sear vpdupdate apr18
Monthly Vaccine Preventable Disease and
Immunization Update
Published: April 11, 2018
Immunization and Vaccine
Development (IVD) SEARO
Protecting People from Vaccine
Preventable Diseases
Last wild poliovirus case 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
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
*Dots are randomly placed within blocks (Sub-districts)
Data as of 09 April 2018
AFP Surveillance Indicators by First Administrative Level*, 2017
% Adequate Stool Specimen Collection
Non-polio AFP Rate
Non-Polio AFP Rate
2
No Non-Polio AFP Case
Adequate Stool
Specimen Collection
*Bhutan, Maldives & Timor-Leste by country
Total AFP Cases = 43549
Non-Polio AFP Rate =6.98
Adequate Stool specimen = 86%
Countries reporting AFP cases= 11 (100%)
< 60%
60% – 79%
> 80%
No AFP Case
* Number of discarded AFP cases per 100,000 children under 15 years of age.
** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
Note: Some AFP cases may still be pending final classification.
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 2015. All rights reserved
Data as of 09 April 2018
Non-polio AFP Cases by Month of Onset
SEAR, 2014-2018
Number of Non-polio AFP cases
7000
6000
5000
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
2014
4451
3990
4185
4018
4500
5149
5518
6414
6122
5086
4952
4095
58480
2015
4106
3718
3680
3497
3788
4124
4155
5124
5421
4994
4196
4091
50894
2016
4166
3749
3610
3472
4064
4175
5304
6034
4943
4023
3655
3495
50690
2017
3437
3043
3168
3046
3310
3315
4267
5015
3973
3431
3299
2878
42182
2018
2725
2344
1070
6139
4000
3000
2000
1000
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
2014
2015
2016
2017
2018
4
Data as of 09 April 2018
Non-polio AFP Rate*
SEAR, 2014–2018
10.77 10.60
8.72
12.48
6.34
~~~~~~~~
6
~~~~~~~~
and above
5.5
Non-Polio AFP Rate
5
SEAR Minimum Target
4.5
4
3.5
3
2.5
2
1.5
1
0.5
0
BAN
BHU
DPRK
2014
IND
INO
2015
MAV
2016
MMR
NEP
2017
SRL
THA
TLS
2018
* Number of discarded AFP cases per 100,000 children under 15 years of age
5
Data as of 09 April 2018
Percent Adequate Stool Specimen Collection*
SEAR, 2014-2018
Minimum Target
100
80
Percent
60
40
20
0
BAN
BHU
DPRK
2014
IND
INO
2015
MAV
2016
MMR
2017
NEP
SRL
THA
TLS
2018
*Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
6
Data as of 09 April 2018
N=58
N=130
Percent
20.0
N=173
N=158
25.0
N=100
N=126
N=70
N=770
N=898
30.0
N=751
35.0
N=88
N=748
Percent of Non-Polio AFP Cases Under Immunized for OPV
(6 Months to 5 Yrs), SEAR, 2014-2018
0.0
N=80
N=25
N=236
N=182
N=199
N=17
N=2742
N=19682
N=23612
N=24881
N=28997
N=126
N=758
N=790
N=838
5.0
N=863
10.0
N=209
15.0
2014 2015 2016 2017 2018 2014 2015 2016 2017 2018 2014 2015 2016 2017 2018 2014 2015 2016 2017 2018 2014 2015 2016 2017 2018 2014 2015 2016 2017 2018
Bangladesh
India
Indonesia
Myanmar
Nepal
Thailand
Zero OPV Dose
80%
No AFP Case
Total AFP Cases = 7298
Non-Polio AFP Rate =4.80
Adequate Stool specimen = 87%
Districts reporting AFP cases= 604(89%)
* Number of discarded AFP cases per 100,000 children under 15 years of age (annualized by week 14, 2017)
** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
Note: Some AFP cases may still be pending final classification.
8
Data as of 09 April 2018
AFP Surveillance Indicators by District
India, 2017
Non-polio AFP Rate*
Non-Polio AFP Rate
2
No Non-Polio AFP Case
Percent Adequate Stool
Specimen Collection **
Adequate Stool
Specimen Collection
< 60%
60% – 79%
> 80%
No AFP Case
Total AFP Cases = 39339
Non-Polio AFP Rate =8.72
Adequate Stool specimen = 86%
Districts reporting AFP cases= 688(97%)
* Number of discarded AFP cases per 100,000 children under 15 years of age
** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
Note: Some AFP cases may still be pending final classification.
9
Data as of 09 April 2018
Non-polio AFP Cases by Month of Onset
India, 2014-2018
Number of Non-polio AFP cases
7000
6000
5000
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
2014
4110
3657
3781
3621
4042
4683
5168
6035
5747
4711
4565
3790
53910
2015
3774
3442
3329
3207
3430
3763
3888
4765
5082
4612
3866
3799
46957
2016
3838
3440
3214
3124
3691
3787
4911
5635
4579
3675
3361
3229
46484
2017
3126
2729
2845
2720
2998
3081
3896
4633
3642
3020
2894
2650
38234
2018
2513
2147
1002
5662
4000
3000
2000
1000
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
2014
2015
2016
2017
2018
10
Data as of 09 April 2018
AFP Surveillance Indicators by District
Nepal, 2018
Percent Adequate Stool
Specimen Collection **
Non-polio AFP Rate*
Non-Polio AFP Rate
2
No Non-Polio AFP Case
Adequate Stool
Specimen Collection
Total AFP Cases = 70
Non-Polio AFP Rate =2.48
Adequate Stool specimen = 93%
Districts reporting AFP cases= 35(45%)
< 60%
60% – 79%
> 80%
No AFP Case
* Number of discarded AFP cases per 100,000 children under 15 years of age (annualized by week 14, 2017)
** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
Note: Some AFP cases may still be pending final classification.
11
Data as of 09 April 2018
AFP Surveillance Indicators by District
Nepal, 2017
Percent Adequate Stool
Specimen Collection **
Non-polio AFP Rate*
Non-Polio AFP Rate
2
No Non-Polio AFP Case
Adequate Stool
Specimen Collection
Total AFP Cases = 371
Non-Polio AFP Rate =4.25
Adequate Stool specimen = 98%
Districts reporting AFP cases= 69 (92%)
< 60%
60% – 79%
> 80%
No AFP Case
* Number of discarded AFP cases per 100,000 children under 15 years of age.
** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
Note: Some AFP cases may still be pending final classification.
12
Data as of 09 April 2018
Non-polio AFP Cases by Month of Onset
Month
Nepal, 2014-2018
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
2014 2015
50
32
48
32
40
46
31
25
41
20
42
38
47
38
38
39
40
36
37
29
38
24
34
35
486 394
2016 2017 2018
31
35
25
23
27
21
38
34
12
42
32
44
32
58
24
57
37
38
43
48
21
37
26
19
21
20
37
455
369
58
13
Data as of 09 April 2018
AFP Surveillance Indicators by Province
Myanmar, 2018
Non-polio AFP Rate*
Percent Adequate Stool
Specimen Collection **
Adequate Stool
Specimen Collection
< 60%
60% – 79%
> 80%
No AFP Case
Non-Polio AFP Rate
2
No Non-Polio AFP Case
Total AFP Cases = 49
Non-Polio AFP Rate = 1.07
Adequate Stool specimen = 100%
Provinces reporting AFP cases= 14 (82%)
* Number of discarded AFP cases per 100,000 children under 15 years of age (annualized by week 14, 2017)
** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
Note: Some AFP cases may still be pending final classification.
14
Data as of 09 April 2018
AFP Surveillance Indicators by Province
Myanmar, 2017
Percent Adequate Stool
Specimen Collection **
Non-polio AFP Rate*
Adequate Stool
Specimen Collection
< 60%
60% – 79%
> 80%
No AFP Case
Non-Polio AFP Rate
2
No Non-Polio AFP Case
Total AFP Cases = 396
Non-Polio AFP Rate = 2.90
Adequate Stool specimen = 95%
Provinces reporting AFP cases= 18 (100%)
* Number of discarded AFP cases per 100,000 children under 15 years of age
** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
Note: Some AFP cases may still be pending final classification.
15
Data as of 09 April 2018
Non-polio AFP Cases by Month of Onset
Myanmar, 2014-2018
Number of Non-polio AFP cases
90
80
70
60
50
Month 2014 2015
Jan
41
22
Feb
24
21
Mar
19
17
Apr
22
14
May
38
27
Jun
38
19
Jul
39
26
Aug
47
33
Sep
42
35
Oct
29
42
Nov
24
25
Dec
26
52
Total 389 333
2016 2017 2018
29
18
23
27
24
15
17
14
1
18
18
23
24
50
28
79
52
56
64
51
38
54
36
33
43
29
32
466
391
39
40
30
20
10
0
Jan
Feb
Mar
Apr
2014
May
2015
Jun
Jul
Month
2016
Aug
Sep
2017
Oct
Nov
Dec
2018
16
Data as of 09 April 2018
AFP Surveillance Indicators by District
Bangladesh, 2018
Non-polio AFP Rate*
Percent Adequate Stool Specimen
Collection **
Adequate Stool
Specimen Collection
Non-Polio AFP Rate
2
No Non-Polio AFP Case
< 60%
60% – 79%
> 80%
No AFP Case
* Number of discarded AFP cases per 100,000 children under 15 years of age (annualized by week 14, 2017)
** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
Note: Some AFP cases may still be pending final classification.
Total AFP Cases = 269
Non-Polio AFP Rate =1.53
Adequate Stool specimen = 98%
Districts reporting AFP cases= 63 (98%)
17
Data as of 09 April 2018
AFP Surveillance Indicators by District
Bangladesh, 2017
Non-polio AFP Rate*
Percent Adequate Stool Specimen
Collection **
Adequate Stool
Specimen Collection
Non-Polio AFP Rate
2
No Non-Polio AFP Case
< 60%
60% – 79%
> 80%
No AFP Case
* Number of discarded AFP cases per 100,000 children under 15 years of age
** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
Note: Some AFP cases may still be pending final classification.
Total AFP Cases = 1363
Non-Polio AFP Rate =2.70
Adequate Stool specimen = 98%
Districts reporting AFP cases= 64 (100%)
18
Data as of 09 April 2018
Non-polio AFP Cases by Month of Onset
Bangladesh, 2014-2018
Month 2014
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
2015
73
87
69
100
115 127
130 121
169 171
198 134
154 110
168 139
117 101
102 137
104 115
79
71
1478 1413
Sep
Oct
Number of Non-polio AFP cases
250
200
2016 2017 2018
126
111
78
118
117 100
139
135
27
136
147
143
124
121
95
146
152
122
105
122
110
100
127
99
78
65
46
1437 1347 205
150
100
50
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Nov
Dec
Month
2014
2015
2016
2017
2018
19
Data as of 09 April 2018
AFP Surveillance Indicators by Province
Indonesia, 2018
Non-polio AFP Rate*
Non-Polio AFP Rate
2
No Non-Polio AFP Case
Percent Adequate Stool Specimen Collection **
Total AFP Cases = 232
Non-Polio AFP Rate = 0.88
Adequate Stool specimen = 83%
Provinces reporting AFP cases= 25 (74%)
Adequate Stool
Specimen Collection
< 60%
60% – 79%
> 80%
No AFP Case
* Number of discarded AFP cases per 100,000 children under 15 years of age (annualized by week 14, 2017)
** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
Note: Some AFP cases may still be pending final classification.
Data as of 09 April 2018
20
AFP Surveillance Indicators by Province
Indonesia, 2017
Non-polio AFP Rate*
Non-Polio AFP Rate
2
No Non-Polio AFP Case
Total AFP Cases = 1689
Non-Polio AFP Rate = 2.16
Adequate Stool specimen = 82%
Provinces reporting AFP cases= 33 (97%)
Percent Adequate Stool Specimen Collection **
Adequate Stool
Specimen Collection
< 60%
60% – 79%
> 80%
No AFP Case
* Number of discarded AFP cases per 100,000 children under 15 years of age.
** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
Note: Some AFP cases may still be pending final classification.
Data as of 09 April 2018
21
Non-polio AFP Cases by Month of Onset
Indonesia, 2014-2018
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
Number of Non-polio AFP cases
300
250
200
2014 2015
135 153
149 110
198 123
184 107
172 110
155 129
66
53
87
115
158 133
165 150
170 136
125 109
1764 1428
2016 2017 2018
101
96
82
101
106
57
163
108
27
135
103
130
113
109
68
75
103
134
130
102
140
117
204
113
245
129
100
1409 1516 166
150
100
50
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
2014
2015
2016
2017
2018
22
Data as of 09 April 2018
AFP Surveillance Indicators by Province
Thailand, 2017
Percent Adequate Stool Specimen Collection **
Annualized Non-polio AFP Rate*
Non-Polio AFP Rate
2
No Non-Polio AFP Case
Adequate Stool
Specimen Collection
< 60%
60% – 79%
> 80%
No AFP Case
Total AFP Cases = 198
Non-Polio AFP Rate = 1.44
Adequate Stool specimen = 68%
Provinces reporting AFP cases= 70 (91%)
* Number of discarded AFP cases per 100,000 children under 15 years of age.
** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
Note: Some AFP cases may still be pending final classification.
Data as of 09 April 2018
23
Non-polio AFP Cases by Month of Onset
Month 2013
Thailand, 2013-2017
Jan
19
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
Number of Non-polio AFP cases
35
30
20
24
22
19
17
27
19
18
16
18
16
235
2014
24
25
12
16
17
18
27
18
11
19
25
26
238
2015 2016 2017
15
25
30
5
25
17
12
21
16
16
5
5
17
16
10
18
24
14
18
16
18
14
24
22
19
30
10
11
24
5
21
20
12
17
16
8
183
246 167
25
20
15
10
5
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
2013
2014
2015
2016
2017
24
Data as of 09 April 2018
Suspected measles
outbreaks
Laboratory Confirmed1
# Outbreaks
Investigated
# Cases
# Outbreaks
# Cases
# Outbreaks
# Cases
# Outbreaks
# Cases
Pertussis
Encephalitis
# reports expected
% Completeness
2244
207
162
162
2296
9
71
1321
4
84
12
262
95
7
0
249
12
100
92
436
65
31
3
0
0
0
0
0
0
0
0
0
0
0
0
0
9
12-Jan-18
12
83
75
DPR Korea
106
0
106
0
0
106
106
106
0
0
0
0
0
0
0
0
0
0
0
0
05-Feb-18
12
75
42
India
46482
98
710
116
103
1783 1085 18402
77
606
10414
125
2418
15
226
NR
NR
NR
NR
NR
27-Feb-18
12
67
0
Indonesia
14948
1
5596
458
146
347
335
3032
0
194
1579
79
781
21
250
25
1210
11
628
NR
21-Mar-18
12
100
67
Maldives
66
0
66
1
0
1
1
1
0
1
1
0
0
0
0
0
0
0
0
10
04-Jan-18
12
75
50
Myanmar
1248
0
1227
749
4
19
19
468
0
19
453
0
0
0
0
20
68
5
0
Nepal
879
3
801
39
21
10
10
152
4
4
54
0
0
0
0
7
NR
NR
1139
Sri Lanka
490
0
438
8
20
0
0
0
0
0
0
0
0
0
0
0
0
30
362
Thailand
2776
3
2262
1323
23
23
23
433
0
13
227
0
0
0
0
1
5
78
785
NR
95
0
0
0
0
1
0
1
1
2
Timor-Leste
Total
1
3
120
0
73344
120
17155 5003
2
557
2454 1741 24890
0
0
0
0
0
0
0
90
908
14049
208
3283
48
738
At least 5 blood samples should be collected and tested from each outbreak.
Monthly VPD and AEFI reports due to SEARO/IVD on or before 15th of each month.
Source: SEAR Monthly VPD reports
149 1290 125
2159 13-Mar-18
16647 27-Feb-18
% Timeliness
# Outbreaks
5418
0
Mixed
Outbreaks
Date of last report
# Rubella +ve
15
440
Rubella
Outbreaks
Diphtheria
# Measles +ve
5789
Bhutan
Measles
Outbreaks
Neonatal Tetanus
# Tested for
serology
Bangladesh
Country
# Deaths
# Deaths
Number of Cases
# Cases
Routine Reporting of clinically suspected
measles cases
Number of Cases of
AEFI 2
VPD Reporting, 2017
12
75
58
27-Feb-18
12
100
83
21974 15-Feb-18
12
100
75
16-Jan-18
12
83
42
20-Nov-17
12
42
17
15
3164 40816
2
Adverse Events Follow ing Immunization; Sri Lanka AEFI data do not reflect cases but events.
NR=No report
Data as of 31 March 2018
VPD Reporting, 2018
Suspected measles
outbreaks
# Deaths
# Tested for
serology
# Measles +ve
# Rubella +ve
# Outbreaks
# Outbreaks
Investigated
# Cases
# Deaths
# Outbreaks
# Cases
# Outbreaks
# Cases
# Outbreaks
# Cases
Neonatal Tetanus
Diphtheria
Pertussis
Encephalitis
Number of Cases of
AEFI 2
Date of last report
# reports expected
% Completeness
% Timeliness
Laboratory Confirmed1
# Cases
Routine Reporting of clinically
suspected measles cases
Bangladesh
364
0
359
136
12
15
15
79
0
5
29
1
8
1
5
10
0
0
142
138
13-Mar-18
2
100
100
Bhutan
36
0
36
7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
10-Mar-18
2
100
100
DPR Korea
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
2
0
0
India
6913
36
189
7
1
192
110
1497
15
62
914
1
13
NR
NR
NR
NR
NR
NR
NR
19-Mar-18
2
100
0
Indonesia
352
0
98
0
6
3
3
22
0
0
0
0
0
0
0
1
164
0
0
NR
21-Mar-18
2
50
0
Maldives
5
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
05-Mar-18
2
50
50
Myanmar
69
0
69
31
1
0
0
0
0
0
0
0
0
0
0
3
17
10
0
0
23-Mar-18
2
100
0
Nepal
113
0
0
0
0
1
1
9
0
0
0
0
0
0
0
1
NR
NR
71
0
15-Mar-18
2
100
100
Sri Lanka
27
0
24
1
0
0
0
0
0
0
0
0
0
0
0
0
0
4
22
1032 14-Mar-18
2
100
100
Thailand
533
0
418
173
6
7
7
144
0
7
118
0
0
0
0
0
0
6
152
78
15-Mar-18
2
100
100
Timor-Leste
45
0
44
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
16-Mar-18
2
100
50
8457
36
1242
355
29
218
136
1751
15
74
1061
2
21
1
5
15
181
20
387
1250
Country
Total
Measles
Outbreaks
1
At least 5 blood samples should be collected and tested from each outbreak.
3
Monthly VPD and AEFI reports due to SEARO/IVD on or before 15th of each month.
Source: SEAR Monthly VPD reports
Rubella
Outbreaks
Number of Cases
Mixed
Outbreaks
2
Adverse Events Follow ing Immunization; Sri Lanka AEFI data do not reflect cases but events.
NR=No report
Data as of 31 March 2018
Measles and Rubella Serology (IgM), 2017
Results
Country
Laboratories
Bangladesh
Dhaka
Bhutan
Thimphu
DPR Korea
#
%
2696
41.5
228
6.0
69.1
441
441
65
14.7
8
2.1
93.0
106
0
0.0
0
0.0
0.0
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
100.0
123
123
43
35.0
11
13.8
1029
200
50
25.0
75
50.0
98.5
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
2124
1926
1212
62.9
96
13.4
77.8
488
488
184
37.7
120
39.5
68.9
Pune
699
522
310
59.4
45
21.2
91.4
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
Indonesia Total
Maldives
Male
Myanm ar
Yangon
Nepal
Kathmandu
3990
3990
1024
25.7
1319
44.5
73.1
14801
13238
4438
33.5
3583
40.7
51.1
89.4
66
66
1
1.5
1
1.5
1631
1630
1041
63.9
8
1.4
98.3
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 Total
Tim or-Leste
%
6497
106
India Total
Thailand
% Measles Results
Reported w ithin 4 Days
Rubella +ve
464
Patna
Sri Lanka
#
6497
Measles +ve
Pyongyang
Chennai
Indonesia
Num ber Tested
Ahmedabad
Chandigarh
India
Num ber of Serum
Sam ples Received
Dili
TOTAL
Source: Reported by SEAR Measles Laboratory Netw ork
Source: SEAR Monthly lab reports
NR=No Report
Data as of 31 March 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
Chennai
India
189
39
2
5.1
15
40.5
92.3
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
1888
1512
970
64.2
109
20.1
81.9
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
India Total
Bandung
Indonesia
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
100.0
Nakhon Saw an
Thailand
Nakhonratchasima
Phitsanulok
2
2
0
0.0
0
0.0
Samut Songkhram
32
32
14
43.8
0
0.0
100.0
Songkhla
10
10
0
0.0
1
10.0
100.0
Surat Thani
1
1
0
0.0
0
0.0
100.0
Trang
7
7
0
0.0
0
0.0
100.0
Ubon Ratchathani
Udon Thani
Thailand Total
Tim or-Leste
Dili
TOTAL
61
61
20
32.8
2
4.9
100.0
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 31 March 2018
Immunization Update
Published: April 11, 2018
Immunization and Vaccine
Development (IVD) SEARO
Protecting People from Vaccine
Preventable Diseases
Last wild poliovirus case 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
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
*Dots are randomly placed within blocks (Sub-districts)
Data as of 09 April 2018
AFP Surveillance Indicators by First Administrative Level*, 2017
% Adequate Stool Specimen Collection
Non-polio AFP Rate
Non-Polio AFP Rate
2
No Non-Polio AFP Case
Adequate Stool
Specimen Collection
*Bhutan, Maldives & Timor-Leste by country
Total AFP Cases = 43549
Non-Polio AFP Rate =6.98
Adequate Stool specimen = 86%
Countries reporting AFP cases= 11 (100%)
< 60%
60% – 79%
> 80%
No AFP Case
* Number of discarded AFP cases per 100,000 children under 15 years of age.
** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
Note: Some AFP cases may still be pending final classification.
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 2015. All rights reserved
Data as of 09 April 2018
Non-polio AFP Cases by Month of Onset
SEAR, 2014-2018
Number of Non-polio AFP cases
7000
6000
5000
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
2014
4451
3990
4185
4018
4500
5149
5518
6414
6122
5086
4952
4095
58480
2015
4106
3718
3680
3497
3788
4124
4155
5124
5421
4994
4196
4091
50894
2016
4166
3749
3610
3472
4064
4175
5304
6034
4943
4023
3655
3495
50690
2017
3437
3043
3168
3046
3310
3315
4267
5015
3973
3431
3299
2878
42182
2018
2725
2344
1070
6139
4000
3000
2000
1000
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
2014
2015
2016
2017
2018
4
Data as of 09 April 2018
Non-polio AFP Rate*
SEAR, 2014–2018
10.77 10.60
8.72
12.48
6.34
~~~~~~~~
6
~~~~~~~~
and above
5.5
Non-Polio AFP Rate
5
SEAR Minimum Target
4.5
4
3.5
3
2.5
2
1.5
1
0.5
0
BAN
BHU
DPRK
2014
IND
INO
2015
MAV
2016
MMR
NEP
2017
SRL
THA
TLS
2018
* Number of discarded AFP cases per 100,000 children under 15 years of age
5
Data as of 09 April 2018
Percent Adequate Stool Specimen Collection*
SEAR, 2014-2018
Minimum Target
100
80
Percent
60
40
20
0
BAN
BHU
DPRK
2014
IND
INO
2015
MAV
2016
MMR
2017
NEP
SRL
THA
TLS
2018
*Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
6
Data as of 09 April 2018
N=58
N=130
Percent
20.0
N=173
N=158
25.0
N=100
N=126
N=70
N=770
N=898
30.0
N=751
35.0
N=88
N=748
Percent of Non-Polio AFP Cases Under Immunized for OPV
(6 Months to 5 Yrs), SEAR, 2014-2018
0.0
N=80
N=25
N=236
N=182
N=199
N=17
N=2742
N=19682
N=23612
N=24881
N=28997
N=126
N=758
N=790
N=838
5.0
N=863
10.0
N=209
15.0
2014 2015 2016 2017 2018 2014 2015 2016 2017 2018 2014 2015 2016 2017 2018 2014 2015 2016 2017 2018 2014 2015 2016 2017 2018 2014 2015 2016 2017 2018
Bangladesh
India
Indonesia
Myanmar
Nepal
Thailand
Zero OPV Dose
80%
No AFP Case
Total AFP Cases = 7298
Non-Polio AFP Rate =4.80
Adequate Stool specimen = 87%
Districts reporting AFP cases= 604(89%)
* Number of discarded AFP cases per 100,000 children under 15 years of age (annualized by week 14, 2017)
** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
Note: Some AFP cases may still be pending final classification.
8
Data as of 09 April 2018
AFP Surveillance Indicators by District
India, 2017
Non-polio AFP Rate*
Non-Polio AFP Rate
2
No Non-Polio AFP Case
Percent Adequate Stool
Specimen Collection **
Adequate Stool
Specimen Collection
< 60%
60% – 79%
> 80%
No AFP Case
Total AFP Cases = 39339
Non-Polio AFP Rate =8.72
Adequate Stool specimen = 86%
Districts reporting AFP cases= 688(97%)
* Number of discarded AFP cases per 100,000 children under 15 years of age
** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
Note: Some AFP cases may still be pending final classification.
9
Data as of 09 April 2018
Non-polio AFP Cases by Month of Onset
India, 2014-2018
Number of Non-polio AFP cases
7000
6000
5000
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
2014
4110
3657
3781
3621
4042
4683
5168
6035
5747
4711
4565
3790
53910
2015
3774
3442
3329
3207
3430
3763
3888
4765
5082
4612
3866
3799
46957
2016
3838
3440
3214
3124
3691
3787
4911
5635
4579
3675
3361
3229
46484
2017
3126
2729
2845
2720
2998
3081
3896
4633
3642
3020
2894
2650
38234
2018
2513
2147
1002
5662
4000
3000
2000
1000
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
2014
2015
2016
2017
2018
10
Data as of 09 April 2018
AFP Surveillance Indicators by District
Nepal, 2018
Percent Adequate Stool
Specimen Collection **
Non-polio AFP Rate*
Non-Polio AFP Rate
2
No Non-Polio AFP Case
Adequate Stool
Specimen Collection
Total AFP Cases = 70
Non-Polio AFP Rate =2.48
Adequate Stool specimen = 93%
Districts reporting AFP cases= 35(45%)
< 60%
60% – 79%
> 80%
No AFP Case
* Number of discarded AFP cases per 100,000 children under 15 years of age (annualized by week 14, 2017)
** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
Note: Some AFP cases may still be pending final classification.
11
Data as of 09 April 2018
AFP Surveillance Indicators by District
Nepal, 2017
Percent Adequate Stool
Specimen Collection **
Non-polio AFP Rate*
Non-Polio AFP Rate
2
No Non-Polio AFP Case
Adequate Stool
Specimen Collection
Total AFP Cases = 371
Non-Polio AFP Rate =4.25
Adequate Stool specimen = 98%
Districts reporting AFP cases= 69 (92%)
< 60%
60% – 79%
> 80%
No AFP Case
* Number of discarded AFP cases per 100,000 children under 15 years of age.
** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
Note: Some AFP cases may still be pending final classification.
12
Data as of 09 April 2018
Non-polio AFP Cases by Month of Onset
Month
Nepal, 2014-2018
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
2014 2015
50
32
48
32
40
46
31
25
41
20
42
38
47
38
38
39
40
36
37
29
38
24
34
35
486 394
2016 2017 2018
31
35
25
23
27
21
38
34
12
42
32
44
32
58
24
57
37
38
43
48
21
37
26
19
21
20
37
455
369
58
13
Data as of 09 April 2018
AFP Surveillance Indicators by Province
Myanmar, 2018
Non-polio AFP Rate*
Percent Adequate Stool
Specimen Collection **
Adequate Stool
Specimen Collection
< 60%
60% – 79%
> 80%
No AFP Case
Non-Polio AFP Rate
2
No Non-Polio AFP Case
Total AFP Cases = 49
Non-Polio AFP Rate = 1.07
Adequate Stool specimen = 100%
Provinces reporting AFP cases= 14 (82%)
* Number of discarded AFP cases per 100,000 children under 15 years of age (annualized by week 14, 2017)
** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
Note: Some AFP cases may still be pending final classification.
14
Data as of 09 April 2018
AFP Surveillance Indicators by Province
Myanmar, 2017
Percent Adequate Stool
Specimen Collection **
Non-polio AFP Rate*
Adequate Stool
Specimen Collection
< 60%
60% – 79%
> 80%
No AFP Case
Non-Polio AFP Rate
2
No Non-Polio AFP Case
Total AFP Cases = 396
Non-Polio AFP Rate = 2.90
Adequate Stool specimen = 95%
Provinces reporting AFP cases= 18 (100%)
* Number of discarded AFP cases per 100,000 children under 15 years of age
** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
Note: Some AFP cases may still be pending final classification.
15
Data as of 09 April 2018
Non-polio AFP Cases by Month of Onset
Myanmar, 2014-2018
Number of Non-polio AFP cases
90
80
70
60
50
Month 2014 2015
Jan
41
22
Feb
24
21
Mar
19
17
Apr
22
14
May
38
27
Jun
38
19
Jul
39
26
Aug
47
33
Sep
42
35
Oct
29
42
Nov
24
25
Dec
26
52
Total 389 333
2016 2017 2018
29
18
23
27
24
15
17
14
1
18
18
23
24
50
28
79
52
56
64
51
38
54
36
33
43
29
32
466
391
39
40
30
20
10
0
Jan
Feb
Mar
Apr
2014
May
2015
Jun
Jul
Month
2016
Aug
Sep
2017
Oct
Nov
Dec
2018
16
Data as of 09 April 2018
AFP Surveillance Indicators by District
Bangladesh, 2018
Non-polio AFP Rate*
Percent Adequate Stool Specimen
Collection **
Adequate Stool
Specimen Collection
Non-Polio AFP Rate
2
No Non-Polio AFP Case
< 60%
60% – 79%
> 80%
No AFP Case
* Number of discarded AFP cases per 100,000 children under 15 years of age (annualized by week 14, 2017)
** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
Note: Some AFP cases may still be pending final classification.
Total AFP Cases = 269
Non-Polio AFP Rate =1.53
Adequate Stool specimen = 98%
Districts reporting AFP cases= 63 (98%)
17
Data as of 09 April 2018
AFP Surveillance Indicators by District
Bangladesh, 2017
Non-polio AFP Rate*
Percent Adequate Stool Specimen
Collection **
Adequate Stool
Specimen Collection
Non-Polio AFP Rate
2
No Non-Polio AFP Case
< 60%
60% – 79%
> 80%
No AFP Case
* Number of discarded AFP cases per 100,000 children under 15 years of age
** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
Note: Some AFP cases may still be pending final classification.
Total AFP Cases = 1363
Non-Polio AFP Rate =2.70
Adequate Stool specimen = 98%
Districts reporting AFP cases= 64 (100%)
18
Data as of 09 April 2018
Non-polio AFP Cases by Month of Onset
Bangladesh, 2014-2018
Month 2014
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
2015
73
87
69
100
115 127
130 121
169 171
198 134
154 110
168 139
117 101
102 137
104 115
79
71
1478 1413
Sep
Oct
Number of Non-polio AFP cases
250
200
2016 2017 2018
126
111
78
118
117 100
139
135
27
136
147
143
124
121
95
146
152
122
105
122
110
100
127
99
78
65
46
1437 1347 205
150
100
50
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Nov
Dec
Month
2014
2015
2016
2017
2018
19
Data as of 09 April 2018
AFP Surveillance Indicators by Province
Indonesia, 2018
Non-polio AFP Rate*
Non-Polio AFP Rate
2
No Non-Polio AFP Case
Percent Adequate Stool Specimen Collection **
Total AFP Cases = 232
Non-Polio AFP Rate = 0.88
Adequate Stool specimen = 83%
Provinces reporting AFP cases= 25 (74%)
Adequate Stool
Specimen Collection
< 60%
60% – 79%
> 80%
No AFP Case
* Number of discarded AFP cases per 100,000 children under 15 years of age (annualized by week 14, 2017)
** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
Note: Some AFP cases may still be pending final classification.
Data as of 09 April 2018
20
AFP Surveillance Indicators by Province
Indonesia, 2017
Non-polio AFP Rate*
Non-Polio AFP Rate
2
No Non-Polio AFP Case
Total AFP Cases = 1689
Non-Polio AFP Rate = 2.16
Adequate Stool specimen = 82%
Provinces reporting AFP cases= 33 (97%)
Percent Adequate Stool Specimen Collection **
Adequate Stool
Specimen Collection
< 60%
60% – 79%
> 80%
No AFP Case
* Number of discarded AFP cases per 100,000 children under 15 years of age.
** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
Note: Some AFP cases may still be pending final classification.
Data as of 09 April 2018
21
Non-polio AFP Cases by Month of Onset
Indonesia, 2014-2018
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
Number of Non-polio AFP cases
300
250
200
2014 2015
135 153
149 110
198 123
184 107
172 110
155 129
66
53
87
115
158 133
165 150
170 136
125 109
1764 1428
2016 2017 2018
101
96
82
101
106
57
163
108
27
135
103
130
113
109
68
75
103
134
130
102
140
117
204
113
245
129
100
1409 1516 166
150
100
50
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
2014
2015
2016
2017
2018
22
Data as of 09 April 2018
AFP Surveillance Indicators by Province
Thailand, 2017
Percent Adequate Stool Specimen Collection **
Annualized Non-polio AFP Rate*
Non-Polio AFP Rate
2
No Non-Polio AFP Case
Adequate Stool
Specimen Collection
< 60%
60% – 79%
> 80%
No AFP Case
Total AFP Cases = 198
Non-Polio AFP Rate = 1.44
Adequate Stool specimen = 68%
Provinces reporting AFP cases= 70 (91%)
* Number of discarded AFP cases per 100,000 children under 15 years of age.
** Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
Note: Some AFP cases may still be pending final classification.
Data as of 09 April 2018
23
Non-polio AFP Cases by Month of Onset
Month 2013
Thailand, 2013-2017
Jan
19
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
Number of Non-polio AFP cases
35
30
20
24
22
19
17
27
19
18
16
18
16
235
2014
24
25
12
16
17
18
27
18
11
19
25
26
238
2015 2016 2017
15
25
30
5
25
17
12
21
16
16
5
5
17
16
10
18
24
14
18
16
18
14
24
22
19
30
10
11
24
5
21
20
12
17
16
8
183
246 167
25
20
15
10
5
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
2013
2014
2015
2016
2017
24
Data as of 09 April 2018
Suspected measles
outbreaks
Laboratory Confirmed1
# Outbreaks
Investigated
# Cases
# Outbreaks
# Cases
# Outbreaks
# Cases
# Outbreaks
# Cases
Pertussis
Encephalitis
# reports expected
% Completeness
2244
207
162
162
2296
9
71
1321
4
84
12
262
95
7
0
249
12
100
92
436
65
31
3
0
0
0
0
0
0
0
0
0
0
0
0
0
9
12-Jan-18
12
83
75
DPR Korea
106
0
106
0
0
106
106
106
0
0
0
0
0
0
0
0
0
0
0
0
05-Feb-18
12
75
42
India
46482
98
710
116
103
1783 1085 18402
77
606
10414
125
2418
15
226
NR
NR
NR
NR
NR
27-Feb-18
12
67
0
Indonesia
14948
1
5596
458
146
347
335
3032
0
194
1579
79
781
21
250
25
1210
11
628
NR
21-Mar-18
12
100
67
Maldives
66
0
66
1
0
1
1
1
0
1
1
0
0
0
0
0
0
0
0
10
04-Jan-18
12
75
50
Myanmar
1248
0
1227
749
4
19
19
468
0
19
453
0
0
0
0
20
68
5
0
Nepal
879
3
801
39
21
10
10
152
4
4
54
0
0
0
0
7
NR
NR
1139
Sri Lanka
490
0
438
8
20
0
0
0
0
0
0
0
0
0
0
0
0
30
362
Thailand
2776
3
2262
1323
23
23
23
433
0
13
227
0
0
0
0
1
5
78
785
NR
95
0
0
0
0
1
0
1
1
2
Timor-Leste
Total
1
3
120
0
73344
120
17155 5003
2
557
2454 1741 24890
0
0
0
0
0
0
0
90
908
14049
208
3283
48
738
At least 5 blood samples should be collected and tested from each outbreak.
Monthly VPD and AEFI reports due to SEARO/IVD on or before 15th of each month.
Source: SEAR Monthly VPD reports
149 1290 125
2159 13-Mar-18
16647 27-Feb-18
% Timeliness
# Outbreaks
5418
0
Mixed
Outbreaks
Date of last report
# Rubella +ve
15
440
Rubella
Outbreaks
Diphtheria
# Measles +ve
5789
Bhutan
Measles
Outbreaks
Neonatal Tetanus
# Tested for
serology
Bangladesh
Country
# Deaths
# Deaths
Number of Cases
# Cases
Routine Reporting of clinically suspected
measles cases
Number of Cases of
AEFI 2
VPD Reporting, 2017
12
75
58
27-Feb-18
12
100
83
21974 15-Feb-18
12
100
75
16-Jan-18
12
83
42
20-Nov-17
12
42
17
15
3164 40816
2
Adverse Events Follow ing Immunization; Sri Lanka AEFI data do not reflect cases but events.
NR=No report
Data as of 31 March 2018
VPD Reporting, 2018
Suspected measles
outbreaks
# Deaths
# Tested for
serology
# Measles +ve
# Rubella +ve
# Outbreaks
# Outbreaks
Investigated
# Cases
# Deaths
# Outbreaks
# Cases
# Outbreaks
# Cases
# Outbreaks
# Cases
Neonatal Tetanus
Diphtheria
Pertussis
Encephalitis
Number of Cases of
AEFI 2
Date of last report
# reports expected
% Completeness
% Timeliness
Laboratory Confirmed1
# Cases
Routine Reporting of clinically
suspected measles cases
Bangladesh
364
0
359
136
12
15
15
79
0
5
29
1
8
1
5
10
0
0
142
138
13-Mar-18
2
100
100
Bhutan
36
0
36
7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
10-Mar-18
2
100
100
DPR Korea
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
2
0
0
India
6913
36
189
7
1
192
110
1497
15
62
914
1
13
NR
NR
NR
NR
NR
NR
NR
19-Mar-18
2
100
0
Indonesia
352
0
98
0
6
3
3
22
0
0
0
0
0
0
0
1
164
0
0
NR
21-Mar-18
2
50
0
Maldives
5
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
05-Mar-18
2
50
50
Myanmar
69
0
69
31
1
0
0
0
0
0
0
0
0
0
0
3
17
10
0
0
23-Mar-18
2
100
0
Nepal
113
0
0
0
0
1
1
9
0
0
0
0
0
0
0
1
NR
NR
71
0
15-Mar-18
2
100
100
Sri Lanka
27
0
24
1
0
0
0
0
0
0
0
0
0
0
0
0
0
4
22
1032 14-Mar-18
2
100
100
Thailand
533
0
418
173
6
7
7
144
0
7
118
0
0
0
0
0
0
6
152
78
15-Mar-18
2
100
100
Timor-Leste
45
0
44
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
16-Mar-18
2
100
50
8457
36
1242
355
29
218
136
1751
15
74
1061
2
21
1
5
15
181
20
387
1250
Country
Total
Measles
Outbreaks
1
At least 5 blood samples should be collected and tested from each outbreak.
3
Monthly VPD and AEFI reports due to SEARO/IVD on or before 15th of each month.
Source: SEAR Monthly VPD reports
Rubella
Outbreaks
Number of Cases
Mixed
Outbreaks
2
Adverse Events Follow ing Immunization; Sri Lanka AEFI data do not reflect cases but events.
NR=No report
Data as of 31 March 2018
Measles and Rubella Serology (IgM), 2017
Results
Country
Laboratories
Bangladesh
Dhaka
Bhutan
Thimphu
DPR Korea
#
%
2696
41.5
228
6.0
69.1
441
441
65
14.7
8
2.1
93.0
106
0
0.0
0
0.0
0.0
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
100.0
123
123
43
35.0
11
13.8
1029
200
50
25.0
75
50.0
98.5
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
2124
1926
1212
62.9
96
13.4
77.8
488
488
184
37.7
120
39.5
68.9
Pune
699
522
310
59.4
45
21.2
91.4
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
Indonesia Total
Maldives
Male
Myanm ar
Yangon
Nepal
Kathmandu
3990
3990
1024
25.7
1319
44.5
73.1
14801
13238
4438
33.5
3583
40.7
51.1
89.4
66
66
1
1.5
1
1.5
1631
1630
1041
63.9
8
1.4
98.3
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 Total
Tim or-Leste
%
6497
106
India Total
Thailand
% Measles Results
Reported w ithin 4 Days
Rubella +ve
464
Patna
Sri Lanka
#
6497
Measles +ve
Pyongyang
Chennai
Indonesia
Num ber Tested
Ahmedabad
Chandigarh
India
Num ber of Serum
Sam ples Received
Dili
TOTAL
Source: Reported by SEAR Measles Laboratory Netw ork
Source: SEAR Monthly lab reports
NR=No Report
Data as of 31 March 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
Chennai
India
189
39
2
5.1
15
40.5
92.3
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
1888
1512
970
64.2
109
20.1
81.9
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
India Total
Bandung
Indonesia
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
100.0
Nakhon Saw an
Thailand
Nakhonratchasima
Phitsanulok
2
2
0
0.0
0
0.0
Samut Songkhram
32
32
14
43.8
0
0.0
100.0
Songkhla
10
10
0
0.0
1
10.0
100.0
Surat Thani
1
1
0
0.0
0
0.0
100.0
Trang
7
7
0
0.0
0
0.0
100.0
Ubon Ratchathani
Udon Thani
Thailand Total
Tim or-Leste
Dili
TOTAL
61
61
20
32.8
2
4.9
100.0
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 31 March 2018