sear vpdupdate week02 2018

VPD Update for Week 2, 2018
Data as of 15 January 2018

Immunization and Vaccine
Development (IVD) SEARO
Protecting People from Vaccine
Preventable Diseases

Last wild poliovirus cases confirmed 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

*Dots are randomly placed within blocks (Sub-districts)

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

Data as of 15 January 2018

Monthly Distribution of AFP Cases
SEAR, 2017 – 2018
2017
total
AFP

2018

AFP to
date

Dec-16

Jan-17

Feb-17

Mar-17

Apr-17

May-17

Jun-17

Jul-17

Aug-17


Sep-17

Oct-17

Nov-17

Dec-17

Jan-18

AFP cases by month of paralysis onset, last 14 months (data from weekly case-based reports)
Date of last
report

1,364

7

65


114

119

135

147

125

96

153

109

111

132


81

42

7

15-Jan-18

8

0

1

0

0

1


2

0

0

1

0

3

1

0

0

0


15-Jan-18

103

0

0

14

10

8

13

7

13


6

11

6

14

1

0

0

13-Dec-17

India

38,870


139

3,230

3,150

2,747

2,866

2,750

3,050

3,142

3,970

4,775


3,777

3,160

3,012

2,471

139

12-Jan-18

Indonesia

1,535

0

0

104

113

113

107

116

77

114

142

143

211

218

77

0

15-Jan-18

Maldives

6

0

0

0

0

1

2

0

0

1

0

0

0

1

1

0

17-Dec-17

Myanmar

378

0

29

18

24

14

18

24

28

52

64

39

36

41

20

0

15-Jan-18

Nepal

341

0

20

34

27

34

31

33

22

34

43

21

26

20

16

0

15-Jan-18

Sri Lanka

70

0

6

7

13

6

4

6

4

1

6

3

11

5

4

0

12-Jan-18

Thailand

183

0

16

30

19

16

6

10

15

21

27

16

8

12

3

0

02-Jan-18

3

0

0

0

0

0

0

1

0

0

1

0

1

0

0

0

04-Dec-17

42,861

146

3,367

3,471

3,072

3,194

3,080

3,372

3,397

4,353

5,178

4,119

3,600

3,391

2,634

146

Country

Bangladesh
Bhutan
DPR Korea

Timor-Leste
TOTAL

Data as of 15 January 2018

Primary Culture Results from AFP Cases, 2016

Bangladesh

IPH, Dhaka

Bhutan

NIH, Bangkok

DPRK

India

NPL, Pyongyang

Pending1
NPEV
Only

Negative

1 433

8

0

348

1 077

0

10

1

0

0

9

0

Results

Received
by lab

% Primary Culture
Reports Within 14
days

0

2 863

98.4

21.3

64

2

0

0

0

20

100

0

0

0

0

0
0

14 days

Number
received by
lab

Wild

Positive
Culture

Positive
Culture +
NPEV

91

0

0

14

77

0

0

194

93

14.4

0

0

0

BJMC, Ahmedabad

6 098

233

26

1 127

4 712

0

0

12 173

99.9

14.8

20

2

0

0

NIV, Bengaluru

4 395

190

35

1 200

2 970

0

0

8 791

97.4

22.9

0

0

0

0

IoS, Kolkatta

7 146

91

21

1 011

6 023

0

0

14 287

98.4

11.0

5

0

0

0

KIPM, Chennai

5 122

89

9

954

4 070

0

0

10 232

99.8

14.9

0

0

0

0

NCDC, Delhi

6 934

212

20

885

5 817

0

0

13 830

99.6

10.8

10

0

0

0

CRI, Kasauli

2 066

35

0

276

1 755

0

0

4 142

99.9

11.5

0

0

0

0

SGPGI, Lucknow

8 811

281

29

1 551

6 950

0

0

17 602

89.7

13.5

0

0

0

0
0

ERC, Mumbai

4 940

158

14

1 187

3 581

0

0

9 974

97.4

21.0

45

4

0

45 512

1 289

154

8 191

35 878

0

0

91 031

97.1

14.7

80

6

0

0

Bio Farma, Bandung

440

13

0

40

387

0

0

871

95

7.9

0

0

0

0

NIHRD, Jakarta

513

14

2

45

452

0

0

1 016

98

7.3

0

0

0

0

India Sub Total
Indonesia

Number of AFP
cases with
specimens received
in Lab

VDPV

Polio Laboratories

Vaccine

Country

Specimens from other sources2

AFP specimens

% NPEV

AFP cases

PHL, Surabaya
Indonesia Sub Total

402

14

0

27

361

0

0

799

100

5.4

0

0

0

0

1 355

41

2

112

1 200

0

0

2 686

97.5

6.9

0

0

0

0

Maldives

MRI, Colombo

2

0

0

0

2

0

0

4

100

0

0

0

0

0

Myanmar

NHL, Yangon

466

5

2

63

396

0

0

931

96

11.7

0

0

0

0

NIH, Bangkok

449

4

2

103

340

0

0

898

100

20.1

67

3

0

0

Labs in India3

3

0

0

0

3

0

0

6

0

0.0

0

0

0

0

Sri Lanka

MRI, Colombo

53

1

0

3

49

0

0

104

81

3.8

266

6

0

0

Thailand

NIH, Bangkok

235

4

0

25

206

0

0

468

100.0

8.3

0

0

0

0

Timor-Leste

NIH, Bangkok

1 353

160

8 859

39 237

0

0

99 205

97.2

14.6

477

17

0

0

Nepal

SEAR

0
49 609

1

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.

3

Stool samples from cross notified AFP cases tested in India

Data as of 15 January 2018

Primary Culture Results from AFP Cases, 2017

Bangladesh

IPH, Dhaka

Bhutan

NIH, Bangkok

DPRK

NPL, Pyongyang
BJMC, Ahmedabad

India

Pending1
NPEV
Only

Negative

1,363

17

3

304

1,023

12

4

0

0

1

3

0

Results

Received
by lab

% Primary Culture
Reports Within 14
days

4

2,721

90.7

19.0

94

1

0

0

0

8

100

25

0

0

0

0

14 days

Number
received by
lab

Wild

Positive
Culture

Positive
Culture +
NPEV

98

0

0

14

84

0

0

200

94.8

14.0

0

0

0

0

5,421

202

29

1,045

4,012

132

1

10,819

96.0

16.3

10

0

0

0

NIV, Bengaluru

3,469

126

24

931

2,322

66

0

6,916

96.8

22.8

5

0

0

0

IoS, Kolkatta

5,810

161

19

1,284

4,246

99

1

11,607

84.5

18.0

0

0

0

0

KIPM, Chennai

3,373

44

7

631

2,659

32

0

6,646

98.6

15.3

0

0

0

0

NCDC, Delhi

5,959

185

21

824

4,831

98

0

11,878

97.8

12.1

5

0

0

0

CRI, Kasauli

1,918

20

1

288

1,595

13

1

3,842

99.5

11.8

0

0

0

0

SGPGI, Lucknow

8,883

256

33

2,035

6,431

127

1

17,743

91.9

18.2

5

0

0

0

ERC, Mumbai

2,685

136

13

467

2,069

0

0

5,354

93.3

15.2

9

0

0

0

37,518

1,130

147

7,505

28,165

567

4

74,805

93.6

17.0

34

0

0

0

Bio Farma, Bandung

428

2

0

36

384

5

1

847

90

8.1

0

0

0

0

NIHRD, Jakarta

583

2

0

48

526

2

5

1,154

100

7.0

0

0

0

0

India Sub Total
Indonesia

Number of AFP
cases with
specimens
received in Lab

VDPV

Polio Laboratories

Vaccine

Country

Specimens from other sources2

AFP specimens

% NPEV

AFP cases

PHL, Surabaya
Indonesia Sub Total

454

1

0

47

403

1

2

896

100

9.3

0

0

0

0

1,465

5

0

131

1,313

8

8

2,897

97.1

7.8

0

0

0

0

0

0

0

0

Maldives

MRI, Colombo

2

0

0

0

2

0

0

3

100

0

Myanmar

NHL, Yangon

378

5

1

57

312

2

1

760

93

13.1

0

0

0

0

NIH, Bangkok

325

4

1

79

238

3

0

650

99

21.9

24

0

0

0

Labs in India3

0

0

0

0

0

0

0

0

0

0.0

0

0

0

0

Sri Lanka

MRI, Colombo

42

0

0

0

42

0

0

91

97

0.0

279

1

0

0

Thailand

NIH, Bangkok

129

4

1

9

108

0

7

260

99.2

6.5

0

0

0

0

Timor-Leste

NIH, Bangkok

0
1,165

153

8,100

31,290

592

24

82,395

93.7

16.8

431

2

0

0

Nepal

SEAR

41,324

1

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.

3

Stool samples from cross notified AFP cases tested in India

Data as of 15 January 2018

Poliovirus Detected in Sewage Samples, India, 2016

NPSP- Data as of 12 January 2018

Poliovirus Detected in Sewage Samples, India, 2017

NPSP- Data as of 12 January 2018

Poliovirus Detected in Sewage Samples, India, 2018

NPSP- Data as of 12 January 2018

Laboratory Data of Environmental Surveillance 2017-2018,
NPML,IPH Bangladesh, Report: January 1,2018)
Report on Epidemiological Week 52, 2017, NPML-IPH, Bangladesh: total collected 102; NPEV 74(72%) ; Polio/vaccine:10(SL1- 3; SL3-7)
Site
City
Dhaka

# Site
Niketon

1

2

3

4

92 95 96

Year 2017 Gazipur Esthema
Dhaka Gulshan

s94

Dhaka Bashabo s93

5

6

100

7

8

104

9

10

108

11

12

112

13

14

116

15

16

120

17

18

124

19

20

128

21

22

132

23

24

136

25

26

140

27

28

144

29

30

148

31

32

152

33

34

156

35

36

160

37

38

164

39

40

168

41

42

172

43

44

99

203

107

111

115

119

123

127

131

134

138

142

146

150

154

158

162

166

170

174

178

98

102

106

110

114

118

122

125

129

133

137

141

145

149

153

157

161

165

169

173

177

101

105

109

113

117

121

126

130

135

139

143

147

97

151

155

159

163

167

171

45

46

180

176

175

47

48

184
182
181

186
185
183

179

49

50

188

51

52

192
190
189

187

193
191

Site
City
Dhaka

# Site

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

Niketon

Gazipur Esthema

Year 2018 Dhaka

Gulshan

Dhaka

Bashabo

Cox'BazarUkhia
(proposedUkhia

Sites: Bangladesh
Summary : : Total site 4
Total sample collected
193
Site 1= Hatirjheel-Niketon,Dhaka
Total sample with result available:
190
Total sample positive for WPV(with type)
0
Site 2= Esthema-Kamarpara,Tongi)
Site 3= Wasa Sewarage Pit-Gulshan,DhakTotal sample positive for VDPV
0
Site 4= Bashabo Sewarage pit,Dhaka Total sample positive for SLPV3
9
Sample collected fortnightly
Total sample positive for SLPV2
1
Total sample positive for SLPV1
3
Total sample positive for NPEV
101
Total RD Positive:
114
Total sample NVI:
76
processing: 3
Note: NPML-IPH lab processes: Sewage samples are tested in cell culture, virus isolation done, confirmed by realtime PCR (ITD)
Note: ERC sequencing report has confirmed the ES-158-ITD discordant sample finally as"PV SL3(vaccine) with 2 neucleotide change".
Reported by Dr. K Mahbuba Jamil, Virologist, National Polio(AFP-ES) Measles-Rubella and AMES(JE) Laboratory, IPH, Bangladesh

WPV1
VDPV
SLPV2
SL PV3
NPEV
Negetive (NVI)
Discordant
under process
Not collected

SLPV1

46

47

48

49

50

51

52

Poliovirus Detected in Sewage Samples, Thailand, 2016-2018

Sampling site

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

2016 Bangkok
Samut Sakhon

Sampling site

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

2017 Bangkok
Samut Sakhon
Start to use two-phases separation with Dextran and PEG6000 for sewage sample concentration since week18/2017

Sampling site

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

2018 Bangkok
Samut Sakhon

Type 1 Sabin

Type 1 VDPV

Wild polio type 1

Negative for Polio and NPEV

Type 2 Sabin

Type 2 VDPV

Wild polio type 3

Result pending

Type 3 Sabin

Type 3 VDPV

NPEV

Sampling not scheduled

Type 1 Sabin + 3 Sabin

Data as of 12 January 2018

Poliovirus Detected in Sewage Samples, Nepal, 2017-2018

Sampling site

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

Bagmati-Pachali
Bagmati Manahara Confluence

2017 Bagmati Dhobikhola Confluence
Tukucha
Sewer inlet chamber - Guheshwari
Sobhabhagawati

Sampling site

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

Bagmati Manahara Confluence

2018

Bagmati Dhobikhola Confluence
Tukucha
Sewer inlet chamber - Guheshwari
Sobhabhagawati

Type 1 Sabin

Type 1 VDPV

Wild polio type 1

Negative for Polio and NPEV

Type 2 Sabin

Type 2 VDPV

Wild polio type 3

Result pending

Type 3 Sabin

Type 3 VDPV

NPEV

Sampling not scheduled

Type 1 Sabin + 3 Sabin

Data as of 12 January 2018

Poliovirus Detected in Sewage Samples, Indonesia, 2017-2018

Indonesia - 2017
Province

1

2

3

4

5

6

7

8

9

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

1

2

3

4

5

6

7

8

9

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

DKI Jakarta
East Java
West Java
Yogyakarta

Indonesia - 2018
Province
DKI Jakarta
East Java
West Java
Yogyakarta

Type 1 Sabin

Type 1 VDPV

Wild polio type 1

Negative for Polio and NPEV

Type 2 Sabin

Type 2 VDPV

Wild polio type 3

Result pending

Type 3 Sabin

Type 3 VDPV

NPEV

Sampling not scheduled

Type 1 Sabin + 3 Sabin

Data as of 15 January 2018

Measles and Rubella Serology (IgM) , 2017
Results
Country

Laboratories

Num ber of Serum
Sam ples Received

Num ber Tested
#

%

#

%

6206

6206

2576

41.5

218

6.0

67.6
91.8

Measles +ve

% Measles Results
Reported w ithin 4 Days

Rubella +ve

Bangladesh

Dhaka

Bhutan

Thimphu

437

437

65

14.9

8

2.2

DPR Korea

Pyongyang

104

104

0

0.0

0

0.0

0.0

Ahmedabad

444

444

308

69.4

30

22.1

100.0

Bengaluru

747

674

158

23.4

172

33.3

91.8

Bhopal

178

178

130

73.0

4

8.3

99.4

Chandigarh

123

123

43

35.0

11

13.8

100.0

Chennai

963

190

50

26.3

70

50.0

98.4

Delhi

142

142

93

65.5

6

12.2

97.2

Guw ahati

272

153

103

67.3

14

28.0

100.0
100.0

India

Hyderabad

80

80

32

40.0

7

14.6

Jaipur

323

323

221

68.4

7

6.9

80.8

Kolkata

962

962

396

41.2

321

56.7

88.0
78.6

Lucknow

1850

1672

1013

60.6

90

13.7

Patna

437

437

141

32.3

115

38.9

66.1

Pune

699

522

310

59.4

45

21.2

91.4

India Total

Indonesia

7220

5900

2998

50.8

892

30.7

86.6

Bandung

1165

1165

582

50.0

179

30.7

93.1

Jakarta

5076

3850

1018

26.4

1236

43.6

25.0

Surabaya

4096

2941

1483

50.4

486

33.3

52.8

Yogyakarta

3869

3869

1012

26.2

1290

45.2

72.3

14206

11825

4095

34.6

3191

41.3

54.1

Indonesia Total
Maldives

Male

Myanm ar

Yangon

65

65

1

1.5

1

1.6

89.2

1544

1540

1006

65.3

6

1.1

99.0

Nepal
Sri Lanka

Kathmandu

789

789

56

7.1

19

2.6

91.3

Colombo

138

137

5

3.6

8

6.1

86.1

Bangkok

601

601

312

51.9

3

1.0

100.0

Chiang Mai

93

93

40

43.0

0

0.0

100.0

Chiang Rai

35

35

9

25.7

0

0.0

88.6

Chon Buri

248

167

58

34.7

1

0.9

100.0

55

55

11

20.0

1

2.3

100.0

8

8

3

37.5

0

0.0

100.0

Nakhonratchasima

65

65

27

41.5

3

7.9

100.0

Phitsanulok

56

56

15

26.8

2

4.9

100.0

Samut Songkhram

439

439

266

60.6

5

2.9

98.2

Songkhla

790

790

631

79.9

3

1.9

100.0

Surat Thani

10

10

1

10.0

0

0.0

100.0

Trang

59

59

10

16.9

9

18.4

100.0

Ubon Ratchathani

56

56

9

16.1

1

2.1

100.0

Khon Kaen
Nakhon Saw an
Thailand

Udon Thani
Thailand Total
Tim or-Leste

Dili

TOTAL
Source: Reported by SEAR Measles Laboratory Netw ork

15

15

5

33.3

0

0.0

100.0

2530

2449

1397

57.0

28

2.7

99.5

80

80

0

0.0

3

3.8

87.5

33319

29532

12199

41.3

4374

25.2

71.2

NR=No Report

Source: Monthly Reported by SEAR Measles Laboratory Network

Data as of 30 November 2017