sear vpdupdate week16 2018

VPD Update for Week 16, 2018
Data as of 23 April 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 23 April 2018

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

2018

AFP to
date

Mar-17

Apr-17

May-17

Jun-17

Jul-17

Aug-17

Sep-17

Oct-17

Nov-17


Dec-17

Jan-18

Feb-18

Mar-18

Apr-18

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

1 363

363

135


147

126

96

153

109

110

128

80

46

80


100

120

63

23-Apr-18

9

1

1

2

0

0


1

0

3

1

0

1

0

1

0

0


21-Apr-18

104

0

8

13

7

13

6

11

6


14

1

1

0

0

0

0

05-Feb-18

India

39 339


8 512

2 867

2 744

3 048

3 136

3 961

4 746

3 755

3 175

3 086


2 927

2 908

2 634

2 418

552

20-Apr-18

Indonesia

1 689

292

113

109

118

77

118

145

152

236

282

121

106

97

85

4

16-Apr-18

Maldives

7

3

1

2

0

0

1

0

0

0

1

2

0

0

2

1

23-Apr-18

Myanmar

396

45

14

18

24

28

52

64

39

37

44

34

25

15

5

0

23-Apr-18

Nepal

371

94

34

32

33

24

38

43

21

26

21

37

28

23

32

11

22-Apr-18

Sri Lanka

70

16

6

4

6

4

1

6

3

11

5

4

4

6

3

3

20-Apr-18

Thailand

198

15

16

6

11

15

21

27

16

10

16

11

8

4

3

0

18-Apr-18

3

0

0

0

1

0

0

1

0

1

0

0

0

0

0

0

04-Dec-17

43 549

9 341

3 195

3 077

3 374

3 393

4 352

5 152

4 105

3 639

3 536

3 184

3 159

2 880

2 668

634

Country

Bangladesh
Bhutan
DPR Korea

Timor-Leste
TOTAL

Data as of 23 April 2018

Primary Culture Results from AFP Cases, 2017

1 355

NPEV
Only

Negative

17

3

306

1 029

14 days
0

0

Received
by lab

% Primary Culture
Reports Within 14
days

2 705

90.8

Results
Number
received by
lab

19.0

84

Wild

IPH, Dhaka

Positive
Culture

VDPV

Bangladesh

Polio Laboratories

Pending1
Positive
Culture +
NPEV

Vaccine

Country

Number of AFP
cases with
specimens
received in Lab

Specimens from other sources2

AFP specimens

% NPEV

AFP cases

1

0

0

Bhutan

NIH, Bangkok

4

0

0

1

3

0

0

8

100

25

0

0

0

0

DPRK

NPL, Pyongyang

98

0

0

14

84

0

0

200

94.8

14.0

0

0

0

0

India

BJMC, Ahmedabad

5 448

201

30

1 059

4 158

0

0

10 873

96.1

16.0

10

0

0

0

NIV, Bengaluru

3 509

126

24

951

2 408

0

0

7 017

96.7

22.5

5

0

0

0

IoS, Kolkatta

5 876

163

19

1 312

4 382

0

0

11 749

84.4

17.8

0

0

0

0

KIPM, Chennai

3 644

44

7

672

2 921

0

0

7 255

99.3

15.0

0

0

0

0

NCDC, Delhi

6 053

181

21

834

5 017

0

0

12 082

97.9

11.8

5

0

0

0

CRI, Kasauli

1 984

20

1

298

1 665

0

0

3 975

99.8

11.7

0

0

0

0

SGPGI, Lucknow

8 971

252

34

2 064

6 621

0

0

17 929

92.6

18.0

5

0

0

0

ERC, Mumbai

2 899

142

13

501

2 243

0

0

5 810

93.6

15.1

9

0

0

0

38 384

1 129

149

7 691

29 415

0

0

76 690

94.1

16.3

34

0

0

0

India Sub Total
Indonesia

Bio Farma, Bandung

506

2

0

40

464

0

0

1 002

88

7.5

0

0

0

0

NIHRD, Jakarta

617

3

0

52

558

0

4

1 219

100

7.2

0

0

0

0

PHL, Surabaya

499

1

0

51

447

0

0

984

100

9.0

0

0

0

0

Indonesia Sub Total
Maldives
Myanmar
Nepal

MRI, Colombo

1 622

6

0

143

1 469

0

4

3 205

96.2

7.8

0

0

0

0

2

0

0

0

2

0

0

3

100

0

0

0

0

0

NHL, Yangon

395

5

1

62

327

0

0

794

93

13.6

0

0

0

0

NIH, Bangkok

369

4

1

85

279

0

0

738

99

20.6

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

43

0

0

0

43

0

0

93

97

0.0

292

1

0

0

Thailand

NIH, Bangkok

129

4

1

10

107

0

7

258

99.2

7.4

0

0

0

0

Timor-Leste

NIH, Bangkok

1 165

155

8 312

32 758

0

11

84 694

94.1

16.0

434

2

0

0

SEAR

0
42 401

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 23 April 2018

Primary Culture Results from AFP Cases, 2018

361

Bhutan

NIH, Bangkok

0

DPRK

NPL, Pyongyang

0

BJMC, Ahmedabad
NIV, Bengaluru

India

198

65

56

722

98.8

12.1

25

0

0

0

1 290

103

7

120

953

107

0

2 566

98.8

7.9

0

0

0

0

741

58

5

98

492

86

2

1 481

95.5

12.7

0

0

0

0
0

80

2

116

773

24

2

1 971

93.6

8.6

0

0

0

46

2

80

694

0

0

1 611

100.0

7.4

0

0

0

0

1 336

80

10

76

1 028

142

0

2 669

99.8

5.6

0

0

0

0

NCDC, Delhi

Bio Farma, Bandung

407

14

0

24

350

19

0

811

100.0

4.4

0

0

0

0

1 502

101

8

168

1 105

120

0

3 005

98.7

8.9

0

0

0

0

793

67

2

58

666

0

0

1 555

98.2

6.1

5

0

0

0

7 888

549

36

740

6 061

498

4

15 669

98.1

7.8

5

0

0

0

100

0

0

5

87

7

1

200

95

4.9

0

0

0

0

NIHRD, Jakarta

74

2

0

2

57

8

5

145

100

2.5

0

0

0

0

PHL, Surabaya

90

2

0

7

78

2

1

175

100

7.1

0

0

0

0

264

4

0

14

222

17

7

520

98.1

5.0

0

0

0

0

Indonesia Sub Total
MRI, Colombo

0

NHL, Yangon

44

0

0

6

38

0

0

88

97

12.5

20

4

0

0

NIH, Bangkok

70

0

0

5

58

7

0

140

99

7.1

26

1

0

0

Labs in India3

0
0

0

1

6

1

0

16

100

14.3

50

0

0

0

556

36

805

6 583

588

67

17 155

98.1

7.9

126

5

0

0

Sri Lanka

MRI, Colombo

8

Thailand

NIH, Bangkok

0

Timor-Leste

NIH, Bangkok

SEAR

39

997

ERC, Mumbai

Nepal

0

14 days

Results
Number
received by
lab

822

India Sub Total

Myanmar

3

% Primary Culture
Reports Within 14
days

IoS, Kolkatta

CRI, Kasauli

Maldives

Negative

Received
by lab

KIPM, Chennai

SGPGI, Lucknow

Indonesia

NPEV
Only

Wild

IPH, Dhaka

Positive
Culture

VDPV

Bangladesh

Polio Laboratories

Pending1
Positive
Culture +
NPEV

Vaccine

Country

Number of AFP
cases with
specimens
received in Lab

Specimens from other sources2

AFP specimens

% NPEV

AFP cases

0
8 635

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 23 April 2018

Poliovirus Detected in Sewage Samples, India, 2017

NPSP- Data as of 20 April 2018

Poliovirus Detected in Sewage Samples, India, 2018

NPSP- Data as of 20 April 2018

Laboratory Data of Environmental Surveillance 2015-2018,
NPML,IPH Bangladesh, Report: April 23,2018)
Site
City

Year 2015

# 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

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

1
2

47

48

49

3

6

4

7

5

50

51

52

9
10

11

8

Site
City

Year 2016

# Site

1

2

3

14

4

5

17

6

7

20

8

9

23

10

11

26

12

13

29

14

15

32

16

17

35

18

19

20

21

41

38

22

23

44

24

25

47

26

27

50

28

29

30

31

32

53

33

59

34

35

62

36

37

65

38

39

40

68

41

42

71

43

74

44

45

46

77

47

80

Dhaka

Niketon

Gazipur

Esthema

13

16

18

22

25

28

31

34

37

40

43

46

49

52

55

58

61

64

67

70

73

76

79

82

Dhaka

Gulshan

12

15

19

21

24

27

30

33

36

39

42

45

48

51

54

57

60

63

66

69

72

75

78

81

Dhaka

Bashabo

48

49

50

83

85

86

84

51

52
89

88

91

87

90

51

52

Report on Epidemiological Week 52, 2017, NPML-IPH, Bangladesh: total collected 102; NPEV 74(72%) ; Polio/vaccine:10(SL1- 3; SL3-7)
Site
City

Year 2017

# Site

1

2

3

Dhaka

Niketon

92

95

96

Gazipur

Esthema

Dhaka

Gulshan

Dhaka

Bashabo s93

s94

4

5

6

100

7

8

104

Dhaka

Year 2018 Dhaka

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

176

45

46

180

47

48

184

203

107

111

115

119

123

127

131

134

138

142

146

150

154

158

162

166

170

174

178

182

186

98

102

106

110

114

118

122

125

129

133

137

141

145

149

153

157

161

165

169

173

177

181

185

101

105

109

113

117

121

126

130

135

139

143

147

97

151

155

159

163

167

171

175

179

49

50

192

188

183

190
189
187

193
191

Report on Epidemiological Week 17, 2018, NPML-IPH, Bangladesh_sample collected in 2018-40; NPEV-18; SL3-8; Mix(SL3+SL1), SL1-1; Neg-11; Under test process# Site

1

Niketon

Gazipur Esthema 194
Dhaka

10

99

Site
City

9
108

Gulshan
Bashabo 195

Cox'BazarUkhia-K
Ukhia-B
Teknaf-L
Teknaf-Ch

2

3

4

5

200

196
198
197
199

6

7

211
202
201
210

8

9

215
213
212
214

10

11

219
217
216
218

12

13

223
221
220
222

14

15

227
225
224
226

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

231
229
228
230

233
232

203 204
205 206
207 208
209

Sites: Bangladesh, Sample collected fortnightlSummary : : Total site 4+4
Total sample collected
233
Site 1= Hatirjheel-Niketon,Dhaka
Total sample with result available:
231
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
17
Total sample positive for SLPV2
1
New sites: Cox's Bazar, Chittagong
Total sample positive for SLPV1
6
Ukhiya-Kutupalong
Total sample positive for NPEV
123
Ukhiya- Balukhali 1
Total RD Positive:
147
Teknaf-Leda
Total sample NVE:
84
Teknaf-Chakmarkul
Under test proce1
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 PVV3
NPEV
Negetive (NVE)
Discordant
under test process
SL1+SL3Mix
Not collected

SLPV1

46

47

48

49

50

51

52

Poliovirus Detected in Sewage Samples, Thailand, 2016-2018
*specimens collected since week 48, 2016
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 21 April 2018

Poliovirus Detected in Sewage Samples, Nepal, 2017-2018
*specimens collected since week 50, 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

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 21 April 2018

Poliovirus Detected in Sewage Samples, Indonesia, 2017-2018
Indonesia - 2017
Province
DI Yogyakarta
DKI Jakarta
East Java
West Java

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

Indonesia - 2018
DI Yogyakarta
DKI Jakarta
East Java
South Kalimantan
South Sulawesi
South Sumatera
West Java

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 16 April 2018

Poliovirus Detected in Sewage Samples, Myanmar, 2017-2018
*specimens collected since week 47, 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

2017 Yangon
Sitwe

Sampling site
2018

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

Yangon
Sitwe
Maung Taw

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 April 2018

Measles and Rubella Serology (IgM), 2017
Results
Country

Laboratories

Num ber of Serum
Sam ples Received

Num ber Tested
#

%

#

%

6497

6497

2696

41.5

228

6.0

69.1

65

14.7

8

2.1

93.0

Measles +ve

% Measles Results
Reported w ithin 4 Days

Rubella +ve

Bangladesh

Dhaka

Bhutan

Thimphu

441

441

DPR Korea

Pyongyang

106

106

0

0.0

0

0.0

0.0

Ahmedabad

464

464

327

70.5

30

21.9

100.0

Bengaluru

779

705

165

23.4

174

32.2

92.1

Bhopal

193

193

143

74.1

4

8.0

98.4

Chandigarh

123

123

43

35.0

11

13.8

100.0
98.5

Chennai
India

1029

200

50

25.0

75

50.0

Delhi

159

159

105

66.0

6

11.1

97.5

Guw ahati

278

158

108

68.4

14

28.0

100.0

Hyderabad

125

125

54

43.2

11

15.5

100.0

Jaipur

343

343

238

69.4

9

8.6

81.9

Kolkata

1070

1070

450

42.1

344

55.5

89.2

Lucknow

77.8

2124

1926

1212

62.9

96

13.4

Patna

488

488

184

37.7

120

39.5

68.9

Pune

699

522

310

59.4

45

21.2

91.4

India Total

Indonesia

7874

6476

3389

52.3

939

30.4

86.6

Bandung

1184

1184

585

49.4

182

30.4

93.2

Jakarta

5350

4942

1260

25.5

1548

42.0

20.3

Surabaya

4277

3122

1569

50.3

534

34.4

55.6

Yogyakarta

3990

3990

1024

25.7

1319

44.5

73.1

14801

13238

4438

33.5

3583

40.7

51.1

Indonesia Total
Maldives

Male

Myanm ar

Yangon

66

66

1

1.5

1

1.5

89.4

1631

1630

1041

63.9

8

1.4

98.3

Nepal
Sri Lanka

Kathmandu

916

916

63

6.9

22

2.6

92.5

Colombo

241

240

5

2.1

10

4.3

87.5

Bangkok

615

615

316

51.4

3

1.0

100.0

Chiang Mai

170

170

103

60.6

0

0.0

100.0

Chiang Rai

39

39

9

23.1

0

0.0

89.7

Chon Buri

255

174

59

33.9

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

71

71

28

39.4

4

9.3

97.2

Phitsanulok

58

58

15

25.9

2

4.7

100.0

Samut Songkhram

460

460

276

60.0

5

2.7

98.3

Songkhla

795

795

631

79.4

3

1.8

100.0

Surat Thani

18

18

3

16.7

0

0.0

100.0

Trang

64

64

10

15.6

9

16.7

100.0

Ubon Ratchathani

57

57

10

17.5

1

2.1

100.0

Udon Thani

15

15

5

33.3

0

0.0

100.0

2680

2599

1479

56.9

29

2.6

99.5

126

126

0

0.0

3

2.4

92.1

35379

32335

13177

40.8

4831

25.2

70.1

Khon Kaen
Nakhon Saw an
Thailand

Thailand Total
Tim or-Leste

Dili

TOTAL
Source: Reported by SEAR Measles Laboratory Netw ork

Source: SEAR Monthly lab reports

NR=No Report

Data as of 28 February 2018

Measles and Rubella Serology (IgM), 2018
Results
Country

Laboratories

Num ber of Serum
Sam ples Received

Num ber Tested
#

%

#

%

359

359

151

42.1

14

6.7

99.7
58.1

Measles +ve

% Measles Results
Reported w ithin 4 Days

Rubella +ve

Bangladesh

Dhaka

Bhutan

Thimphu

31

31

8

25.8

1

4.3

DPR Korea

Pyongyang

NR

NR

NR

NR

NR

NR

NR

Ahmedabad

90

90

44

48.9

10

21.7

98.9

Bengaluru

87

82

18

22.0

0

0.0

95.1

Bhopal

46

46

41

89.1

0

0.0

97.8

Chandigarh

43

41

29

70.7

0

0.0

100.0
92.3

Chennai

India

189

39

2

5.1

15

40.5

Delhi

62

62

49

79.0

0

0.0

91.9

Guw ahati

15

10

4

40.0

3

50.0

100.0

Hyderabad

34

34

4

11.8

0

0.0

82.4

Jaipur

63

63

50

79.4

0

0.0

98.4

Kolkata

212

212

116

54.7

45

46.9

94.3

Lucknow

675

526

384

73.0

7

4.9

85.0

Mumbai

231

166

116

69.9

10

20.0

63.9

Patna

141

141

113

80.1

19

67.9

27.7

Pune

NR

NR

NR

NR

NR

NR

NR

1888

1512

970

64.2

109

20.1

81.9

India Total
Bandung
Indonesia

44

44

1

2.3

9

20.9

100.0

Jakarta

258

220

34

15.5

64

34.4

92.3

Surabaya

297

297

208

70.0

61

68.5

94.6

Yogyakarta

214

214

7

3.3

36

17.4

90.2

813

775

250

32.3

170

32.4

93.0

Indonesia Total
Maldives

Male

Myanm ar

Yangon

5

5

0

0.0

0

0.0

100.0

69

69

31

44.9

1

2.6

Nepal

Kathmandu

95.7

197

88

8

9.1

2

2.5

Sri Lanka

0.0

Colombo

21

21

1

4.8

0

0.0

85.7

Bangkok

51

51

24

47.1

2

7.4

100.0

Chiang Mai

59

59

45

76.3

0

0.0

100.0

Chiang Rai

0

0

0

NR

0

NR

NR

Chon Buri

29

29

7

24.1

0

0.0

100.0

Khon Kaen

12

12

4

33.3

0

0.0

100.0

0

0

0

NR

0

NR

NR

22

22

9

40.9

0

0.0

100.0

Nakhon Saw an
Thailand

Nakhonratchasima
Phitsanulok

2

2

0

0.0

0

0.0

100.0

Samut Songkhram

32

32

14

43.8

0

0.0

100.0

Songkhla

100.0

10

10

0

0.0

1

10.0

Surat Thani

1

1

0

0.0

0

0.0

100.0

Trang

7

7

0

0.0

0

0.0

100.0
100.0

Ubon Ratchathani
Udon Thani
Thailand Total
Tim or-Leste

Dili

TOTAL

61

61

20

32.8

2

4.9

137

137

49

35.8

1

1.1

100.0

423

423

172

40.7

6

2.4

100.0

51

51

0

0.0

2

3.9

100.0

3857

3334

1591

47.7

305

17.5

86.9

Source: Reported by SEAR Measles Laboratory Netw ork

Source: SEAR Monthly lab reports

NR=No Report

Data as of 28 February 2018