Measles cases MCV1 coverage MCV2 coverage
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1 Volume 7 Issue 9 tember 2013 ISSN Figure 1. cases by month of onset, WHO Western Pacific Region, Number of cases China Japan Philippines Viet Nam Others Source: and rubella monthly country reports to WHO by 20 tember Includes laboratory confirmed, epi-linked and clinically confirmed cases for Figure 2. cases and immunization coverage, Western pacific Region, Cases (in thousands) 1400 Coverage 100% % 80% % % 50% 40% % % 10% 0 0% EPI control accelerated control elimination Source: WHO-UNICEF Joint Reporting Form (JRF) for Immunization cases MCV1 coverage MCV2 coverage
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 (in millions) 3 cases Confirmed cases Epilinked Lab Annualized Compatible Discarded cases cases 5 Pending classification Deaths due to Rash onset of last confirmed 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 tember Green <1 confirmed case / population 2 Includes laboratory confirmed, epi-linked and clinically confirmed cases for 2009 to Yellow confirmed 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 non rate pop Second level units with 2 discarded cases pop Suspected cases with adequate investigation Suspected cases with adequate blood specimens 2 Annualized discarded non- 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 % 71.4% 85.7% % 0.0% 100.0% Cambodia % 56.1% 99.2% % 68.0% 98.1% China % % 97.9% % 99.4% 94.6% Hong Kong (China) % 92.0% 97.3% % 17.7% 93.2% Macao (China) % 95.7% 100.0% % 31.3% 100.0% Japan % Insufficient data Insufficient data % Insufficient data Insufficient data Lao People's Democratic Republic % 49.3% 76.6% % 34.5% 66.6% Malaysia % 74.4% 83.3% % 0.0% 87.6% Mongolia % 64.2% 100.0% % 0.0% 100.0% New Zealand Insufficient data Insufficient data Insufficient data Insufficient data Insufficient data Insufficient data Insufficient data Insufficient data Papua New Guinea % 61.9% 81.0% % 0.0% 71.9% Philippines % 56.5% 79.5% % 59.4% 85.7% Republic of Korea % 84.0% 90.4% % 61.3% 68.0% Singapore Insufficient data Insufficient data Insufficient data Insufficient data Insufficient data Insufficient data Insufficient data Insufficient data Viet Nam % 44.3% 55.0% % 60.2% 78.7% Pacific island countries and areas 5.7 Insufficient data 0.0% Insufficient data 1.6 Insufficient data 0.0% Insufficient data Western Pacific Region % 88.8% 93.1% % 89.8% 93.3% 1 Includes all cases reported to the Western Pacific Regional Office by 20 tember Green Reached or surpassed target 2 Excludes epidemiologically-linked cases. Yellow Nearly reached target: for non- suspected case rate; % for cent clinically confirmed cases; 60 79% for other indicators 3 Reports only confirmed cases. Red Substantially below target 23
4 Laboratory Table 3A. and rubella laboratory formance, WHO Western Pacific Region, and rubella number of cases number of received Samples for Serum Serology equiv No. No. % No. No. received No. % isolates Reaction equiv No. No. % No. Australia VIDRL Cambodia NPHL Blood DBS Results 7 days Virus detection Virus isolation/detection (swab, urine and others) Reverse Transcription- Polymerase Chain Samples for rubella Serum and blood (includes DBS) China CCDC Hong Kong (China) PHLC Macao (China) PHLC Japan 2 NIID 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 (northern) NIHE, Nha Trang Viet Nam (southern) PI Fiji Mataika House Samoa VIDRL No data Solomon Islands VIDRL No data National laboratory monthly reports received in the Western Pacific Regional Office by 20th of uary Data from the national surveillance report received in the Western Pacific Regional Office by 20th of uary
5 Laboratory Table 3B. and rubella laboratory formance, WHO Western Pacific Region, and rubella number of cases number of received Samples for Serum equiv No. No. % No. Serology No. received No. Timeliness of reults <4 days 2 <7 days % % isolates 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 Samples for rubella Serum and blood (includes DBS) equiv China CCDC Hong Kong (China) PHLC Macao (China) PHLC Japan 3 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 (northern) NIHE, Nha Trang Viet Nam (southern) PI Fiji Mataika House Samoa VIDRL Solomon Islands VIDRL National laboratory monthly reports received in the Western Pacific Regional Office by 20th of tember Recommendation from the Fourth Meeting on Vaccine Preventable Diseases Laboratory Networks in the Western Pacific Region 3 Data from the national surveillance report received in the Western Pacific Regional Office by 20th of tember
6 Figure 2. genotype distribution of cases with onset in 2012 and 2013, 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 4. genotype distribution of cases with onset in 2012 and 2013, WHO Western Pacific Region 2012 B3 D4 D8 D9 D11 G3 H1 A B3 D4 D8 D9 D11 G3 H1 A 2013 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 Sources: National and regional reference laboratory monthly reports from ust 2013 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. 26
7 Figure 3. genotype distribution of cases with onset in 2012 and 2013, WHO Western Pacific Region * Size of the pie chart is proportional to the number of genotypes reported by the country 2B 1E 1j Table 5. genotype distribution of cases with onset in 2012 and 2013, WHO Western Pacific Region E 1j 2B 1E 1j 2B 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 Sources: National and regional reference laboratory monthly reports from ust 2013 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 Table 6A. Completeness and timeliness of epidemiologic reporting, WHO Western Pacific Region, Completeness Timeliness Completeness Timeliness Completeness 2 Timeliness 3 Australia 100% 100% 100% 100% % 100% Brunei Darussalam 100% 100% 100% 100% % 100% Cambodia 75% 42% 100% 92% % 100% China 100% 100% 100% 83% % 75% Hong Kong (China) 100% 100% 100% 100% % 100% Macao (China) 100% 100% 100% 100% % 100% Japan 100% 100% 100% 100% % 75% Lao People's Democratic Republic 92% 92% 100% 75% % 100% Malaysia 100% 92% 100% 92% % 100% Mongolia 100% 100% 100% 100% % 100% New Zealand 100% 83% 100% 83% % 88% Papua New Guinea 75% 42% 83% 33% % 88% Philippines 100% 92% 100% 100% % 100% Republic of Korea 100% 92% 100% 100% % 100% Singapore 100% 92% 100% 100% % 100% Viet Nam 75% 50% 100% 92% % 100% Pacific island countries and areas 75% 67% 100% 100% % 100% Completeness 95% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% Timeliness 89% 92% 94% 100% 94% 82% 100% 94% 94% 100% 95% 1 National surveillance monthly reports from ust 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 6B. 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 % 80% Cambodia 100% 100% 100% 100% % 100% China 0% 0% 17% 17% % 100% Hong Kong (China) 100% 100% 100% 100% % 100% Macao (China) 100% 100% 100% 100% % 100% Japan 100% 100% 100% 100% % 100% Lao People's Democratic Republic 100% 100% 100% 92% % 88% Malaysia 100% 100% 100% 58% % 100% Mongolia 100% 100% 100% 100% % 100% New Zealand 100% 92% 100% 100% % 100% Papua New Guinea 83% 67% 92% 50% % 88% Philippines 100% 100% 100% 92% % 100% Republic of Korea 100% 100% 100% 100% % 100% Singapore 100% 100% 100% 100% % 100% Viet Nam (northern) 100% 75% 92% 83% % 75% Viet Nam (southern) 100% 100% 83% 83% % 75% Fiji 92% 58% 100% 100% % 100% Completeness 93% 93% 100% 100% 94% 100% 94% 100% 100% 100% 99% Timeliness 88% 87% 100% 94% 94% 94% 100% 94% 94% 94% 93% 1 National laboratory monthly reports from ust 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 and rubella laboratories should submit monthly reports by the 10th (or the next working day) of the following month. 4 Brunei Darussalam joined WHO accreditation programme from il 2013 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 8
Figure 1. Confirmed measles cases, WHO Western Pacific Region, 1 30 January 2014
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