WHO EpiData. A monthly summary of the epidemiological data on selected vaccine preventable diseases in the European Region
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1 A monthly summary of the epidemiological data on selected vaccine preventable diseases in the European Region Table 1: Reported measles cases for the 12-month period February 2016 January 2017 (data as of 13 March 2017) Incidence Rate Feb 16 - Jan 17 measles cases Month and year of rash onset Feb-16 Mar-16 Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Month & year of last report Albania Jan-17 Andorra Jan-17 Armenia Jan-17 Austria Jan-17 Azerbaijan Jan-17 Belarus Jan-17 Belgium Jan-17 Bosnia and Herzegovina Feb-16 Bulgaria Jan-17 Croatia Dec-16 Cyprus Jan-17 Czech Republic Jan-17 Denmark Jan-17 Estonia Jan-17 Finland Jan-17 France Jan-17 Georgia Jan-17 Germany Jan-17 Greece Jan-17 Hungary Jan-17 Iceland Jan-17 Ireland Jan-17 Israel Dec-16 Italy Jan-17 Kazakhstan Jan-17 Kyrgyzstan Jan-17 Latvia Jan-17 Lithuania Jan-17 Luxembourg Jan-17 Malta Jan-17 Monaco No Report Montenegro Jan-17 Netherlands Jan-17 Norway Jan-17 Poland Jan-17 Portugal Jan-17 Republic of Moldova Jan-17 Romania Jan-17 Russian Federation Apr-16 San Marino No Report Serbia Jan-17 Slovakia Jan-17 Slovenia Jan-17 Spain Jan-17 Sweden Jan-17 Switzerland Jan-17 Tajikistan Jan-17 Republic of Macedonia Jan-17 Turkey Oct-16 Turkmenistan No Report Ukraine Jan-17 United Kingdom Jan-17 Uzbekistan Jan-17 /Averages Source: "World Population Prospects: The 2015 Revision", New York, United Nations. 2 Incidence not meeting the target (<1) is highlighted in red. Member States submitting aggregate data: Bosnia and Herzegovina, Kazakhstan, Republic of Moldova, San Marino, Serbia, the former Yugoslav, Turkmenistan, Ukraine. For tables 1-4, the reporting of these data by year and month are based on cases with disease onset date during the 12-month period and corresponding month. Where disease onset date was unavailable, cases with the date of notification reported during these respective time periods were included. These monthly reported numbers may differ from reports produced by national or partner agencies if other dates (e.g. date of case reporting) are used.
2 Table 2: Reported rubella cases for the 12-month period February 2016 January 2017 (data as of 13 March 2017) Incidence Rate Feb 16 - Jan 17 rubella cases Month and year of rash onset Feb-16 Mar-16 Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Month & year of last report Albania Jan-17 Andorra Jan-17 Armenia Jan-17 Austria Jan-17 Azerbaijan Jan-17 Belarus Jan-17 Belgium See footnote Bosnia and Herzegovina Feb-16 Bulgaria Jan-17 Croatia Dec-16 Cyprus Jan-17 Czech Republic Jan-17 Denmark See footnote Estonia Jan-17 Finland Jan-17 France See footnote Georgia Jan-17 Germany Jan-17 Greece Jan-17 Hungary Jan-17 Iceland Jan-17 Ireland Jan-17 Israel Dec-16 Italy Jan-17 Kazakhstan Jan-17 Kyrgyzstan Jan-17 Latvia Jan-17 Lithuania Jan-17 Luxembourg Jan-17 Malta Jan-17 Monaco No Report Montenegro Jan-17 Netherlands Jan-17 Norway Jan-17 Poland Jan-17 Portugal Jan-17 Republic of Moldova Jan-17 Romania Jan-17 Russian Federation No Report San Marino No Report Serbia No Report Slovakia Jan-17 Slovenia Jan-17 Spain Jan-17 Sweden Jan-17 Switzerland Jan-17 Tajikistan Jan Jan-17 Turkey No Report Turkmenistan No Report Ukraine No Report United Kingdom Jan-17 Uzbekistan Jan-17 /Averages Source: "World Population Prospects: The 2015 Revision", New York, United Nations. 2 Incidence not meeting the target (<1) is highlighted in red. 3 Belgium, Denmark, and France do not have comprehensive rubella surveillance systems. Member States submitting aggregate data: Bosnia and Herzegovina, Kazakhstan, Republic of Moldova, San Marino, Serbia, the former Yugoslav, Turkmenistan, Ukraine.
3 Table 3: Measles classification, reporting and surveillance performance, January 2017 (data as of 13 March 2017) Incidence Rate Jan 2017 measles cases 3 Lab confirmed Classification Epi-Link Clinically compatible 4 Albania % 0% Jan Andorra % 100% Jan Armenia % 100% Jan Austria % 100% Jan-17 96% % 7% Azerbaijan % 100% Jan % % 33% Belarus % 100% Jan % Belgium % 100% Jan Bosnia and Herzegovina Bulgaria % 100% Jan Croatia Cyprus % 100% Jan Czech Republic % 100% Jan Denmark % 100% Jan Estonia % 100% Jan % % Finland % 100% Jan France % 100% Jan-17 92% 0 88% 0 Georgia % 100% Jan % % 100% Germany % 100% Jan-17 87% 0 85% 0 Greece % 100% Jan Hungary % 100% Jan Iceland % 100% Jan Ireland % 100% Jan % 0 100% 100% Israel Italy % 100% Jan-17 87% % 0 Kazakhstan % 100% Jan Kyrgyzstan % 100% Jan % % 0 Latvia % 100% Jan Lithuania % 100% Jan Luxembourg % 100% Jan Malta % 100% Jan Monaco No Report Montenegro % 100% Jan Netherlands % 100% Jan Norway % 100% Jan Poland % 100% Jan-17 67% 0 100% 100% Portugal % 100% Jan Republic of Moldova % 100% Jan Romania % 100% Jan % 0 100% 100% Russian Federation San Marino No Report Serbia % 100% Jan Slovakia % 100% Jan Slovenia % 100% Jan % 0 100% 100% Spain % 100% Jan % % 100% Sweden % 100% Jan % 0 100% 0 Switzerland % 100% Jan % % 100% Tajikistan % 100% Jan % % 100% % 100% Jan Turkey Turkmenistan No Report Ukraine % 100% Jan-17 0% United Kingdom % 100% Jan % 0 75% 0 Uzbekistan % 100% Jan % % 0 /Averages % 83.0% 88.7% % 34.0% 1 Source: " World Population Prospects: The 2015 Revision", New York, United Nations. Discarded Measles Imported cases Completeness Reporting Timeliness Month & year of last report Laboratory investigation rate Surveillance Indicators Rate of discarded cases Origin of infection Timeliness of investigation 2 Incidence not meeting the target (<1) and countries not reporting monthly measles data are highlighted in red. The measles imported cases are excluded from measles cases (numerator). 3 All confirmed measles cases regardless of origin. 4 Unless specified as laboratory confirmed or epi-linked, cases are classified as clinically compatible. Member States submitting aggregate data: Bosnia and Herzegovina, Kazakhstan, Republic of Moldova, San Marino, Serbia, the former Yugoslav, Turkmenistan, Ukraine.
4 Table 4: Rubella classification, reporting and surveillance performance, January 2017 (data as of 13 March 2017) Incidence Rate Jan 2017 rubella cases 3 Lab confirmed Classification Epi-Link Clinically compatible 4 Discarded Rubella Imported cases Completeness Reporting Timeliness Month of last report Laboratory investigation rate Surveillance Indicators Rate of discarded cases Origin of infection Timeliness of investigation Albania % 0% Jan Andorra % 100% Jan Armenia % 100% Jan % % 100% Austria % 100% Jan Azerbaijan % 100% Jan % % 100% Belarus % 100% Jan-17 0% % 0% Belgium See footnote Bosnia and Herzegovina Bulgaria % 100% Jan Croatia Cyprus % 100% Jan Czech Republic % 100% Jan Denmark See footnote Estonia % 100% Jan % % 100% Finland % 100% Jan France See footnote Georgia % 100% Jan % % 100% Germany % 100% Jan-17 33% 0 33% 0% Greece % 100% Jan Hungary % 100% Jan Iceland % 100% Jan Ireland % 100% Jan Israel Italy % 100% Jan Kazakhstan % 100% Jan Kyrgyzstan % 100% Jan Latvia % 100% Jan Lithuania % 100% Jan Luxembourg % 100% Jan Malta % 100% Jan Monaco No Report Montenegro % 100% Jan Netherlands % 100% Jan Norway % 100% Jan Poland % 100% Jan-17 0% 0 0% 0% Portugal % 100% Jan Republic of Moldova % 100% Jan Romania % 100% Jan Russian Federation No Report San Marino No Report Serbia No Report Slovakia % 100% Jan Slovenia % 100% Jan Spain % 100% Jan Sweden % 100% Jan Switzerland % 100% Jan % % 0% Tajikistan % 100% Jan % % 100% % 100% Jan Turkey No Report Turkmenistan No Report Ukraine No Report United Kingdom % 100% Jan Uzbekistan % 100% Jan /Averages % 75.5% 11.8% % 9.4% 1 Source: World Population Prospects: The 2015 Revision", New York, United Nations. 2 Incidence not meeting the target (<1) and countries not reporting monthly rubella data are highlighted in red. The rubella imported cases are excluded from rubella cases (numerator). 3 All confirmed rubella cases regardless of origin. 4 Unless specified as laboratory confirmed or epi-linked, cases are classified as clinically compatible. 5 Belgium, Denmark, and France do not have comprehensive rubella surveillance systems. Member States submitting aggregate data: Bosnia and Herzegovina, Kazakhstan, Republic of Moldova, San Marino, Serbia, the former Yugoslav, Turkmenistan, Ukraine.
5 Table 5: Measles and rubella laboratory test results, January - December 2016 (data as of 01 February 2017) Measles Rubella Reporting to CISID / MRLDMS % % sequencing Genotypes sequencing Positive Genotypes % Positive for reported % Timeliness last report Month of specimen reported to reported specimen for rubella reported to Completeness measles (%) within 60 s tested MeaNS 1 within 60 stested (%) RubeNS 2 days 1 days 2 Albania 17 1 (6.0) (0.0) % 75.0% Dec-16 Andorra - No Lab Armenia (1.0) (0.0) % 16.7% Oct-16 Austria (2.0) B3, D8 94% (0.0) % 100.0% Dec-16 Azerbaijan (0.0) (0.0) % 66.7% Dec-16 Belarus (11.0) D8, H1 67% (0.0) % 83.3% Dec-16 Belgium (23.0) B3, D8 79% (19.0) % 58.3% Dec-16 Bosnia and Herzegovina 19 (0.0) (0.0) % 0 Dec-16 Bulgaria 46 1 (2.0) H1 0% 45 0 (0.0) % 91.7% Dec-16 Croatia - - D8 100% No Report Cyprus (0.0) (0.0) % 91.7% Dec-16 Czech Republic (37.0) (0.0) % 91.7% Dec-16 Denmark (2.0) B3, D8 33% 56 0 (0.0) % 91.7% Dec-16 Estonia 77 2 (3.0) D8 100% (0.0) % 91.7% Dec-16 Finland (6.0) D8 33% (0.0) % 33.3% Dec-16 France (19.0) B3, D8 93% (15.0) 1E 100% 100.0% 16.7% Dec-16 Georgia 49 1 (2.0) D8 0% 53 1 (2.0) % 16.7% May-16 Germany - - B3, D8, H1 54% No Report Greece 13 1 (8.0) (23.0) % 16.7% Dec-16 Hungary (0.0) (0.0) % 91.7% Dec-16 Iceland No Report Ireland (10.0) B3, D8 97% (0.0) % 66.7% Dec-16 Israel (16.0) D8 56% (0.0) 2B 0% 100.0% 91.7% Dec-16 Italy (64.0) B3, D8 38% (0.0) 1G 0% 100.0% 66.7% Dec-16 Kazakhstan (34.0) H1 50% (2.0) % 75.0% Dec-16 Kyrgyzstan Jun-16 Latvia (0.0) (0.0) % 83.3% Dec-16 Lithuania (15.0) (0.0) % 83.3% Dec-16 Luxembourg 95 0 (0.0) (0.0) % 91.7% Dec-16 Malta 43 0 (0.0) (0.0) % 91.7% Dec-16 Monaco No Lab Montenegro No Lab Netherlands 9 0 (0.0) D8 100% 9 0 (0.0) % 0 Dec-16 Norway % 0 Feb-16 Poland 47 0 (0.0) D8 33% 47 0 (0.0) % 0 Dec-16 Portugal 21 0 (0.0) (0.0) % 0 Dec-16 Republic of Moldova 62 0 (0.0) (0.0) % 83.3% Dec-16 Romania (75.0) B3 100% (3.0) % 91.7% Dec-16 Russian Federation (8.0) D8, H1 84% (2.0) 2B 86% 100.0% 83.3% Dec-16 San Marino No Lab Serbia 3 0 (0.0) B3 0% 3 0 (0.0) % 8.3% Feb-16 Slovakia 5 0 (0.0) (0.0) % 91.7% Dec-16 Slovenia 53 2 (4.0) B3 100% 6 0 (0.0) % 91.7% Dec-16 Spain - - B3, D8 76% No Report Sweden (2.0) B3, D8 100% (0.0) % 8.3% Dec-16 Switzerland (54.0) D8 50% 8 8 (100.0) % 83.3% Dec-16 Tajikistan % 0 Dec (0.0) (0.0) % 0 May-16 Turkey (3.0) (2.0) 1H 0% 100.0% 91.7% Dec-16 Turkmenistan # No Report Ukraine (5.0) D8 25% (0.0) % 83.3% Dec-16 United Kingdom (22.0) B3, D8, D4 98% (0.0) % 41.7% Dec-16 Uzbekistan (1.0) (0.0) % 91.7% Dec-16 / Average (17%) 77% (1%) 64% 65.3% 47.8% Data source: Aggregated monthly data provided by regional measles and rubella laboratory network (MR Labnet) to WHO/Europe. Some countries are only reporting to specimen-based MR lab data management system (MR LDMS). #Turkmenistan lab data not displayed as lab reporting does not match the required format and frequency. 1 MeaNS: Timeliness of sequence reporting relates to the time between specimen collection and reporting to MeaNS. 2 RubeNS: Timeliness of sequence reporting relates to the time between specimen collection and reporting to RubeNS. *Specimen based data are not population based, and should not be interpreted as indicators for epidemiological surveillance. Laboratories may have received more than 1 clinical sample or may have conducted more than 1 test for a given case reported in Table 1.
6 Figure 1: Distribution of named strains of D8 Measles Genotype by week of 2016 (data as of 7 March 2017)* D8 Not named D8 MVs/Victoria.AUS/6.11/ D8 MVs/Frankfurt Main.DEU/17.11/ D8 MVs/Cambridge.GBR/5.16/ D8 MVi/Villupuram.IND/03.07/ D8 MVi/Hulu Langat.MYS/26.11/ Figure 2: Distribution of named strains of B3 Measles Genotype by week of 2016 (data as of 7 March 2017)* B3 Not named B3 MVs/Iasi.ROU/19.15/ B3 MVs/Dublin.IRL/8.16/ B3 MVs/Allada.BEN/3.10/ B3 MVi/Harare.ZWE/38.09/ *The data source of above graphs are MeaNS ( Contact us: Vaccine preventable Diseases and Immuniza on Programme, WHO Regional Office for Europe Tel.: E mail: euvaccine@who.int and/or eucddata@who.int Web site: h p:// World Health Organiza on, 2017.
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