Week 06, 2018pdf, World Health Organization, SouthEast Asia Regional Office

Vol. 22, Week 06, 2018

Published 12 February 2018

Meetings/ Important events:
 Regional Consultation on Human Papilloma Vaccine Introduction, New Delhi, India, 28-30 March 2018

Table 1: Measles & Rubella Laboratory Supported Case-based Surveillance Performance Indicators by Country, 2018* (data as of 12 February 2018)
Case classification (number)

Discarded non-measles nonrubella cases

Pending classification

93

Epidemiologicallyconfirmed

97

Reporting

% di s tri cts
ra te of
reporting a t
di s ca rded
Mea s l es
Rubel l a
l ea s t
non2 di s ca rded i nci dence 1 i nci dence 2
mea s l es
nonper
per
non-rubel l a
mea s l es
mi l l i on
mi l l i on
ca s es a t the
n
n
non-rubel l a
pop

pop
na tiona l
ca s es per
l evel per
n
100,000 pop
100,000 pop n

Laboratory-confirmed

100

Rubel l a

Clinically-confirmed

% s erol ogy
res ul ts
reported
w/i n 4 da ys

of
s peci men
recei ved a t
l a bora tory

Mea s l es

Epidemiologicallyconfirmed

Number of
s erum
s peci mens
recei ved i n
l a bora tory

% s erum
s peci mens
recei ved a t
l a bora tory
w/i n 5

da ys of
col l ection

%
s peci mens
tes ted for
s erol ogy
of
s peci mens
recei ved
i n the
l a bora tory

Laboratory-confirmed

%
s us pected
ca s es wi th
%
Number of a dequa te s us pected

s us pected i nves tiga ti ca s es wi th
on
mea s l es
s erum
i ni tia ted s peci mens
ca s es
w/i n 48
col l ected
hours of
notifi ca tion

252

90

97

244

105


0

7

12

121

7

48

0.04

75

6.22

7.39


Bhutan

0

0

0

0

0

0

0

0

0


0

0

0.00

65

0.00

0.00

DPR Korea

0

0

0


0

0

0

0

0

0

0

0

0.00

0.00


0.00

1 192

0

41

461

272

0

0

8

49


863

4

0.59

1.86

0.39

2

0

100

0

0

0

0

0

0

2

0

0.01

2

50

100

2

0

0

0

0

0

2

0

5.07

Myanmar

8

100

88

7

100

0

0

0

0

0

0

0

8

0

0.13

14

0.00

0.00

Nepal

32

0

100

3

100

0

0

0

0

0

0

0

32

0

1.02

55

0.00

0.00

0

0

0

0

0

0

0

0

0.00

23

58

95

1

85

1

120

2

39

0.03

Countries

Bangladesh

India 3
Indonesia

4

Maldives

62

73

66

0
0

1

50

Sri Lanka

0

0

0

0

Thailand

304

32

86

232

80

37

97

95

35

100

74

74

0

0

0

0

25

12

68

8.58

1 829

20

59

984

77

85

70

472

1

92

21

315

928

159

0.05

Timor-Leste
SEAR
1

Includes labo rato ry-co nfirmed, epidemio lo gically-linked and clinically-co nfirmed measles cases

2

Includes labo rato ry-co nfirmed and epidemio lo gically-linked rubella cases

4

5

60

38

A lso includes the cases fro m enhanced measles case-based surveillance.

0.00

0.00

0.00

0.00

62.00

0.42

24.13

16.13

0.00

178.75

2.61

1.55

ND=No data

3 Cases fro m suspected measles o utbreak investigatio n o nly, case based surveillance is gradually exCA nding in the co untry

* Figures in the table 1 are restricted to availability of various dates required for calculation. Thus they may not adequately reflect cases with missing dates for various timelines.

Table 2: Measles & Rubella Laboratory Supported Case-based Surveillance Performance Indicators by Country, 2017* (data as of 12 February 2018)
Case classification (number)

6 577

100

79

166

59

DPR Korea

105

100

100

105

100

20 148

0

30

5 788

92

10 685

0

99

0

India 3
Indonesia

4

Pending classification

Discarded non-measles nonrubella cases

Epidemiologicallyconfirmed

80

84

Reporting
% di s tri cts
ra te of
reporting a t
di s ca rded
Mea s l es
Rubel l a
l ea s t
non2 di s ca rded i nci dence 1 i nci dence 2
mea s l es
nonper
per
non-rubel l a
mea s l es
mi l l i on
mi l l i on
ca s es a t the
n
non-rubel l a
pop
pop n
na tiona l
ca s es per
l evel per
100,000 pop n
100,000 pop n

Laboratory-confirmed

92

221

Rubel l a

Clinically-confirmed

100

8 218

Bhutan

% s erol ogy
res ul ts
reported
w/i n 4 da ys
of
s peci men
recei ved a t
l a bora tory

Mea s l es

Epidemiologicallyconfirmed

Bangladesh

Number of
s erum
s peci mens
recei ved i n
l a bora tory

% s erum
s peci mens
recei ved a t
l a bora tory
w/i n 5
da ys of
col l ection

%
s peci mens
tes ted for
s erol ogy
of
s peci mens
recei ved
i n the
l a bora tory

Laboratory-confirmed

Countries

%
s us pected
%
ca s es wi th
Number of a dequa te s us pected
s us pected i nves tiga ti ca s es wi th
s erum
on
mea s l es
i ni tia ted s peci mens
ca s es
col l ected
w/i n 48
hours of
notifi ca tion

64

2 709

961

512

240

58

3 738

0

2.40

80

26.81

46

14

0

0

2

0

160

45

21.47

55

18.79

2.68

100

99

0

0

0

0

0

105

0

0.42

0.00

0.00

97

66

3 240

5 803

0

745

1 998

2 695

5 667

0.21

0

0

0

0

0

0

10 685

0.00

3

1.91

7.15

2.17

0.00

0.00
2.93

Maldives

66

97

100

66

100

100

71

1

0

0

1

0

59

5

17.26

15

2.93

Myanmar

1 731

40

88

1 526

99

100

94

1 019

205

74

4

0

424

5

0.82

11

25.24

0.08

1 031

21

91

514

66

73

65

24

11

21

0

826

84

3.02

56

3.66

0.77

27

62.00

0.42

Nepal

5

Sri Lanka

242

98

89

212

92

100

64

1

0

22

2

0

217

0

1.05

Thailand

2 989

28

86

2 449

58

95

58

1 453

16

546

24

0

857

93

1.32

145

100

99

137

100

74

57

0

0

0

9

0

130

6

10.73

45 581

22

63

17 540

90

100

67

8 502

7 009

1 165

1 048

2 056

9 211

16 590

0.49

Timor-Leste
SEAR
1

Includes labo rato ry-co nfirmed, epidemio lo gically-linked and clinically-co nfirmed measles cases

4

A lso includes the cases fro m enhanced measles case-based surveillance.

2

Includes labo rato ry-co nfirmed and epidemio lo gically-linked rubella cases

5

So me Lab data variables no t available.

46

31.06

0.37

0.00

7.43

8.94

1.66

ND=No data

3 Cases fro m suspected measles o utbreak investigatio n o nly, case based surveillance is gradually exCA nding in the co untry

* Figures in the table 2 are restricted to availability of various dates required for calculation. Thus they may not adequately reflect cases with missing dates for various timelines.

Data Sources: Ministries of Health in SEAR Countries.
Published by Immunization & Vaccine Development, World Health Organization, Regional Office for South-East Asia, New Delhi – 110002, India
Tel: 91-11-2337-0804 / 91-11-4304-0000 Fax: 91-11-2337-0251 / 0106 E-mail: SearEpidata@who.int, URL:
http://www.searo.who.int/topics/immunization/

Vol. 22,
Week 06, 2018

Vaccine Preventable Disease Surveillance Bulletin

Page 2

Table 3: Classification of AFP Cases and Key Surveillance Indicators, 2017-2018 (data as of 12 February 2018)
2017 (Onset)

2018 (Onset)

AFP

Surveillance Indicators

Case Classification 1

AFP Rate

Non-Polio AFP Rate

% with any specimen

AFP Cases

Compatible

Discarded (Non-polio
AFP)

Total

>90 Days 3

AFP Rate

Non-Polio AFP Rate

% with 2 spec., at least
24 hrs apart, w/in 14
days

% with any specimen

1 351

17

16

2.75

2.71

98

99

74

0

0

0

32

42

0

1.29

0.56

100

100

7

2

1

3.64

2.83

89

100

0

0

0

0

0

0

0

0.00

0.00

0

0

104

0

0

0

75

29

27

1.82

1.31

97

100

0

0

0

0

0

0

0

0.00

0.00

0

0

4

Vaccine Derived
Poliovirus Cases

Vaccine Derived
Poliovirus Cases

Wild Poliovirus Cases

>90 Days 3

0
0

Pending

% with 2 spec., at least
24 hrs apart, w/in 14
days

Total

0
0

4

0
0

Wild Poliovirus Cases

Discarded (Non-polio
AFP)

Specim en

Compatible

DPR Korea

Case Classification 1

Specim en

9

AFP Cases

Bangladesh

2

Surveillance Indicators
Annualized
AFP Rates 2

1 368

Country

Bhutan

AFP Rates

AFP

India

39 287

0

0

14

37 432 1 841 1 126

8.96

8.54

86

98

2 273

0

0

0

Indonesia

1 614

0

0

1

1 411

2.30

2.01

83

97

33

0

0

0

202

162

Pending

1 165 1 108
16

17

0

4.49

2.30

87

96

0

0.41

0.20

97

100

Maldives

6

0

0

0

5

1

0

6.34

5.29

67

100

0

0

0

0

0

0

0

0.00

0.00

0

0

Myanm ar

394

0

0

0

376

18

1

2.92

2.79

95

100

21

0

0

0

0

21

0

1.35

0.00

100

100

Nepal

364

0

0

0

360

4

3

4.20

4.15

98

100

19

0

0

0

12

7

0

1.90

1.20

100

100

Sri Lanka

70

0

0

0

69

1

1

1.29

1.27

84

100

5

0

0

0

3

2

0

0.80

0.48

80

100

Thailand

187

0

0

0

131

56

36

1.62

1.13

67

92

2

0

0

0

0

2

0

0.15

0.00

100

100

3

0

0

0

1

2

1

0.65

0.22

33

100

0

0

0

0

0

0

0

0.00

0.00

0

0

43 406

0

0

15

7.18

6.82

86

98

2 427

0

0

0

0

3.48

1.76

88

96

Tim or-Leste
SEAR

41 218 2 173 1 374

1 228 1 199

1

All countries are using the virologic classification scheme.

2

AFP rates per 100,000 children aged 15 years of age or missing age information are excluded).

3

90 days calculation based on date of paralysis onset subtracted from date of last report received from member countries by SEARO.

Table 4: Intratypic Differentiation (ITD) of Isolates from AFP Cases, 2017-2018 (data as of 12 February 2018)

0

0

7

5

0

0

0

0

0

2

0

0

0

0

0

0

0

0

0

0

0

DPR Korea

NPL, Pyongyong

India

0

0

0

0

0

2

0

0

0

0

0

0

0

Vaccine
mixture
NPEV by
PCR

0

7
Days days

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

BJMC, Ahmedabad

232

0

78

0

0

0

0

67

78

9

0

0

0

0

3

0

0

0

0

0

0

1

0

0

0

0

2

NIV, Bengaluru

152

0

57

0

0

0

0

35

45

15

0

0

0

0

1

0

0

0

0

0

0

1

0

0

0

0

0

0

ERC, Mumbai

155

0

51

0

0

0

0

47

36

21

0

0

0

0

2

0

1

0

0

0

0

0

0

0

0

0

1

0

0

2

0

0

0

0

0

3

1

0

0

1

0

SGPGI, Lucknow

286

0

57

0

0

0

0

100

63

25

41

0

0

0

7

KIPM, Chennai

50

0

10

0

0

0

0

26

14

0

0

0

0

0

0

NCDC, Delhi

205

0

58

0

0

0

0

89

50

8

0

0

0

0

4

0

1

0

0

0

0

0

1

0

0

0

2

0

IoS, Kolkatta

174

0

55

0

0

0

0

39

58

18

3

0

0

1

4

0

0

0

0

0

0

2

2

0

0

0

0

0

CRI, Kasauli

22

0

11

0

0

0

0

6

5

0

0

0

0

0

0

1 276

0

377

0

0

0

0

409

349

96

44

0

0

1

21

0

4

0

0

0

0

4

6

1

0

0

6

0

India Total

Indonesia

Negative

0

0

NEV

0

0

Vaccine

8

0

Wild

0

0

VDPV

20

Wild

IPH, Dhaka
NIH, Bangkok

Vaccine

Bangladesh
Bhutan

Results
pending

Vaccine

7
Days days

Intratypic Differentiation results
Polio 1
Polio 2
Polio 3
Wild

Results
pending

AFP cases
referred
for ITD

NEV

Negative

2018

Vaccine
mixture
NPEV by
PCR

Wild

Vaccine

VDPV

Vaccine

Wild

Vaccine

ITD Labs

Wild

Country of
Case

AFP cases
referred
for ITD

2017
Intratypic Differentiation results
Polio 1
Polio 2
Polio 3

Bio Farma, Bandung

2

0

0

0

0

0

0

2

0

0

0

0

0

0

0

NIHRD, Jakarta

2

0

0

0

0

0

0

0

2

0

0

0

0

0

0

PHL, Surabaya

1

0

0

0

0

0

0

1

0

0

0

0

0

0

1

0

0

0

0

0

0

0

1

0

0

0

0

0

Indonesia Total

5

0

0

0

0

0

0

3

2

0

0

0

0

0

1

0

0

0

0

0

0

0

1

0

0

0

0

0

Myanmar

NHL, Yangon

6

0

1

0

0

0

0

4

1

0

0

0

0

0

0

Nepal

NIH, Bangkok

5

0

0

0

0

0

0

3

2

0

0

0

0

0

0

Sri Lanka

MRI, Colombo

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

Thailand

NIH, Bangkok

0

4

0

0

0

0

6

7

1

0

0

6

0

TOTAL

5

0

2

0

0

0

0

3

0

0

0

0

0

0

0

1 317

0

388

0

0

0

0

429

359

96

44

0

0

1

24