Table 1. Measles case classification and incidence by country and area, WHO Western Pacific Region,

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1 Volume 7 Issue 5 May 2013 ISSN Table 1. case classification and by country and area, WHO Western Pacific Region, confirmed per confirmed Confirmed measles Suspected Population per confirmed 2 per confirmed 2 per (in millions) 3 measles Lab Epi-linked Australia N/A ⁴ Apr-13 Brunei Darussalam Jul-12 Cambodia Nov-11 China Apr-13 Hong Kong (China) Apr-13 Macao (China) Feb-12 Japan Apr-13 Lao People's Democratic Republic Mar-13 Malaysia Apr-13 Mongolia Jun-10 New Zealand Mar-13 Papua New Guinea Jan-08 Philippines Apr-13 Republic of Korea Apr-13 Singapore Apr-13 Viet Nam Dec-12 Pacific island countries and areas Aug-11 Western Pacific Region Includes all reported to the Western Pacific Regional Office by 20 May Green <1 confirmed measles case / population 2 Includes laboratory confirmed, epi-linked and clinically confirmed 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 / population 4 Australia reports confirmed only. 5 Classification is provisional based on laboratory data only. Annualized measles per Compatible Discarded Pending Deaths due classification to measles Rash onset of last confirmed measles case Table 2. surveillance performance indicators by country and area, WHO Western Pacific Region, Discarded non-measles rate per pop Second level units with 1 discarded per pop (annualized) Suspected with adequate investigation Suspected with adequate blood specimens 2 Annualized discarded non-measles rate per pop Second level units with 1 discarded per pop (annualized) Suspected with adequate investigation Suspected 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% % 100.0% 100.0% Cambodia % 56.1% 99.2% % 44.6% 94.1% China % 99.0% 97.9% % 99.3% 93.7% Hong Kong (China) % 92.0% 97.3% % 98.1% 98.1% Macao (China) % 95.7% 100.0% % 100.0% 100.0% Japan % Insufficient data Insufficient data % Insufficient data Insufficient data Lao People's Democratic Republic % 49.3% 76.6% % 32.4% 76.9% Malaysia % 74.4% 83.4% % 82.7% 81.6% Mongolia % 64.2% 100.0% % 45.5% 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% % 80.0% 85.0% Philippines % 56.5% 79.4% % 72.0% 83.1% Republic of Korea % 84.0% 90.4% % 63.4% 82.9% Singapore Insufficient data Insufficient data Insufficient data Insufficient data Insufficient data Insufficient data Insufficient data Insufficient data Viet Nam % 44.3% 55.0% % 27.9% 52.7% Pacific island countries and areas 5.7 Insufficient data 0.0% Insufficient data 2.0 Insufficient data 0.0% Insufficient data Western Pacific Region % 88.8% 93.1% % 96.5% 92.5% 1 Includes all reported to the Western Pacific Regional Office by 20 May Green Reached or surpassed target 2 Excludes epidemiologically-linked. Yellow Nearly reached target: for non-measles suspected case rate; % for percent clinically confirmed ; 60 79% for other indicators 3 Reports only confirmed. Red Substantially below target

2 Table 3A. and rubella laboratory performance, WHO Western Pacific Region, and rubella Serum Serology Blood Virus detection Serum and blood (includes DBS) number of number of for measles equiv (-) % DBS Results 7 days % Virus isolation/detection (swab, urine and others) isolates Reverse Transcription- Polymerase Chain Reaction number of lab confirmed for rubella equiv Australia Cambodia China Hong Kong (China) Macao (China) Japan No data Lao People's Democratic Republic Malaysia Mongolia New Zealand Papua New Guinea Philippines Republic of Korea Singapore Viet Nam (northern) Viet Nam (southern) Fiji Samoa No data Solomon Islands No data National measles laboratory monthly reports in the Western Pacific Regional Office by 20th of January Data from the national measles surveillance report in the Western Pacific Regional Office by 20th of January Specimens were in Victorian Infectious Diseases Reference Laboratory, Australia 2

3 Table 3B. and rubella laboratory performance, WHO Western Pacific Region, and rubella Serum Serology Blood Virus detection Serum and blood (includes DBS) number of number of for measles equiv (-) % DBS Results 7 days % Virus isolation/detection (swab, urine and others) isolates Reverse Transcription- Polymerase Chain Reaction number of lab confirmed for rubella equiv Australia % Brunei Darussalam % % Cambodia % % China Hong Kong (China) % % Macao (China) % % Japan % No data No data No data No data No data Lao People's Democratic Republic % % Malaysia % % Mongolia % % New Zealand % % Papua New Guinea Philippines % % Republic of Korea % % Singapore % % Viet Nam (northern) % % Viet Nam (southern) % % Fiji % % % % National measles laboratory monthly reports in the Western Pacific Regional Office by 20th of May Data from the national measles surveillance report in the Western Pacific Regional Office by 20th of May

4 Figure 1. genotype distribution of with onset in 2012 and 2013, WHO Western Pacific Region HOK LAO MYS B3 D4 D8 D9 D11 G3 H1 Sources: National and regional measles reference laboratory monthly reports from April 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. 4

5 Figure 2. genotype distribution of with onset in 2012 and 2013, WHO Western Pacific Region HOK HOK KHM 2B 1E 1j Sources: National and regional measles reference laboratory monthly reports from April 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. 5

6 Table 4A. Completeness and timeliness of epidemiologic reporting, WHO Western Pacific Region, Completeness Timeliness Completeness Timeliness Jan Feb Mar Apr 10 Feb 10 Mar 10 Apr 10 May Completeness 2 Timeliness 3 Australia 100% 100% 100% 100% 07 Feb 06 Mar 05 Apr 09 May 100% 100% Brunei Darussalam 100% 100% 100% 100% 10 Feb 09 Mar 08 Apr 07 May 100% 100% Cambodia 75% 42% 100% 92% 10 Feb 10 Mar 10 Apr 10 May 100% 100% China 100% 100% 100% 83% 13 Feb 13 Mar 16 Apr 16 May 100% 50% Hong Kong (China) 100% 100% 100% 100% 08 Feb 07 Mar 09 Apr 10 May 100% 100% Macao (China) 100% 100% 100% 100% 05 Feb 04 Mar 03 Apr 08 May 100% 100% Japan 100% 100% 100% 100% 13 Feb 08 Mar 10 Apr 13 May 100% 50% Lao People's Democratic Republic 92% 92% 100% 75% 06 Feb 10 Mar 10 Apr 03 May 100% 100% Malaysia 100% 92% 100% 92% 09 Feb 08 Mar 09 Apr 10 May 100% 100% Mongolia 100% 100% 100% 100% 08 Feb 07 Mar 09 Apr 09 May 100% 100% New Zealand 100% 83% 100% 83% 08 Feb 08 Mar 08 Apr 75% 75% Papua New Guinea 75% 42% 83% 33% 08 Feb 05 Mar 10 Apr 09 May 100% 100% Philippines 100% 92% 100% 100% 08 Feb 10 Mar 09 Apr 02 May 100% 100% Republic of Korea 100% 92% 100% 100% 07 Feb 08 Mar 05 Apr 10 May 100% 100% Singapore 100% 92% 100% 100% 04 Feb 05 Mar 04 Apr 07 May 100% 100% Viet Nam 75% 50% 100% 92% 10 Feb 10 Mar 10 Apr 10 May 100% 100% Pacific island countries and areas 75% 67% 100% 100% 06 Feb 05 Mar 08 Apr 02 May 100% 100% Completeness 95% 99% 100% 100% 100% 94% 99% Timeliness 89% 92% 94% 100% 94% 82% 93% 1 National measles surveillance monthly reports from April Legend: black = timely report; red = untimely report 2 Completeness is defined as the number of reports 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 4B. Completeness and timeliness of laboratory reporting, WHO Western Pacific Region, Completeness Timeliness Completeness Timeliness Jan Feb Mar Apr Completeness 2 Timeliness 3 Australia 100% 100% 100% 100% 05 Feb 01 Mar 09 Apr 01 May 100% 100% Brunei Darussalam 4 07 May 100% 100% Cambodia 100% 100% 100% 100% 08 Feb 10 Mar 10 Apr 09 May 100% 100% China 0% 0% 17% 17% 09 Feb 01 Mar 07 Apr 02 May 100% 100% Hong Kong (China) 100% 100% 100% 100% 08 Feb 08 Mar 09 Apr 09 May 100% 100% Macao (China) 100% 100% 100% 100% 07 Feb 05 Mar 04 Apr 03 May 100% 100% Japan 100% 100% 100% 100% 08 Feb 08 Mar 10 Apr 08 May 100% 100% Lao People's Democratic Republic 100% 100% 100% 92% 08 Feb 10 Mar 10 Apr 09 May 100% 100% Malaysia 100% 100% 100% 58% 08 Feb 05 Mar 09 Apr 10 May 100% 100% Mongolia 100% 100% 100% 100% 07 Feb 08 Mar 05 Apr 06 May 100% 100% New Zealand 100% 92% 100% 100% 08 Feb 07 Mar 09 Apr 10 May 100% 100% Papua New Guinea 83% 67% 92% 50% 10 Feb 08 Mar 08 May 75% 75% Philippines 100% 100% 100% 92% 06 Feb 08 Mar 10 Apr 07 May 100% 100% Republic of Korea 100% 100% 100% 100% 08 Feb 08 Mar 09 Apr 10 May 100% 100% Singapore 100% 100% 100% 100% 08 Feb 08 Mar 09 Apr 09 May 100% 100% Viet Nam (northern) 100% 75% 92% 83% 07 Feb 12 Mar 07 Apr 12 May 100% 75% Viet Nam (southern) 100% 100% 83% 83% 09 Feb 08 Mar 10 Apr 09 May 100% 100% Fiji 92% 58% 100% 100% 06 Feb 05 Mar 08 Apr 02 May 100% 100% Completeness 93% 93% 100% 100% 94% 100% 99% Timeliness 88% 87% 100% 94% 94% 94% 96% 1 National measles laboratory monthly reports from April Completeness is defined as the number of reports 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. 4 Brunei Darussalam joined WHO accreditation programme from April

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