Figure 1. Confirmed measles cases, WHO Western Pacific Region, 1 30 January 2014
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1 Volume 8 Issue 2 ruary 2014 ISSN Figure 1. Confirmed measles cases, WHO Western Pacific Region, 1 30 uary dot = 1 case Confirmed cases Australia 70 Brunei Darussalam 0 Cambodia 0 China 1717 Hong Kong (China) 4 Macao (China) 0 Japan 46 Lao People's Democratic Republic 0 Malaysia 2 Mongolia 0 New Zealand 14 Papua New Guinea 3 Philippines 911 Republic of Korea 0 Singapore 26 Viet Nam 474 Pacific island countries and areas 1 Legend: No confirmed case With confirmed case No data 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 lines on maps represent approximate border lines for which there may not yet be full agreement. WHO Regional Office for the Western Pacific All rights reserved Figure 2. cases by month of onset, WHO Western Pacific Region, Number of measles cases China Japan Philippines Viet Nam Others Source: and rubella monthly country reports to WHO by 20 ruary Includes laboratory confirmed, epi-linked and clinically confirmed cases for
2 Table 1. case classification and by country and area, WHO Western Pacific Region, confirmed 2 pop. confirmed pop. confirmed 2 pop confirmed 2 pop. Population Suspected measles (in millions) 3 cases Confirmed measles cases Epilinked Lab Annualized measles Compatible Discarded cases cases 5 Pending classification Deaths due to measles Rash onset of last confirmed measles case Australia N/A ⁴ Brunei Darussalam Cambodia China Hong Kong (China) Macao (China) Japan Lao People's Democratic Republic Malaysia Mongolia New Zealand Papua New Guinea Philippines Republic of Korea Singapore Viet Nam Pacific island countries and areas Western Pacific Region Includes all cases reported to the Western Pacific Regional Office by 20 ruary Green <1 confirmed measles case / population 2 Includes laboratory confirmed, epi-linked and clinically confirmed cases for 2009 to Yellow confirmed measles case / population 3 United Nations, Department of Econimic and Social Affairs, Population Division World Population Prospects. Red >= 10 confirmed cases / population 4 Australia reports confirmed cases only. 5 Excludes vaccine-associated cases 6 Classification is provisional based on laboratory data only. 2
3 Table 2. surveillance formance indicators by country and area, WHO Western Pacific Region, Discarded nonmeasles rate pop Second level units with Suspected cases with Suspected cases with 2 discarded cases pop adequate investigation adequate blood specimens 2 Annualized discarded non-measles rate pop Second level units with 2 discarded cases pop (annualized) Suspected cases with adequate investigation Suspected cases with adequate blood specimens % 80% 80% 2 80% 80% 80% Australia 3 Insufficient data Insufficient data Insufficient data Insufficient data Insufficient data Insufficient data Insufficient data Insufficient data Brunei Darussalam % 87.5% 100.0% % 100.0% 100.0% Cambodia % 68.5% 98.0% % 76.9% 100.0% China % 99.4% 94.6% % 96.1% 83.5% Hong Kong (China) % 94.2% 91.1% % 77.8% 94.4% Macao (China) % 95.0% 100.0% % 100.0% 100.0% Japan % Insufficient data Insufficient data % Insufficient data Insufficient data Lao People's Democratic Republic % 36.1% 66.5% % Malaysia % 82.3% 81.0% % 69.1% 84.3% Mongolia % 100.0% 100.0% % 100.0% 100.0% New Zealand Insufficient data Insufficient data Insufficient data Insufficient data Insufficient data Insufficient data Insufficient data Insufficient data Papua New Guinea % 0.0% 76.3% % 0.0% 0.0% Philippines % 61.7% 84.5% % 35.9% 62.6% Republic of Korea % 63.7% 72.9% % 50.0% 58.3% Singapore % 75.4% 18.1% % 27.0% 32.4% Viet Nam % 57.5% 74.8% % 70.3% 91.0% Pacific island countries and areas 2.0 Insufficient data 0.0% Insufficient data 1.5 Insufficient data 0.0% Insufficient data Western Pacific Region % 94.0% 92.2% % 64.9% 73.4% 1 Includes all cases reported to the Western Pacific Regional Office by 20 ruary Green Reached or surpassed target 2 Excludes epidemiologically-linked cases. Yellow Nearly reached target: for non-measles suspected case rate; % for cent clinically confirmed cases; 60 79% for other indicators 3 Reports only confirmed cases. Red Substantially below tar get 23
4 Table 3. case classification and by country and area, WHO Western Pacific Region, Population (in millions) 2 Investigated rubella cases Confirmed rubella cases Lab Epi-linked Annualized rubella pop. Compatible cases Discarded cases 3 Pending classification Congenital rubella syndrome Australia No data No data Brunei Darussalam Cambodia China Hong Kong (China) Macao (China) Japan No data No data Lao People's Democratic Republic Malaysia Mongolia New Zealand 4.55 No data No data Papua New Guinea 7.49 No data No data Philippines Republic of Korea Singapore 5.34 No data No data Viet Nam Pacific island countries and areas Western Pacific Region Includes all cases reported to the Western Pacific Regional Office by 20 ruary Green <1 confirmed measles case / population 2 United Nations, Department of Econimic and Social Affairs, Population Division World Population Prospects. Yellow confirmed measles case / population 3 Excludes vaccine-associated cases Red >= 10 confirmed cases / population 4 Classification is provisional based on laboratory data only. Gray No data 24
5 Laboratory Table 4A. and rubella laboratory formance, WHO Western Pacific Region, and rubella number of cases number of received Samples for measles No. No. % No. Serology equiv No. received No. % % Virus isolation/detection (swab, urine and others) isolates Reverse Transcription- Polymerase Chain Reaction No. No. No. % No. Australia VIDRL Brunei Darussalam DLS Cambodia NPHL Serum Blood Timeliness of reults DBS <4 days 2 <7 days Virus detection Samples for rubella Serum and blood (includes DBS) equiv China CCDC Hong Kong (China) PHLC Macao (China) PHLC Japan NIID No data No data Lao People's Democratic Republic NCLE Malaysia NPHL Mongolia NCCD New Zealand CHL Papua New Guinea CPHL Philippines RITM Republic of Korea KCDC Singapore SGH Viet Nam (central) Nha Trang Viet Nam (northern) NIHE Viet Nam (southern) PI Fiji Mataika House Samoa VIDRL Solomon Islands VIDRL National measles laboratory monthly reports received in the Western Pacific Regional Office by 20th of ruary Recommendation from the Fourth Meeting on Vaccine Preventable Diseases Laboratory Networks in the Western Pacific Region 5
6 Laboratory Table 4B. and rubella laboratory formance, WHO Western Pacific Region, and rubella number of cases number of received Samples for measles Serum No. No. % No. Serology equiv No. received No. % % isolates No. No. No. % No. Australia VIDRL Brunei Darussalam DLS Cambodia NPHL Blood DBS Timeliness of reults <4 days 2 <7 days Virus detection Virus isolation/detection (swab, urine and others) Reverse Transcription- Polymerase Chain Reaction Samples for rubella Serum and blood (includes DBS) equiv China CCDC Hong Kong (China) PHLC Macao (China) PHLC Japan NIID No data No data No data No data No data No data Lao People's Democratic Republic NCLE Malaysia NPHL Mongolia NCCD New Zealand CHL Papua New Guinea CPHL Philippines RITM Republic of Korea KCDC Singapore SGH Viet Nam (central) Nha Trang Viet Nam (northern) NIHE Viet Nam (southern) PI Fiji Mataika House National measles laboratory monthly reports received in the Western Pacific Regional Office by 20th of ruary Recommendation from the Fourth Meeting on Vaccine Preventable Diseases Laboratory Networks in the Western Pacific Region 6
7 Figure 3. genotype distribution of cases with onset in 2013 and 2014, WHO Western Pacific Region * Size of the pie chart is proportional to the number of genotypes reported by the country B3 D4 D8 D9 D11 G3 H1 Table 5. genotype distribution of cases with onset in 2013 and 2014, WHO Western Pacific Region st Quarter 2nd Quarter 3rd Quarter 4th Quarter 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter Australia B3(1), D9(3), H1(1) B3(3), D9(2) B3(5), D9(10), B3(5), D9(6), H1(3), B3 (21), D8(1), H1(2), G3(5) G3(18) D9(6) Brunei Darussalam Cambodia China H1 (112) D8(28), D9(10), H1(1253) D8(15), D9(9), H1(585) B3(3), D8(8), D9(22), H1(235) H1(109) Hong Kong (China) H1(4) D9(1), H1(5) B3(2), D9(1), H1(4) B3(7), D9(2), H1(3) B3(1), H1(1) Macao (China) H1(1) H1(2) Japan B3(2), D8(6), D9(2), H1(3) Lao People's Democratic Republic H1(10 B3(1), D8(3), D9(1), H1(2) B3(11), D8(5), D9(1) B3(8), D9(1) B3(15), D8(1), D9(1) Malaysia D8(1), D9(5) D8(2) D8(4) Mongolia New Zealand D8(1) B3(1) B3(8), D8(1) Papua New Guinea D9(1) Philippines B3(13) B3(17) Republic of Korea B3(3) B3(41) B3(17) B3(10), D9 (2) B3(1) Singapore D8(1) B3(3), H1(3) D9(7) B3(3), D8(2), D9(2), G3(10) Viet Nam H1(7) H1(4) H1(3) Pacific island countries and areas B3(7), D8(1), D9(4), G3(1) Sources: National and regional measles reference laboratory monthly reports from uary 2014 and the Nucleotide Sequence online database (MeaNS). The boundaries and names shown and the designations used on the maps 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 lines on maps represent approximate border lines for which there may not yet be full agreement. WHO Regional Office for the Western Pacific All rights reserved. 27
8 Figure 4. genotype distribution of cases with onset in 2013 and 2014, WHO Western Pacific Region * Size of the pie chart is proportional to the number of genotypes reported by the country 2B 1E 1j Table 6. genotype distribution of cases with onset in 2013 and 2014, WHO Western Pacific Region st Quarter 2nd Quarter 3rd Quarter 4th Quarter 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter Australia Brunei Darussalam Cambodia China 1E(21), 2B(7) 1E(62), 2B(22) 1E(3) 1E(97), 2B (80) Hong Kong (China) 1E(1), 2B(2) 1E(2), 2B(2) Macao (China) Japan 2B(1) 2B(5) Lao People's Democratic Republic Malaysia 1E(3),2B(25) 2B(15) 2B(6) Mongolia 1E(2) New Zealand Papua New Guinea Philippines 2B(1) 1j(2) 2B(1) Republic of Korea Singapore Viet Nam Pacific island countries and areas Sources: National and regional measles reference laboratory monthly reports from uary 2014 and the Nucleotide Sequence online database (MeaNS). The boundaries and names shown and the designations used on the maps 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 lines on maps represent approximate border lines for which there may not yet be full agreement. WHO Regional Office for the Western Pacific All rights reserved. 28
9 Table 7A. Completeness and timeliness of epidemiologic reporting, WHO Western Pacific Region, Completeness Timeliness Completeness Timeliness 10 Completeness 2 Timeliness 3 Australia 100% 100% 100% 100% % 0% Brunei Darussalam 100% 100% 100% 100% % 100% Cambodia 100% 92% 100% 100% % 100% China 100% 83% 100% 83% % 100% Hong Kong (China) 100% 100% 100% 100% % 100% Macao (China) 100% 100% 100% 100% % 100% Japan 100% 100% 100% 83% % 0% Lao People's Democratic Republic 100% 75% 100% 100% % 100% Malaysia 100% 92% 100% 100% % 100% Mongolia 100% 100% 100% 100% % 100% New Zealand 100% 83% 100% 92% % 100% Papua New Guinea 83% 33% 100% 92% % 100% Philippines 100% 100% 100% 100% % 100% Republic of Korea 100% 100% 100% 100% % 100% Singapore 100% 100% 100% 100% % 100% Viet Nam 100% 92% 100% 100% % 100% Pacific island countries and areas 100% 100% 100% 100% % 100% Completeness 99% 100% 100% 100% Timeliness 92% 97% 88% 88% 1 National measles surveillance monthly reports from uary Legend: black = timely report; red = untimely report 2 Completeness is defined as the number of reports received by the end of the reporting month divided by the number of expected reports for the year. 3 Countries and areas should submit reports by the 10th (or the next working day) of the following month; Pacific island countries and areas and China may report to the Regional Office by the 15th (or the next working day) of the following month. Table 7B. Completeness and timeliness of laboratory reporting, WHO Western Pacific Region, Completeness Timeliness Completeness Timeliness 10 Completeness 3 Timeliness 4 Australia 100% 100% 100% 100% % 100% Brunei Darussalam 100% 78% % 100% Cambodia 100% 100% 100% 100% % 100% China 17% 17% 100% 100% % 100% Hong Kong (China) 100% 100% 100% 100% % 100% Macao (China) 100% 100% 100% 100% % 100% Japan 100% 100% 100% 100% % 0% Lao People's Democratic Republic 100% 92% 92% 92% % 100% Malaysia 100% 58% 100% 100% % 100% Mongolia 100% 100% 100% 100% % 100% New Zealand 100% 100% 100% 100% % 100% Papua New Guinea 92% 50% 83% 83% % 0% Philippines 100% 92% 100% 100% % 100% Republic of Korea 100% 100% 100% 100% % 100% Singapore 100% 100% 100% 100% % 100% Viet Nam (northern) 92% 83% 100% 50% % 0% Viet Nam (southern) 83% 83% 100% 67% % 100% Fiji 100% 100% 100% 100% % 100% Completeness 93% 99% 100% 100% Timeliness 87% 92% 83% 83% 1 National measles laboratory monthly reports from uary Completeness is defined as the number of reports received by the end of the reporting month divided by the number of expected reports for the year. 3 National measles and rubella laboratories should submit monthly reports by the 10th (or the next working day) of the following month. Expanded Programme on Immunization Regional Office for the Western Pacific World Health Organization P.O. Box 2932, 1000 Manila, Philippines Tel. No. (63 2) Fax No. (63 2) , Please send your comments and monthly data before the 10th of the month to: WPR_EPIdata@wpro.who.int 9
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