Figure 1. Incidence rate of total (confirmed and compatible) measles cases with rash onset 1 31 December 2018, WHO Western Pacific Region
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1 Volume 13 Issue 1 uary 2019 ISSN Figure 1. Incidence rate of total ( and compatible) measles cases with rash onset 1 31 ember, WHO Western Pacific Region Legend: No cases <1 per million population per million population >10.0 per million population No data submitted No geographical distribution information available Pacific island countries and areas 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 *Map of Australia is from the Australian Bureau of Statistics Source: and rubella monthly country reports to the Western Pacific Regional Office by 20 uary 2019 Table 1. Numbers of and total ( and compatible) measles cases by month of rash onset, y ember, WHO Western Pacific Region Australia Brunei Darussalam Cambodia China China, Hong Kong SAR China, Macao SAR 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 "-" No data 1 Reports only cases Source: Case based and aggregate data reports to the Western Pacific Regional Office by 20 uary 2019
2 Figure 2. ( and compatible) measles cases by month of rash onset, WHO Western Pacific Region, 2013 as of 20 uary Number of measles cases Source: and rubella monthly country reports to WHO by 20 uary 2019 China Malaysia Mongolia Papua New Guinea Philippines Viet Nam Others Table 2. Status of verification of measles elimination, WHO Western Pacific Region 2016 % 2017 Source of infection % Source of infection % Year with with with Imported Importrelated source related source of Unknown Endemic / not Imported Import- Unknown verified known known known Endemic / not source infec tion reported infec tion reported infec tion Australia % % % Brunei Darussalam % % Cambodia % % % China - 0.0% % % China, Hong Kong SAR % % % China, Macao SAR % % Japan % % % Lao People's Democratic Republic - 0.0% % % Malaysia % % % Mongolia % % New Zealand % % % Papua New Guinea % % Philippines % % % Republic of Korea % % % Singapore 75.7% % % Viet Nam - 0.0% % % Pacific island countries and areas - 0.0% % % % % Blue No measles cases Green 80% Yellow 60 79% Red <60% Source: and rubella monthly country reports to WHO by 20 uary
3 Table 3. case classification and incidence by country and area, WHO Western Pacific Region, 2014 as of 20 uary and compatible 1 incidence per 1 million pop. and compatible 1 incidence per 1 million pop. and compatible 1 incidence per 1 million pop. and compatible 1 incidence per 1 million pop. Suspected Population (in millions) 2 measles cases Confirmed and compatible measles cases Rash onset of Pending Discarded Annualized Deaths due last Compatible Epilinked and incidence per measles classification cases 3 measles case Lab to measles cases compatible 1 million pop. Australia Brunei Darussalam Cambodia China China, Hong Kong SAR China, Macao SAR 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 Fiji Federated States of Micronesia Guam Solomon Islands Vanuatu Western Pacific Region Includes compatible, laboratory and epi-linked cases Green <1 measles case / population 2 United Nations, Department of Economic and Social Affairs, Population Division World Population Prospects 2017 revision. Yellow measles case / population 3 Australia reports cases only. Red >= 10 cases / population 4 Classification is provisional based on laboratory data only. 3
4 Table 4. surveillance performance indicators by country and area, WHO Western Pacific Region, 2017 as of 20 uary Discarded non-measles rate per pop Second level units with 2 discarded cases per pop [annualized] 1 Suspected cases with Suspected cases with adequate specimens for adequate investigation laboratory confirmation 2 Annualized discarded non-measles rate per pop Second level units with 2 discarded cases per pop [annualized] 1 Suspected cases with adequate investigation Suspected cases with adequate specimens for laboratory confirmation % 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 4.2 Not applicable 100.0% 100.0% 5.3 Not applicable 100.0% 100.0% Cambodia % 81.9% 78.8% % 83.4% 99.4% China % 97.8% 91.5% % 97.5% 92.3% China, Hong Kong SAR 0.1 Not applicable 100.0% 100.0% 0.2 Not applicable 96.9% 96.9% China, Macao SAR 2.6 Not applicable 83.3% 100.0% 4.4 Not applicable 77.4% 100.0% Japan % Insufficient data Insufficient data % Insufficient data Insufficient data Lao People's Democratic Republic % 82.1% 85.1% % 89.1% 89.0% Malaysia % 84.4% 91.3% % 91.9% 89.8% Mongolia % 88.3% 93.5% % 98.1% 96.2% New Zealand 0.4 Insufficient data Insufficient data Insufficient data 0.3 Insufficient data Insufficient data Insufficient data Papua New Guinea % 70.6% 84.3% % 74.1% 90.7% Philippines % 46.0% 69.3% % 65.5% 58.2% Republic of Korea % 71.2% 84.9% % 78.5% 96.4% Singapore 1.4 Not applicable 65.8% 67.1% 1.5 Not applicable 90.2% 70.5% Viet Nam % 55.5% 72.3% % 83.0% 83.0% Pacific island countries and areas % 87.5% 82.3% % 48.8% 80.2% Western Pacific Region % 89.9% 89.2% % 87.1% 84.0% 1 This indicator is not applicable for countries which have no second level administrative units 2 Adequate specimen defined as blood specimen collected within 28 days of rash onset or other specimen (throat swab, nasopharyngeal swab, cerebrospinal fluid, urine) collected within 5 days of rash onset; excludes epidemiologically linked cases. 3 Reports only cases 4 Surveillance performance indicators refer to all the Pacific island countries and areas as one epidemiological block; each country is considered as second level unit Green Yellow Red Reached or surpassed target Nearly reached target: for non- measles suspected case rate; % for percent clinically cases; 60 79% for other indicators Substantially below target 24
5 Table 5. case classification and incidence by country and area, WHO Western Pacific Region, 2014 as of 20 uary Confirmed and compatible rubella cases Population Annualized Congenital Investigated Pending Discarded incidence per incidence per incidence per incidence per (in Compatible Epilinked and incidence per syndrome rubella rubella and and and and Lab millions) 1 for rubella classification cases 1 million pop. 1 million pop. 1 million pop. 1 million pop. cases compatible compatible compatible compatible compatible 1 million pop. Australia Brunei Darussalam Cambodia China China, Hong Kong SAR China, Macao SAR 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 Fiji Solomon Islands Vanuatu Western Pacific Region United Nations, Department of Economic and Social Affairs, Population Division World Population Prospects 2017 revision Green <1 measles case / population 2 Classification is provisional based on laboratory data only. Yellow measles case / population 3 cases are cases reported as suspected measles cases that were identified as rubella laboratory cases during the investigation. This represents a small proportion of a large of rubella cases occurring in Japan during Red >= 10 cases / population "-" No data Gray No data 5
6 Table 6A. and rubella laboratory testing, WHO Western Pacific Region, 2017 Laboratory of received and rubella of Samples for measles IgM Serum IgM (+) Serology IgM equiv No. No. % No. % No. received Australia VIDRL % Brunei Darussalam DLS % % Cambodia NIPH % % China CCDC China, Hong Kong SAR PHLC % % China, Macao SAR PHL % % Japan NIID % % Lao People's Democratic Republic NCLE % % Malaysia NPHL % % Mongolia NCCD % % New Zealand CHL % % Papua New Guinea CPHL % % Philippines RITM % % Republic of Korea KCDC % % Singapore NPHL % % Viet Nam national lab (Northern) NIHE % % Viet Nam national lab (Southern) PI % % Viet Nam subnational lab (Central) PI % % Viet Nam subnational lab (Highland) IHE % % Fiji FCCDC % % % % "-" No data Blood DBS No. (+) % of with results 4 days Virus detection Virus isolation/ detection (swab, urine and others) isolates Reverse Transcription- Polymerase Chain Samples of for IgM (+) lab IgM equiv rubella IgM Reaction cases No. (+) No. No. % No. % Serum and blood (includes DBS) 6
7 Laboratory Table 6B. and rubella laboratory testing, WHO Western Pacific Region, as of 20 uary 2019 of received and rubella of Samples for measles IgM Serum IgM (+) Serology IgM equiv No. No. % No. % No. received Australia VIDRL % Brunei Darussalam DLS % % 0 0% Cambodia NIPH % % 0 0% China CCDC China, Hong Kong SAR PHLC % % 4 1% China, Macao SAR PHL % % 0 0% Japan NIID % Lao People's Democratic Republic NCLE % % 43 7% Malaysia NPHL % % 198 3% Mongolia NCCD % % 0 0% New Zealand CHL % % 3 6% Papua New Guinea CPHL % % 7 8% Philippines RITM % % 51 0% Republic of Korea KCDC % % 39 11% Singapore NPHL % % 9 16% Viet Nam national lab (Northern) NIHE % % 38 4% Viet Nam national lab (Southern) PI % % 43 4% Viet Nam subnational lab (Central) PI % % 0 0% Viet Nam subnational lab (Highland) IHE % % 1 1% Fiji FCCDC % 12 0 No data % 3 3% % % 439 2% "-" No data Blood DBS No. (+) % of with results 4 days Virus detection Virus isolation/ detection (swab, urine and others) isolates Reverse Transcription- Polymerase Chain Serum and blood (includes DBS) Samples of for IgM (+) lab IgM equiv rubella IgM Reaction cases No. (+) No. No. % No. % 7
8 Figure 3. genotype distribution with rash onset in 2017 and, WHO Western Pacific Region 2017 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 8 Table 7. genotype distribution with rash onset in uary to ember, WHO Western Pacific Region B3 D8 D9 H1 B3 D8 D9 H1 B3 D8 D9 H1 B3 D8 D9 H1 B3 D8 D9 H1 B3 D8 D9 H1 B3 D8 D9 H1 B3 D8 D9 H1 B3 D8 D9 H1 B3 D8 D9 H1 B3 D8 D9 H1 B3 D8 D9 H1 Australia Brunei Darussalam 1 Cambodia China China, Hong Kong SAR China, Macao SAR 1 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 Sources: Includes all cases reported to the Western Pacific Regional Office by 20 uary 2019 and the Nucleotide Surveillance online database (MeaNS).
9 Figure 4. genotype distribution with rash onset in 2017 and, WHO Western Pacific Region B 1E 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. Table 8. genotype distribution with rash onset in uary to ember, WHO Western Pacific Region 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 2B 1E 1J Australia 1 Brunei Darussalam Cambodia China China, Hong Kong SAR China, Macao SAR 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 Sources: Includes all cases reported to the Western Pacific Regional Office by 20 uary 2019 and the Nucleotide Surveillance online database (RubeNS). 9
10 Table 9A. Completeness and timeliness of epidemiologic reporting, WHO Western Pacific Region, 2017 Country 2017 Completeness 2 Timeliness 3 Completeness 2 Timeliness 3 1 Australia 100% 100% % 92% Brunei Darussalam 100% 100% % 100% Cambodia 100% 100% % 100% China 100% 75% % 83% China, Hong Kong SAR 100% 100% % 100% China, Macao SAR 100% 100% % 100% Japan 100% 92% % 92% Lao People's Democratic Republic 100% 100% % 100% Malaysia 100% 100% % 100% Mongolia 100% 100% % 100% New Zealand 100% 100% % 100% Papua New Guinea 100% 92% % 17% Philippines 58% 25% % 8% Republic of Korea 100% 92% % 67% Singapore 100% 92% % 100% Viet Nam 100% 92% % 92% Pacific island countries and areas 100% 67% % 92% Completeness 98% 94% 94% 100% 100% 100% 100% 94% 88% 100% 94% 100% 94% 100% Timeliness 92% 82% 88% 88% 88% 88% 82% 88% 88% 88% 82% 76% 82% 85% 1 National measles surveillance monthly reports from ember. Legend: black = timely report; red = untimely report 2 Completeness is defined as the of reports received by the end of the 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 Table 9B. Completeness and timeliness of laboratory reporting, WHO Western Pacific Region, Genotype results by source of data Completeness 2 Timeliness 3 Completeness 2 Timeliness 3 MeaNS Submission Rubens Submission to WPRO to WPRO Australia 100% 100% % 92% Brunei Darussalam 100% 100% % 83% Cambodia 100% 100% % 92% China 100% 100% % 100% China, Hong Kong SAR 100% 100% % 100% China, Macao SAR 100% 100% % 100% Japan 100% 92% % 92% Lao People's Democratic Republic 100% 100% % 100% Malaysia 100% 100% % 75% Mongolia 100% 83% % 100% New Zealand 100% 100% % 100% Papua New Guinea 100% 67% % 92% Philippines 100% 92% % 92% Republic of Korea 100% 100% % 100% Singapore 100% 100% % 100% Viet Nam national lab (Northern) 100% 100% % 100% Viet Nam national lab (Southern) 100% 100% % 100% Viet Nam subnational lab (Central) 100% 100% % 100% Viet Nam subnational lab (Highland) 100% 100% % 100% Fiji 100% 75% % 83% Completeness 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% Timeliness 95% 95% 95% 100% 95% 90% 100% 100% 100% 100% 100% 90% 90% 95% National measles laboratory monthly reports from ember. 2 Completeness is defined as the of reports received by the end of the reporting month divided by the 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: WPROEPIdata@who.int More detailed information available in the Regional and country profile of measles elimination 10
Legend: No confirmed case With confirmed case No case based data
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