
2018
(n=838)
2019
(n=633)
2020
(n=138)
Numberofcases
Month
Lab confirmed Epi linked Clinically compatible
Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems.
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 03 July 2020

18. Rubella
Latest update for 2019
18

19. 19
Five countries with the highest numbers of rubella cases—
WHO European Region, 2019
34
45
57
142
292
0 50 100 150 200 250 300 350
Russian Federation
Turkey
Germany
Ukraine
Poland
Number of cases
Out of 633 rubella cases reported for 2019, 570 (90%) cases
were reported by these 5 countries.
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 03 July 2020

20. 20
Rubella cases by month—WHO European Region,
2017–2019
0
20
40
60
80
100
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
2017
(n=702)
2018
(n=838)
2019
(n=633)
Numberofcases
Month
Lab confirmed Epi linked Clinically compatible
Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems.
Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 03 July 2020

21. 21
Links to measles and rubella information
• 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