sear vpdupdate dec17
Monthly Vaccine Preventable Disease and
Immunization Update
Published: December 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 04 December 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 = 38483
Non-Polio AFP Rate =6.18
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. (annualized by week 48, 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 04 December 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
3414
3026
3140
2997
3241
3232
4106
4605
3450
2574
668
34453
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 04 December 2017
4
Non-polio AFP Rate*
SEAR, 2013–2017
12.48
10.77
12.50
10.60
7.75
~~~~~~~~
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 04 December 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 04 December 2017
N=70
N=114
N=173
Percent
20.0
N=158
N=145
25.0
N=100
N=126
N=525
N=751
N=964
30.0
N=898
35.0
N=41
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=148
N=199
N=236
N=291
N=16396
N=23612
N=24881
N=28997
N=30571
N=674
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 = 34984
Non-Polio AFP Rate =7.75
Adequate Stool specimen = 86%
Districts reporting AFP cases= 686(97%)
* Number of discarded AFP cases per 100,000 children under 15 years of age (annualized by week 48, 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 04 December 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
3111
2714
2821
2683
2941
3007
3758
4254
3153
2287
651
31380
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 04 December 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 = 314
Non-Polio AFP Rate =3.63
Adequate Stool specimen = 98%
Districts reporting AFP cases= 66 (88%)
< 60%
60% – 79%
> 80%
No AFP Case
* Number of discarded AFP cases per 100,000 children under 15 years of age. (annualized by week 48, 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 04 December 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
33
39
38
42
36
48
21
29
37
15
24
19
35
20
394
455 291
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 04 December 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 = 322
Non-Polio AFP Rate = 2.49
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 48, 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 04 December 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
50
2015 2016 2017
22
29
18
21
27
24
17
17
14
14
18
18
27
23
24
19
50
28
26
79
52
33
56
64
35
51
37
42
54
28
25
33
3
52
29
333
466 310
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 04 December 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 48, 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 = 1301
Non-Polio AFP Rate =2.63
Adequate Stool specimen = 98%
Districts reporting AFP cases= 64 (100%)
14
Data as of 04 December 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
150
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
100 115
115
99
71
65
1413 1437 1209
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 04 December 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 = 1236
Non-Polio AFP Rate = 1.58
Adequate Stool specimen = 84%
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 48, 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 04 December 2017
16
Non-polio AFP Cases by Month of Onset
Month 2013
Jan
169
Indonesia, 2013-2017
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
Number of Non-polio AFP cases
250
200
2014
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
91
110
101 104
123
163 108
107
135
95
110
130 102
129
109
64
53
75
93
115
134 113
133
102 120
150
117 122
136
113
11
109
129
1428 1409 1023
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 04 December 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 = 166
Non-Polio AFP Rate = 1.22
Adequate Stool specimen = 66%
Provinces reporting AFP cases= 64 (83%)
* Number of discarded AFP cases per 100,000 children under 15 years of age. (annualized by week 48, 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 04 December 2017
18
Non-polio AFP Cases by Month of Onset
Month
Thailand, 2013-2017
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
Number of Non-polio AFP cases
35
30
2013 2014
19
24
20
25
24
12
22
16
19
17
17
18
27
27
19
18
18
11
16
19
18
25
16
26
235 238
2015 2016 2017
15
25
28
5
25
17
12
21
13
16
5
4
17
16
10
18
24
12
18
16
18
14
24
22
19
30
6
11
24
0
21
20
17
16
183
246 130
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 04 December 2017
VPD Reporting, 2017
Suspected measles
outbreaks
# Outbreaks
# Cases
# Outbreaks
# Cases
Neonatal Tetanus
Diphtheria
Pertussis
Encephalitis
Number of Cases of
AEFI 2
3
0
0
2081 29-Nov-17
0
0
0
0
0
0
0
0
0
0
0
0
0
9
09-Nov-17
10
90
80
67
67
0
0
0
0
0
0
0
0
0
0
0
0
29-Sep-17
10
80
40
824
13804
52
436
7604
115
2268
15
226
536
85
90
0
6
29-Nov-17
10
70
0
122
107
1447
0
32
161
8
47
2
9
20
374
11
0
0
15-Nov-17
10
100
80
1
1
1
0
1
1
0
0
0
0
0
0
0
0
10
11-Oct-17
10
80
50
19
19
440
0
15
446
0
0
0
0
14
48
4
0
0
17-Nov-17
10
90
70
8
8
132
4
4
54
0
0
0
0
2
NR
NR
791
11
15-Nov-17
10
100
90
0
0
0
0
0
0
0
0
0
0
0
0
13
155
8969 15-Nov-17
10
100
70
15
179
0
11
160
0
0
0
0
0
4
52
697
NR
15-Nov-17
10
80
30
0
0
1
2
20-Nov-17
10
50
20
2157
183
158
Bhutan
420
0
420
64
31
4
DPR Korea
67
0
61
0
0
67
India
38612
79
NR
NR
NR
1430
Indonesia
6979
2
4924
452
146
Maldives
58
0
58
1
0
Myanmar
1186
0
1186
802
3
Nepal
610
3
582
28
14
Sri Lanka
215
0
195
4
10
Thailand
2308
0
1966
1164
21
15
95
0
Timor-Leste
Total
1
3
120
0
56038
99
14526 4672
2
0
410
1824
1199 18188
0
0
0
0
0
0
0
1
0
1
65
569
9691
127
2375
28
492
652
514
171
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
% Timeliness
# Cases
79
5039
Mixed
Outbreaks
% Completeness
# Outbreaks
257
15
Rubella
Outbreaks
# reports expected
# Deaths
11
5463
Measles
Outbreaks
Number of Cases
Date of last report
# Cases
60
# Outbreaks
4
# Rubella +ve
1265
# Measles +ve
70
# Tested for
serology
9
# Deaths
2118
# Cases
158
Bangladesh
Country
Laboratory Confirmed1
# Outbreaks
Investigated
Routine Reporting of clinically
suspected measles cases
10
100
90
1644 11088
2
Adverse Events Follow ing Immunization; Sri Lanka AEFI data do not reflect cases but events.
NR=No report
Data as of 31 October 2017
Measles and Rubella Serology (IgM), 2017
Results
Country
Laboratories
Bangladesh
Dhaka
Bhutan
Thimphu
DPR Korea
India
%
#
%
5971
2491
41.7
204
5.9
66.0
421
421
64
15.2
7
2.0
91.4
67
61
0
0.0
0
0.0
100.0
444
308
69.4
30
22.1
100.0
Bengaluru
716
646
145
22.4
170
33.9
91.5
Bhopal
168
168
120
71.4
4
8.3
99.4
Chandigarh
118
118
38
32.2
11
13.8
100.0
Chennai
893
178
50
28.1
64
50.0
98.3
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
80
80
32
40.0
7
14.6
Jaipur
313
313
213
68.1
7
7.0
80.2
Kolkata
812
812
318
39.2
302
61.1
86.6
1631
1462
866
59.2
88
14.8
78.0
399
399
112
28.1
115
40.1
63.2
91.0
Pune
653
476
275
57.8
45
22.4
6631
5381
2663
49.5
863
31.8
86.2
Bandung
1146
1146
580
50.6
173
30.6
93.0
Jakarta
4886
3274
902
27.6
1042
43.9
29.4
Surabaya
3790
2798
1419
50.7
448
32.5
50.4
Yogyakarta
3774
3554
984
27.7
1141
44.4
77.3
13596
10772
3885
36.1
2804
40.7
57.4
88.9
India Total
Indonesia Total
Maldives
Male
Myanm ar
Yangon
Nepal
Kathmandu
63
63
1
1.6
1
1.6
1493
1491
988
66.3
6
1.2
99.1
769
769
56
7.3
18
2.5
91.0
Colombo
138
137
5
3.6
8
6.1
86.1
Bangkok
579
579
303
52.3
3
1.1
100.0
Chiang Mai
34
34
12
35.3
0
0.0
100.0
Chiang Rai
29
29
7
24.1
0
0.0
86.2
Chon Buri
232
151
52
34.4
1
1.0
100.0
55
55
11
20.0
1
2.3
100.0
8
8
3
37.5
0
0.0
100.0
Nakhonratchasima
63
63
27
42.9
3
8.3
100.0
Phitsanulok
55
55
15
27.3
2
5.0
100.0
Samut Songkhram
419
419
257
61.3
5
3.1
98.1
Songkhla
784
784
631
80.5
3
2.0
100.0
100.0
Khon Kaen
Nakhon Saw an
Surat Thani
7
7
0
0.0
0
0.0
Trang
54
54
10
18.5
8
18.2
100.0
Ubon Ratchathani
55
55
9
16.4
1
2.2
100.0
100.0
Udon Thani
Thailand Total
Tim or-Leste
% Measles Results
Reported w ithin 4 Days
Rubella +ve
444
Patna
Thailand
#
5971
Measles +ve
Pyongyang
Lucknow
Sri Lanka
Num ber Tested
Ahmedabad
Hyderabad
Indonesia
Num ber of Serum
Sam ples Received
Dili
TOTAL
15
15
5
33.3
0
0.0
2389
2308
1342
58.1
27
2.8
99.5
80
80
0
0.0
3
3.8
87.5
31618
27454
11495
41.9
3941
24.7
72.6
Source: Reported by SEAR Measles Laboratory Netw ork
Source: SEAR Monthly lab reports
NR=No Report
Data as of 31 October 2017
Immunization Update
Published: December 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 04 December 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 = 38483
Non-Polio AFP Rate =6.18
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. (annualized by week 48, 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 04 December 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
3414
3026
3140
2997
3241
3232
4106
4605
3450
2574
668
34453
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 04 December 2017
4
Non-polio AFP Rate*
SEAR, 2013–2017
12.48
10.77
12.50
10.60
7.75
~~~~~~~~
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 04 December 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 04 December 2017
N=70
N=114
N=173
Percent
20.0
N=158
N=145
25.0
N=100
N=126
N=525
N=751
N=964
30.0
N=898
35.0
N=41
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=148
N=199
N=236
N=291
N=16396
N=23612
N=24881
N=28997
N=30571
N=674
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 = 34984
Non-Polio AFP Rate =7.75
Adequate Stool specimen = 86%
Districts reporting AFP cases= 686(97%)
* Number of discarded AFP cases per 100,000 children under 15 years of age (annualized by week 48, 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 04 December 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
3111
2714
2821
2683
2941
3007
3758
4254
3153
2287
651
31380
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 04 December 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 = 314
Non-Polio AFP Rate =3.63
Adequate Stool specimen = 98%
Districts reporting AFP cases= 66 (88%)
< 60%
60% – 79%
> 80%
No AFP Case
* Number of discarded AFP cases per 100,000 children under 15 years of age. (annualized by week 48, 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 04 December 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
33
39
38
42
36
48
21
29
37
15
24
19
35
20
394
455 291
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 04 December 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 = 322
Non-Polio AFP Rate = 2.49
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 48, 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 04 December 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
50
2015 2016 2017
22
29
18
21
27
24
17
17
14
14
18
18
27
23
24
19
50
28
26
79
52
33
56
64
35
51
37
42
54
28
25
33
3
52
29
333
466 310
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 04 December 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 48, 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 = 1301
Non-Polio AFP Rate =2.63
Adequate Stool specimen = 98%
Districts reporting AFP cases= 64 (100%)
14
Data as of 04 December 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
150
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
100 115
115
99
71
65
1413 1437 1209
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 04 December 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 = 1236
Non-Polio AFP Rate = 1.58
Adequate Stool specimen = 84%
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 48, 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 04 December 2017
16
Non-polio AFP Cases by Month of Onset
Month 2013
Jan
169
Indonesia, 2013-2017
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
Number of Non-polio AFP cases
250
200
2014
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
91
110
101 104
123
163 108
107
135
95
110
130 102
129
109
64
53
75
93
115
134 113
133
102 120
150
117 122
136
113
11
109
129
1428 1409 1023
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 04 December 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 = 166
Non-Polio AFP Rate = 1.22
Adequate Stool specimen = 66%
Provinces reporting AFP cases= 64 (83%)
* Number of discarded AFP cases per 100,000 children under 15 years of age. (annualized by week 48, 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 04 December 2017
18
Non-polio AFP Cases by Month of Onset
Month
Thailand, 2013-2017
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
Number of Non-polio AFP cases
35
30
2013 2014
19
24
20
25
24
12
22
16
19
17
17
18
27
27
19
18
18
11
16
19
18
25
16
26
235 238
2015 2016 2017
15
25
28
5
25
17
12
21
13
16
5
4
17
16
10
18
24
12
18
16
18
14
24
22
19
30
6
11
24
0
21
20
17
16
183
246 130
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 04 December 2017
VPD Reporting, 2017
Suspected measles
outbreaks
# Outbreaks
# Cases
# Outbreaks
# Cases
Neonatal Tetanus
Diphtheria
Pertussis
Encephalitis
Number of Cases of
AEFI 2
3
0
0
2081 29-Nov-17
0
0
0
0
0
0
0
0
0
0
0
0
0
9
09-Nov-17
10
90
80
67
67
0
0
0
0
0
0
0
0
0
0
0
0
29-Sep-17
10
80
40
824
13804
52
436
7604
115
2268
15
226
536
85
90
0
6
29-Nov-17
10
70
0
122
107
1447
0
32
161
8
47
2
9
20
374
11
0
0
15-Nov-17
10
100
80
1
1
1
0
1
1
0
0
0
0
0
0
0
0
10
11-Oct-17
10
80
50
19
19
440
0
15
446
0
0
0
0
14
48
4
0
0
17-Nov-17
10
90
70
8
8
132
4
4
54
0
0
0
0
2
NR
NR
791
11
15-Nov-17
10
100
90
0
0
0
0
0
0
0
0
0
0
0
0
13
155
8969 15-Nov-17
10
100
70
15
179
0
11
160
0
0
0
0
0
4
52
697
NR
15-Nov-17
10
80
30
0
0
1
2
20-Nov-17
10
50
20
2157
183
158
Bhutan
420
0
420
64
31
4
DPR Korea
67
0
61
0
0
67
India
38612
79
NR
NR
NR
1430
Indonesia
6979
2
4924
452
146
Maldives
58
0
58
1
0
Myanmar
1186
0
1186
802
3
Nepal
610
3
582
28
14
Sri Lanka
215
0
195
4
10
Thailand
2308
0
1966
1164
21
15
95
0
Timor-Leste
Total
1
3
120
0
56038
99
14526 4672
2
0
410
1824
1199 18188
0
0
0
0
0
0
0
1
0
1
65
569
9691
127
2375
28
492
652
514
171
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
% Timeliness
# Cases
79
5039
Mixed
Outbreaks
% Completeness
# Outbreaks
257
15
Rubella
Outbreaks
# reports expected
# Deaths
11
5463
Measles
Outbreaks
Number of Cases
Date of last report
# Cases
60
# Outbreaks
4
# Rubella +ve
1265
# Measles +ve
70
# Tested for
serology
9
# Deaths
2118
# Cases
158
Bangladesh
Country
Laboratory Confirmed1
# Outbreaks
Investigated
Routine Reporting of clinically
suspected measles cases
10
100
90
1644 11088
2
Adverse Events Follow ing Immunization; Sri Lanka AEFI data do not reflect cases but events.
NR=No report
Data as of 31 October 2017
Measles and Rubella Serology (IgM), 2017
Results
Country
Laboratories
Bangladesh
Dhaka
Bhutan
Thimphu
DPR Korea
India
%
#
%
5971
2491
41.7
204
5.9
66.0
421
421
64
15.2
7
2.0
91.4
67
61
0
0.0
0
0.0
100.0
444
308
69.4
30
22.1
100.0
Bengaluru
716
646
145
22.4
170
33.9
91.5
Bhopal
168
168
120
71.4
4
8.3
99.4
Chandigarh
118
118
38
32.2
11
13.8
100.0
Chennai
893
178
50
28.1
64
50.0
98.3
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
80
80
32
40.0
7
14.6
Jaipur
313
313
213
68.1
7
7.0
80.2
Kolkata
812
812
318
39.2
302
61.1
86.6
1631
1462
866
59.2
88
14.8
78.0
399
399
112
28.1
115
40.1
63.2
91.0
Pune
653
476
275
57.8
45
22.4
6631
5381
2663
49.5
863
31.8
86.2
Bandung
1146
1146
580
50.6
173
30.6
93.0
Jakarta
4886
3274
902
27.6
1042
43.9
29.4
Surabaya
3790
2798
1419
50.7
448
32.5
50.4
Yogyakarta
3774
3554
984
27.7
1141
44.4
77.3
13596
10772
3885
36.1
2804
40.7
57.4
88.9
India Total
Indonesia Total
Maldives
Male
Myanm ar
Yangon
Nepal
Kathmandu
63
63
1
1.6
1
1.6
1493
1491
988
66.3
6
1.2
99.1
769
769
56
7.3
18
2.5
91.0
Colombo
138
137
5
3.6
8
6.1
86.1
Bangkok
579
579
303
52.3
3
1.1
100.0
Chiang Mai
34
34
12
35.3
0
0.0
100.0
Chiang Rai
29
29
7
24.1
0
0.0
86.2
Chon Buri
232
151
52
34.4
1
1.0
100.0
55
55
11
20.0
1
2.3
100.0
8
8
3
37.5
0
0.0
100.0
Nakhonratchasima
63
63
27
42.9
3
8.3
100.0
Phitsanulok
55
55
15
27.3
2
5.0
100.0
Samut Songkhram
419
419
257
61.3
5
3.1
98.1
Songkhla
784
784
631
80.5
3
2.0
100.0
100.0
Khon Kaen
Nakhon Saw an
Surat Thani
7
7
0
0.0
0
0.0
Trang
54
54
10
18.5
8
18.2
100.0
Ubon Ratchathani
55
55
9
16.4
1
2.2
100.0
100.0
Udon Thani
Thailand Total
Tim or-Leste
% Measles Results
Reported w ithin 4 Days
Rubella +ve
444
Patna
Thailand
#
5971
Measles +ve
Pyongyang
Lucknow
Sri Lanka
Num ber Tested
Ahmedabad
Hyderabad
Indonesia
Num ber of Serum
Sam ples Received
Dili
TOTAL
15
15
5
33.3
0
0.0
2389
2308
1342
58.1
27
2.8
99.5
80
80
0
0.0
3
3.8
87.5
31618
27454
11495
41.9
3941
24.7
72.6
Source: Reported by SEAR Measles Laboratory Netw ork
Source: SEAR Monthly lab reports
NR=No Report
Data as of 31 October 2017