Figure 1. Distribution of confirmed measles cases with rash onset 1 30 September 2014, WHO Western Pacific Region
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1 Volume 8 Issue 10 ober 2014 ISSN Figure 1. Distribution of confirmed measles cases with rash onset 1 30 tember 2014, WHO Western Pacific Region 1 dot = 1 case Legend: No confirmed case With confirmed case No case based data Dots are placed at random within the corresponding district, and might not reflect the exact location of the case *Map of Australia is from the Australian Bureau of Statistics 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 Source: and rubella monthly country reports to the Western Pacific Regional Office by 20 ober 2014 Table 1. Confirmed measles cases by month of onset, ober 2013 tember 2014, WHO Western Pacific Region Australia 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 Source: Case based and aggregate data reports to the Western Pacific Regional Office by 20 ober 2014
2 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 ober Includes laboratory confirmed, epi-linked and clinically confirmed cases for Table 2. Schedule of activities for measles and rubella, WHO Western Pacific Region Countries and areas 2nd dose introduction introduction Post introduction evaluation Supplementary immunzation activities Australia 1994 (MMR) 1971 Brunei Darussalam 1988 (MMR) 1984 Cambodia 2012 (M) 2013 e y 2014 ( second dose) China 1986 (MMR) 1998 Hong Kong (China) 1997 (MMR) 1978 Macao (China) 1990 (MMR) 1985 Japan 2006 (MR) 1989 Lao People's Democratic Republic 2012 ember 2014 (MR, 9m to <10y) Malaysia 2002 (M) 1998 Mongolia 1989 (MMR) 2009 New Zealand 1992 (MMR) 1979 Papua New Guinea il tember 2015 (MR, 9m to <15y) Philippines 2010 (MMR) 2010 tember 2014 (MR, 9m to <5y) Republic of Korea 1997 (MMR) 1982 Singapore 1998 (MMR) 1990 Viet Nam 2006 (M) 2014 ober 2014 e 2015 (MR, 9m to <15y) Pacific island countries and areas Federated States of Micronesia - ongoing (MMR, 6m to 49y) Solomon Islands - ongoing (MR, 6m to 30y) 2
3 Table 3. case classification and incidence by country and area, WHO Western Pacific Region, confirmed 2 incidence per 1 million pop. confirmed incidence per 1 million pop. confirmed 2 incidence per 1 million pop. confirmed 2 incidence per 1 million pop. Confirmed measles cases Annualized Suspected measles Population measles Epilinked per incidence (in millions) 3 cases Lab 1 million 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 ober 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 Economic 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. Verified as having interrupted endemic measles virus transmission 3
4 Table 4. surveillance performance indicators by country and area, WHO Western Pacific Region, Discarded nonmeasles rate per pop Second level units with 2 discarded cases per pop Suspected cases with Suspected cases with adequate adequate blood investigation specimens 2 Annualized discarded non-measles rate per pop Second level units with 2 discarded cases per 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% % 61.5% 99.3% China % 99.4% 94.6% % 98.9% 95.1% Hong Kong (China) % 94.2% 91.1% % 100.0% 92.4% 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% % 85.2% 86.1% Malaysia % 82.3% 81.1% % 79.2% 91.1% 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% 95.2% Philippines % 46.1% 63.2% % 61.1% 83.0% Republic of Korea % 63.7% 72.9% % 95.9% 61.4% Singapore % 75.4% 18.1% % 83.4% 24.7% Viet Nam % 49.2% 63.9% % 48.3% 91.1% Pacific island countries and areas 2.0 Insufficient data 0.0% Insufficient data 4.2 Insufficient data 0.0% Insufficient data Western Pacific Region % 91.7% 89.9% % 82.3% 91.1% 1 Includes all cases reported to the Western Pacific Regional Office by 20 ober Green Reached or surpassed target 2 Excludes epidemiologically-linked cases. Yellow Nearly reached target: for non-measles suspected case rate; % for percent clinically confirmed cases; 60 79% for other indicators 3 Reports only confirmed cases. Red Substantially below target 24
5 Table 5. case classification and incidence by country and area, WHO Western Pacific Region, Population (in millions) 2 Investigated rubella cases Confirmed rubella cases Lab Epi-linked Annualized rubella incidence per 1 million 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 Viet Nam Pacific island countries and areas Western Pacific Region Includes all cases reported to the Western Pacific Regional Office by 20 ober Green <1 confirmed measles case / population 2 United Nations, Department of Economic 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 25
6 Laboratory Table 6A. and rubella laboratory performance, WHO Western Pacific Region, and rubella number of cases number of received Samples for measles IgM No. No. % No. Serology No. received No. % % isolates No. No. No. % No. Australia VIDRL Brunei Darussalam DLS Cambodia NPHL Serum Blood Timeliness of reults IgM IgM equiv DBS <4 days 2 <7 days Virus detection Virus isolation/detection (swab, urine and others) Reverse Transcription- Polymerase Chain Reaction Samples for rubella IgM Serum and blood (includes DBS) IgM IgM equiv China 3 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 20 ruary Recommendation from the Fourth Meeting on Vaccine Preventable Diseases Laboratory Networks in the Western Pacific Region 3 National measles laboratory report is not available 6
7 Laboratory Table 6B. and rubella laboratory performance, WHO Western Pacific Region, and rubella number of cases number of received Samples for measles IgM Serum IgM No. No. % No. Serology IgM equiv No. received No. Timeliness of reults <4 days 2 <7 days % % isolates No. No. No. % No. Australia VIDRL Brunei Darussalam DLS Cambodia NPHL Blood DBS Virus detection Virus isolation/detection (swab, urine and others) Reverse Transcription- Polymerase Chain Reaction number of lab confirmed cases Samples for rubella IgM Serum and blood (includes DBS) IgM IgM equiv China 3 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 (highland) IHE Viet Nam (northern) NIHE Viet Nam (southern) PI Fiji Mataika House Vanuatu Mataika House National measles laboratory monthly reports received in the Western Pacific Regional Office by 20 ober Recommendation from the Fourth Meeting on Vaccine Preventable Diseases Laboratory Networks in the Western Pacific Region 3 National measles laboratory report is not available 7
8 Figure 3. genotype distribution of cases with onset in 2013 and 2014, WHO Western Pacific Region B3 D4 D8 D9 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. D11 G3 H1 * Size of the pie chart is proportional to the number of genotypes reported by the country 8 Table 7. genotype distribution of cases with onset in ober 2013 to tember 2014, WHO Western Pacific Region B3 D9 G3 H1 B3 D8 D9 G3 H1 B3 D8 D9 H1 B3 D8 D9 G3 H1 B3 D8 D9 G3 H1 B3 D8 D9 H1 B3 D8 D9 G3 H1 B3 D8 D9 H1 B3 D8 D9 H1 B3 D8 D9 H1 B3 D8 D9 H1 B3 D8 D9 H1 Australia Brunei Darussalam Cambodia China Hong Kong (China) Macao (China) 1 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 4 Sources: National and regional measles reference laboratory monthly reports from tember 2014 and the Nucleotide Sequence online database (MeaNS).
9 Figure 4. genotype distribution of cases with onset in 2013 and 2014, WHO Western Pacific Region B 1E 1J Sources: National and regional measles reference laboratory monthly reports from tember 2014 and the Nucleotide Sequence online database (MeaNS). 9 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. * Size of the pie chart is proportional to the number of genotypes reported by the country Table 8. genotype distribution of cases with onset in ober 2013 to tember 2014, WHO Western Pacific Region B 1E 1J 2B 1E 1J 2B 1E 1J 2B 1E 1J 2B 1E 1J 2B 1E 1J 2B 1E 1J 2B 1E 1J 2B 1E 1J 2B 1E 1J 2B 1E 1J 2B 1E 1J Australia Brunei Darussalam Cambodia China Hong Kong (China) 1 1 Macao (China) Japan Lao People's Democratic Republic Malaysia Mongolia New Zealand 1 1 Papua New Guinea Philippines Republic of Korea Singapore Viet Nam Pacific island countries and areas 4
10 Table 9A. Completeness and timeliness of epidemiologic reporting, WHO Western Pacific Region, Completeness Timeliness Completeness Timeliness Completeness 2 Timeliness 3 Australia 100% 100% 100% 100% % 89% Brunei Darussalam 100% 100% 100% 100% % 100% Cambodia 100% 92% 100% 100% % 100% China 100% 83% 100% 83% % 56% Hong Kong (China) 100% 100% 100% 100% % 100% Macao (China) 100% 100% 100% 100% % 100% Japan 100% 100% 100% 83% % 22% Lao People's Democratic Republic 100% 75% 100% 100% % 100% Malaysia 100% 92% 100% 100% % 89% Mongolia 100% 100% 100% 100% % 100% New Zealand 100% 83% 100% 92% % 100% Papua New Guinea 83% 33% 100% 92% % 56% 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% 100% 100% 100% 100% 100% 94% 100% 99% Timeliness 92% 97% 88% 88% 94% 94% 82% 88% 88% 82% 94% 89% 1 National measles surveillance monthly reports from tember 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 9B. Completeness and timeliness of laboratory reporting, WHO Western Pacific Region, Completeness Timeliness Completeness Timeliness 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% % 44% Lao People's Democratic Republic 100% 92% 92% 92% % 100% Malaysia 100% 58% 100% 100% % 78% Mongolia 100% 100% 100% 100% % 100% New Zealand 100% 100% 100% 100% % 100% Papua New Guinea 92% 50% 83% 83% % 89% Philippines 100% 92% 100% 100% % 89% Republic of Korea 100% 100% 100% 100% % 100% Singapore 100% 100% 100% 100% % 100% Viet Nam (central) % 75% Viet Nam (highlands) % 88% Viet Nam (northern) 92% 83% 100% 50% % 89% Viet Nam (southern) 83% 83% 100% 67% % 100% Fiji 100% 100% 100% 100% % 100% Completeness 93% 99% 100% 100% 100% 100% 95% 90% 100% 100% 100% 98% Timeliness 87% 92% 83% 90% 95% 100% 90% 85% 100% 90% 0% 81% 1 National measles laboratory monthly reports from tember 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 10
Figure 1. Distribution of confirmed measles cases with rash onset 1 31 August 2014, WHO Western Pacific Region
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Volume 8 Issue 4 il 2014 ISSN 1814 3601 Figure 1. Confirmed measles cases, WHO Western Pacific Region, 1 31 ch 2014 1 dot = 1 case Confirmed cases Australia 33 Brunei Darussalam 0 Cambodia 0 China 7675
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Volume 8 Issue 2 ruary 2014 ISSN 1814 3601 Figure 1. Confirmed measles cases, WHO Western Pacific Region, 1 30 uary 2014 1 dot = 1 case Confirmed cases Australia 70 Brunei Darussalam 0 Cambodia 0 China
Legend: No confirmed case With confirmed case No case based data
Volume 10 Issue 4 il 2016 ISSN 1814 3601 Figure 1. Distribution of confirmed measles cases with rash onset 1 31 ch 2016, WHO Western Pacific Region Legend: No confirmed case With confirmed case No case
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Volume 7 Issue 9 tember 2013 ISSN 1814 3601 30 000 Figure 1. cases by month of onset, WHO Western Pacific Region, 2008 2013 1 Number of cases 25 000 20 000 15 000 10 000 5 000 0 2008 2009 2010 2011 2012
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Volume 11 Issue 1 uary 2017 ISSN 1814 3601 Figure 1. Distribution of confirmed measles cases with rash onset 1 31 ember, WHO Western Pacific Region Legend: No confirmed case With confirmed case No case
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Volume 13 Issue 1 uary 2019 ISSN 1814 3601 Figure 1. Incidence rate of total ( and compatible) measles cases with rash onset 1 31 ember, WHO Western Pacific Region Legend: No cases
Legend: No confirmed case With confirmed case No case based data
Volume 11 Issue 3 ch ISSN 1814 3601 Figure 1. Distribution of measles cases with rash onset 1 28 ruary, WHO Western Pacific Region Legend: No case With case No case based data Dots are placed at random
Legend: No confirmed case With confirmed case No case based data
Volume 11 Issue 10 ober ISSN 1814 3601 Figure 1. Distribution of measles with rash onset 1 30 tember, WHO Western Pacific Region Legend: No case With case No case based data Dots are placed at rom within
Legend: No confirmed case With confirmed case** No case based data
Volume 11 Issue 9 September ISSN 1814 3601 Figure 1. Distribution of measles with rash onset 1 31 ust, WHO Western Pacific Region Legend: No case With case** No case based data Dots are placed at rom within
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