A monthly summary of the epidemiological data on selected Vaccine preventable diseases in the European Region Table : Reported cases for the period September 207 August 208 (data as of 0 October 208) Population in 208 Incidence Rate Sep 7 - Aug 8 cases Month and year of rash onset Sep-7 Oct-7 Nov-7 Dec-7 Jan-8 Feb-8 Mar-8 Apr-8 May-8 Jun-8 Jul-8 Aug-8 Month & year of last report Albania 2 99 422 472.35 379 3 5 3 63 64 345 359 245 34 45 2 Aug-8 Andorra 68 95 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Aug-8 Armenia 3 034 998 5.93 8 0 0 0 0 2 4 0 0 0 0 Aug-8 Austria 8 63 647 9.06 78 2 8 7 8 4 6 6 3 Aug-8 Azerbaijan 0 070 075 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Aug-8 Belarus 9 429 02 22.9 26 0 0 0 0 0 7 4 53 58 3 23 Aug-8 Belgium 53 025 7.90 9 2 0 3 6 9 23 2 3 Aug-8 Bosnia and Herzegovina 3 782 297 25.65 97 2 2 3 0 5 7 4 3 34 3 4 0 Aug-8 Bulgaria 6 992 50.4 8 0 0 0 0 0 2 0 3 0 Aug-8 Croatia 4 94 538 5.24 22 0 0 0 0 0 0 0 2 6 3 0 Aug-8 Cyprus 98 98 2.52 5 0 0 0 5 7 2 0 0 0 0 0 Aug-8 Czech Republic 0 563 5.90 68 0 0 9 5 8 5 0 68 4 6 5 Aug-8 Denmark 5 732 73 0.70 4 0 0 0 0 0 0 3 0 0 0 0 Aug-8 Estonia 302 40 7.68 0 0 0 0 0 0 0 4 6 0 0 0 0 Aug-8 Finland 5 556 439.26 7 0 0 0 0 0 0 0 3 0 0 3 Aug-8 France 65 205 67 42.85 2794 9 3 65 237 56 76 620 250 90 8 3 Aug-8 Georgia 3 973 68 305.0 22 9 3 60 25 59 58 22 253 22 - Jul-8 Germany 80 560 850 6.47 52 8 8 2 9 29 34 60 99 89 03 4 9 Aug-8 Greece 0 87 762 289.0 342 4 92 304 346 466 454 50 37 249 2 29 4 Aug-8 Hungary 9 754 429.54 5 0 0 2 5 6 0 0 0 0 0 Aug-8 Iceland 336 938 2.97 0 0 0 0 0 0 0 0 0 0 0 Aug-8 Ireland 4 790 845 2.7 04 0 2 9 3 0 20 9 4 8 7 Aug-8 Israel 8 455 489 40.09 339 0 0 0 0 0 0 9 33 35 74 75 3 Aug-8 Italy 59 788 04 45.46 278 66 27 66 3 23 296 375 47 427 273 25 66 Aug-8 Kazakhstan 8 256 484 0. 2 0 0 0 0 0 0 0 0 - - Jul-8 Kyrgyzstan 6 23 44 64.38 400 0 0 2 2 30 5 33 69 75 98 58 8 Aug-8 Latvia 935 780 0.33 20 0 0 0 5 8 2 0 2 3 0 0 0 Aug-8 Lithuania 2 87 402 0.7 2 0 0 0 0 0 0 0 0 0 0 Aug-8 Luxembourg 59 26 6.77 4 0 0 0 0 0 0 0 0 0 2 Aug-8 Malta 42 387.87 5 0 0 0 0 0 0 0 0 0 0 5 0 Aug-8 Monaco 38 66 0.00 0 0 0 0-0 0 0 0-0 0 - Jul-8 Montenegro 626 240 5.0 32 0-0 0 9 9 4 0 0 - - - May-8 Netherlands 7 084 53.52 26 3 0 0 0 2 2 0 3 0 4 Aug-8 Norway 5 387 342.86 0 0 0 0 0 0 4 0 2 0 2 Aug-8 Poland 38 522 728 2.99 5 3 2 6 9 7 5 2 8 2 4 6 Aug-8 Portugal 0 229 432 2.8 3 0 0 0 0 0 4 08 3 0 3 2 Aug-8 Republic of Moldova 4 044 534 67.00 27 0 0 0 0 0 0 8 7 0 234 Aug-8 Romania 9 05 089 92.44 766 236 265 338 00 0 02 05 04 2 00 92 Aug-8 Russian Federation 43 26 490 6.92 2424 92 30 94 26 292 292 36 252 28 28 93 Aug-8 San Marino 32 24 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Aug-8 Serbia 8 742 764 653. 570 0 3 286 392 90 230 522 684 447 70 49 6 Aug-8 Slovakia 5 434 237 82.07 446 0 0 0 8 0 2 3 23 87 262 60 Aug-8 Slovenia 2 073 08 4.34 9 0 0 0 2 0 0 0 3 3 0 0 Aug-8 Spain 46 6 884 4.7 27 2 0 6 4 5 49 4 24 2 6 Aug-8 Sweden 9 987 062 5.0 50 3 0 6 2 3 4 3 2 5 0 Aug-8 Switzerland 8 523 590 6.69 57 7 4 4 0 7 6 6 3 3 2 4 Aug-8 Tajikistan 9 046 723 0.00 0 0 0 0 0 0 0 0 0 0 0 0 - Aug-8 Republic of Macedonia 2 085 35 3.65 66 8 0 5 5 0 3 24 7 Aug-8 Turkey 8 086 257 6.56 532 3 4 5 2 5 5 77 6 65 85 63 Aug-8 Turkmenistan 5 565 070 0.00 0 0 0 0 0 0 0 0 0 0 0 0 - Jul-8 Ukraine 44 70 002 738.46 3268 248 505 00 400 3030 3099 268 382 5629 4882 3877 257 Aug-8 United Kingdom 65 92 569 5.28 007 8 22 65 46 55 8 48 20 54 99 80 38 Aug-8 Uzbekistan 3 064 765 0.45 4 0 0 0 0 0 0 0 0 0 7 7 0 Aug-8 /Averages 97 084 469 64.22 58893 965 327 2352 2822 5650 6594 7325 7586 8645 7024 524 3479 Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe or via ECDC/TESSy. Member States submitting aggregate data: Belgium, Bosnia and Herzegovina, Kazakhstan, Republic of Moldova, Serbia, the former Yugoslav, Ukraine. Data source: "World Population Prospects: The 205 Revision", New York, United Nations. 2 Incidence rates not achieving the target (< per million population) are highlighted in red. For tables -4, the reporting of these data by year and month are based on cases with disease onset date during the above 2-month period and corresponding month. Where the disease onset date was unavailable, cases with the date of notification reported during these respective time periods were included as date of onset. These reports produced by national or partner agencies may differ if other dates (e.g. date of case reporting) were used. No. 09/208
Table 2: Reported rubella cases for the period September 207 August 208 (data as of 0 October 208) Population in 208 Incidence Rate Sep 7 - Aug 8 rubella cases Month and year of rash onset Sep-7 Oct-7 Nov-7 Dec-7 Jan-8 Feb-8 Mar-8 Apr-8 May-8 Jun-8 Jul-8 Aug-8 Month & year of Albania 2 99 422 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Aug-8 Andorra 68 95 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Aug-8 Armenia 3 034 998 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Aug-8 Austria 8 63 647 2.32 20 0 2 6 7 5 0 0 0 0 0 0 0 Aug-8 Azerbaijan 0 070 075 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Aug-8 Belarus 9 429 02 0.2 2 0 0 0 0 0 0 0 0 0 0 Aug-8 Belgium 3 53 025 - - - - - - - - - - - - - - See footnote Bosnia and Herzegovina 3 782 297 0.53 2 0 0 0 0 0 0 0-0 0 Aug-8 Bulgaria 6 992 50 0.4 0 0 0 0 0 0 0 0 0 0 0 Aug-8 Croatia 4 94 538 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Aug-8 Cyprus 98 98 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Aug-8 Czech Republic 0 563 0.9 2 0 0 0 0 0 0 0 0 0 0 Aug-8 Denmark 3 5 732 73 - - - - - - - - - - - - - - See footnote Estonia 302 40 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Aug-8 Finland 5 556 439 0.8 0 0 0 0 0 0 0 0 0 0 0 Aug-8 France 3 65 205 67 - - - - - - - - - - - - - - See footnote Georgia 3 973 68 0.25 0 0 0 0 0 0 0 0 0 0 - Jul-8 Germany 80 560 850 0.76 6 3 4 2 7 3 5 5 3 8 6 4 Aug-8 Greece 0 87 762 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Aug-8 Hungary 9 754 429 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Aug-8 Iceland 336 938 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Aug-8 Ireland 4 790 845.04 5 0 0 0 0 0 0 0 2 0 Aug-8 Israel 8 455 489 0.2 0 0 0 0 0 0 0 0 0 0 0 Aug-8 Italy 59 788 04 0.45 27 3 2 2 2 2 2 4 2 3 3 Aug-8 Kazakhstan 8 256 484 0.00 0 0 0 0 0 0 0 0 0 0-0 - Jul-8 Kyrgyzstan 6 23 44.6 0 0 0 4 0 3 0 0 0 0 Aug-8 Latvia 935 780.55 3 0 0 0 0 0 0 0 0 0 Aug-8 Lithuania 2 87 402 0.35 0 0 0 0 0 0 0 0 0 0 0 Aug-8 Luxembourg 59 26 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Aug-8 Malta 42 387 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Aug-8 Monaco 38 66 - - - - - - - - - - - - - - No Report Montenegro 626 240 0.00 0 0-0 0 0 0 0 0 0 - - - May-8 Netherlands 7 084 53 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Aug-8 Norway 5 387 342 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Aug-8 Poland 38 522 728 2.67 488 30 34 3 33 36 44 42 48 59 52 40 39 Aug-8 Portugal 0 229 432 0.59 6 2 0 0 0 0 0 0 0 2 0 Aug-8 Republic of Moldova 4 044 534 0.00 0 0 0-0 0 0 0 0 0 0-0 Aug-8 Romania 9 05 089 0.26 5 0 0 0 0 0 0 0 Aug-8 Russian Federation 43 26 490 0.03 5 0 0 0 0 0 0 3 0 0 0 Aug-8 San Marino 32 24 0.00 0-0 0 0 0 0 0 0 0 0 0 0 Aug-8 Serbia 8 742 764 - - - - - - - - - - - - - - No Report Slovakia 5 434 237 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Aug-8 Slovenia 2 073 08 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Aug-8 Spain 46 6 884 0.07 3 0 0 0 0 0 0 0 0 0 Aug-8 Sweden 9 987 062 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Aug-8 Switzerland 8 523 590 0.23 2 0 0 0 0 0 0 0 0 0 0 Aug-8 Tajikistan 9 046 723 0.00 0 0 0-0 - 0 0 0 0 0 0 0 Aug-8 2 085 35 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Aug-8 Turkey 8 086 257 0.4 0 0 0 0 0 4 3 0 Aug-8 Turkmenistan 5 565 070 0.00 0 0 0 0 0 0 0 0 0 0 0 0 - Jul-8 Ukraine 44 70 002 4.2 86 - - - - 24 42 7 32 20 2 28 Aug-8 United Kingdom 65 92 569 0.05 3 0 0 0 0 0 0 0 0 0 Aug-8 Uzbekistan 3 064 765 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Aug-8 /Averages 97 084 469 0.92 846 38 54 46 46 82 97 75 97 93 8 63 74 Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe or via ECDC/TESSy. Member States submitting aggregate data: Bosnia and Herzegovina, Kazakhstan, Poland, Republic of Moldova, the former Yugoslav, Ukraine. Data source: "World Population Prospects: The 205 Revision", New York, United Nations. 2 Incidence rates not achieving the target (< per million population) are highlighted in red. 3 Belgium, Denmark, and France do not have comprehensive rubella surveillance systems. No. 09/208
Table 3: Measles classification, reporting and surveillance performance, January August 208 (data as of 0 October 208) 207 (as of 0 October 208) 208 Population in Incidence 208 Rate death Annualized Incidence Rate Lab confirmed Classification Epi-Link Clinically compatible 4 Discarded Measles Imported cases Measles Death Completeness 5 Reporting Timeliness 5 Month & year of Laboratory investigation rate 5 Surveillance Indicators 7 Rate of discarded cases 6 Origin of infection 5 Timeliness of investigation 5 Albania 2 99 422 0.69 2 0 309.9 367 276 0 9 94 3 2 00% 25% Aug-8 97% 40.90 00.0% 78% Andorra 68 95 0.00 0-0.00 0 0 0 0 0 0-00% 00% Aug-8-0.00 - - Armenia 3 034 998 0.33 0 0.00 7 7 0 0 80 7 0 00% 75% Aug-8 00% 5.93 00.0% 99% Austria 8 63 647 9.64 94 0 3.79 66 59 6 2 7 0 00% 00% Aug-8 78% 0.24 00.0% 4% Azerbaijan 0 070 075 0.00 0 0 0.00 0 0 0 0 73 0 0 00% 00% Aug-8 00% 0.72-00% Belarus 9 429 02 0.00 0 5.20 26 26 0 0 333 0 00% 63% Aug-8 00% 3.53 0.5% 0 Belgium 53 025 3.88 367 0 4.92 85 69 4 2 0 0 0 00% 00% Aug-8 - - - - Bosnia and Herzegovina 3 782 297 7.4 27 0 5.86 90 45 0 45 0 0 0 00% 38% Aug-8 - - - - Bulgaria 6 992 50 23.60 66 0.29 8 8 0 0 0 5 0 00% 00% Aug-8 00% 0.00 00.0% 00% Croatia 4 94 538.67 7 0 2.23 22 22 0 0 4 8 0 00% 88% Aug-8 00% 0.0 00.0% 0 Cyprus 98 98 0.83 4 0 5.0 4 4 0 0 0 5 0 00% 00% Aug-8 00% 0.00 00.0% 0 Czech Republic 0 563 3.44 46 0 8.27 58 55 2 0 27 0 00% 75% Aug-8 0% 0.00 98.7% 0 Denmark 5 732 73 0.35 4 0 0.35 4 4 0 0 0 0 00% 00% Aug-8 00% 0.00 00.0% 0 Estonia 302 40 0.00 0 3.58 0 0 0 0 48 3 0 00% 00% Aug-8 00% 3.69 00.0% 00% Finland 5 556 439 0.72 0 0 0.48 7 7 0 0 0 3 0 00% 00% Aug-8 00% 0.00 42.9% 0 France 65 205 67 7.50 59 26.64 2686 294 545 847 80 3 00% 00% Aug-8 79% 0.00 83.% 0.% Georgia 3 973 68 23.66 96 0 89.25 29 870 65 94 32 2 75% 63% Jul-8 86% 8.08 99.6% 96% Germany 80 560 850 0.80 936 3.55 474 392 56 26 0 45 0 00% 00% Aug-8 92% 0.00 8.0% 0 Greece 0 87 762 97.87 067 2 33.86 286 229 492 465 67 3 2 00% 00% Aug-8 74% 0.62 9.6% 0 Hungary 9 754 429 3.8 36 0 0.48 3 3 0 0 9 6 0 00% 00% Aug-8 00% 0.9 92.3% 9% Iceland 336 938 2.97 3 0 0.00 0 0 0 0 0 0-00% 00% Aug-8-0.00 - - Ireland 4 790 845 5.22 25 0 0.7 80 68 3 9 0 3 0 00% 00% Aug-8 99% 0.00 7.3% 85% Israel 8 455 489.77 6 0 26.49 339 224 0 5 0 3 0 00% 63% Aug-8 99% 0.00 0.9% 77% Italy 59 788 04 89.60 5403 4 24.53 2246 727 4 378 64 46 6 00% 00% Aug-8 84% 0.27 88.4% 0 Kazakhstan 8 256 484 0. 2 0 0.07 2 0 0 0 0 75% 75% Jul-8 - - - - Kyrgyzstan 6 23 44 0.48 5 0 42.06 396 35 25 20 553 4 0 00% 63% Aug-8 98% 8.90 97.5% 79% Latvia 935 780 2.07 5 0 4.3 5 5 0 0 0 3 0 00% 00% Aug-8 00% 0.00 20.0% 00% Lithuania 2 87 402 0.00 2 0 0.00 2 2 0 0 0 2 0 00% 88% Aug-8 00% 0.00 00.0% 50% Luxembourg 59 26.69 4 0 0.00 3 3 0 0 0 3 0 00% 00% Aug-8 00% 0.00 00.0% 00% Malta 42 387 0.00 0 -.58 5 5 0 0 0 4 0 00% 00% Aug-8 00% 0.00 00.0% 0 Monaco 38 66 0.00 0-0.00 0 0 0 0 0 0-75% 63% Jul-8-0.00 - - Montenegro 626 240 0.00 0 0 3.94 32 3 0 29 2 0 63% 38% May-8 5% 0.6 6.3% 9% Netherlands 7 084 53 0.59 6 0 0.55 22 20 2 0 0 8 0 00% 00% Aug-8 0% 0.00 00.0% 0 Norway 5 387 342 0.00 0 0.49 0 0 0 0 0 6 0 00% 00% Aug-8 00% 0.00 80.0% 00% Poland 38 522 728.38 63 0 0.99 83 62 6 5 0 26 0 00% 00% Aug-8 86% 0.00 00.0% 00% Portugal 0 229 432 3.3 34 8.08 3 23 0 8 340 7 0 00% 88% Aug-8 97% 3.32 90.8% 73% Republic of Moldova 4 044 534 0.00 0-44.67 27 58 3 0 0 0 0 00% 88% Aug-8 - - - - Romania 9 05 089 394.82 7567 22 28.40 827 668 40 9 0 3 22 00% 00% Aug-8 97% 0.00 00.0% 00% Russian Federation 43 26 490 6.29 926 0 8.04 792 724 56 2 257 64 3 00% 00% Aug-8 99%.5 00.0% 46% San Marino 32 24 0.00 0-0.00 0 0 0 0 0 0-00% 75% Aug-8-0.00 - - Serbia 8 742 764 80.29 702 382.72 509 2607 0 242 0 0 4 00% 00% Aug-8 - - - - Slovakia 5 434 237.29 0 0 52.63 438 265 73 0 9 0 00% 00% Aug-8 % 0.20 98.6% 00% Slovenia 2 073 08 2.89 8 0.93 8 8 0 0 0 2 0 00% 00% Aug-8 88% 0.00 37.5% 00% Spain 46 6 884 2.84 49 0 2.63 203 96 7 0 86 2 0 00% 00% Aug-8 00% 0.9 2.8% 96% Sweden 9 987 062 3.50 46 0.00 30 30 0 0 0 5 0 00% 00% Aug-8 00% 0.00 00.0% 0 Switzerland 8 523 590.50 05.0 32 27 5 0 87 8 0 00% 00% Aug-8 00%.02 93.8% 29% Tajikistan 9 046 723 7.96 65 0 0.00 0 0 0 0 49 0 0 00% 88% Aug-8 00% 0.54-88% 2 085 35 9.59 20 0 4.7 46 35 0 0 0 0 00% 63% Aug-8 - - - - Turkey 8 086 257 0.8 69 0 3.72 509 507 2762 56 0 00% 50% Aug-8 00% 3.4 20.2% 98% Turkmenistan 5 565 070 0.00 0-0.00 0 0 0 0 36 0 0 88% 0% Jul-8 00% 0.65-00% Ukraine 44 70 002 08.26 4782 5 444.7 29464 5082 0 24382 0 0 3 00% 75% Aug-8 - - - - United Kingdom 65 92 569 2.32 282 0 7.64 856 856 0 0 0 0 0 00% 88% Aug-8 00% 0.00 97.8% 0 Uzbekistan 3 064 765 0.00 0 0 0.30 4 4 0 0 46 0 0 00% 88% Aug-8 00% 0.5 00.0% 00% /Averages 97 084 469 26. 24390 39 36.9 5427 2049 97 28965 8553 65 67 97.6% 85.% 90.6%.04 24.% 48.% Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe or via ECDC/TESSy. Member States submitting aggregate data: Belgium, Bosnia and Herzegovina, Kazakhstan, Republic of Moldova, Serbia, the former Yugoslav, Ukraine. Data source: " World Population Prospects: The 205 Revision", New York, United Nations. 2 Incidence rates not meeting the target (< per million population) are highlighted in red. Imported cases are excluded from the numerator while calculating the incidence rate. 3 All confirmed cases regardless of origin. 5 Target (>=80%) not achieving are highlighted in red. 4 Unless specified as laboratory confirmed or epi-linked, cases are classified as clinically compatible. 6 Discard rates not achieving the target (>=2 discarded cases per 00 000) are highlighted in red. 7 S ill i di t ld t b l l t d f M b St t b itti t d t No. 09/208
Table 4: Rubella classification, reporting and surveillance performance, January August 208 (data as of 0 October 208) 207 (as of 0 October 208) 208 Population in 208 Incidence Rate rubella Annualized Incidence Rate rubella Lab confirmed Classification Epi-Link Clinically compatible 4 Discarded Rubella Imported cases Completeness 5 Reporting Timeliness 5 Month & year of Laboratory investigation rate 5 Surveillance Indicators 7 Rate of discarded cases 6 Origin of infection 5 Timeliness of investigation 5 Albania 2 99 422 0.00 0 0.00 0 0 0 0 0 0 00% 25% Aug-8-0.00 - - Andorra 68 95 0.00 0 0.00 0 0 0 0 0 0 00% 00% Aug-8-0.00 - - Armenia 3 034 998 0.00 0 0.00 0 0 0 0 4 0 00% 75% Aug-8 00% 0.3-00% Austria 8 63 647 4.53 42 0.39 5 5 0 0 0 0 00% 00% Aug-8 00% 0.00 00% 0 Azerbaijan 0 070 075 0.00 0 0.00 0 0 0 0 45 0 00% 00% Aug-8 00% 0.45-00% Belarus 9 429 02 0. 0.00 0 0 222 00% 63% Aug-8 0% 2.35 00% 0 Belgium 8 53 025 - - - - - - - - - - - See footnote - - - - Bosnia and Herzegovina 3 782 297 0.26 0.35 2 0 0 2 0 0 88% 25% Aug-8 - - - - Bulgaria 6 992 50 0.00 0 0.0 0 0 0 0 00% 00% Aug-8 0% 0.00 0% 00% Croatia 4 94 538 0.00 0 0.00 0 0 0 0 0 0 00% 75% Aug-8-0.00 - - Cyprus 98 98 0.00 0 0.00 0 0 0 0 0 0 00% 00% Aug-8-0.00 - - Czech Republic 0 563 0.09 2 0.3 2 0 0 0 00% 38% Aug-8 00% 0.00 00% 0 Denmark 8 5 732 73 - - - - - - - - - - - See footnote - - - - Estonia 302 40 0.00 0 0.00 0 0 0 0 8 0 00% 00% Aug-8 00% 0.6-00% Finland 5 556 439 0.8 0.00 0 0 0 0 0 0 00% 00% Aug-8-0.00 - - France 8 65 205 67 - - - - - - - - - - - See footnote - - - - Georgia 3 973 68.26 5 0.00 0 0 0 0 52 0 75% 25% Jul-8 67%.3-00% Germany 80 560 850 0.9 74 0.34 4 9 0 32 0 0 00% 00% Aug-8 22% 0.00 59% 0 Greece 0 87 762 0.00 0 0.00 0 0 0 0 0 0 00% 00% Aug-8-0.00 - - Hungary 9 754 429 0.00 0 0.00 0 0 0 0 7 0 00% 63% Aug-8 00% 0.07-00% Iceland 336 938 0.00 0 0.00 0 0 0 0 0 0 00% 00% Aug-8-0.00 - - Ireland 4 790 845 0.00 0 0.70 5 0 0 5 0 0 00% 00% Aug-8 20% 0.00 20% 60% Israel 8 455 489 0.00 0 0.08 0 0 0 0 00% 50% Aug-8 00% 0.00 0% 00% Italy 59 788 04.2 68 0.9 8 6 4 8 2 00% 00% Aug-8 92% 0.02 6% 0 Kazakhstan 8 256 484 0.00 0 0.00 0 0 0 0 0 0 75% 63% Jul-8 - - - - Kyrgyzstan 6 23 44 0.64 4 0.86 8 8 0 0 0 0 00% 63% Aug-8 00% 0.00 00% 75% Latvia 935 780 0.00 0 0.69 3 3 0 0 0 00% 88% Aug-8 00% 0.00 00% 33% Lithuania 2 87 402 0.00 0 0.24 0 0 0 0 00% 88% Aug-8 00% 0.00 00% 0 Luxembourg 59 26 0.00 0 0.00 0 0 0 0 0 0 00% 00% Aug-8-0.00 - - Malta 42 387 0.00 0 0.00 0 0 0 0 0 0 00% 00% Aug-8-0.00 - - Monaco 38 66 - - - - - - - - - - - No Report - - - - Montenegro 626 240 0.00 0 0.00 0 0 0 0 0 0 63% 38% May-8-0.00 - - Netherlands 7 084 53 0.00 0 0.00 0 0 0 0 0 0 00% 00% Aug-8-0.00 - - Norway 5 387 342 0.00 0 0.00 0 0 0 0 0 0 00% 88% Aug-8-0.00 - - Poland 38 522 728 2.36 476 6.23 360 3 356 0 0 00% 00% Aug-8 - - - - Portugal 0 229 432 0.39 4 0.20 4 2 0 2 9 00% 88% Aug-8 77% 0.09 00% 54% Republic of Moldova 4 044 534 0.00 0 0.00 0 0 0 0 0 0 88% 75% Aug-8 - - - - Romania 9 05 089 0.47 9 0.4 4 2 0 2 0 0 00% 75% Aug-8 75% 0.00 00% 00% Russian Federation 43 26 490 0.04 7 0.0 3 3 0 0 0 00% 00% Aug-8 00% 0.00 00% 00% San Marino 32 24 0.00 0 0.00 0 0 0 0 0 0 00% 75% Aug-8-0.00 - - Serbia 8 742 764 - - - - - - - - - - - No Report - - - - Slovakia 5 434 237 0.00 0 0.00 0 0 0 0 0 0 00% 00% Aug-8-0.00 - - Slovenia 2 073 08 0.00 0 0.00 0 0 0 0 0 0 00% 00% Aug-8-0.00 - - Spain 46 6 884 0.00 0.04 3 2 0 4 0 00% 00% Aug-8 86% 0.0 33% 86% Sweden 9 987 062 0.00 0 0.00 0 0 0 0 0 00% 00% Aug-8 00% 0.0-00% Switzerland 8 523 590 0.2 0.6 2 2 0 0 22 0 00% 00% Aug-8 92% 0.26 50% 8% Tajikistan 9 046 723 0. 0.00 0 0 0 0 6 0 00% 88% Aug-8 00% 0.8-00% 2 085 35 0.00 0 0.00 0 0 0 0 0 0 00% 50% Aug-8 - - - - Turkey 8 086 257 0.02 2 0.09 0 0 2586 0 00% 50% Aug-8 0% 3.9 8% 0.3% Turkmenistan 5 565 070 0.00 0 0.00 0 0 0 0 4 0 88% 0% Jul-8 00% 0.74-00% Ukraine 44 70 002 - - 2.8 86 0 75 0 0 00% 63% Aug-8 - - - - United Kingdom 65 92 569 0.00 3 0.00 0 0 0 00% 75% Aug-8 00% 0.00 00% 0 Uzbekistan 3 064 765 0.03 0.00 0 0 0 0 5 0 00% 88% Aug-8 00% 0.02-00% /Averages 97 084 469 0.75 703 0.48 662 7 6 585 3034 6 90.% 73.3% 84.2% 0.42 0.9% 7.% Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe or via ECDC/TESSy. Member States submitting aggregate data: Bosnia and Herzegovina, Kazakhstan, Poland, Republic of Moldova, the former Yugoslav Republic of Macedonia and Ukraine. Data source: World Population Prospects: The 205 Revision", New York, United Nations. 2 Incidence rates not meeting the target (< per million population) are highlighted in red. Imported rubella cases are excluded from the numerator while calculating the incidence rate. 3 All confirmed rubella cases regardless of origin. 5 Target (>=80%) not achieving are highlighted in red. 4 Unless specified as laboratory confirmed or epi-linked, cases are classified as clinically compatible. 6 Discard rates not achieving the target (>=2 discarded cases per 00 000) are highlighted in red. 7 Surveillance indicators could not be calculated for Member States submitting aggregate data. 8 Belgium, Denmark, and France do not have comprehensive rubella surveillance systems. No. 09/208
Table 5: Measles and rubella laboratory test results, January August 208 (data as of 0 October 208) Measles Rubella Reporting to CISID / MRLDMS % sequencing % sequencing Genotypes Positive Genotypes % Positive for reported reported % Timeliness specimens reported to specimens for rubella reported to Completeness 4 tested (%) within 60 within 60 MeaNS 2 days 2 tested (%) RubeNS 3 days 3 4 Month of Albania 2468 247 (5.0) B3 36% 0 0 - - 00% 63% Aug-8 Andorra - No Lab Armenia 209 7 (8.0) D8 00% 209 0 (0.0) - - 00% 50% Aug-8 Austria 09 54 (5.0) B3,D8 80% 352 9 (0.0) - - 00% 00% Aug-8 Azerbaijan 9 0 (0.0) - - 84 0 (0.0) - - 00% 00% Aug-8 Belarus 642 270 (42.0) B3,D8 83% 36 3 (.0) 2B 00% 00% 88% Aug-8 Belgium 202 62 (3.0) B3,D8 8% 8 7 (9.0) - - 88% 38% Jul-8 Bosnia and Herzegovina 8 30 (37.0) B3 0% 8 4 (5.0) - - 00% 38% Aug-8 Bulgaria 95 20 (0.0) B3 0% 95 0 (0.0) - - 00% 88% Aug-8 Croatia 75 - B3,D8 43% 25 0 (0.0) - - 75% 3% Jun-8 Cyprus 73 8 (0.0) - - 28 0 (0.0) - - 88% 50% Jul-8 Czech Republic 444 47 (33.0) D8 0% 0 0 - - 00% 00% Aug-8 Denmark 632 25 (4.0) B3,D8 75% 25 2 (8.0) - - 00% 00% Aug-8 Estonia 44 7 (2.0) - - 25 (0.0) - - 88% 88% Jul-8 Finland 99 6 (6.0) D8 00% 99 5 (5.0) - - 00% 00% Aug-8 France 389 494 (36.0) B3,D8 56% 496 0 (0.0) - - 00% 38% Aug-8 Georgia - - - - - - - - No Report Germany - - - - - - - - - No Report Greece 524 444 (85.0) B3 55% 0 0 - - 75% 3% Jun-8 Hungary 222 27 (2.0) B3,D8 00% 2 0 (0.0) - - 00% 00% Aug-8 Iceland - - - - - - - - - No Report Ireland 58 39 (9.0) B3,D8 95% 590 0 (0.0) - - 00% 00% Aug-8 Israel 99 335 (36.0) D8 35% 082 294 (27.0) - - 00% 88% Aug-8 Italy 990 37 (57.0) B3,D8 60% 958 55 (6.0) - - 00% 88% Aug-8 Kazakhstan 38 2 (5.0) B3,D8 00% 36 0 (0.0) - - 00% 00% Aug-8 Kyrgyzstan 677 333 (49.0) B3 00% 626 7 (.0) - - 00% 63% Aug-8 Latvia 869 75 (9.0) B3 00% 675 (2.0) - - 00% 50% Aug-8 Lithuania 4 6 (5.0) - - 37 2 (5.0) - - 00% 88% Aug-8 Luxembourg 42 (2.0) B3,D8 00% 0 0 - - 00% 00% Aug-8 Malta 72 6 (22.0) D8 00% 428 0 (0.0) - - 88% 75% Jul-8 Monaco No Lab Montenegro No Report Netherlands 56 6 (29.0) B3,D8 57% 44 0 (0.0) - - 00% 00% Aug-8 Norway - B3,D8 00% - - - - - No Report Poland - D8 00% - - - - - No Report Portugal 027 23 (2.0) B3,D8 48% 2 (50.0) - - 00% 75% Aug-8 Republic of Moldova 228 57 (69.0) B3,D8 00% 200 0 (0.0) - - 00% 00% Aug-8 Romania 4470 3755 (84.0) B3,D8 42% 626 7 (.0) - - 00% 63% Aug-8 Russian Federation 5609 24 (43.0) B3,D8 70% 439 47 (.0) - - 00% 00% Aug-8 San Marino No Lab Serbia 375 2650 (7.0) B3 00% 232 4 (.0) - - 00% 00% Aug-8 Slovakia 89 58 (3.0) D8 00% 3 0 (0.0) - - 00% 00% Aug-8 Slovenia 238 6 (7.0) B3 4% 88 0 (0.0) - - 00% 00% Aug-8 Spain - - B3,D8,D4 60% - - - - - No Report Sweden 290 23 (6.0) B3,D8 88% 73 6 (.0) - - 00% 63% Aug-8 Switzerland 26 44 (35.0) B3,D8 8% 6 6 (00.0) - - 00% 00% Aug-8 Tajikistan 6 0 (0.0) - - 59 0 (0.0) - - 00% 88% Aug-8 7 7 (4.0) - - 3 0 (0.0) - - 38% 0% May-8 Turkey 4594 560 (2.0) - - 389 78 (2.0) - - 00% 38% Aug-8 Turkmenistan 85 0 (0.0) - - 85 0 (0.0) - - 88% 0% Jul-8 Ukraine 974 483 (50.0) B3,D8 80% 258 8 (3.0) - - 00% 00% Aug-8 United Kingdom 4235 939 (22.0) B3,D8 63% 790 4 (.0) - - 00% 00% Aug-8 Uzbekistan 7 6 (23.0) D8-7 0 (0.0) - - 00% 00% Aug-8 / Average 42778 6307 (38%) - 64% 2502 57 (2%) - 00% 77.8% 6.% Data source: Aggregated monthly data provided by regional and rubella laboratory network (MR Labnet) to WHO/Europe. Some countries are only reporting to specimen-based MR lab data management system (M R LDMS). 2 MeaNS: http://www.who-.org/. Timeliness of sequence reporting relates to the time between specimen collection and reporting to MeaNS. 3 RubeNS: http://www.who-rubella.org/. Timeliness of sequence reporting relates to the time between specimen collection and reporting to RubeNS. 4 Target (>=80%) not achieving are highlighted in red. *Specimen based data are not population based, and should not be interpreted as indicators for epidemiological surveillance. Laboratories may have received more than clinical sample or may have conducted more than test for a given case reported in Table. No. 09/208
Figure : Map of Measles cases, January to August 208, WHO European Region (data as of 0 October 208)* 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 and dashed lines on maps represent approximate border lines for which there may not yet be full agreement. WHO 208. All rights reserved. Figure 2: Ten countries with the highest numbers of cases in the European Region in the previous 2-months September 207 to October 208 (data as of 0 October 208)* Ukraine (n=3268) Serbia (n=570) Greece (n=342) France (n=2794) Italy (n=278) Russian Federation (n=2424) Romania (n=766) Albania (n=379) Georgia (n=22) United Kingdom (n=007) 0 5000 0000 5000 20000 *Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe or via ECDC/TESSy Contact us: Vaccine preventable Diseases and Immuniza on Programme, WHO Regional Office for Europe Tel.: +45 45 33 70 00 E mail: eu@who.int and/or eucddata@who.int Web site: h p://www.euro.who.int/vaccine World Health Organiza on, 208. No. 09/208