Immunization and Vaccine Development (IVD) SEARO

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1 VPD Update for Week 33, 2014 Data as of 18 August 2014 Immunization and Vaccine Development (IVD) SEARO Protecting People from Vaccine Preventable Diseases

2 Last wild poliovirus case by type, SEAR WPV Type 2 District: Aligarh State: Uttar Pradesh (India) Date of onset: 24-Oct-1999 WPV Type 3 District: Pakur State: Jharkhand (India) Date of onset: 22-Oct-2010 WPV Type 1 District: Howrah State: West Bengal (India) Date of onset: 13-Jan-2011 Last wild poliovirus case by country Year Bangladesh 2006 Bhutan 1986 DPR Korea 1996 India 2011 Indonesia 2006 Maldives 1994 Myanmar 2007 Nepal 2010 Sri Lanka 1993 Thailand 1997 Timor-Leste 1995 *Dots are randomly placed within blocks (Sub-districts) Data as of 18 August 2014

3 Jul-13 Monthly Distribution of AFP Cases SEAR, Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14 Jul-14 Aug-14 AFP cases by month of paralysis onset, last 14 months (data from weekly case-based reports) 2013 total AFP 2014 AFP to date Date of last report Bangladesh Aug-14 Bhutan Aug-14 DPR Korea Jul-14 India Aug-14 Indonesia Aug-14 Maldives Aug-14 Myanm ar Aug-14 Nepal Aug-14 Sri Lanka Aug-14 Thailand Aug-14 Tim or-leste May-14 TOTAL Data as of 18 August 2014

4 % NPEV Vaccine Wild Primary Culture Results from AFP Cases, 2013 Polio Laboratories Number of AFP cases with specimens received in Lab Positive Culture Positive Culture + NPEV AFP cases NPEV Only Negative Pending 1 <14 days >14 days Received by lab AFP specimens % Primary Culture Reports Within 14 days Specimens from other sources 2 Number received by lab Results Bangladesh IPH, Dhaka Bhutan NIH, Bangkok DPRK NPL, Pyongyang BJMC, Ahmedabad NIV, Bangalore IoS, Kolkatta India KIPM, Chennai NCDC, Delhi CRI, Kasauli SGPGI, Lucknow ERC, Mumbai India Sub Total Bio Farma, Bandung Indonesia NIHRD, Jakarta PHL, Surabaya Indonesia Sub Total Maldives MRI, Colombo Myanmar NHL, Yangon Nepal NIH, Bangkok Sri Lanka MRI, Colombo Thailand NIH, Bangkok Timor-Leste PHL, Surabaya SEAR Calculation based on date specimen received in laboratory subtracted from date result report to the national programme. 2 Stool samples collected from contact and healthy children survey. Data as of 18 August 2014

5 % NPEV Vaccine Wild Primary Culture Results from AFP Cases, 2014 Polio Laboratories Number of AFP cases with specimens received in Lab Positive Culture Positive Culture + NPEV AFP cases NPEV Only Negative Pending 1 <14 days >14 days Received by lab AFP specimens % Primary Culture Reports Within 14 days Specimens from other sources 2 Number received by lab Results Bangladesh IPH, Dhaka Bhutan NIH, Bangkok DPRK NPL, Pyongyang BJMC, Ahmedabad NIV, Bangalore IoS, Kolkatta India KIPM, Chennai NCDC, Delhi CRI, Kasauli SGPGI, Lucknow ERC, Mumbai India Sub Total Bio Farma, Bandung Indonesia NIHRD, Jakarta PHL, Surabaya Indonesia Sub Total Maldives MRI, Colombo 0 Myanmar NHL, Yangon Nepal NIH, Bangkok Sri Lanka MRI, Colombo Thailand NIH, Bangkok Timor-Leste SEAR PHL, Surabaya Calculation based on date specimen received in laboratory subtracted from date result report to the national programme. 2 Stool samples collected from contact and healthy children survey. Data as of 18 August 2014

6 Wild Poliovirus Detected in Sewage Samples, 2013 Data (NPSP) as of 14 August 2014

7 Wild Poliovirus Detected in Sewage Samples, 2014 Data (NPSP) as of 14 August 2014

8 # Cases # Deaths # Tested for serology # Measles +ve # Rubella +ve Investigated # Cases # Deaths # Cases # Cases # Cases Neonatal Tetanus Diphtheria Pertussis Encephalitis Number of Cases of AEFI 2 Date of last report # reports expected % Completeness % Timeliness VPD Reporting, 2014 Routine Reporting of clinically suspected measles cases Suspected measles outbreaks Laboratory Confirmed 1 Number of Cases Measles Outbreaks Rubella Outbreaks Mixed Outbreaks Bangladesh NR Jul Bhutan Jul DPR Korea Mar India NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Indonesia NR NR NR 18-Jul Maldives NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Myanmar Jul Nepal NR NR Jul Sri Lanka Jul Thailand Jul Timor-Leste NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Total At least 5 blood samples should be collected and tested from each outbreak. 2 Adverse Events Follow ing Immunization; Sri Lanka AEFI data do not reflect cases but events. 3 Monthly VPD and AEFI reports due to SEARO/IVD on or before 15th of each month. NR=No report Data as of 30 June 2014

9 Measles and Rubella Serology (IgM), 2014 # % # % Bangladesh Dhaka Bhutan Thimphu DPR Korea Pyongyang India India Total Indonesia Indonesia Total Ahmedabad Bangalore Bhopal Chennai Hyderabad Jaipur Kolkata Patna Pune Bandung Jakarta Surabaya Yogyakarta Maldives Male Myanmar Yangon Nepal Kathmandu Sri Lanka Colombo Thailand Bangkok Timor-Leste Dilli NR NR NR NR NR NR NR TOTAL Laboratories Source: Reported by SEAR Measles Laboratory Netw ork 1 To be reported w ithin 4 days in in transition state Number of Serum Samples Received Number Tested NR=No Report Measles +ve Results Rubella +ve % Results Reported w ithin 7 Days 1 Data as of 30 June 2014

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