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1 Volume 11 Issue 1 uary 2017 ISSN Figure 1. Distribution of confirmed measles cases with rash onset 1 31 ember, WHO Western Pacific Region Legend: No confirmed case With confirmed case No case based data Dots are placed at random within the corresponding district, and might not reflect the exact location of the case 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 2017 Table 1. Confirmed measles cases by month of rash onset, uary 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 Source: Case based and aggregate data reports to the Western Pacific Regional Office by 20 uary 2017
2 Number of measles cases Figure 2. Confirmed measles cases by month of rash onset, WHO Western Pacific Region, 2010 as of 20 uary China Philippines Viet Nam Malaysia Papua New Guinea Others Source: and rubella monthly country reports to WHO by 20 uary 2017 Includes laboratory confirmed, epi-linked and clinically confirmed cases for Table 2. Status of measles verification, WHO Western Pacific Region 2015 Source of infection % of cases Source of infection % of cases Year with with Imported Importrelated source of cases related source of Unknown/ not Endemic Imported Import- Unknown verified confirmed known confirmed known / not Endemic cases reported infection reported infection 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 % % % % 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, 2012 as of 20 uary Rash confirmed 1 incidence per 1 million pop. confirmed 2 incidence per 1 million pop. confirmed 2 incidence per 1 million pop. confirmed 2 incidence per 1 million pop. Population (in millions) 3 Suspected measles cases Pending classification Discarded cases 4 Compatible cases Lab Confirmed measles cases Epi-linked confirmed Annualized measles incidence per 1 million pop. Deaths due to measles onset of last confirmed measles case Australia NA 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 Includes laboratory confirmed, epi-linked and clinically confirmed cases for 2009 to Green <1 confirmed measles case / population 2 Includes laboratory confirmed and epi-linked confirmed cases from 2013 to. Yellow confirmed measles case / population 3 United Nations, Department of Economic and Social Affairs, Population Division World Population Prospects. Red >= 10 confirmed cases / population 4 Australia reports confirmed cases only. 5 Classification is provisional based on laboratory data only. 3
4 Table 4. surveillance performance indicators by country and area, WHO Western Pacific Region, 2015 as of 20 uary Discarded nonmeasles rate per pop Second level units with 2 discarded cases per pop [annualized] 1 Suspected cases with adequate investigation Suspected cases with adequate blood specimens 1 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 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 4.5 Not applicable 100.0% 95.8% 2.8 Not applicable 100.0% 100.0% Cambodia % 80.5% 98.7% % 88.3% 99.0% China % 95.0% 85.7% % 96.8% 87.6% China, Hong Kong SAR 2.1 Not applicable 98.8% 97.7% 2.5 Not applicable 97.9% 99.5% China, Macao SAR 1.8 Not applicable 100.0% 100.0% 1.8 Not applicable 100.0% 100.0% Japan % Insufficient data Insufficient data % Insufficient data Insufficient data Lao People's Democratic Republic % 85.4% 85.7% % 99.2% 47.9% Malaysia % 71.9% 82.6% % 80.0% 89.1% Mongolia % 7.7% 13.6% % 8.0% 14.4% New Zealand 0.5 Insufficient data Insufficient data Insufficient data 1.1 Insufficient data Insufficient data Insufficient data Papua New Guinea % 60.8% 91.1% % 69.6% 95.7% Philippines % 57.0% 69.7% % 57.3% 70.2% Republic of Korea % 68.8% 74.5% % 93.0% 80.6% Singapore 1.1 Not applicable 92.0% 19.0% Not applicable 85.1% 14.5% Viet Nam % 33.2% 55.4% % 57.1% 78.1% Pacific island countries and areas % 0.0% 68.6% % 0.0% 82.4% Western Pacific Region % 78.2% 73.5% % 70.8% 67.6% 1 This indicator is not applicable for countries which have no second-level administrative units Green Reached or surpassed target 2 Excludes epidemiologically-linked cases. Yellow Nearly reached target: for non- measles suspected case rate; % for percent clinically confirmed cases; 60 79% for other indicators 3 Reports only confirmed cases. Red Substantially below target 4 Additionally, for 38% of the notified suspected cases other specimens were collected (throat swab, nasopharyngeal swab and cerebrospinal fluid) 5 Additionally, for 57% of the notified suspected cases other specimens were collected (throat swab and nasopharyngeal swab) 24
5 Table 5. case classification and incidence by country and area, WHO Western Pacific Region, 2015 as of 20 uary 2017 confirmed Confirmed rubella cases incidence per 1 million pop. confirmed incidence per 1 million pop. Population Investigated (in millions) 1 rubella cases Pending classification Discarded Compatible cases cases Lab Epi-linked confirmed Annualized Congenital rubella rubella incidence per syndrome 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 Western Pacific Region United Nations, Department of Economic and Social Affairs, Population Division World Population Prospects. <1 confirmed measles case / population Green 2 Classification is provisional based on laboratory data only confirmed measles case / population Yellow "-" No data >= 10 confirmed cases / population Red No data Gray 5
6 Table 6A. and rubella laboratory testing, WHO Western Pacific Region, 2015 as of 20 ruary 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 SGH 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 Vanuatu FCCDC "-" No data Laboratory of received and rubella of of cases Samples for measles IgM Serology Virus detection Serum Blood Virus isolation/ detection IgM (+) IgM DBS (swab, urine and equiv others) No. (+) % of with results 4 days isolates Reverse Transcription- Polymerase Chain Serum and blood (includes DBS) Samples of for IgM (+) IgM lab rubella IgM equiv Reaction confirmed cases No. (+) No. No. % No. 6
7 Table 6B. and rubella laboratory testing, WHO Western Pacific Region, as of 20 uary 2017 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 SGH 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 Vanuatu FCCDC "-" No data Laboratory of received and rubella of of cases Samples for measles IgM Serum IgM (+) Serology IgM equiv 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 (+) IgM lab rubella IgM equiv Reaction confirmed cases No. (+) No. No. % No. Serum and blood (includes DBS) 7
8 Figure 3. genotype distribution of cases with rash onset in 2015 and, WHO Western Pacific Region 2015 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 Table 7. genotype distribution of cases 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 D4 D8 D9 H1 B3 D8 D9 H1 Australia Brunei Darussalam 2 Cambodia China China, Hong Kong SAR China, Macao SAR Japan Lao People's Democratic Republic Malaysia Mongolia New Zealand Papua New Guinea Philippines 3 1 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 2017 and the Nucleotide Surveillance online database (MeaNS). 8
9 Figure 4. genotype distribution of cases with rash onset in 2015 and, WHO Western Pacific Region B 1E 9 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 of cases 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 1 Brunei Darussalam Cambodia China China, Hong Kong SAR 1 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 Sources: Includes all cases reported to the Western Pacific Regional Office by 20 uary 2017 and the Nucleotide Surveillance online database (RubeNS).
10 Table 9A. Completeness and timeliness of epidemiologic reporting, WHO Western Pacific Region, 2014 Country Completeness Timeliness Completeness Timeliness Completeness 2 Timeliness 3 Australia 100% 92% 100% 100% % 75% Brunei Darussalam 100% 100% 100% 100% % 100% Cambodia 100% 100% 100% 100% % 100% China 100% 67% 100% 92% % 83% China, Hong Kong SAR 100% 100% 100% 100% % 100% China, Macao SAR 100% 100% 100% 100% % 100% Japan 100% 17% 100% 92% % 100% Lao People's Democratic Republic 100% 100% 100% 100% % 100% Malaysia 100% 92% 100% 100% % 100% Mongolia 100% 100% 100% 100% % 83% New Zealand 100% 100% 100% 100% % 100% Papua New Guinea 92% 58% 100% 58% % 50% Philippines 100% 100% 100% 92% % 75% Republic of Korea 100% 100% 100% 100% % 100% Singapore 100% 92% 100% 100% % 100% Viet Nam 100% 100% 100% 92% % 92% Pacific island countries and areas 100% 100% 100% 100% % 100% Completeness 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% Timeliness 90% 96% 88% 94% 100% 82% 88% 88% 100% 94% 100% 88% 94% 82% 92% 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 reporting month divided by the 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 9B. Completeness and timeliness of laboratory 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 100% 100% 100% 100% % 100% China 100% 100% 100% 100% % 100% China, Hong Kong SAR 100% 100% 100% 100% % 100% China, Macao SAR 100% 100% 100% 100% % 100% Japan 100% 42% 100% 92% % 100% Lao People's Democratic Republic 100% 100% 100% 100% % 100% Malaysia 100% 83% 100% 75% % 83% Mongolia 100% 100% 100% 75% % 67% New Zealand 100% 100% 100% 100% % 100% Papua New Guinea 100% 92% 100% 75% % 33% Philippines 100% 92% 100% 100% % 92% Republic of Korea 100% 100% 100% 100% % 100% Singapore 100% 100% 100% 100% % 100% Viet Nam national lab (Northern) 100% 83% 100% 67% % 92% Viet Nam national lab (Southern) 100% 100% 100% 100% % 100% Viet Nam subnational lab (Central) 82% 73% 100% 67% % 92% Viet Nam subnational lab (Highland) 91% 82% 100% 67% % 92% Fiji 100% 100% 100% 100% % 92% Completeness 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% Timeliness 92% 91% 94% 80% 100% 95% 90% 85% 95% 100% 90% 90% 100% 90% 92% 1 National measles laboratory 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 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 10
Legend: No confirmed case With confirmed case No case based data
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