Week 16, 2018pdf, World Health Organization, SouthEast Asia Regional Office

Vol. 22, Week 16, 2018

Published 23 April 2018

Meetings/ Important events:
 Ninth meeting of SEAR Immunization Technical Advisory Group (SEAR-ITAG), New Delhi, 17 to 20 July 2018
 Third Meeting of the South-East Asia Regional Verification Commission for Measles Elimination and Rubella/ CRS Control (SEA-RVC),
Kathmandu, Nepal, 31 July to 2 August 2018

Table 1: Measles & Rubella Laboratory Supported Case-based Surveillance Performance Indicators by Country, 2018* (data as of 23 April 2018)
Case classification (number)

Epidemiologicallyconfirmed

Discarded non-measles nonrubella cases

Pending classification

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
non-rubel l a
pop n
pop n
na tiona l
ca s es per
l evel per

n
100,000
pop
100,000 pop n

Laboratory-confirmed

Rubel l a

Clinically-compatible

% 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
s erum
mea s l es
i ni tia ted s peci mens

ca s es
w/i n 48
col l ected
hours of
notifi ca tion

1,141

95

96

1,091

100

91

89


325

12

10

40

2

646

106

1.27

19

6.82


Bhutan

48

98

100

47

62

98

66

9*

0


0

1

0

38

0

15.63

50

37.02

4.11

DPR Korea


0

0

0

0

0

0

0

0

0

0


0

0.00

ND

0.00

0.00
0.29

Countries

Bangladesh

India 3
Indonesia

4


Maldives
Myanmar
Nepal

0.83

9,153

0

33

2,720

83

52

32

983

26

0

123

0

270

7,751

0.06

1

2.41

656

0

100

655

98

95

90

133

0

1

193

0

293

36

0.36

4

1.64

2.37

8

38

88

7

71

100

57

0

0

0

0

0

7

1

6.72

15

0.00

0.00

53

87

53

28

86

100

96

27

0

0

0

0

19

7

0.12

2

1.68

0.00

289

99

96

175

76

91

0

13

0

5

5

0

149

117

1.67

23

2.02

0.56
0.42

Sri Lanka

37

89

81

28

89

100

64

1

0

2

0

0

32

2

0.48

4

62.00

Thailand

755

34

89

632

74

97

53

288

4

160

9

0

275

19

1.37

ND

22.60

0.45

58

97

97

56

102

88

86

0

0

0

2

0

48

8

12.07

23

0.00

5.03

12,198

15

49

5,439

87

73

53

1,779

42

178

373

2

1,777

8,047

0.09

3.28

0.61

Timor-Leste
SEAR
1

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

4

2

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

* Impo rted cases

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

ND=No data

3 Case based surveillance is in the pro cess o f expansio n to all o ver the co untry and thus may no t reflect a co mplete picture o f 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 23 April 2018)
Case classification (number)

India 3
Indonesia

4

Pending classification

Discarded non-measles nonrubella cases

Epidemiologicallyconfirmed

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
n
100,000 pop
100,000 pop n

Laboratory-confirmed

DPR Korea

Rubel l a

Clinically-compatible

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
mea s l es
on
ca s es
i ni tia ted s peci mens
col l ected
w/i n 48
hours of
notifi ca tion

8,025

94

81

6,467

100

100

64

2,612

982

407

240

59

3,725

0

2.28

58

24.54

1.83

439

91

90

263

79

100

38

30*

0

0

3

0

406

0

51.38

90

37.96

3.80
0.00

105

100

100

105

100

100

99

0

0

0

0

0

105

0

0.43

ND

0.00

21,391

0

31

6,493

95

87

59

3,268

7,693

0

747

2,112

2,866

4,705

0.21

3

8.19

2.14

13,215

0

99

13,032

97

99

36

4,636

0

6

4,320

0

4,082

171

1.56

16

17.72

16.50

Maldives

66

97

100

66

100

100

71

1*

0

0

1

0

64

0

18.91

60

2.95

2.95

Myanmar

1,785

40

90

1,610

99

100

93

1,032

208

77

6

0

462

0

0.88

15

25.21

0.11

Nepal

1,033

96

91

942

40

100

71

64

22

13

21

0

911

2

3.18

59

3.46

0.73

Sri Lanka

242

98

89

212

92

100

64

1

0

22

2

0

217

0

1.03

19

62.00

0.42

Thailand

2,979

28

85

2,418

59

95

60

1,467

9

579

24

0

806

94

1.23

ND

31.26

0.37

134

100

99

133

100

99

67

0

0

0

5

0

129

0

9.98

38

0.00

3.87

49,414

22

65

31,741

93

97

53

13,111

8,914

1,104

5,369

2,171

13,773

4,972

0.70

11.81

3.85

Timor-Leste
SEAR
1

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

4

2

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

* Impo rted cases

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

ND=No data

3 Case based surveillance is in the pro cess o f expansio n to all o ver the co untry and thus may no t reflect a co mplete picture o f 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 16, 2018

Vaccine Preventable Disease Surveillance Bulletin

Page 2

Table 3: Classification of AFP Cases and Key Surveillance Indicators, 2017-2018 (data as of 23 April 2018)
2017 (Onset)

2018 (Onset)

AFP

Surveillance Indicators
1

Non-Polio AFP Rate

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

% with any specimen

AFP Cases

Wild Poliovirus Cases

Vaccine Derived
Poliovirus Cases

Compatible

Discarded (Non-polio
AFP)

Total

>90 Days 3

AFP Rate

Non-Polio AFP Rate

0

0

0

1 347

16

16

2.74

2.70

98

99

363

0

0

0

239

124

1

2.39

1.57

99

99

9

0

0

0

8

1

1

3.64

3.24

89

100

1

0

0

0

0

1

0

1.31

0.00

100

100

104

0

0

0

91

13

11

1.82

1.59

97

100

0

0

0

0

0

0

0

0.00

0.00

0

0

India

39 339

0

0

23

38 535

781

781

8.97

8.79

86

98

8 512

0

0

0

194

6.31

4.98

87

98

Indonesia

1 689

0

0

2

1 557

130

130

2.40

2.21

82

97

292

0

0

0

204

88

12

1.35

0.94

82

97

Maldives

7

0

0

0

6

1

1

7.40

6.34

71

100

3

0

0

0

0

3

0

10.31

0.00

67

67

Myanm ar

396

0

0

0

391

5

5

2.94

2.90

95

100

45

0

0

0

39

6

1

1.08

0.94

96

100

Nepal

371

0

0

0

369

2

2

4.28

4.25

98

100

94

0

0

0

67

27

0

3.52

2.51

95

100

Sri Lanka

70

0

0

0

69

1

1

1.29

1.27

84

100

16

0

0

0

14

2

0

0.96

0.84

69

94

Thailand

198

0

0

0

179

19

19

1.71

1.55

68

95

15

0

0

0

0

15

4

0.42

0.00

87

100

0

0

0

0.00

0.00

0

0

212

5.03

3.92

87

98

Bangladesh
Bhutan
DPR Korea

Tim or-Leste
SEAR

Pending

3

0

0

0

1

2

1

0.65

0.22

33

100

0

0

0

0

43 549

0

0

25

42 553

971

968

7.21

7.04

86

98

9 341

0

0

0

Pending

6 713 1 799

7 276 2 065

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.

% with any specimen

AFP Rate

1 363

Country

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

>90 Days 3

Specim en

Total

1

Discarded (Non-polio
AFP)

Case Classification

Compatible

Specim en

Vaccine Derived
Poliovirus Cases

2

Wild Poliovirus Cases

AFP Rates

Surveillance Indicators
Annualized
AFP Rates 2

AFP Cases

Case Classification

AFP

Table 4: Intratypic Differentiation (ITD) of Isolates from AFP Cases, 2017-2018 (data as of 23 April 2018)

0

0

7

5

0

0

0

0

0

3

0

0

0

0

0

0

0

0

0

0

0

DPR Korea

NPL, Pyongyong

India

0

0

0

3

Vaccine
mixture
NPEV by
PCR

0

0

0

0

0

0

>7
days
0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

231

0

78

0

0

0

0

65

79

9

0

0

0

0

111

0

25

0

0

0

0

30

54

1

0

0

1

0

NIV, Bengaluru

151

0

58

0

0

0

0

33

45

15

0

0

0

0

63

0

13

0

0

0

0

22

25

2

0

0

0

1

ERC, Mumbai

159

0

51

0

0

0

0

48

39

21

0

0

0

0

69

0

16

0

0

0

0

29

23

1

0

0

0

0

SGPGI, Lucknow

288

0

59

0

0

0

0

99

64

25

41

0

0

0

110

0

31

0

0

0

0

40

36

1

0

0

2

0

KIPM, Chennai

50

0

10

0

0

0

0

26

14

0

0

0

0

0

47

0

13

0

0

0

0

16

18

0

0

0

0

0

NCDC, Delhi

202

0

56

0

0

0

0

88

50

8

0

0

0

0

89

0

29

0

0

0

0

31

29

0

0

0

0

0

IoS, Kolkatta

175

0

55

0

0

0

0

41

57

19

3

0

0

0

82

0

23

0

0

0

0

23

32

1

1

0

2

0

CRI, Kasauli

22

0

11

0

0

0

0

6

5

0

0

0

0

0

14

0

3

0

0

0

0

3

7

0

0

0

0

1

1 278

0

378

0

0

0

0

406

353

97

44

0

0

0

585

0

153

0

0

0

0

194

224

6

1

0

5

2

2

0

0

0

0

0

0

2

0

0

0

0

0

0

0

Bio Farma, Bandung
NIHRD, Jakarta

3

0

1

0

0

0

0

0

2

0

0

0

0

0

2

0

0

0

0

0

0

0

0

0

0

0

0

2

PHL, Surabaya

1

0

0

0

0

0

0

1

0

0

0

0

0

0

2

0

0

0

0

0

0

0

2

0

0

0

0

0

0

0

0

0

0

0

0

2

0

0

0

0

2

0

153

0

0

0

0

197

226

6

1

0

5

4

Indonesia Total

6

0

1

0

0

0

0

3

2

0

0

0

0

0

4

Myanm ar

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

5

0

2

0

0

0

0

3

0

0

0

0

0

0

0

1 320

0

390

0

0

0

0

426

363

97

44

0

0

0

592

TOTAL

0