Immunization and Vaccine Development (IVD) SEARO
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1 Monthly Vaccine Preventable Disease and Immunization Update Published: January 03, 2018 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 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)
3 AFP Surveillance Indicators by First Administrative Level*, 2018 Non-polio AFP Rate % Adequate Stool Specimen Collection Non-Polio AFP Rate < >2 No Non-Polio AFP Case *Bhutan, Maldives & Timor-Leste by country * Number of discarded AFP cases per 100,000 children under 15 years of age. ** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset. Note: Some AFP cases may still be pending final classification. Total AFP Cases = Non-Polio AFP Rate =5.67 Adequate Stool specimen = 85% Countries reporting AFP cases= 10 (91%) Adequate Stool Specimen Collection < 60% 60% 79% > 80% No AFP Case 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 All rights reserved
4 Non-polio AFP Cases by Month of Onset SEAR, Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
5 Non-Polio AFP Rate and above 6 ~~~~~~~~ Non-polio AFP Rate* SEAR, ~~~~~~~~ SEAR Minimum Target BAN BHU DPRK IND INO MAV MMR NEP SRL THA TLS * Number of discarded AFP cases per 100,000 children under 15 years of age
6 Percent 100 Percent Adequate Stool Specimen Collection* SEAR, Minimum Target BAN BHU DPRK IND INO MAV MMR NEP SRL THA TLS *Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset. 6
7 N=838 N=863 N=790 Percent of Non-Polio AFP Cases Under Immunized for OPV (6 Months to 5 Yrs), SEAR, N=764 N=782 N=28997 N=24881 N=23612 N= N=15525 N=898 N=748 N=751 N=882 N=615 N=158 N=126 N=173 N=133 N=105 N=236 N=199 N=209 N=184 N=134 N=80 N=70 N=100 N=68 N=46 7
8 AFP Surveillance Indicators by District India, 2018 Non-polio AFP Rate* Percent Adequate Stool Specimen Collection ** Non-Polio AFP Rate < >2 No Non-Polio AFP Case Adequate Stool Specimen Collection < 60% 60% 79% > 80% No AFP Case * Number of discarded AFP cases per 100,000 children under 15 years of age ** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset. Note: Some AFP cases may still be pending final classification. Total AFP Cases = Non-Polio AFP Rate =7.03 Adequate Stool specimen = 85% Districts reporting AFP cases= 677 (96%) 8
9 Non-polio AFP Cases by Month of Onset India, Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
10 AFP Surveillance Indicators by District Nepal, 2018 Non-polio AFP Rate* Percent Adequate Stool Specimen Collection ** Non-Polio AFP Rate < >2 No Non-Polio AFP Case Total AFP Cases = 318 Non-Polio AFP Rate =3.48 Adequate Stool specimen = 97% Districts reporting AFP cases= 66 (86%) Adequate Stool Specimen Collection < 60% 60% 79% > 80% No AFP Case * Number of discarded AFP cases per 100,000 children under 15 years of age ** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset. Note: Some AFP cases may still be pending final classification. 10
11 Non-polio AFP Cases by Month of Onset Nepal, Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
12 AFP Surveillance Indicators by Province Myanmar, 2018 Non-polio AFP Rate* Percent Adequate Stool Specimen Collection ** Adequate Stool Specimen Collection Non-Polio AFP Rate < >2 No Non-Polio AFP Case < 60% 60% 79% > 80% No AFP Case * Number of discarded AFP cases per 100,000 children under 15 years of age ** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset. Note: Some AFP cases may still be pending final classification. Total AFP Cases = 316 Non-Polio AFP Rate = 2.23 Adequate Stool specimen = 94% Provinces reporting AFP cases= 18 (100%) 12
13 Non-polio AFP Cases by Month of Onset Myanmar, Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
14 AFP Surveillance Indicators by District Bangladesh, 2018 Non-polio AFP Rate* Percent Adequate Stool Specimen Collection ** Non-Polio AFP Rate < >2 No Non-Polio AFP Case Adequate Stool Specimen Collection < 60% 60% 79% > 80% No AFP Case * Number of discarded AFP cases per 100,000 children under 15 years of age ** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset. Note: Some AFP cases may still be pending final classification. Total AFP Cases = 1371 Non-Polio AFP Rate =2.60 Adequate Stool specimen = 99% Districts reporting AFP cases= 64 (100%) 14
15 Non-polio AFP Cases by Month of Onset Bangladesh, Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
16 Non-polio AFP Rate* AFP Surveillance Indicators by Province Indonesia, 2018 Non-Polio AFP Rate < >2 No Non-Polio AFP Case Percent Adequate Stool Specimen Collection ** Total AFP Cases = 1479 Non-Polio AFP Rate = 1.75 Adequate Stool specimen = 82% Provinces reporting AFP cases= 32 (94%) Adequate Stool Specimen Collection < 60% 60% 79% > 80% No AFP Case * Number of discarded AFP cases per 100,000 children under 15 years of age ** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset. Note: Some AFP cases may still be pending final classification. 16
17 Non-polio AFP Cases by Month of Onset Indonesia, Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
18 AFP Surveillance Indicators by Province Thailand, 2018 Annualized Non-polio AFP Rate* Percent Adequate Stool Specimen Collection ** Non-Polio AFP Rate < >2 No Non-Polio AFP Case Adequate Stool Specimen Collection Total AFP Cases = 196 Non-Polio AFP Rate = 1.24 Adequate Stool specimen = 69% Provinces reporting AFP cases= 60 (78%) < 60% 60% 79% > 80% No AFP Case * Number of discarded AFP cases per 100,000 children under 15 years of age ** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset. Note: Some AFP cases may still be pending final classification. 18
19 Non-polio AFP Cases by Month of Onset Thailand, Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
20 # Cases # Deaths # Tested for serology # Measles +ve # Rubella +ve # Outbreaks # Outbreaks Investigated # Cases # Deaths # Outbreaks # Cases # Outbreaks # Cases # Outbreaks # Cases Neonatal Tetanus Diphtheria Pertussis Encephalitis Number of Cases of AEFI 2 Date of last report # reports expected % Completeness % Timeliness VPD Reporting, 2018 Routine Reporting of clinically suspected measles cases Suspected measles outbreaks Laboratory Confirmed 1 Number of Cases Country Measles Outbreaks Rubella Outbreaks Mixed Outbreaks Bangladesh Nov Bhutan Nov DPR Korea NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR India NR NR NR NR NR NR NR NR 24-Nov Indonesia NR NR 18-Oct Maldives Nov Myanmar Nov Nepal NR NR Nov Sri Lanka Nov Thailand Oct Timor-Leste Nov 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 Source: SEAR Monthly VPD reports Data as of 30 November 2018
21 Measles and Rubella Serology (IgM), 2018 # % # % Bangladesh Dhaka Bhutan Thimphu DPR Korea Pyongyang India Indonesia Indonesia Total Ahmedabad Bengaluru Bhopal Chandigarh Chennai Delhi Guw ahati Hyderabad Jaipur Kolkata Lucknow Manipal Mumbai Patna Bandung Jakarta Palembang Surabaya Yogyakarta Maldives Male Myanmar Yangon Nepal Kathmandu Sri Lanka Colombo Thailand Thailand Total Bangkok Chiang Mai Chiang Rai Chon Buri Khon Kaen Nakhon Saw an Nakhonratchasima Phitsanulok Samut Songkhram Songkhla Surat Thani Trang Ubon Ratchathani Udon Thani Timor-Leste Dili TOTAL Country India Total Laboratories Source: Reported by SEAR Measles Laboratory Netw ork Number of Serum Samples Received Number Tested NR=No Report Measles +ve Results Rubella +ve % Measles Results Reported within 4 Days Source: SEAR Monthly lab reports Data as of 30 November 2018
Monthly Vaccine Preventable Disease and Immunization Update Published: May 11, 2018 Immunization and Vaccine Development (IVD) SEARO
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Monthly Vaccine Preventable Disease and Immunization Update Published: March 10, 2015 Immunization and Vaccine Development (IVD) SEARO
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and Fact Sheet SEAR 8-9 Table : South-East Asia Regional (SEAR) Strategic Plan 7- Goal: To reduce the number of measles deaths by 9 in relative to estimates. Objectives: Achieve at least 9 national Containing
Total population 24,759,000. Live births (LB) 342,458. Children <1 year 337,950. Children <5 years 1,698,664. Children <15 years 5,233,093
DPR Korea 4 Immunization system highlights There is a comprehensive multiyear plan (cmyp) for immunization covering -5. A standing national technical advisory group on immunization (NTAGI) with formal
Total population 1,212,110. Live births (LB) 43,924. Children <1 year 40,351. Children <5 years 192,340. Children <15 years 510,594
Draft version for the SEAR-ITAG 5-9 June 5 All data provisional as of May 5 Timor Leste 4 Immunization system highlights There is a comprehensive multi-year plan (cmyp) for immunization covering 3-5. 8%
Total population 20,675,000. Live births (LB) 349,715. Children <1 year 346,253. Children <5 years 1,778,050. Children <15 years 5,210,100
Sri Lanka 4 Immunization system highlights There is a comprehensive multi-year plan (cmyp) for immunization system strengthening covering -6. A national policy on immunization has been developed. A standing
Total population 1,265,308,000. Live births (LB) 27,016,000. Children <1 year 25,928,200. Children <5 years 23,818,000. Children <15 years 25,639,000
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Indonesia 217 Expanded Programme on Immunization (EPI) FACT SHEET Acronyms AD Auto disable MCV1 First dose measles containing vaccine AEFI Adverse events following immunization MCV2 Second dose measles
Table 1: Basic information Total population 25,030, (per 100,000 LB) Division/Province/State/Region 11. District 210
EPI history EPI launched in 980 HepB vaccine introduced in 003 AD syringes introduced in 003 HepB birth dose introduced in 004 DTP-HepB vaccine introduced in 006 MCV introduced in 008 DTP-Hib-HepB vaccine
Table 1: Basic information (per 1,000 LB) 42.4 (per 1,000 LB) 49.7 (per 1,000 LB) 215 (per 100,000 LB)
EPI history EPI started in 978 EPI re-structured in March 000 DTP-HepB vaccine introduced in 007 DTP-Hib-HepB)vaccine introduced in 0 MR vaccine introduced in Feb 06 Second dose of MR introduced in Feb
Table 1: Basic information 2017
EPI history EPI launched in 978 OPV and MCV introduced in 987 AD syringes introduced in 00 HepB vaccine introduced in 003 MCV introduced partially in 008 and made available nationwide in 0 DTP-Hib-HepB
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Sri Lanka 217 Expanded Programme on Immunization (EPI) FACT SHEET Acronyms AD Auto disable MCV1 First dose measles containing vaccine AEFI Adverse events following immunization MCV2 Second dose measles
Table 1: Basic information ,000, (per 1,000 LB) 34.6 (per 1,000 LB) 174 (per 100,000 LB) District 712.
EPI history EPI launched in 978 with DPT, OPV, BCG and typhoid vaccines TT immunization of pregnant women introduced in 983 MCV introduced in 985 HepB piloted in 00 and made universal in 0 MCV introduced
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