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Volume 12 Issue 1 January 2018 ISSN 1814 3601 Figure 1. Incidence rate of total ( compatible) measles with rash onset 1 31 ember, WHO Western Pacific Region Legend: Pacific isl countries areas No <1 per million population 1.0-10.0 per million population >10.0 per million population No data submitted No geographical distribution information available DISCLAIMER: The boundaries names shown 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 2009. All rights reserved outbreak was declared in Davao City Zamboanga City, Philippines. Sources of information: http://www.doh.gov.ph/node/12720 Executive Order BC 333-2018 *Map of Australia is from the Australian Bureau of Statistics Source: rubella monthly country reports to the Western Pacific Regional Office by 20 January 2018 Table 1. Numbers of total ( compatible) measles by month of rash onset, y ember, WHO Western Pacific Region no. of no. of no. of no. of no. of no. of Australia 1 2 2 4 4 14 14 7 7 0 0 2 2 Brunei Darussalam 0 0 0 0 0 0 0 0 0 0 0 0 Cambodia 0 0 0 0 0 0 0 0 0 0 0 0 China 384 404 283 292 231 238 178 180 193 202 251 257 China, Hong Kong SAR 0 0 0 0 1 1 0 0 0 0 0 0 China, Macao SAR 2 2 0 0 0 0 0 0 0 0 0 0 Japan 2 2 7 7 9 9 3 3 0 0 0 1 Lao People's Democratic Republic 0 0 0 0 0 0 0 0 0 0 0 0 Malaysia 195 195 195 197 157 158 167 172 133 133 67 68 Mongolia 0 0 0 0 0 0 0 0 0 0 0 0 New Zeal 0 0 0 0 0 0 0 0 0 0 0 0 Papua New Guinea 0 0 2 2 4 4 1 1 0 0 0 0 Philippines 8 109 42 136 115 216 43 162 10 79 0 0 Republic of Korea 0 0 0 0 1 1 0 0 0 2 0 0 Singapore 2 2 2 4 5 5 3 3 1 2 8 9 Viet Nam 4 51 13 46 16 29 22 35 19 27 0 2 Pacific isl countries areas 0 0 0 0 0 0 0 0 0 0 0 0 Western Pacific Region 599 767 548 688 553 675 424 563 356 445 328 339 "-" No data Reports only Source: Case based aggregate data reports to the Western Pacific Regional Office by 20 January 2018

Jan Jan Jan Jan Jan Jan Number of measles Figure 2. ( compatible) measles by month of rash onset, WHO Western Pacific Region, 2012 as of 20 January 2018 25 000 20 000 15 000 10 000 5 000 0 2012 2013 2014 2015 2016 China Malaysia Mongolia Papua New Guinea Philippines Viet Nam Others Source: rubella monthly country reports to WHO by 20 January 2018 Includes laboratory, epi-linked clinically for 2012 Table 2. Status of verification of measles elimination, WHO Western Pacific Region Year verified 2016 Source of infection % of Source of infection % of with with Imported Importrelated source of related source of Unknown Endemic / not Imported Import- Unknown known known Endemic / not reported infection reported infection Australia 2014 99 31 18 0 50 49.5% 81 38 32 0 11 86.4% Brunei Darussalam 2015 1 1 0 0 0 100.0% 0 - - - - - Cambodia 2015 56 0 0 0 56 0.0% 10 0 0 0 10 0.0% China - 23 960 0 0 0 23 960 0.0% 5 181 0 0 0 5 181 0.0% China, Hong Kong SAR 2016 9 1 0 0 8 11.1% 4 3 0 0 1 75.0% China, Macao SAR 2014 0 - - - - - 2 0 2 0 0 100.0% Japan 2015 152 27 97 0 28 81.6% 183 34 136 0 13 92.9% Lao People's Democratic Republic - 8 0 0 0 8 0.0% 3 0 0 0 3 0.0% Malaysia - 1 577 5 0 1 503 69 95.6% 1 624 5 0 1 056 563 65.3% Mongolia - 3 587 0 2 392 1 195 0 100.0% 9 0 0 9 0 100.0% New Zeal 104 0 0 0 104 0.0% 14 0 0 0 14 0.0% Papua New Guinea - 0 - - - - - 7 0 0 0 7 0.0% Philippines - 74 1 0 20 53 28.4% 251 0 0 43 208 17.1% Republic of Korea 2014 18 9 9 0 0 100.0% 5 3 0 0 2 60.0% Singapore - 140 16 90 0 34 75.7% 67 19 22 0 26 61.2% Viet Nam - 36 0 0 0 36 0.0% 85 0 0 0 85 0.0% Pacific isl countries areas - 6 0 0 0 6 0.0% 1 0 0 0 1 0.0% 29 832 91 2 606 2 718 24 412 18.2% 7 527 102 192 1 108 6 125 18.6% Blue No measles Green 80% Yellow 60 79% Red <60% Source: rubella monthly country reports to WHO by 20 January 2018 2

Table 3. case classification incidence by country area, WHO Western Pacific Region, 2013 as of 20 January 2018 compatible 1 2013 2014 2015 2016 Rash incidence per 1 million pop. compatible 1 incidence per 1 million pop. compatible 1 incidence per 1 million pop. compatible 1 Confirmed compatible measles onset of incidence Suspected Annualized Deaths last Population Pending Discarded per Compatible measles (in millions) 2 measles classification 3 due to Lab Epi-linked 1 million measles incidence per measles pop. case compatible 1 million pop. Australia 154 6.6 340 14.5 74 3.3 99 4.1 24.6 NA3 0 0 0 78 3 81 3.3 0 26--17 Brunei Darussalam 0 0.0 0 0.0 4 9.0 1 2.3 0.4 18 0 18 0 0 0 0 0.0 0 7--16 Cambodia 0 0.0 0 0.0 0 0.0 56 3.5 16.1 879 182 687 0 10 0 10 0.6 0 8--17 China 27825 20.5 52 485 38.5 42 864 30.7 24 839 18.0 1388.2 36 854 0 29 260 812 5 131 50 5 993 4.3 5 30--17 China, Hong Kong SAR 38 5.2 50 6.8 18 2.4 9 1.2 7.4 14 0 10 0 4 0 4 0.5 0 27--17 China, Macao SAR 3 5.2 1 1.7 0 0.0 0 0.0 0.6 18 1 15 0 2 0 2 3.3 0 21--17 Japan 207 1.6 454 3.6 35 0.3 157 1.2 126.0 666 3 476 4 183 0 187 1.5 0 14--17 Lao People's Democratic Republic 68 10.5 70 10.7 56 8.0 8 1.2 7.0 495 63 429 0 2 1 3 0.4 0 10-Jan-17 Malaysia 182 6.1 222 7.3 1 318 43.9 1 587 51.6 31.2 8 176 276 6 252 24 1 605 19 1 648 52.9 0 27--17 Mongolia 0 0.0 0 0.0 20 374 7136.8 28 813 9583.7 3.1 154 0 145 0 9 0 9 2.9 0 5--17 New Zeal 13 2.9 274 60.2 13 2.9 104 22.8 4.6 35 2 18 1 11 3 15 3.3 0 25--17 Papua New Guinea 7 1.0 2 589 345.9 53 6.9 0 0.0 7.9 51 0 44 0 7 0 7 0.9 0 20--17 Philippines 5798 59.1 54 669 548.0 2 003 19.7 641 6.3 103.8 3 597 396 1 977 973 226 25 1 224 11.8 4 21--17 Republic of Korea 107 2.2 442 9.0 7 0.1 18 0.4 50.7 251 3 241 2 5 0 7 0.1 0 29--17 Singapore 66 12.5 171 32.0 45 8.9 157 27.6 5.8 160 0 80 13 67 0 80 13.8 0 14--17 Viet Nam 1232 13.6 16 741 182.8 884 9.4 368 3.9 95.4 3 073 111 2 295 582 85 0 667 7.0 0 30--17 Pacific isl countries areas 4 0 0.0 279 85.3 20 6.1 6 1.8 3.3 96 3 92 0 1 0 1 0.3 0 1--17 Fiji 0 0.0 1 1.1 1 1.1 5 5.6 0.9 93 0 92 0 1 0 1 1.1 0 1--17 Federated States of Micronesia - - 257 2473.5 - - - - 0.0 - - - - - - - - - 26--14 Guam - - 1 6.0 - - - - 0.0 - - - - - - - - - 14--14 Solomon Isls - - 15 26.2 - - 1 1.7 0.6 3 3 0 0 0 0 0 0.0 0 21-Jan-16 Vanuatu - - 5 19.4 19 71.8 0 0.0 0.0 - - - - - - - - - 23--15 Western Pacific Region 35 700 19.5 128 786 70.1 67 768 36.2 56 868 30.5 1876.2 54 537 1 040 42 039 2 411 7 426 101 9 938 5.3 9 1 Includes compatible, laboratory epi-linked Green <1 measles case / 1 000 000 population 2 United Nations, Department of Economic Social Affairs, Population Division World Population Prospects. Yellow 1 9.9 measles case / 1 000 000 population 3 Australia reports only. Red >= 10 / 1 000 000 population 4 Classification is provisional based on laboratory data only. 3

Table 4. surveillance performance indicators by country area, WHO Western Pacific Region, 2016 as of 20 January 2018 2016 Discarded non-measles rate per 100 000 pop Second level units with 2 discarded per 100 000 pop [annualized] 1 Suspected with adequate investigation Suspected with adequate specimens for laboratory confirmation 2 Discarded non-measles rate per 100 000 pop Second level units with 2 discarded per 100 000 pop [annualized] 1 Suspected with adequate investigation Suspected with adequate specimens for laboratory confirmation 2 2 80% 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 2.8 Not applicable 100.0% 100.0% 0.0 Not applicable 100.0% 100.0% Cambodia 4.2 72.0% 88.3% 99.0% 4.3 80.0% 81.9% 78.8% China 3.2 77.4% 97.1% 87.9% 2.1 64.5% 97.8% 91.5% China, Hong Kong SAR 2.5 Not applicable 97.9% 99.5% 0.0 Not applicable 100.0% 100.0% China, Macao SAR 2.0 Not applicable 100.0% 100.0% 2.5 Not applicable 83.3% 100.0% Japan 0.7 4.3% Insufficient data Insufficient data 0.4 0.0% Insufficient data Insufficient data Lao People's Democratic Republic 7.3 70.6% 98.6% 47.6% 6.1 64.7% 82.4% 85.4% Malaysia 16.1 93.8% 79.6% 88.6% 20.1 93.8% 84.4% 91.3% Mongolia 46.4 95.5% 8.0% 14.4% 4.8 13.6% 88.3% 93.5% New Zeal 1.1 Insufficient data Insufficient data Insufficient data 0.4 Insufficient data Insufficient data Insufficient data Papua New Guinea 0.6 10.0% 65.3% 89.8% 0.6 10.0% 70.6% 84.3% Philippines 1.5 17.6% 57.3% 70.2% 1.9 29.4% 46.0% 69.3% Republic of Korea 0.6 0.0% 92.1% 79.9% 0.5 0.0% 80.9% 96.4% Singapore 1.6 Not applicable 85.1% 51.8% 1.4 Not applicable 66.3% 67.5% Viet Nam 1.2 22.2% 56.9% 77.9% 2.4 49.2% 57.9% 77.3% Pacific isl countries areas 4 7.8 13.0% 90.1% 89.7% 2.8 4.3% 87.5% 82.3% Western Pacific Region 3.0 39.0% 70.9% 67.7% 2.2 36.4% 89.4% 89.2% 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. 3 Reports only 4 Surveillance performance indicators refer to all the Pacific isl countries areas as one epidemiological block; each country is considered as second level unit Green Yellow Red Reached or surpassed target Nearly reached target: 1.00 1.99 for non-measles suspected case rate; 10.1 25% for percent clinically ; 60 79% for other indicators Substantially below target 24

Table 5. case classification incidence by country area, WHO Western Pacific Region, 2014 as of 20 January 2018 compatible 2014 2015 2016 incidence per 1 million pop. compatible incidence per 1 million pop. compatible Population Investigated incidence per (in 1 million pop. millions) 1 for rubella Pending classification Confirmed compatible rubella Annualized Congenital Discarded Compatible rubella rubella Lab Epi-linked incidence per syndrome compatible 1 million pop. Australia - - - - - - 24.64 - - - - - - - - - Brunei Darussalam 0 0.0 0 0.0 0 0.0 0.43 19 0 19 0 0 0 0 0.0 - Cambodia 31 2.1 18 1.1 4 0.3 16.08 879 182 692 0 5 0 5 0.3 - China 11 887 8.7 8 245 5.9 4 476 3.2 1 388.23 36 854 - - 247 1 213 141 1 476 1.1 - China, Hong Kong SAR 1 0.1 12 1.6 3 0.4 7.40 0 - - - - - 0 0.0 - China, Macao SAR 0 0.0 2 3.5 1 1.7 0.61 18 0 18 0 0 0 0 0.0 - Japan - - 2 0.0 3 0.0 126.05 71 0 66 0 5 0 5 0.0 - Lao People's Democratic Republic 18 2.8 24 3.4 40 5.8 7.04 495 64 421 0 8 2 10 1.4 - Malaysia 226 7.5 34 1.1 68 2.2 31.16 8 229 276 7 840 0 113 0 113 3.6 - Mongolia 0 0.0 28 9.8 27 9.0 3.05 145 0 132 0 13 0 13 4.3 - New Zeal - - - - - - 4.60 - - - - - - - - - Papua New Guinea - - 4 0.5 2 0.3 7.93 45 0 44 0 1 0 1 0.1 - Philippines 343 3.4 154 1.5 165 1.6 103.80 3 597 396 2 691 0 429 19 448 4.3 - Republic of Korea 2 0.0 2 0.0 3 0.1 50.70 253 3 250 0 0 0 0 0.0 - Singapore 0 0.0 1 0.2 0 0.0 5.78 3 0 0 0 3 0 3 0.5 - Viet Nam 50 0.5 972 10.4 350 3.7 95.41 2 518 116 2 212 48 142 0 190 2.0 - Pacific isl countries areas 2 4 1.2 1 0.3 1 0.3 3.28 96 3 89 0 4 0 4 1.2 - Fiji 4 4.5 1 1.1 1 1.1 0.90 93 0 89 0 4 0 4 4.4 - Solomon Isls - - - - - - 0.61 3 3 0 0 0 0 0 0.0 - Vanuatu 0 0.0 0 0.0 0 0.0 0.00 - - - - - - - - Western Pacific Region 675 0.4 1 253 0.7 667 0.4 1 876.21 53 222 1 040 14 563 295 1 936 162 2 393 1.3-1 United Nations, Department of Economic Social Affairs, Population Division World Population Prospects. Green <1 measles case / 1 000 000 population 2 Classification is provisional based on laboratory data only. Yellow 1 9.9 measles case / 1 000 000 population "-" No data Red >= 10 / 1 000 000 population Gray No data 5

Table 6A. rubella laboratory testing, WHO Western Pacific Region, 2016 No. No. % No. % No. received Australia VIDRL 92 92 67 22 14 63.6 4 18% 0-72.7 0-66 60 58 7 2 28.6 0 0% Brunei Darussalam DLS 16 16 13 13 1 7.7 1 8% 0-92.3 0-1 1 1 13 0 0.0 0 0% Cambodia NIPH 719 719 719 596 54 9.1 0 0% 123 2 80.9 0-0 - 44 719 4 0.6 0 0% China CCDC - - - - - - - - - - 89.0 - - - - - - - - - - China, Hong Kong SAR PHLC 600 600 509 538 9 1.7 16 3% 0-93.0 5 4 64 20 12 535 3 0.6 3 1% China, Macao SAR PHL 46 46 46 46 3 6.5 2 4% 0-100.0 0-1 0 3 46 4 8.7 1 2% Japan NIID 1 585 1 398 802 206 44 21.4 34 17% 0 - - 0-669 146 156 10 1-0 0% Lao People's Democratic Republic NCLE 254 254 254 254 2 0.8 4 2% 0-80.7 0-0 - 0 254 8 3.1 9 4% Malaysia NPHL 8 579 6 593 6 593 6 256 1 620 25.9 180 3% 0-93.6 1 264 122 0-1 662 4 513 108 2.4 53 1% Mongolia NCCD 10 031 10 031 9 996 9 749 4 969 51.0 981 10% 0-99.8 1 0 286 142 5 076 6 506 31-15 0% New Zeal CHL 842 842 757 221 22 10.0 10 5% 0-98.2 1 0 590 68 79 157 1 0.6 0 0% Papua New Guinea CPHL 40 40 40 40 0-0 0% 0-7.5 0-0 - 0 40 1 2.5 2 5% Philippines RITM 1 612 1 612 1 610 1 524 36 2.4 31 2% 51 5 98.9 62 0 62 0 40 1 576 110 7.0 62 4% Republic of Korea KCDC 633 633 530 400 51 12.8 33 8% 0-82.9 0-222 17 55 244 25 10.2 18 7% Singapore SGH 813 813 724 243 25 10.3 0 0% 0-100.0 186 6 0-25 347 2 0.6 0 0% Viet Nam national lab (Northern) NIHE 332 332 318 313 1 0.3 1 0% 0-96.1 10 0 19 0 1 313 31 9.9 15 5% Viet Nam national lab (Southern) PI 870 870 868 865 39 4.5 20 2% 0-85.2 5 0 5 0 39 865 384 44.4 24 3% Viet Nam subnational lab (Central) PI 183 183 183 182 2 1.1 1 1% 0-51.1 0-1 0 2 182 10 5.5 3 2% Viet Nam subnational lab (Highl) IHE 77 77 77 77 0-0 0% 0-20.8 0-0 - 0 77 0 0.0 1 1% Fiji FCCDC 243 243 243 233 5 2.1 4 2% 9 0-0 - 0-5 243 1 0.4 0 0% Vanuatu FCCDC 15 15 15 15 0 0.0 0 0% 15 0-0 - 0-0 15 0 0.0 1 7% 27 582 25 409 24 364 21 793 6 897 31. 6 1 322 6% 198 7 95.1 1 534 132 1 986 454 7 258 16 662 726 4.4 207 1% "-" No data Laboratory of received rubella of of Samples for measles IgM Serum IgM (+) Serology IgM equiv Blood DBS No. (+) % of with results 4 days Virus detection Virus isolation/ detection (swab, urine others) isolates Reverse Transcription- Polymerase Chain Samples of for IgM (+) lab IgM equiv rubella IgM Reaction No. (+) No. No. % No. % Serum blood (includes DBS) 6

Table 6B. rubella laboratory testing, WHO Western Pacific Region, as of 20 January 2018 No. No. % No. % No. received Australia VIDRL 84 84 69 13 7 53.8 1 8% 0-84.6 1 0 73 71 68 1 0-0 - Brunei Darussalam DLS 20 20 20 20 0 0.0 2 10% 0-100.0 0-0 - 0 20 0 0.0 0 0% Cambodia NIPH 929 929 929 774 10 1.3 0 0% 155 0 80.6 0-0 - 10 928 5 0.5 0 0% China CCDC - - - - - - - - - - 91.2 - - - - - - - - - - China, Hong Kong SAR PHLC 289 289 242 248 4 1.6 5 2% 0-94.0 7 3 43 9 5 239 0 0.0 2 1% China, Macao SAR PHL 64 64 64 64 3 4.7 3 5% 0-100.0 0-5 2 3 64 0 0.0 1 2% Japan NIID 1 120 1 120 601 157 44 28.0 22 14% 0 - - 0-516 173 183 8 0-0 0% Lao People's Democratic Republic NCLE 409 409 409 409 2 0.5 9 2% 0-81.6 0-0 - 2 409 12 2.9 14 3% Malaysia NPHL 11 946 11 946 9 069 8 672 1 874 21.6 223 3% 0-95.5 1 807 129 0-1 922 6 479 186 2.9 176 3% Mongolia NCCD 640 640 640 634 3 0.5 13 2% 0-100.0 0-6 0 3 611 7 1.1 29 5% New Zeal CHL 325 325 299 123 4 3.3 9 7% 0-98.4 0-181 10 10 121 0 0.0 1 1% Papua New Guinea CPHL 51 51 51 49 7 14.3 0 0% 0-80.4 0-0 - 6 45 1 2.2 2 4% Philippines RITM 2 964 2 964 2 948 2 873 188 6.5 27 1% 70 10 97.2 172 6 221 30 220 2 862 313 10.9 129 5% Republic of Korea KCDC 529 529 448 350 39 11.1 22 6% 0-77.3 0-149 2 39 197 33 16.8 27 14% Singapore NPHL 549 549 565 102 11 10.8 0 0% 0-100.0 45 20 458 52 62 96 12 12.5 0 0% Viet Nam national lab (Northern) NIHE 620 620 620 611 15 2.5 6 1% 0-97.9 8 1 9 0 16 611 18 2.9 36 6% Viet Nam national lab (Southern) PI 366 366 342 333 10 3.0 5 2% 0-88.9 33 0 33 0 10 333 52 15.6 20 6% Viet Nam subnational lab (Central) PI 214 214 214 213 0-2 1% 0-37.6 0-1 0 0 213 3-2 1% Viet Nam subnational lab (Highl) IHE 65 65 65 65 0-0 0% 0-33.8 0-0 - 0 65 0 0.0 0 0% Fiji FCCDC 93 93 93 85 1 1.2 0 0% 4 0-0 - 0-1 88 4 4.5 2 2% 21 277 21 277 17 688 15 795 2 222 14. 1 349 2% 229 10 93.4 2 073 159 1 695 349 2 560 13 390 646 4.8 441 3% "-" No data Laboratory of received rubella of of Samples for measles IgM Serum IgM (+) Serology IgM equiv Blood DBS No. (+) % of with results 4 days Virus detection Virus isolation/ detection (swab, urine others) isolates Reverse Transcription- Polymerase Chain Samples of for IgM (+) lab IgM equiv rubella IgM Reaction No. (+) No. No. % No. % Serum blood (includes DBS) 7

Figure 3. genotype distribution of with rash onset in 2016, WHO Western Pacific Region 2016 B3 D4 D8 D9 The boundaries names shown 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 2009. All rights reserved. D11 G3 H1 Table 7. genotype distribution of with rash onset in January to ember, WHO Western Pacific Region Jan 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 15 2 4 11 12 3 1 2 1 1 2 1 10 4 2 1 Brunei Darussalam Cambodia 1 3 China 47 40 1 74 5 69 1 69 1 21 17 20 16 2 8 1 5 8 China, Hong Kong SAR 1 1 1 1 China, Macao SAR 2 Japan 14 1 1 16 1 2 52 2 51 1 2 8 4 6 Lao People's Democratic Republic Malaysia 1 3 1 1 Mongolia New Zeal 3 4 1 2 Papua New Guinea Philippines 2 1 1 2 17 Republic of Korea 1 Singapore 5 2 2 4 5 4 1 2 5 1 1 1 3 1 2 1 5 1 Viet Nam 3 9 Pacific isl countries areas Sources: Includes all reported to the Western Pacific Regional Office by 20 January 2018 the Nucleotide Surveillance online database (MeaNS). 8

Figure 4. genotype distribution of with rash onset in 2016, WHO Western Pacific Region 2016 2B 1E 9 The boundaries names shown 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 2009. All rights reserved. Table 8. genotype distribution of with rash onset in January to ember, WHO Western Pacific Region Australia Brunei Darussalam Cambodia Jan 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 China 6 2 31 22 25 10 China, Hong Kong SAR China, Macao SAR Japan 1 1 1 Lao People's Democratic Republic Malaysia Mongolia New Zeal 1 Papua New Guinea Philippines 6 1 5 4 9 14 4 Republic of Korea Singapore 1 1 1 1 Viet Nam Pacific isl countries areas Sources: Includes all reported to the Western Pacific Regional Office by 20 January 2018 the Nucleotide Surveillance online database (RubeNS).

Table 9A. Completeness timeliness of epidemiologic reporting, WHO Western Pacific Region, 2016 1 Country 2016 1 Completeness 2 Timeliness 3 Jan Completeness 2 Timeliness 3 Australia 100% 75% 10 09 10 10 09 10 09 06 10 10 08 09 Jan 92% 100% Brunei Darussalam 100% 100% 07 06 08 06 06 08 08 07 07 07 07 08 Jan 92% 100% Cambodia 100% 100% 10 10 10 10 10 10 10 10 10 10 10 10 Jan 92% 100% China 100% 83% 15 11 18 10 04 15 15 11 15 12 18 12 92% 75% China, Hong Kong SAR 100% 100% 10 09 06 02 06 04 07 06 09 06 06 09 Jan 92% 100% China, Macao SAR 100% 100% 07 07 05 05 02 07 10 07 09 06 05 09 Jan 92% 100% Japan 100% 100% 06 09 10 10 09 08 10 09 10 11 10 06 Jan 92% 92% Lao People's Democratic Republic 100% 100% 10 10 10 10 10 10 10 10 10 10 10 10 Jan 92% 100% Malaysia 100% 100% 07 09 10 09 09 07 10 08-05 09 10 10 Jan 92% 100% Mongolia 100% 83% 09 07 06 09 07 03 07 10 10 10 08 09 Jan 92% 100% New Zeal 100% 100% 09 07 07 05 08 03 07 05 03 09 08 05 Jan 92% 100% Papua New Guinea 92% 50% 08 08 13 10 09 10 08 07 10 10 10 09 Jan 92% 92% Philippines 100% 75% - - 31 05 10 14 08-18 - - 19 Jan 50% 25% Republic of Korea 100% 100% 10 09 10 10 08 07 09 07 10 10 08 25 Jan 92% 92% Singapore 100% 100% 08 09 10 08 09 10 10 10 05 10 08 08 Jan 92% 92% Viet Nam 100% 92% 09 10 07 09 08 03 08 08 09 08 07 08 Jan 92% 92% Pacific isl countries areas 100% 100% 14 14 13 15 16 12 17 18 14 14 15 15 Jan 92% 67% Completeness 100% 94% 94% 100% 100% 100% 100% 100% 94% 100% 94% 94% 100% 89% Timeliness 92% 94% 94% 88% 100% 94% 94% 94% 88% 94% 88% 88% 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 areas should submit reports by the 10th (or the next working day) of the following month; Pacific isl countries areas China may report to the Regional Office by the 15th (or the next working day) of the following month. Table 9B. Completeness timeliness of laboratory reporting, WHO Western Pacific Region, 2016 2016 1 Genotype results by source of data Completeness 2 Timeliness 3 Jan Completeness 2 Timeliness 3 MeaNS Submission to WPRO Rubens Submission to WPRO Australia 100% 100% 03 06 04 02 06 04 03 07 06 02 06 04 Jan 100% 100% 72 50 0 0 Brunei Darussalam 100% 100% 04 02 03 29 01 03 31 04 07 04 30 06 Jan 100% 100% 0 0 0 0 Cambodia 100% 100% 10 10 10 10 10 10 10 10 10 10 10 10 Jan 100% 100% 0 4 0 0 China 100% 100% 03 06 10 03 06 03 08 06 06 06 01 03 Jan 100% 100% 389 405 96 96 China, Hong Kong SAR 100% 100% 09 07 06 05 07 06 07 06 09 06 06 09 Jan 100% 100% 4 4 0 0 China, Macao SAR 100% 100% 07 08 07 05 02 07 10 08 10 08 06 10 Jan 100% 100% 0 2 0 0 Japan 100% 100% 06 09 10 10 09 08 10 09 10 11 10 06 Jan 100% 92% 140 161 4 0 Lao People's Democratic Republic 100% 100% 10 10 10 10 10 10 10 10 10 10 10 10 Jan 100% 100% 0 0 0 0 Malaysia 100% 83% 08 09 10 09 08 07 10 08 10 09 08 09 Jan 100% 100% 6 0 0 0 Mongolia 92% 67% 10 06 10 10 10 07 10 10 10 13 22 09 Jan 100% 83% 0 0 0 0 New Zeal 100% 100% 09 07 07 05 08 03-07 07 03 09 08 05 Jan 100% 100% 10 7 1 1 Papua New Guinea 100% 33% 13 10 10 10 15 10 15 18 06 09 08 08 Jan 100% 67% 0 0 0 0 Philippines 100% 92% 21 08 07 10 08 07 08 10 09 08 10 08 Jan 100% 92% 23 4 43 32 Republic of Korea 100% 100% 10 10 10 10 09 07 10 07 10 10 08 10 Jan 100% 100% 1 1 0 0 Singapore 100% 100% 08 09 10 08 09 10 10 10 05 10 08 08 Jan 100% 100% 43 46 4 4 Viet Nam national lab (Northern) 100% 92% 07 07 03 10 02 10 01 08 10 10 08 10 Jan 100% 100% 12 0 0 0 Viet Nam national lab (Southern) 100% 100% 10 08 07 05 09 10 04 07 09 06 08 10 Jan 100% 100% 0 0 0 0 Viet Nam subnational lab (Central) 100% 92% 07 07 03 10 02 10 01 08 10 10 08 10 Jan 100% 100% 0 0 0 0 Viet Nam subnational lab (Highl) 100% 92% 07 07 03 10 02 10 01 08 10 10 08 10 Jan 100% 100% 0 0 0 0 Fiji 100% 92% 14 14 13 15 16 10 17 18 14 14 15 15 Jan 100% 75% 0 0 0 0 Completeness 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% Timeliness 92% 100% 100% 95% 100% 90% 100% 90% 90% 100% 90% 95% 100% 95% 700 684 148 133 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 rubella laboratories should submit monthly reports by the 10th (or the next working day) of the following month. Exped Programme on Immunization Regional Office for the Western Pacific World Health Organization P.O. Box 2932, 1000 Manila, Philippines Tel. No. (63 2) 5288001 Fax No. (63 2) 5211036, 5260279 Please send your comments monthly data before the 10th of the month to: WPROEPIdata@who.int More detailed information available in the Regional country profile of measles elimination 10