sear vpdupdate nov17
Monthly Vaccine Preventable Disease and
Immunization Update
Published: November 07, 2017
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 06 November 2017
AFP Surveillance Indicators by First Administrative Level*, 2017
Non-polio AFP Rate
% Adequate Stool Specimen Collection
Non-Polio AFP Rate
2
No Non-Polio AFP Case
Adequate Stool
Specimen Collection
*Bhutan, Maldives & Timor-Leste by country
Total AFP Cases = 35147
Non-Polio AFP Rate =6.15
Adequate Stool specimen = 87%
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. (annualized by week 44, 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.
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 06 November 2017
Non-polio AFP Cases by Month of Onset
SEAR, 2013-2017
Number of Non-polio AFP cases
7000
6000
5000
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
2013
4560
4016
4279
4305
4430
5035
5832
5940
6034
5282
5171
4534
59418
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
3400
3018
3130
2973
3204
3113
3990
4461
3277
869
31435
4000
3000
2000
1000
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
2013
2014
2015
2016
2017
Data as of 06 November 2017
4
Non-polio AFP Rate*
SEAR, 2013–2017
12.48
10.77
12.50
10.60
7.74
~~~~~~~~
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
2013
IND
INO
2014
MAV
2015
MMR
NEP
2016
SRL
THA
TLS
2017
* Number of discarded AFP cases per 100,000 children under 15 years of age
5
Data as of 06 November 2017
Percent Adequate Stool Specimen Collection*
SEAR, 2013-2017
Minimum Target
100
80
Percent
60
40
20
0
BAN
BHU
DPRK
2013
IND
INO
2014
MAV
2015
MMR
2016
NEP
SRL
THA
TLS
2017
*Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
6
Data as of 06 November 2017
N=100
N=105
N=173
Percent
20.0
N=158
N=145
25.0
N=41
N=70
N=126
N=408
N=964
30.0
N=898
35.0
N=751
N=748
Percent of Non-Polio AFP Cases Under Immunized for OPV
(6 Months to 5 Yrs), SEAR, 2013-2017
0.0
N=80
N=76
N=144
N=199
N=236
N=291
N=15099
N=23612
N=24881
N=28997
N=30571
N=631
N=790
N=863
N=838
5.0
N=794
10.0
N=209
15.0
2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017
Bangladesh
India
Indonesia
Myanmar
Nepal
Thailand
Zero OPV Dose
80%
No AFP Case
Total AFP Cases = 32010
Non-Polio AFP Rate =7.74
Adequate Stool specimen = 86%
Districts reporting AFP cases= 681(96%)
* Number of discarded AFP cases per 100,000 children under 15 years of age (annualized by week 44, 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 06 November 2017
Non-polio AFP Cases by Month of Onset
India, 2013-2017
Number of Non-polio AFP cases
7000
6000
5000
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
2013
4132
3644
3885
3864
4007
4622
5385
5555
5590
4888
4777
4245
54594
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
3102
2711
2814
2668
2910
2897
3653
4126
3011
805
28697
4000
3000
2000
1000
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
2013
2014
2015
2016
2017
9
Data as of 06 November 2017
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 = 294
Non-Polio AFP Rate =3.80
Adequate Stool specimen = 98%
Districts reporting AFP cases= 65 (87%)
< 60%
60% – 79%
> 80%
No AFP Case
* Number of discarded AFP cases per 100,000 children under 15 years of age. (annualized by week 44, 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.
10
Data as of 06 November 2017
Non-polio AFP Cases by Month of Onset
Month
Nepal, 2013-2017
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
Number of Non-polio AFP cases
70
60
50
2013 2014
32
50
41
48
61
40
56
31
49
41
57
42
65
47
63
38
47
40
30
37
37
38
38
34
576 486
2015 2016 2017
32
31
34
32
23
27
46
38
34
25
42
31
20
44
32
38
58
22
38
57
32
39
38
42
36
48
21
29
37
4
24
19
35
20
394
455 279
40
30
20
10
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
2013
2014
2015
2016
2017
11
Data as of 06 November 2017
AFP Surveillance Indicators by Province
Myanmar, 2017
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 = 300
Non-Polio AFP Rate = 2.39
Adequate Stool specimen = 97%
Provinces reporting AFP cases= 18 (100%)
* Number of discarded AFP cases per 100,000 children under 15 years of age (annualized by week 44, 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.
12
Data as of 06 November 2017
Non-polio AFP Cases by Month of Onset
Myanmar, 2013-2017
Month 2013 2014
Jan
32
41
Feb
13
24
Mar
16
19
Apr
20
22
May
18
38
Jun
27
38
Jul
34
39
Aug
36
47
Sep
27
42
Oct
49
29
Nov
63
24
Dec
69
26
Total 404 389
Number of Non-polio AFP cases
90
80
70
60
2015 2016 2017
22
29
18
21
27
24
17
17
14
14
18
18
27
23
23
19
50
28
26
79
52
33
56
62
35
51
33
42
54
1
25
33
52
29
333
466 273
50
40
30
20
10
0
Jan
Feb
Mar
Apr
2013
May
Jun
Jul
Month
2014
2015
Aug
Sep
2016
Oct
Nov
Dec
2017
13
Data as of 06 November 2017
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 (annualized by week 44, 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 = 1216
Non-Polio AFP Rate =2.68
Adequate Stool specimen = 98%
Districts reporting AFP cases= 64 (100%)
14
Data as of 06 November 2017
Non-polio AFP Cases by Month of Onset
Bangladesh, 2013-2017
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
Number of Non-polio AFP cases
250
200
2013 2014
155
73
110
69
107 115
125 130
148 169
149 198
134 154
116 168
125 117
95
102
94
104
54
79
1412 1478
2015 2016 2017
87
126 111
100
118 117
127
139 135
121
136 147
171
143 123
134
121
95
110
146 151
139
122 104
101
122 111
137
100
36
115
99
71
65
1413 1437 1130
150
100
50
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
2013
2014
2015
2016
2017
15
Data as of 06 November 2017
AFP Surveillance Indicators by Province
Indonesia, 2017
Non-polio AFP Rate*
Non-Polio AFP Rate
2
No Non-Polio AFP Case
Percent Adequate Stool Specimen Collection **
Total AFP Cases = 1018
Non-Polio AFP Rate = 1.39
Adequate Stool specimen = 87%
Provinces reporting AFP cases= 32 (94%)
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 44, 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 06 November 2017
16
Non-polio AFP Cases by Month of Onset
Indonesia, 2013-2017
Number of Non-polio AFP cases
250
200
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
2013 2014
169 135
181 149
174 198
195 184
163 172
144 155
166
66
131
87
205 158
182 165
158 170
94
125
1962 1764
2015 2016 2017
153
101
85
110
101 100
123
163 105
107
135
86
110
130
97
129
109
55
53
75
83
115
134 101
133
102
96
150
117
18
136
113
109
129
1428 1409 826
150
100
50
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
2013
2014
2015
2016
2017
17
Data as of 06 November 2017
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 = 158
Non-Polio AFP Rate = 1.30
Adequate Stool specimen = 69%
Provinces reporting AFP cases= 63 (82%)
* Number of discarded AFP cases per 100,000 children under 15 years of age. (annualized by week 44, 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 06 November 2017
18
Non-polio AFP Cases by Month of OnsetMonth 2013
Jan
19
Thailand, 2013-2017
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
29
5
25
16
12
21
13
16
5
4
17
16
10
18
24
12
18
16
18
14
24
21
19
30
4
11
24
21
20
17
16
183
246 127
25
20
15
10
5
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
2013
2014
2015
2016
2017
19
Data as of 06 November 2017
VPD Reporting, 2017
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
4969
12
4634
2072
158
151
152
2079
9
68
1247
4
60
11
257
67
3
0
0
1898
11-Oct-17
9
100
100
Bhutan
387
0
387
59
31
3
0
0
0
0
0
0
0
0
0
0
0
0
0
5
10-Oct-17
9
89
78
DPR Korea
67
0
61
0
0
67
67
67
0
0
0
0
0
0
0
0
0
0
0
0
29-Sep-17
9
89
44
India
38612
79
NR
NR
NR
1382
761
12881
52
410
6944
111
2230
15
226
NR
NR
NR
NR
NR
30-Oct-17
9
67
0
Indonesia
6111
2
3192
367
105
102
91
1206
0
28
141
6
36
2
9
14
324
0
0
NR
16-Oct-17
9
100
78
Maldives
58
0
58
1
0
1
1
1
0
1
1
0
0
0
0
0
0
0
0
10
11-Oct-17
9
89
56
Myanmar
1165
0
1138
762
2
16
16
446
0
15
446
0
0
0
0
13
48
4
0
0
16-Oct-17
9
89
67
Nepal
550
3
491
28
14
8
8
132
4
4
54
0
0
0
0
2
NR
NR
744
NR
15-Oct-17
9
100
89
Sri Lanka
203
0
184
4
9
0
0
0
0
0
0
0
0
0
0
0
0
11
140
7794
15-Oct-17
9
100
67
Thailand
2188
0
1848
1119
20
15
15
179
0
11
160
0
0
0
0
0
4
50
635
NR
30-Oct-17
9
78
22
84
0
60
0
2
0
0
0
0
0
0
0
0
0
0
1
0
1
1
2
20-Oct-17
9
44
22
54394
96
341
1745
65
537
8993
121
2326
28
492
97
379
66
1520
9709
Country
Timor-Leste
Total
12053 4412
1111 16991
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 30 September 2017
Measles and Rubella Serology (IgM), 2017
Results
Country
Laboratories
Num ber of Serum
Sam ples Received
Num ber Tested
#
%
#
%
5592
5592
2395
42.8
188
5.9
388
388
59
15.2
7
2.1
92.0
0
0.0
100.0
Measles +ve
% Measles Results
Reported w ithin 4 Days
Rubella +ve
Bangladesh
Dhaka
Bhutan
Thimphu
DPR Korea
Pyongyang
67
61
0
0.0
Ahmedabad
434
434
299
68.9
30
22.2
100.0
Bengaluru
688
623
143
23.0
169
35.2
91.5
Bhopal
158
158
111
70.3
4
8.5
99.4
Chandigarh
118
118
38
32.2
11
13.8
100.0
Chennai
832
163
49
30.1
54
47.4
99.4
Delhi
132
132
83
62.9
6
12.2
97.0
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
308
308
208
67.5
7
7.0
79.9
Kolkata
812
812
318
39.2
302
61.1
86.6
1509
1313
763
58.1
84
15.3
84.3
384
384
101
26.3
119
42.0
77.9
Lucknow
Patna
Pune
619
462
264
57.1
45
22.7
90.7
6346
5140
2512
48.9
852
32.4
89.0
Bandung
1094
1094
569
52.0
158
30.1
92.7
Jakarta
4407
3263
899
27.6
1012
42.8
29.5
Surabaya
3349
2357
1235
52.4
327
29.1
47.5
India Total
Indonesia
Yogyakarta
Indonesia Total
Maldives
Male
Myanm ar
Yangon
Nepal
Kathmandu
Sri Lanka
3527
983
27.9
1125
44.2
77.1
10241
3686
36.0
2622
40.0
56.8
87.9
58
58
1
1.7
1
1.8
1493
1483
991
66.8
5
1.0
99.0
709
709
56
7.9
16
2.5
90.4
Colombo
138
137
5
3.6
8
6.1
86.1
548
548
286
52.2
2
0.8
100.0
Chiang Mai
28
28
7
25.0
0
0.0
100.0
Chiang Rai
29
29
7
24.1
0
0.0
86.2
Chon Buri
223
142
48
33.8
1
1.1
100.0
52
52
10
19.2
1
2.4
100.0
7
7
3
42.9
0
0.0
100.0
Nakhonratchasima
61
61
27
44.3
2
5.9
100.0
Phitsanulok
52
52
15
28.8
2
5.4
100.0
Samut Songkhram
383
383
240
62.7
4
2.8
97.9
Songkhla
776
776
631
81.3
3
2.1
100.0
100.0
Nakhon Saw an
Surat Thani
6
6
0
0.0
0
0.0
Trang
54
54
10
18.5
8
18.2
100.0
Ubon Ratchathani
54
54
9
16.7
1
2.2
100.0
100.0
Udon Thani
Thailand Total
Tim or-Leste
3527
12377
Bangkok
Khon Kaen
Thailand
64.1
Dili
TOTAL
11
11
4
36.4
0
0.0
2284
2203
1297
58.9
24
2.6
99.5
80
80
0
0.0
3
3.8
87.5
29532
26092
11002
42.2
3726
24.7
72.6
Source: Reported by SEAR Measles Laboratory Netw ork
Source: SEAR Monthly lab reports
NR=No Report
Data as of 30 September 2017
Immunization Update
Published: November 07, 2017
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 06 November 2017
AFP Surveillance Indicators by First Administrative Level*, 2017
Non-polio AFP Rate
% Adequate Stool Specimen Collection
Non-Polio AFP Rate
2
No Non-Polio AFP Case
Adequate Stool
Specimen Collection
*Bhutan, Maldives & Timor-Leste by country
Total AFP Cases = 35147
Non-Polio AFP Rate =6.15
Adequate Stool specimen = 87%
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. (annualized by week 44, 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.
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 06 November 2017
Non-polio AFP Cases by Month of Onset
SEAR, 2013-2017
Number of Non-polio AFP cases
7000
6000
5000
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
2013
4560
4016
4279
4305
4430
5035
5832
5940
6034
5282
5171
4534
59418
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
3400
3018
3130
2973
3204
3113
3990
4461
3277
869
31435
4000
3000
2000
1000
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
2013
2014
2015
2016
2017
Data as of 06 November 2017
4
Non-polio AFP Rate*
SEAR, 2013–2017
12.48
10.77
12.50
10.60
7.74
~~~~~~~~
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
2013
IND
INO
2014
MAV
2015
MMR
NEP
2016
SRL
THA
TLS
2017
* Number of discarded AFP cases per 100,000 children under 15 years of age
5
Data as of 06 November 2017
Percent Adequate Stool Specimen Collection*
SEAR, 2013-2017
Minimum Target
100
80
Percent
60
40
20
0
BAN
BHU
DPRK
2013
IND
INO
2014
MAV
2015
MMR
2016
NEP
SRL
THA
TLS
2017
*Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.
6
Data as of 06 November 2017
N=100
N=105
N=173
Percent
20.0
N=158
N=145
25.0
N=41
N=70
N=126
N=408
N=964
30.0
N=898
35.0
N=751
N=748
Percent of Non-Polio AFP Cases Under Immunized for OPV
(6 Months to 5 Yrs), SEAR, 2013-2017
0.0
N=80
N=76
N=144
N=199
N=236
N=291
N=15099
N=23612
N=24881
N=28997
N=30571
N=631
N=790
N=863
N=838
5.0
N=794
10.0
N=209
15.0
2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017
Bangladesh
India
Indonesia
Myanmar
Nepal
Thailand
Zero OPV Dose
80%
No AFP Case
Total AFP Cases = 32010
Non-Polio AFP Rate =7.74
Adequate Stool specimen = 86%
Districts reporting AFP cases= 681(96%)
* Number of discarded AFP cases per 100,000 children under 15 years of age (annualized by week 44, 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 06 November 2017
Non-polio AFP Cases by Month of Onset
India, 2013-2017
Number of Non-polio AFP cases
7000
6000
5000
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
2013
4132
3644
3885
3864
4007
4622
5385
5555
5590
4888
4777
4245
54594
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
3102
2711
2814
2668
2910
2897
3653
4126
3011
805
28697
4000
3000
2000
1000
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
2013
2014
2015
2016
2017
9
Data as of 06 November 2017
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 = 294
Non-Polio AFP Rate =3.80
Adequate Stool specimen = 98%
Districts reporting AFP cases= 65 (87%)
< 60%
60% – 79%
> 80%
No AFP Case
* Number of discarded AFP cases per 100,000 children under 15 years of age. (annualized by week 44, 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.
10
Data as of 06 November 2017
Non-polio AFP Cases by Month of Onset
Month
Nepal, 2013-2017
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
Number of Non-polio AFP cases
70
60
50
2013 2014
32
50
41
48
61
40
56
31
49
41
57
42
65
47
63
38
47
40
30
37
37
38
38
34
576 486
2015 2016 2017
32
31
34
32
23
27
46
38
34
25
42
31
20
44
32
38
58
22
38
57
32
39
38
42
36
48
21
29
37
4
24
19
35
20
394
455 279
40
30
20
10
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
2013
2014
2015
2016
2017
11
Data as of 06 November 2017
AFP Surveillance Indicators by Province
Myanmar, 2017
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 = 300
Non-Polio AFP Rate = 2.39
Adequate Stool specimen = 97%
Provinces reporting AFP cases= 18 (100%)
* Number of discarded AFP cases per 100,000 children under 15 years of age (annualized by week 44, 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.
12
Data as of 06 November 2017
Non-polio AFP Cases by Month of Onset
Myanmar, 2013-2017
Month 2013 2014
Jan
32
41
Feb
13
24
Mar
16
19
Apr
20
22
May
18
38
Jun
27
38
Jul
34
39
Aug
36
47
Sep
27
42
Oct
49
29
Nov
63
24
Dec
69
26
Total 404 389
Number of Non-polio AFP cases
90
80
70
60
2015 2016 2017
22
29
18
21
27
24
17
17
14
14
18
18
27
23
23
19
50
28
26
79
52
33
56
62
35
51
33
42
54
1
25
33
52
29
333
466 273
50
40
30
20
10
0
Jan
Feb
Mar
Apr
2013
May
Jun
Jul
Month
2014
2015
Aug
Sep
2016
Oct
Nov
Dec
2017
13
Data as of 06 November 2017
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 (annualized by week 44, 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 = 1216
Non-Polio AFP Rate =2.68
Adequate Stool specimen = 98%
Districts reporting AFP cases= 64 (100%)
14
Data as of 06 November 2017
Non-polio AFP Cases by Month of Onset
Bangladesh, 2013-2017
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
Number of Non-polio AFP cases
250
200
2013 2014
155
73
110
69
107 115
125 130
148 169
149 198
134 154
116 168
125 117
95
102
94
104
54
79
1412 1478
2015 2016 2017
87
126 111
100
118 117
127
139 135
121
136 147
171
143 123
134
121
95
110
146 151
139
122 104
101
122 111
137
100
36
115
99
71
65
1413 1437 1130
150
100
50
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
2013
2014
2015
2016
2017
15
Data as of 06 November 2017
AFP Surveillance Indicators by Province
Indonesia, 2017
Non-polio AFP Rate*
Non-Polio AFP Rate
2
No Non-Polio AFP Case
Percent Adequate Stool Specimen Collection **
Total AFP Cases = 1018
Non-Polio AFP Rate = 1.39
Adequate Stool specimen = 87%
Provinces reporting AFP cases= 32 (94%)
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 44, 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 06 November 2017
16
Non-polio AFP Cases by Month of Onset
Indonesia, 2013-2017
Number of Non-polio AFP cases
250
200
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
2013 2014
169 135
181 149
174 198
195 184
163 172
144 155
166
66
131
87
205 158
182 165
158 170
94
125
1962 1764
2015 2016 2017
153
101
85
110
101 100
123
163 105
107
135
86
110
130
97
129
109
55
53
75
83
115
134 101
133
102
96
150
117
18
136
113
109
129
1428 1409 826
150
100
50
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
2013
2014
2015
2016
2017
17
Data as of 06 November 2017
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 = 158
Non-Polio AFP Rate = 1.30
Adequate Stool specimen = 69%
Provinces reporting AFP cases= 63 (82%)
* Number of discarded AFP cases per 100,000 children under 15 years of age. (annualized by week 44, 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 06 November 2017
18
Non-polio AFP Cases by Month of OnsetMonth 2013
Jan
19
Thailand, 2013-2017
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
29
5
25
16
12
21
13
16
5
4
17
16
10
18
24
12
18
16
18
14
24
21
19
30
4
11
24
21
20
17
16
183
246 127
25
20
15
10
5
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
2013
2014
2015
2016
2017
19
Data as of 06 November 2017
VPD Reporting, 2017
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
4969
12
4634
2072
158
151
152
2079
9
68
1247
4
60
11
257
67
3
0
0
1898
11-Oct-17
9
100
100
Bhutan
387
0
387
59
31
3
0
0
0
0
0
0
0
0
0
0
0
0
0
5
10-Oct-17
9
89
78
DPR Korea
67
0
61
0
0
67
67
67
0
0
0
0
0
0
0
0
0
0
0
0
29-Sep-17
9
89
44
India
38612
79
NR
NR
NR
1382
761
12881
52
410
6944
111
2230
15
226
NR
NR
NR
NR
NR
30-Oct-17
9
67
0
Indonesia
6111
2
3192
367
105
102
91
1206
0
28
141
6
36
2
9
14
324
0
0
NR
16-Oct-17
9
100
78
Maldives
58
0
58
1
0
1
1
1
0
1
1
0
0
0
0
0
0
0
0
10
11-Oct-17
9
89
56
Myanmar
1165
0
1138
762
2
16
16
446
0
15
446
0
0
0
0
13
48
4
0
0
16-Oct-17
9
89
67
Nepal
550
3
491
28
14
8
8
132
4
4
54
0
0
0
0
2
NR
NR
744
NR
15-Oct-17
9
100
89
Sri Lanka
203
0
184
4
9
0
0
0
0
0
0
0
0
0
0
0
0
11
140
7794
15-Oct-17
9
100
67
Thailand
2188
0
1848
1119
20
15
15
179
0
11
160
0
0
0
0
0
4
50
635
NR
30-Oct-17
9
78
22
84
0
60
0
2
0
0
0
0
0
0
0
0
0
0
1
0
1
1
2
20-Oct-17
9
44
22
54394
96
341
1745
65
537
8993
121
2326
28
492
97
379
66
1520
9709
Country
Timor-Leste
Total
12053 4412
1111 16991
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 30 September 2017
Measles and Rubella Serology (IgM), 2017
Results
Country
Laboratories
Num ber of Serum
Sam ples Received
Num ber Tested
#
%
#
%
5592
5592
2395
42.8
188
5.9
388
388
59
15.2
7
2.1
92.0
0
0.0
100.0
Measles +ve
% Measles Results
Reported w ithin 4 Days
Rubella +ve
Bangladesh
Dhaka
Bhutan
Thimphu
DPR Korea
Pyongyang
67
61
0
0.0
Ahmedabad
434
434
299
68.9
30
22.2
100.0
Bengaluru
688
623
143
23.0
169
35.2
91.5
Bhopal
158
158
111
70.3
4
8.5
99.4
Chandigarh
118
118
38
32.2
11
13.8
100.0
Chennai
832
163
49
30.1
54
47.4
99.4
Delhi
132
132
83
62.9
6
12.2
97.0
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
308
308
208
67.5
7
7.0
79.9
Kolkata
812
812
318
39.2
302
61.1
86.6
1509
1313
763
58.1
84
15.3
84.3
384
384
101
26.3
119
42.0
77.9
Lucknow
Patna
Pune
619
462
264
57.1
45
22.7
90.7
6346
5140
2512
48.9
852
32.4
89.0
Bandung
1094
1094
569
52.0
158
30.1
92.7
Jakarta
4407
3263
899
27.6
1012
42.8
29.5
Surabaya
3349
2357
1235
52.4
327
29.1
47.5
India Total
Indonesia
Yogyakarta
Indonesia Total
Maldives
Male
Myanm ar
Yangon
Nepal
Kathmandu
Sri Lanka
3527
983
27.9
1125
44.2
77.1
10241
3686
36.0
2622
40.0
56.8
87.9
58
58
1
1.7
1
1.8
1493
1483
991
66.8
5
1.0
99.0
709
709
56
7.9
16
2.5
90.4
Colombo
138
137
5
3.6
8
6.1
86.1
548
548
286
52.2
2
0.8
100.0
Chiang Mai
28
28
7
25.0
0
0.0
100.0
Chiang Rai
29
29
7
24.1
0
0.0
86.2
Chon Buri
223
142
48
33.8
1
1.1
100.0
52
52
10
19.2
1
2.4
100.0
7
7
3
42.9
0
0.0
100.0
Nakhonratchasima
61
61
27
44.3
2
5.9
100.0
Phitsanulok
52
52
15
28.8
2
5.4
100.0
Samut Songkhram
383
383
240
62.7
4
2.8
97.9
Songkhla
776
776
631
81.3
3
2.1
100.0
100.0
Nakhon Saw an
Surat Thani
6
6
0
0.0
0
0.0
Trang
54
54
10
18.5
8
18.2
100.0
Ubon Ratchathani
54
54
9
16.7
1
2.2
100.0
100.0
Udon Thani
Thailand Total
Tim or-Leste
3527
12377
Bangkok
Khon Kaen
Thailand
64.1
Dili
TOTAL
11
11
4
36.4
0
0.0
2284
2203
1297
58.9
24
2.6
99.5
80
80
0
0.0
3
3.8
87.5
29532
26092
11002
42.2
3726
24.7
72.6
Source: Reported by SEAR Measles Laboratory Netw ork
Source: SEAR Monthly lab reports
NR=No Report
Data as of 30 September 2017