sear vpdupdate week48 2017

VPD Update for Week 48, 2017
Data as of 04 December 2017

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 04 December 2017

Monthly Distribution of AFP Cases
SEAR, 2016 – 2017
2016
total
AFP

2017

AFP to
date

Oct-16

Nov-16

Dec-16

Jan-17

Feb-17

Mar-17

Apr-17

May-17

Jun-17


Jul-17

Aug-17

Sep-17

Oct-17

Nov-17

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

1 437

1 301

100


99

65

114

119

135

147

125

96

153

108


111

132

61

04-Dec-17

Bhutan

11

8

0

2

1


0

0

1

2

0

0

1

0

3

1


0

02-Dec-17

DPR Korea

105

79

5

4

0

14

10


8

13

7

13

3

11

0

0

0

29-Sep-17


Country

Bangladesh

India

46 500 34 984 3 675 3 364 3 230 3 152 2 749 2 870 2 751 3 056 3 160 3 998 4 777 3 747 3 050 1 674 01-Dec-17

Indonesia

1 409

1 236

0

0

0


102

110

113

105

113

76

111

137

139

165

65

04-Dec-17

Maldives

2

5

0

0

0

0

0

1

2

0

0

1

0

0

0

1

27-Nov-17

Myanmar

466

322

54

33

29

18

24

14

18

24

28

52

64

39

30

11

01-Dec-17

Nepal

455

314

37

19

20

34

27

34

31

33

22

34

43

21

26

9

04-Dec-17

Sri Lanka

65

65

7

3

6

7

13

6

4

6

4

1

6

3

11

4

01-Dec-17

Thailand

246

166

24

20

16

29

20

16

6

10

15

20

28

13

8

1

27-Nov-17

Timor-Leste

10

3

4

1

0

0

0

0

0

1

0

0

1

0

1

0

04-Dec-17

TOTAL

50 706 38 483 3 906 3 545 3 367 3 470 3 072 3 198 3 079 3 375 3 414 4 374 5 175 4 076 3 424 1 826

Data as of 04 December 2017

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 04 December 2017

Primary Culture Results from AFP Cases, 2017
Positive
Culture

Positive
Culture +
NPEV

NPEV
Only

Negative

Received
by lab

% Primary Culture
Reports Within 14
days

Results
Number
received by
lab

Wild

Pending

VDPV

Polio Laboratories

Vaccine

Country

Specimens from other sources2

AFP specimens
1

% NPEV

AFP cases
Number of AFP
cases with
specimens
received in Lab

Bangladesh

IPH, Dhaka

1 294

17

2

279

919

30

47

2 583

90.0

19.3

84

1

0

0

Bhutan

NIH, Bangkok

4

0

0

1

3

0

0

8

100

25

0

0

0

0

DPRK

NPL, Pyongyang

75

0

0

14

61

0

0

152

93.2

18.4

0

0

0

0

4 906

195

27

997

3 543

144

0

9 783

95.5

17.2

10

0

0

0
0

BJMC, Ahmedabad

India

NIV, Bengaluru

3 154

124

24

842

2 052

111

1

6 297

96.9

23.1

5

0

0

IoS, Kolkatta

4 968

156

18

1 153

3 609

32

0

9 863

83.8

18.8

0

0

0

0

KIPM, Chennai

2 888

42

7

580

2 258

1

0

5 675

99.2

16.5

0

0

0

0

NCDC, Delhi

5 295

181

22

773

4 192

127

0

10 563

97.5

12.8

5

0

0

0

CRI, Kasauli

1 735

19

1

265

1 431

19

0

3 476

97.8

12.2

0

0

0

0

SGPGI, Lucknow

8 124

252

35

1 916

5 769

152

0

16 220

90.5

19.0

5

0

0

0

ERC, Mumbai

2 257

129

13

389

1 726

0

0

4 471

92.8

15.3

5

0

0

0

India Sub Total
Indonesia

14 days

33 327

1 098

147

6 915

24 580

586

1

66 348

93.3

17.3

30

0

0

0

Bio Farma, Bandung

357

2

0

28

321

2

4

709

90

7.4

0

0

0

0

NIHRD, Jakarta

494

1

0

36

419

23

15

975

100

6.6

0

0

0

0

PHL, Surabaya
Indonesia Sub Total

324

1

0

32

285

5

1

641

100

8.9

0

0

0

0

1 175

4

0

96

1 025

30

20

2 325

97.0

7.5

0

0

0

0

Maldives

MRI, Colombo

2

0

0

0

2

0

0

3

100

0

0

0

0

0

Myanmar

NHL, Yangon

322

4

1

50

259

8

0

648

93

13.6

30

0

0

0

NIH, Bangkok

313

4

1

71

216

21

0

626

99

21.7

19

0

0

0

Labs in India3

0

0

0

0

0

0

0

0

0

0.0

0

0

0

0

MRI, Colombo

38

0

0

0

38

0

0

82

96

0.0

244

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
1 131

152

7 435

27 211

675

75

73 035

93.3

17.0

407

2

0

0

Nepal
Sri Lanka

SEAR

36 679

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 04 December 2017

Poliovirus Detected in Sewage Samples, India, 2016

NPSP- Data as of 01 December 2017

Poliovirus Detected in Sewage Samples, India, 2017

NPSP- Data as of 01 December 2017

Laboratory Data of Environmental Surveillance 2015-2017,
NPML,IPH Bangladesh, Report: November 08,2017)
Laboratory Data of Environmental Surveillance 2015-2017, NPML,IPH Bangladesh, Report: Nov 08,2017)
Report on Epidemiological Week 44, 2017, NPML-IPH, Bangladesh
Site
City

# Site

Dhaka

Niketon

Gazipur Esthema
Dhaka

Gulshan

Dhaka

Bashabo

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
92 95 96
100
104
108
## ## ## ## ## ##
99
203
107
111 ## ## ## c
##
s94
98
102
106
110 ## ## ## ## ##
s93
97
101
105
109 ## ## ## ## ##

Sites: Bangladesh

Summary : : Total site 4

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 #
## ## ## ## ## ## ## ## ## ## ##
134 ## ## ## ## ## ## ## ## ## ## ##
133 ## ## ## ## ## ## ## ## ## ## ##
135 ## ## ##
## ## ## ## ## ## ##

Total sample collected 178
Site 1= Hatirjheel-Niketon,Dhaka
Total sample with result available:
175
Site 2= Esthema-Kamarpara,Tongi)
Total sample positive for WPV(with type)
0
Site 3= Wasa Sewarage Pit-Gulshan,Dhaka
Total 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
89
Total RD Positive:
102
Total sample NVI:
73
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 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

Poliovirus Detected in Sewage Samples
Indonesia - 2017
Province
DKI Jakarta
East Java
West Java
Yogyakarta

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

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 53

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

Thailand -2016
Bangkok
Samut Sakhon

Thailand- 2017
Province
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 04 December 2017

Measles and Rubella Serology (IgM) , 2017
Results
Country

Laboratories

Num ber of Serum
Sam ples Received

Num ber Tested
#

%

#

%

5971

5971

2491

41.7

204

5.9

66.0

421

421

64

15.2

7

2.0

91.4

Measles +ve

% Measles Results
Reported w ithin 4 Days

Rubella +ve

Bangladesh

Dhaka

Bhutan

Thimphu

DPR Korea

Pyongyang

67

61

0

0.0

0

0.0

100.0

Ahmedabad

444

444

308

69.4

30

22.1

100.0

Bengaluru

716

646

145

22.4

170

33.9

91.5

Bhopal

168

168

120

71.4

4

8.3

99.4

Chandigarh

118

118

38

32.2

11

13.8

100.0

Chennai

893

178

50

28.1

64

50.0

98.3

Delhi

132

132

83

62.9

6

12.2

97.0

Guw ahati

272

153

103

67.3

14

28.0

100.0

80

80

32

40.0

7

14.6

100.0

Jaipur

313

313

213

68.1

7

7.0

80.2

Kolkata

812

812

318

39.2

302

61.1

86.6
78.0

India

Hyderabad

Lucknow

1631

1462

866

59.2

88

14.8

Patna

399

399

112

28.1

115

40.1

63.2

Pune

653

476

275

57.8

45

22.4

91.0

India Total

Indonesia

6631

5381

2663

49.5

863

31.8

86.2

Bandung

1146

1146

580

50.6

173

30.6

93.0

Jakarta

4886

3274

902

27.6

1042

43.9

29.4

Surabaya

3790

2798

1419

50.7

448

32.5

50.4

Yogyakarta

3774

3554

984

27.7

1141

44.4

77.3

13596

10772

3885

36.1

2804

40.7

57.4

Indonesia Total
Maldives

Male

Myanm ar

Yangon

63

63

1

1.6

1

1.6

88.9

1493

1491

988

66.3

6

1.2

Nepal

99.1

Kathmandu

769

769

56

7.3

18

2.5

Sri Lanka

91.0

Colombo

138

137

5

3.6

8

6.1

86.1

Bangkok

579

579

303

52.3

3

1.1

100.0

34

34

12

35.3

0

0.0

100.0

Chiang Mai
Chiang Rai

29

29

7

24.1

0

0.0

86.2

Chon Buri

232

151

52

34.4

1

1.0

100.0

55

55

11

20.0

1

2.3

100.0

8

8

3

37.5

0

0.0

100.0

63

63

27

42.9

3

8.3

100.0
100.0

Khon Kaen
Nakhon Saw an
Thailand

Nakhonratchasima
Phitsanulok

55

55

15

27.3

2

5.0

Samut Songkhram

419

419

257

61.3

5

3.1

98.1

Songkhla

784

784

631

80.5

3

2.0

100.0

Surat Thani

7

7

0

0.0

0

0.0

100.0

Trang

54

54

10

18.5

8

18.2

100.0

Ubon Ratchathani

55

55

9

16.4

1

2.2

100.0

Udon Thani

15

15

5

33.3

0

0.0

100.0

2389

2308

1342

58.1

27

2.8

99.5

80

80

0

0.0

3

3.8

87.5

31618

27454

11495

41.9

3941

24.7

72.6

Thailand Total
Tim or-Leste

Dili

TOTAL
Source: Reported by SEAR Measles Laboratory Netw ork

NR=No Report

Source: Monthly Reported by SEAR Measles Laboratory Network

Data as of 31 October 2017