sear vpdupdate feb18
Monthly Vaccine Preventable Disease and
Immunization Update
Published: February 07, 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 05 February 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 = 43339
Non-Polio AFP Rate =6.80
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 05 February 2018
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
3427
3036
3161
3038
3288
3289
4233
4944
3862
3252
2993
2555
41078
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 05 February 2018
4
Non-polio AFP Rate*
SEAR, 2014–2018
10.77 10.60
8.51
12.48
~~~~~~~~
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 05 February 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 05 February 2018
N=43
N=125
N=173
Percent
20.0
N=158
N=145
25.0
N=100
N=126
N=70
N=724
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=178
N=199
N=236
N=291
N=19268
N=23612
N=24881
N=28997
N=30571
N=758
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 = 39226
Non-Polio AFP Rate =8.51
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.
8
Data as of 05 February 2018
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
3122
2722
2842
2716
2981
3061
3865
4571
3548
2863
2644
2376
37311
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 05 February 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 = 362
Non-Polio AFP Rate =4.13
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.
10
Data as of 05 February 2018
Non-polio AFP Cases by Month of Onset
Nepal, 2013-2017
Month
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
43
36
48
21
29
37
26
24
19
20
35
20
35
394
455 358
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 05 February 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 = 394
Non-Polio AFP Rate = 2.79
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.
12
Data as of 05 February 2018
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
24
19
50
28
26
79
52
33
56
64
35
51
38
42
54
36
25
33
40
52
29
20
333
466 376
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 05 February 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 = 1368
Non-Polio AFP Rate =2.71
Adequate Stool specimen = 98%
Districts reporting AFP cases= 64 (100%)
14
Data as of 05 February 2018
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
146 152
139
122 105
101
122 111
137
100 131
115
99
78
71
65
46
1413 1437 1351
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 05 February 2018
AFP Surveillance Indicators by Province
Indonesia, 2017
Non-polio AFP Rate*
Non-Polio AFP Rate
2
No Non-Polio AFP Case
Total AFP Cases = 1611
Non-Polio AFP Rate = 2.00
Adequate Stool specimen = 83%
Provinces reporting AFP cases= 32 (94%)
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 05 February 2018
16
Non-polio AFP Cases by Month of Onset
Indonesia, 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
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
95
110
101 105
123
163 108
107
135 100
110
130 111
129
109
64
53
75
100
115
134 125
133
102 131
150
117 186
136
113 206
109
129
74
1428 1409 1405
150
100
50
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
2013
2014
2015
2016
2017
Data as of 05 February 2018
17
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 = 187
Non-Polio AFP Rate = 1.13
Adequate Stool specimen = 67%
Provinces reporting AFP cases= 68 (88%)
* 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 05 February 2018
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
26
5
25
18
12
21
12
16
5
5
17
16
8
18
24
15
18
16
22
14
24
18
19
30
7
11
24
21
20
17
16
183
246 131
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 05 February 2018
VPD Reporting, 2017
Suspected measles
outbreaks
Diphtheria
Pertussis
Encephalitis
Number of Cases of
AEFI 2
Date of last report
# reports expected
% Completeness
% Timeliness
94
7
0
187
2162
16-Jan-18
12
100
92
197
162
162
2285
9
Bhutan
440
0
436
65
31
3
0
0
0
0
0
0
0
0
0
0
0
0
0
DPR Korea
104
0
104
0
0
104
104
104
0
0
0
0
0
0
0
0
0
0
0
India
45768
98
NR
NR
NR
1695
997
16675
71
552
9458
124
2375
15
226
NR
NR
NR
NR
NR
19-Jan-18
12
67
0
Indonesia
10025
2
5342
456
146
346
334
3032
0
175
1444
78
757
20
247
25
1067
11
628
NR
18-Jan-18
12
100
67
# Cases
# Deaths
2318
# Outbreaks
# Cases
5468
# Cases
# Outbreaks
Investigated
15
# Outbreaks
# Outbreaks
5941
# Cases
# Rubella +ve
Bangladesh
Country
# Outbreaks
# Measles +ve
Mixed
Outbreaks
# Tested for
serology
Rubella
Outbreaks
Number of Cases
# Deaths
Measles
Outbreaks
Neonatal Tetanus
Laboratory Confirmed1
# Cases
Routine Reporting of clinically
suspected measles cases
71
1321
4
60
12
262
9
12-Jan-18
12
83
75
0
13-Dec-17
12
75
42
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
1186
0
1186
802
3
19
19
440
0
15
446
0
0
0
0
14
48
4
0
0
17-Nov-17
12
75
58
Nepal
801
3
695
33
16
10
10
152
4
4
54
0
0
0
0
6
NR
NR
888
15
17-Jan-18
12
100
83
Sri Lanka
241
0
216
4
10
0
0
0
0
0
0
0
0
0
0
0
0
15
179
10297 15-Jan-18
12
100
75
Thailand
2776
3
2262
1323
23
23
23
433
0
13
227
0
0
0
0
1
5
78
785
NR
16-Jan-18
12
83
42
Timor-Leste
120
0
95
0
2
0
0
0
0
0
0
0
0
0
0
1
0
1
1
2
20-Nov-17
12
42
17
67468
121
428
2363
84
831
12951
206
3192
47
735
141
1127
109
Total
1
3
15870 5002
1650 23122
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
2668 12495
2
Adverse Events Follow ing Immunization; Sri Lanka AEFI data do not reflect cases but events.
NR=No report
Data as of 31 January 2018
Measles and Rubella Serology (IgM), 2017
Results
Country
Laboratories
Num ber of Serum
Sam ples Received
Num ber Tested
#
%
#
%
6497
6497
2696
41.5
228
6.0
69.1
93.0
Measles +ve
% Measles Results
Reported w ithin 4 Days
Rubella +ve
Bangladesh
Dhaka
Bhutan
Thimphu
441
441
65
14.7
8
2.1
DPR Korea
Pyongyang
104
104
0
0.0
0
0.0
0.0
Ahmedabad
464
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
Chandigarh
123
123
43
35.0
11
13.8
100.0
98.5
Chennai
India
1029
200
50
25.0
75
50.0
Delhi
159
159
105
66.0
6
11.1
97.5
Guw ahati
278
158
108
68.4
14
28.0
100.0
100.0
Hyderabad
80
80
32
40.0
7
14.6
343
343
238
69.4
9
8.6
81.9
Kolkata
1070
1070
450
42.1
344
55.5
89.2
Lucknow
Jaipur
2124
1926
1212
62.9
96
13.4
77.8
Patna
488
488
184
37.7
120
39.5
68.9
Pune
699
522
310
59.4
45
21.2
91.4
7829
6431
3367
52.4
935
30.5
86.5
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
India Total
Indonesia
Yogyakarta
Indonesia Total
3990
3990
1024
25.7
1319
44.5
73.1
14801
13238
4438
33.5
3583
40.7
51.1
66
66
1
1.5
1
1.5
89.4
1583
1581
1023
64.7
8
1.4
0.0
63
6.9
22
2.6
92.5
Maldives
Male
Myanm ar
Yangon
Nepal
Kathmandu
916
916
Sri Lanka
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
35284
32239
13137
40.7
4827
25.3
65.3
Khon Kaen
Nakhon Saw an
Thailand
Thailand Total
Tim or-Leste
Dili
TOTAL
Source: Reported by SEAR Measles Laboratory Netw ork
Source: SEAR Monthly lab reports
NR=No Report
Data as of 31 January 2018
Immunization Update
Published: February 07, 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 05 February 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 = 43339
Non-Polio AFP Rate =6.80
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 05 February 2018
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
3427
3036
3161
3038
3288
3289
4233
4944
3862
3252
2993
2555
41078
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 05 February 2018
4
Non-polio AFP Rate*
SEAR, 2014–2018
10.77 10.60
8.51
12.48
~~~~~~~~
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 05 February 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 05 February 2018
N=43
N=125
N=173
Percent
20.0
N=158
N=145
25.0
N=100
N=126
N=70
N=724
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=178
N=199
N=236
N=291
N=19268
N=23612
N=24881
N=28997
N=30571
N=758
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 = 39226
Non-Polio AFP Rate =8.51
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.
8
Data as of 05 February 2018
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
3122
2722
2842
2716
2981
3061
3865
4571
3548
2863
2644
2376
37311
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 05 February 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 = 362
Non-Polio AFP Rate =4.13
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.
10
Data as of 05 February 2018
Non-polio AFP Cases by Month of Onset
Nepal, 2013-2017
Month
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
43
36
48
21
29
37
26
24
19
20
35
20
35
394
455 358
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 05 February 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 = 394
Non-Polio AFP Rate = 2.79
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.
12
Data as of 05 February 2018
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
24
19
50
28
26
79
52
33
56
64
35
51
38
42
54
36
25
33
40
52
29
20
333
466 376
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 05 February 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 = 1368
Non-Polio AFP Rate =2.71
Adequate Stool specimen = 98%
Districts reporting AFP cases= 64 (100%)
14
Data as of 05 February 2018
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
146 152
139
122 105
101
122 111
137
100 131
115
99
78
71
65
46
1413 1437 1351
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 05 February 2018
AFP Surveillance Indicators by Province
Indonesia, 2017
Non-polio AFP Rate*
Non-Polio AFP Rate
2
No Non-Polio AFP Case
Total AFP Cases = 1611
Non-Polio AFP Rate = 2.00
Adequate Stool specimen = 83%
Provinces reporting AFP cases= 32 (94%)
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 05 February 2018
16
Non-polio AFP Cases by Month of Onset
Indonesia, 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
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
95
110
101 105
123
163 108
107
135 100
110
130 111
129
109
64
53
75
100
115
134 125
133
102 131
150
117 186
136
113 206
109
129
74
1428 1409 1405
150
100
50
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
2013
2014
2015
2016
2017
Data as of 05 February 2018
17
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 = 187
Non-Polio AFP Rate = 1.13
Adequate Stool specimen = 67%
Provinces reporting AFP cases= 68 (88%)
* 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 05 February 2018
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
26
5
25
18
12
21
12
16
5
5
17
16
8
18
24
15
18
16
22
14
24
18
19
30
7
11
24
21
20
17
16
183
246 131
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 05 February 2018
VPD Reporting, 2017
Suspected measles
outbreaks
Diphtheria
Pertussis
Encephalitis
Number of Cases of
AEFI 2
Date of last report
# reports expected
% Completeness
% Timeliness
94
7
0
187
2162
16-Jan-18
12
100
92
197
162
162
2285
9
Bhutan
440
0
436
65
31
3
0
0
0
0
0
0
0
0
0
0
0
0
0
DPR Korea
104
0
104
0
0
104
104
104
0
0
0
0
0
0
0
0
0
0
0
India
45768
98
NR
NR
NR
1695
997
16675
71
552
9458
124
2375
15
226
NR
NR
NR
NR
NR
19-Jan-18
12
67
0
Indonesia
10025
2
5342
456
146
346
334
3032
0
175
1444
78
757
20
247
25
1067
11
628
NR
18-Jan-18
12
100
67
# Cases
# Deaths
2318
# Outbreaks
# Cases
5468
# Cases
# Outbreaks
Investigated
15
# Outbreaks
# Outbreaks
5941
# Cases
# Rubella +ve
Bangladesh
Country
# Outbreaks
# Measles +ve
Mixed
Outbreaks
# Tested for
serology
Rubella
Outbreaks
Number of Cases
# Deaths
Measles
Outbreaks
Neonatal Tetanus
Laboratory Confirmed1
# Cases
Routine Reporting of clinically
suspected measles cases
71
1321
4
60
12
262
9
12-Jan-18
12
83
75
0
13-Dec-17
12
75
42
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
1186
0
1186
802
3
19
19
440
0
15
446
0
0
0
0
14
48
4
0
0
17-Nov-17
12
75
58
Nepal
801
3
695
33
16
10
10
152
4
4
54
0
0
0
0
6
NR
NR
888
15
17-Jan-18
12
100
83
Sri Lanka
241
0
216
4
10
0
0
0
0
0
0
0
0
0
0
0
0
15
179
10297 15-Jan-18
12
100
75
Thailand
2776
3
2262
1323
23
23
23
433
0
13
227
0
0
0
0
1
5
78
785
NR
16-Jan-18
12
83
42
Timor-Leste
120
0
95
0
2
0
0
0
0
0
0
0
0
0
0
1
0
1
1
2
20-Nov-17
12
42
17
67468
121
428
2363
84
831
12951
206
3192
47
735
141
1127
109
Total
1
3
15870 5002
1650 23122
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
2668 12495
2
Adverse Events Follow ing Immunization; Sri Lanka AEFI data do not reflect cases but events.
NR=No report
Data as of 31 January 2018
Measles and Rubella Serology (IgM), 2017
Results
Country
Laboratories
Num ber of Serum
Sam ples Received
Num ber Tested
#
%
#
%
6497
6497
2696
41.5
228
6.0
69.1
93.0
Measles +ve
% Measles Results
Reported w ithin 4 Days
Rubella +ve
Bangladesh
Dhaka
Bhutan
Thimphu
441
441
65
14.7
8
2.1
DPR Korea
Pyongyang
104
104
0
0.0
0
0.0
0.0
Ahmedabad
464
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
Chandigarh
123
123
43
35.0
11
13.8
100.0
98.5
Chennai
India
1029
200
50
25.0
75
50.0
Delhi
159
159
105
66.0
6
11.1
97.5
Guw ahati
278
158
108
68.4
14
28.0
100.0
100.0
Hyderabad
80
80
32
40.0
7
14.6
343
343
238
69.4
9
8.6
81.9
Kolkata
1070
1070
450
42.1
344
55.5
89.2
Lucknow
Jaipur
2124
1926
1212
62.9
96
13.4
77.8
Patna
488
488
184
37.7
120
39.5
68.9
Pune
699
522
310
59.4
45
21.2
91.4
7829
6431
3367
52.4
935
30.5
86.5
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
India Total
Indonesia
Yogyakarta
Indonesia Total
3990
3990
1024
25.7
1319
44.5
73.1
14801
13238
4438
33.5
3583
40.7
51.1
66
66
1
1.5
1
1.5
89.4
1583
1581
1023
64.7
8
1.4
0.0
63
6.9
22
2.6
92.5
Maldives
Male
Myanm ar
Yangon
Nepal
Kathmandu
916
916
Sri Lanka
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
35284
32239
13137
40.7
4827
25.3
65.3
Khon Kaen
Nakhon Saw an
Thailand
Thailand Total
Tim or-Leste
Dili
TOTAL
Source: Reported by SEAR Measles Laboratory Netw ork
Source: SEAR Monthly lab reports
NR=No Report
Data as of 31 January 2018