sear vpdupdate week44 2017

VPD Update for Week 44, 2017
Data as of 30 October 2017

Immunization and Vaccine
Development (IVD) SEARO
Protecting People from Vaccine
Preventable Diseases

Last wild poliovirus cases confirmed 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

*Dots are randomly placed within blocks (Sub-districts)

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

Data as of 06 November 2017

Monthly Distribution of AFP Cases
SEAR, 2016 – 2017
2016
total
AFP

2017

AFP to
date

Sep-16

Oct-16

Nov-16

Dec-16

Jan-17

Feb-17

Mar-17

Apr-17

May-17


Jun-17

Jul-17

Aug-17

Sep-17

Oct-17

AFP cases by month of paralysis onset, last 14 months (data from weekly case-based reports)
Date of last
report

1 437

1 216

122


100

99

65

114

119

135

147

125

96

153


108

111

108

06-Nov-17

Bhutan

11

7

1

0

2


1

0

0

1

2

0

0

1

0

3


0

06-Nov-17

DPR Korea

105

79

7

5

4

0

14


10

8

13

7

13

3

11

0

0

29-Sep-17


Country

Bangladesh

India

46 500 32 010 4 581 3 675 3 364 3 230 3 155 2 752 2 873 2 764 3 078 3 169 4 000 4 742 3 664 1 813 03-Nov-17

Indonesia

1 409

1 018

0

0

0


0

102

110

111

102

109

72

106

130

115

61

06-Nov-17

Maldives

2

4

0

0

0

0

0

0

1

2

0

0

1

0

0

0

31-Oct-17

Myanmar

466

300

51

54

33

29

18

24

14

18

24

28

52

64

39

19

02-Nov-17

Nepal

455

294

48

37

19

20

34

27

34

31

33

22

34

43

21

15

05-Nov-17

Sri Lanka

65

60

3

7

3

6

7

13

6

4

6

4

1

6

3

10

02-Nov-17

Thailand

246

158

30

24

20

16

30

19

16

6

10

15

21

26

13

2

30-Oct-17

Timor-Leste

10

1

0

4

1

0

0

0

0

0

0

0

0

1

0

0

27-Sep-17

TOTAL

50 706 35 147 4 843 3 906 3 545 3 367 3 474 3 074 3 199 3 089 3 392 3 419 4 372 5 131 3 969 2 028

Data as of 06 November 2017

Primary Culture Results from AFP Cases, 2016

Bangladesh

IPH, Dhaka

Bhutan

NIH, Bangkok

DPRK

India

NPL, Pyongyang

Pending1
NPEV
Only

Negative

1 433

8

0

348

1 077

0

10

1

0

0

9

0

Results

Received
by lab

% Primary Culture
Reports Within 14
days

0

2 863

98.4

21.3

64

2

0

0

0

20

100

0

0

0

0

0
0

14 days

Number
received by
lab

Wild

Positive
Culture

Positive
Culture +
NPEV

91

0

0

14

77

0

0

194

93

14.4

0

0

0

BJMC, Ahmedabad

6 098

233

26

1 127

4 712

0

0

12 173

99.9

14.8

20

2

0

0

NIV, Bengaluru

4 395

190

35

1 200

2 970

0

0

8 791

97.4

22.9

0

0

0

0

IoS, Kolkatta

7 146

91

21

1 011

6 023

0

0

14 287

98.4

11.0

5

0

0

0

KIPM, Chennai

5 122

89

9

954

4 070

0

0

10 232

99.8

14.9

0

0

0

0

NCDC, Delhi

6 934

212

20

885

5 817

0

0

13 830

99.6

10.8

10

0

0

0

CRI, Kasauli

2 066

35

0

276

1 755

0

0

4 142

99.9

11.5

0

0

0

0

SGPGI, Lucknow

8 811

281

29

1 551

6 950

0

0

17 602

89.7

13.5

0

0

0

0
0

ERC, Mumbai

4 940

158

14

1 187

3 581

0

0

9 974

97.4

21.0

45

4

0

45 512

1 289

154

8 191

35 878

0

0

91 031

97.1

14.7

80

6

0

0

Bio Farma, Bandung

440

13

0

40

387

0

0

871

95

7.9

0

0

0

0

NIHRD, Jakarta

513

14

2

45

452

0

0

1 016

98

7.3

0

0

0

0

India Sub Total
Indonesia

Number of AFP
cases with
specimens received
in Lab

VDPV

Polio Laboratories

Vaccine

Country

Specimens from other sources2

AFP specimens

% NPEV

AFP cases

PHL, Surabaya
Indonesia Sub Total

402

14

0

27

361

0

0

799

100

5.4

0

0

0

0

1 355

41

2

112

1 200

0

0

2 686

97.5

6.9

0

0

0

0

Maldives

MRI, Colombo

2

0

0

0

2

0

0

4

100

0

0

0

0

0

Myanmar

NHL, Yangon

466

5

2

63

396

0

0

931

96

11.7

0

0

0

0

NIH, Bangkok

449

4

2

103

340

0

0

898

100

20.1

67

3

0

0

Labs in India3

3

0

0

0

3

0

0

6

0

0.0

0

0

0

0

Sri Lanka

MRI, Colombo

53

1

0

3

49

0

0

104

81

3.8

266

6

0

0

Thailand

NIH, Bangkok

235

4

0

25

206

0

0

468

100.0

8.3

0

0

0

0

Timor-Leste

NIH, Bangkok

1 353

160

8 859

39 237

0

0

99 205

97.2

14.6

477

17

0

0

Nepal

SEAR

0
49 609

1

Calculation based on date specimen received in laboratory subtracted from date result report to the national programme.

2

Stool samples collected from contact and healthy children survey.

3

Stool samples from cross notified AFP cases tested in India

Data as of 06 November 2017

Primary Culture Results from AFP Cases, 2017

IPH, Dhaka
NIH, Bangkok

DPRK

India

NPL, Pyongyang

Positive
Culture

NPEV
Only

Negative

1 209

17

1

267

853

27

4

0

0

1

3

0

Results

Received
by lab

% Primary Culture
Reports Within 14
days

44

2 413

89.6

19.8

79

1

0

0

0

8

100

25

0

0

0

0
0

14 days

Number
received by
lab

75

0

0

14

61

0

0

152

93.2

18.4

0

0

0

BJMC, Ahmedabad

4 450

191

27

945

3 169

118

0

8 882

95.1

18.0

10

0

0

0

NIV, Bengaluru

2 885

119

23

769

1 888

76

10

5 763

97.2

23.0

5

0

0

0

IoS, Kolkatta

4 697

152

17

1 099

3 428

1

0

9 367

84.5

18.9

0

0

0

0

KIPM, Chennai

2 651

43

7

534

2 065

2

0

5 229

99.1

16.5

0

0

0

0

NCDC, Delhi

4 877

181

22

740

3 751

183

0

9 732

97.3

13.5

5

0

0

0

CRI, Kasauli

1 595

17

2

253

1 305

18

0

3 196

97.7

12.8

0

0

0

0

SGPGI, Lucknow

7 575

250

35

1 799

5 280

211

0

15 130

90.1

19.4

5

0

0

0

ERC, Mumbai

2 051

124

12

354

1 556

5

0

4 074

92.4

15.4

5

0

0

0

30 781

1 077

145

6 493

22 442

614

10

61 373

93.1

17.7

30

0

0

0

316

2

0

28

273

12

1

628

89

8.6

0

0

0

0

India Sub Total
Bio Farma, Bandung
Indonesia

Pending1
Positive
Culture +
NPEV

Wild

Bangladesh
Bhutan

Number of AFP
cases with
specimens
received in Lab

VDPV

Polio Laboratories

Vaccine

Country

Specimens from other sources2

AFP specimens

% NPEV

AFP cases

NIHRD, Jakarta

403

1

0

27

344

28

3

797

100

6.1

0

0

0

0

PHL, Surabaya

269

1

0

25

237

6

0

531

100

8.5

0

0

0

0

988

4

0

80

854

46

4

1 956

96.6

7.6

0

0

0

0

Indonesia Sub Total
Maldives

MRI, Colombo

2

0

0

0

2

0

0

3

100

0

0

0

0

0

Myanmar

NHL, Yangon

296

4

1

47

236

8

0

596

93

14.1

30

0

0

0

NIH, Bangkok

292

4

1

69

207

11

0

584

99

21.9

19

0

0

0

0

0

0

0

0

0

0

0

0

0.0

0

0

0

0

Nepal

3

Labs in India
Sri Lanka

MRI, Colombo

37

0

0

0

35

2

0

79

96

0.0

214

1

0

0

Thailand

NIH, Bangkok

130

4

1

10

108

0

7

262

99.2

7.3

0

0

0

0

Timor-Leste

NIH, Bangkok

0
1 110

149

6 981

24 801

708

65

67 426

93.1

17.5

372

2

0

0

SEAR

33 814

1

Calculation based on date specimen received in laboratory subtracted from date result report to the national programme.

2

Stool samples collected from contact and healthy children survey.

3

Stool samples from cross notified AFP cases tested in India

Data as of 06 November 2017

Poliovirus Detected in Sewage Samples, India, 2016

NPSP- Data as of 03 November 2017

Poliovirus Detected in Sewage Samples, India, 2017

NPSP- Data as of 03 November 2017

Laboratory Data of Environmental Surveillance 2015-2017,
NPML,IPH Bangladesh, Report: October 02,2017)
Laboratory Data of Environmental Surveillance 2015-2017, NPML,IPH Bangladesh, Report: October 02,2017)
Report on Epidemiological Week 39, 2017, NPML-IPH, Bangladesh
Site
City

# Site

Dhaka

Niketon

Gazipur Esthema
Dhaka

Gulshan

Dhaka

Bashabo

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
92 95 96
100
104
108
## ## ## ## ## ##
99
203
107
111 ## ## ## c
##
s94
98
102
106
110 ## ## ## ## ##
s93
97
101
105
109 ## ## ## ## ##

Sites: Bangladesh
Site 1= Hatirjheel-Niketon,Dhaka
Site 2= Esthema-Kamarpara,Tongi)
Site 3= Wasa Sewarage Pit-Gulshan,Dhaka
Site 4= Bashabo Sewarage pit,Dhaka
Sample collected fortnightly

22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 #
## ## ## ## ## ## ## ## ##
134 ## ## ## ## ## ## ## ##
133 ## ## ## ## ## ## ## ##
135 ## ## ##
## ## ## ## ##

Summary : : Total site 4

Total sample collected 168
Total sample with result available:
163
Total sample positive for WPV(with type)
0
Total sample positive for VDPV
0
Total sample positive for SLPV3
8
Total sample positive for SLPV2
1
Total sample positive for SLPV1
3
Total sample positive for NPEV
78
Total RD Positive:
90
Total sample NVI:
73

Note: NPML-IPH lab processes: Sewage samples are tested in cell culture, virus isolation done, confirmed by realtime PCR (ITD)
Note: ERC sequencing report has confirmed the ES-158-ITD discordant sample finally as"PV SL3(vaccine) with 2 neucleotide change".
Reported by National Polio Measles and AMES(JE) Laboratory, IPH, Bangladesh

WPV1
VDPV
SLPV2
SL PV3
NPEV
Negetive (NVI)
Discordant
under process
Not collected

SLPV1

Poliovirus Detected in Sewage Samples
Indonesia - 2017
Province
DKI Jakarta
East Java
West Java
Yogyakarta

1

2

3

4

5

6

7

8

9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

Province

1

2

3

4

5

6

7

8

9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53

1

2

3

4

5

6

7

8

9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

Thailand -2016
Bangkok
Samut Sakhon

Thailand- 2017
Province
Bangkok
Samut Sakhon

Type 1 Sabin

Type 1 VDPV

Wild polio type 1

Negative for Polio and NPEV

Type 2 Sabin

Type 2 VDPV

Wild polio type 3

Result pending

Type 3 Sabin

Type 3 VDPV

NPEV

Sampling not scheduled

Type 1 Sabin + 3 Sabin

Data as of 06 November 2017

Measles and Rubella Serology (IgM) , 2017
Results
Country

Laboratories

Bangladesh

Dhaka

Bhutan

Thimphu

DPR Korea

India

%

#

%

5592

2395

42.8

188

5.9

64.1

388

388

59

15.2

7

2.1

92.0

67

61

0

0.0

0

0.0

100.0

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

80

80

32

40.0

7

14.6

100.0

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

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

Yogyakarta
Indonesia Total
Maldives

Male

Myanm ar

Yangon

Nepal

Kathmandu

3527

3527

983

27.9

1125

44.2

77.1

12377

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

Bangkok

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

61

61

27

44.3

2

5.9

100.0
100.0

Khon Kaen
Nakhon Saw an
Nakhonratchasima
Phitsanulok

52

52

15

28.8

2

5.4

Samut Songkhram

383

383

240

62.7

4

2.8

97.9

Songkhla

776

776

631

81.3

3

2.1

100.0

Surat Thani

6

6

0

0.0

0

0.0

100.0

Trang

54

54

10

18.5

8

18.2

100.0

Ubon Ratchathani

54

54

9

16.7

1

2.2

100.0

Udon Thani

11

11

4

36.4

0

0.0

100.0

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

Thailand Total
Tim or-Leste

% Measles Results
Reported w ithin 4 Days

Rubella +ve

434

Patna

Thailand

#
5592

Measles +ve

Pyongyang

Lucknow

Sri Lanka

Num ber Tested

Ahmedabad

Hyderabad

Indonesia

Num ber of Serum
Sam ples Received

Dili

TOTAL
Source: Reported by SEAR Measles Laboratory Netw ork

NR=No Report

Source: Monthly Reported by SEAR Measles Laboratory Network

Data as of 30 September 2017