WHO EpiData. A monthly summary of the epidemiological data on selected Vaccine preventable diseases in the European Region

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A monthly summary of the epidemiological data on selected Vaccine preventable diseases in the European Region Table : Reported measles cases for the period July 207 June 208 (data as of August 208) Population in 207 Jul 7 - Jun 8 measles cases Month and year of rash onset Jul-7 Aug-7 Sep-7 Oct-7 Nov-7 Dec-7 Jan-8 Feb-8 Mar-8 Apr-8 May-8 Jun-8 Month & year of last report Albania 2 9 428 0.69 2 0 0 0 0 0 0 0 0 0 - May-8 Andorra 68 727 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Armenia 3 03 670 6.27 9 0 0 0 0 0 0 2 4 0 Jun-8 Austria 8 92 400 9.08 78 2 2 2 8 7 8 4 6 6 Jun-8 Azerbaijan 9 973 697 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Belarus 9 48 3.00 04 0 0 0 0 0 0 0 7 4 46 0 - May-8 Belgium 443 830 8.2 94 6 0 2 0 3 6 9 23 22 Jun-8 Bosnia and Herzegovina 3 792 79 3.8 0 3 2 2 3 0 7 4 3 - - Apr-8 Bulgaria 7 04 29.6 6 0 0 0 0 0 0 2 0 Jun-8 Croatia 4 209 8 4. 9 0 0 0 0 0 0 0 0 0 2 6 Jun-8 Cyprus 87 7 2.63 0 0 0 0 0 7 2 0 0 0 Jun-8 Czech Republic 0 30 2.98 37 0 0 0 9 0 0 9 44 23 0 Jun-8 Denmark 7 837.0 6 0 3 0 0 0 0 0 0 3 0 0 0 Jun-8 Estonia 30 7 7.66 0 0 0 0 0 0 0 0 0 4 6 0 0 Jun-8 Finland 4 274 2.3 3 7 2 0 0 0 0 0 0 0 0 4 0 Jun-8 France 64 938 76 42.2 274 39 9 3 6 237 23 764 624 20 8 Jun-8 Georgia 3 972 32 307.36 22 9 9 3 60 2 9 8 22 23 22 Jun-8 Germany 80 636 24 6.30 08 46 33 8 8 2 9 29 34 6 9 86 77 Jun-8 Greece 0 892 93 293.03 392 3 93 4 92 304 346 466 44 499 368 248 9 Jun-8 Hungary 9 787 90 3.47 34 9 0 0 0 2 6 0 0 0 Jun-8 Iceland 334 303 2.99 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Ireland 4 749 3 20.00 9 0 0 0 2 9 3 23 9 2 Jun-8 Israel 8 323 248 8.4 0 0 0 0 0 0 0 0 9 33 3 74 Jun-8 Italy 9 797 978.90 3343 99 2 66 27 66 4 2 296 37 46 43 260 Jun-8 Kazakhstan 8 064 470 0.06 0 0 0 0 0 0 0 0 0 0 - May-8 Kyrgyzstan 6 24 94.0 33 0 0 0 0 2 2 30 32 68 73 9 Jun-8 Latvia 944 6 0.29 20 0 0 0 0 0 8 2 0 2 3 0 Jun-8 Lithuania 2 830 82 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Luxembourg 84 03 3.42 2 0 0 0 0 0 0 0 0 0 0 Jun-8 Malta 420 2 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Monaco 38 00 - - - - 0 0 0-0 0 0 0-0 Jun-8 Montenegro 626 20.0 32 0 0 0-0 0 9 9 4 0 0 - May-8 Netherlands 7 032 84.64 28 3 0 0 0 4 4 0 4 0 Jun-8 Norway 330 800.0 8 0 0 0 0 0 0 4 0 2 0 Jun-8 Poland 38 63 73 2.46 9 3 3 2 6 9 7 2 8 8 Jun-8 Portugal 0 264 797 2.8 2 0 0 0 0 0 0 0 4 08 3 0 0 Jun-8 Republic of Moldova 4 04 640 9.3 37 0 0 0 0 0 0 0 0 8 7 Jun-8 Romania 9 237 3 70.4 37 00 02 236 02 0 00 00 00 00 04 00 2 Jun-8 Russian Federation 43 37 006 4.64 2099 66 6 92 30 94 6 292 287 300 29 47 Jun-8 San Marino 32 04 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Serbia 8 776 940 643.6 64 0 0 0 3 286 392 90 230 22 684 447 70 Jun-8 Slovakia 432 7 8.96 03 0 0 0 0 0 9 0 3 23 66 Jun-8 Slovenia 2 07 22 4.3 9 0 0 0 0 0 2 0 0 0 3 3 Jun-8 Spain 46 070 46 4.49 207 6 6 2 0 6 4 0 49 4 2 Jun-8 Sweden 9 920 624 4.94 49 0 2 3 0 6 2 3 4 2 Jun-8 Switzerland 8 44 083 7.4 63 0 7 4 4 0 7 6 6 3 3 2 Jun-8 Tajikistan 8 88.47 3 2 0 0 0 0 0 0 0 0 0 0 Jun-8 Republic of Macedonia 2 083 308.36 32 0-8 0 0 - May-8 Turkey 80 47 26 4.20 338 0 3 4 2 77 68 Jun-8 Turkmenistan 02 86 - - - - - - - - - - - - - - No Report Ukraine 44 40 0 60.6 26894 428 242 248 0 00 400 3030 3099 268 382 629 4882 Jun-8 United Kingdom 6 098 4.46 947 22 4 8 22 6 46 8 82 0 207 7 88 Jun-8 Uzbekistan 30 690 94 0.20 6 0 0 0 0 0 0 0 0 0 0 2 4 Jun-8 /Averages 94 98 09 4.94 0267 379 868 96 6 2 2770 83 6428 7006 727 8207 672 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 20 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.

Table 2: Reported rubella cases for the period July 207 June 208 (data as of August 208) Population in 207 Jul 7 - Jun 8 rubella cases Month and year of rash onset Jul-7 Aug-7 Sep-7 Oct-7 Nov-7 Dec-7 Jan-8 Feb-8 Mar-8 Apr-8 May-8 Jun-8 Month & year of last report Albania 2 9 428 0.00 0 0 0 0 0 0 0 0 0 0 0 0 - May-8 Andorra 68 727 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Armenia 3 03 670 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Austria 8 92 400 2.33 20 0 0 0 2 6 7 0 0 0 0 0 Jun-8 Azerbaijan 9 973 697 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Belarus 9 48 3 0.2 2 0 0 0 0 0 0 0 0 0 - May-8 Belgium 3 443 830 - - - - - - - - - - - - - - See footnote Bosnia and Herzegovina 3 792 79 0.26 0 0 0 0 0 0 0 0 0 - - Apr-8 Bulgaria 7 04 29 0.4 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Croatia 4 209 8 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Cyprus 87 7 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Czech Republic 0 30 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Denmark 3 7 837 - - - - - - - - - - - - - - See footnote Estonia 30 7 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Finland 4 274 0.8 0 0 0 0 0 0 0 0 0 0 0 Jun-8 France 3 64 938 76 - - - - - - - - - - - - - - See footnote Georgia 3 972 32 0.0 2 0 0 0 0 0 0 0 0 0 0 Jun-8 Germany 80 636 24 0.72 8 3 4 2 6 3 3 6 Jun-8 Greece 0 892 93 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Hungary 9 787 90 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Iceland 334 303 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Ireland 4 749 3 0.63 3 0 0 0 0 0 0 0 0 0 Jun-8 Israel 8 323 248 0.2 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Italy 9 797 978 0.4 27 3 3 2 2 2 2 2 4 2 3 Jun-8 Kazakhstan 8 064 470 0.00 0 0 0 0 0 0 0 0 0 0 0 0 - May-8 Kyrgyzstan 6 24 94.3 8 0 0 0 0 3 0 3 0 0 0 Jun-8 Latvia 944 6.4 3 0 0 0 0 0 0 0 0 0 Jun-8 Lithuania 2 830 82 0.3 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Luxembourg 84 03 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Malta 420 2 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Monaco 38 00 - - - - - - - - - - - - - - No Report Montenegro 626 20 0.00 0 0 0 0-0 0 0 0 0 0 0 - May-8 Netherlands 7 032 84 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Norway 330 800 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Poland 38 63 73 2.7 490 43 37 30 34 3 33 36 43 42 48 8 Jun-8 Portugal 0 264 797 0.29 3 0 0 2 0 0 0 0 0 0 0 0 Jun-8 Republic of Moldova 4 04 640 0.00 0 0 0 0 0-0 0 0 0 0 0 0 Jun-8 Romania 9 237 3 0.42 8 2 0 0 0 0 0 Jun-8 Russian Federation 43 37 006 0.03 0 0 0 0 0 0 0 2 0 Jun-8 San Marino 32 04 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Serbia 8 776 940 - - - - - - - - - - - - - - No Report Slovakia 432 7 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Slovenia 2 07 22 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Spain 46 070 46 0.07 3 0 0 0 0 0 0 0 0 0 Jun-8 Sweden 9 920 624 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Jun-8 Switzerland 8 44 083 0.24 2 0 0 0 0 0 0 0 0 0 0 Jun-8 Tajikistan 8 88 0.00 0 0 0 0 0-0 - 0 0 0 0 0 Jun-8 2 083 308 0.00 0 0-0 0 0 0 0 0 0 0 - - Apr-8 Turkey 80 47 26 0. 9 0 0 0 0 0 0 0 4 3 0 Jun-8 Turkmenistan 02 86 - - - - - - - - - - - - - - No Report Ukraine 44 40 0 3.3 47 - - - - - - 24 42 7 32 20 2 Jun-8 United Kingdom 6 098 0.0 3 0 0 0 0 0 0 0 0 0 Jun-8 Uzbekistan 30 690 94 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 Jun-8 /Averages 94 98 09 0.87 798 4 47 38 4 46 46 79 9 7 97 90 77 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 20 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.

Table 3: Measles classification, reporting and surveillance performance, January June 208 (data as of August 208) 207 (as of 0 August 208) 208 Population in Incidence 207 Rate measles measles death Annualized measles Lab confirmed Classification Epi-Link Albania 2 9 428 0.00 3 0 0.00 0 0 0 0 0 0-83% 7% May-8-0.00 - - Andorra 68 727 0.00 0-0.00 0 0 0 0 0 0-00% 00% Jun-8-0.00 - - Armenia 3 03 670 0.33 0 0.33 8 8 0 0 4 6 0 00% 67% Jun-8 00%.08 9.9% 99% Austria 8 92 400 9.66 94 0 2.73 62 6 6 0 00% 00% Jun-8 8% 0.9 79.% % Azerbaijan 9 973 697 0.00 0 0 0.00 0 0 0 0 62 0 0 00% 00% Jun-8 00% 0.62 0 00% Belarus 9 48 3 0.00 0.0 04 04 0 0 74 0 0 83% 33% May-8 00%.84 0 0 Belgium 443 830 32.07 367 0 3. 72 6 4 2 0 0 0 00% 00% Jun-8 - - - - Bosnia and Herzegovina 3 792 79 7.2 27 0.4 39 24 4 0 0 0 67% 7% Apr-8 - - - - Bulgaria 7 04 29 23.42 66 0.00 0 0 0 0 00% 00% Jun-8 00% 0.00 00.0% 00% Croatia 4 209 8.66 7 0.66 9 9 0 0 4 0 00% 83% Jun-8 00% 0.0 82.6% 0 Cyprus 87 7 0.84 4 0 3.79 4 4 0 0 0 0 00% 00% Jun-8 00% 0.00 00.0% 0 Czech Republic 0 30 3.4 46 0 4.0 26 26 0 0 0 3 0 00% 67% Jun-8 % 0.00 00.0% 0 Denmark 7 837 0.3 4 0 0.26 3 3 0 0 0 0 0 00% 00% Jun-8 00% 0.00 00.0% 0 Estonia 30 7 0.00 0 2.68 0 0 0 0 4 3 0 00% 00% Jun-8 00% 3.4 9.6% 00% Finland 4 274 0.72 0 0 0.8 4 4 0 0 0 2 0 00% 00% Jun-8 00% 0.00 0.0% 0 France 64 938 76 7.3 9 9.3 279 8 60 90 0 66 2 00% 00% Jun-8 79% 0.00 83.0% 0% Georgia 3 972 32 23.66 96 0 4.97 28 869 6 94 32 0 2 00% 83% Jun-8 86% 8.08 77.% 96% Germany 80 636 24 0.79 936 2.6 382 33 49 20 0 33 0 00% 00% Jun-8 92% 0.00 80.% 0 Greece 0 892 93 97.68 067 2 97.72 230 203 490 437 67 2 00% 00% Jun-8 74% 0.62 7.0% 0 Hungary 9 787 90 3.7 36 0 0.36 3 3 0 0 4 6 0 00% 00% Jun-8 00% 0.4 44.4% 93% Iceland 334 303 2.99 3 0 0.00 0 0 0 0 0 0-00% 00% Jun-8-0.00 - - Ireland 4 749 3.26 2 0 7.37 7 0 2 9 0 0 00% 00% Jun-8 88% 0.00 7.8% 79% Israel 8 323 248.80 6 0 8.89 6 32 3 0 3 0 00% 0% Jun-8 00% 0.00 2.0% 83% Italy 9 797 978 89.8 403 4 6.8 2020 07 2 40 2 37 4 00% 00% Jun-8 8% 0.20 83.9% 0 Kazakhstan 8 064 470 0. 2 0 0.03 0 0 0 0 0 83% 83% May-8 - - - - Kyrgyzstan 6 24 94 0.49 0 24.90 309 274 20 264 4 0 00% 0% Jun-8 96% 4.3 3.9% 73% Latvia 944 6 2.06 0 3.09 0 0 0 3 0 00% 00% Jun-8 00% 0.00 20.0% 00% Lithuania 2 830 82 0.00 2 0 0.00 0 0 0 0 0 0 0 00% 83% Jun-8-0.00 - - Luxembourg 84 03.7 4 0 0.00 0 0 0 0 00% 00% Jun-8 00% 0.00 00.0% 00% Malta 420 2 0.00 0-0.00 0 0 0 0 0 0-00% 00% Jun-8-0.00 - - Monaco 38 00 0.00 0-0.00 0 0 0 0 0 0-83% 67% Jun-8-0.00 - - Montenegro 626 20 0.00 0 0 23.9 32 3 0 29 2 0 83% 0% May-8 % 0.6 6.% 9% Netherlands 7 032 84 0.9 6 0 0.47 22 20 2 0 0 6 0 00% 00% Jun-8 0% 0.00 00.0% 0 Norway 330 800 0.00 0 0.28 7 7 0 0 0 4 0 00% 00% Jun-8 00% 0.00 7.4% 00% Poland 38 63 73.37 63 0 0.62 9 42 2 0 0 00% 00% Jun-8 8% 0.00 00.0% 00% Portugal 0 264 797 3.2 34.94 2 7 0 8 307 3 0 00% 83% Jun-8 98% 2.99 26.6% 8% Republic of Moldova 4 04 640 0.00 0-4.6 37 36 0 0 0 0 00% 83% Jun-8 - - - - Romania 9 237 3 37.36 767 22.9 66 32 6 9 0 4 3 00% 00% Jun-8 97% 0.00 00.0% 00% Russian Federation 43 37 006.92 874 0 4.72 396 340 40 6 476 43 2 00% 00% Jun-8 99%.03 48.6% 49% San Marino 32 04 0.00 0-0.00 0 0 0 0 0 0-00% 67% Jun-8-0.00 - - Serbia 8 776 940 79.98 702 282.22 494 277 0 2377 0 0 4 00% 00% Jun-8 - - - - Slovakia 432 7.47 0 8.0 94 62 32 0 6 0 00% 00% Jun-8 4% 0.09 88.9% 98% Slovenia 2 07 22 2.4 7 0.4 8 8 0 0 0 2 0 00% 00% Jun-8 88% 0.00 37.% 00% Spain 46 070 46 2.84 49 0.8 8 78 3 0 66 0 00% 00% Jun-8 00% 0.4 6.% 96% Sweden 9 920 624 3.3 46 0 0.66 27 26 0 0 4 0 00% 00% Jun-8 96% 0.00 00.0% 0 Switzerland 8 44 083.9 0 0.6 27 24 3 0 69 6 0 00% 00% Jun-8 00% 0.82 26.0% 29% Tajikistan 8 88 73.27 649 0 0.00 0 0 0 0 4 0 0 00% 83% Jun-8 00% 0. 0 87% 2 083 308 9.60 20 0 2.88 2 0 0 0 0 83% 0% May-8 - - - - Turkey 80 47 26 0.82 69 0.7 304 303 0 790 0 00% 0% Jun-8 00% 2.23 2.% 97% Turkmenistan 02 86 - - - - - - - - - - - - - No Report - - - - Ukraine 44 40 0 07.69 4782 29.77 23070 3977 0 9093 0 0 8 00% 67% Jun-8 - - - - United Kingdom 6 098 2.34 282 0.2 760 760 0 0 0 72 0 00% 83% Jun-8 00% 0.00 97.6% 0 Uzbekistan 30 690 94 0.00 0 0 0.0 6 6 0 0 26 0 0 00% 83% Jun-8 00% 0.08 8.8% 28% /Averages 94 98 09 2.67 23927 39 22. 403 946 499 2368 023 482 37 9.6% 83.0% 88.9% 0.6 2.3% 40.6% 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 20 Revision", New York, United Nations. Clinically compatible 4 Discarded Measles Imported cases Measles Death Completeness Reporting Timeliness Month & year of last report Laboratory investigation rate Surveillance Indicators 7 Rate of discarded cases 6 Origin of infection Timeliness of investigation 2 Incidence rates not meeting the target (< per million population) are highlighted in red. Imported measles cases are excluded from the numerator while calculating the incidence rate. 3 All confirmed measles cases regardless of origin. 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.

Table 4: Rubella classification, reporting and surveillance performance, January June 208 (data as of August 208) 207 (as of 0 August 208) 208 Population in 207 Incidence Rate rubella Annualized rubella Lab confirmed Classification Albania 2 9 428 0.00 0 0.00 0 0 0 0 0 0 83% 7% May-8-0.00 - - Andorra 68 727 0.00 0 0.00 0 0 0 0 0 0 00% 00% Jun-8-0.00 - - Armenia 3 03 670 0.00 0 0.00 0 0 0 0 2 0 00% 67% Jun-8 00% 0.07 0% 00% Austria 8 92 400 4.4 42 0.29 0 0 0 0 00% 00% Jun-8 00% 0.00 00% 0% Azerbaijan 9 973 697 0.00 0 0.00 0 0 0 0 3 0 00% 00% Jun-8 00% 0.3 0% 00% Belarus 9 48 3 0. 0.00 0 0 74 83% 0% May-8 %.84 % 0% Belgium 8 443 830 - - - - - - - - - - - See footnote - - - - Bosnia and Herzegovina 3 792 79 0.26 0.00 0 0 0 0 0 0 67% 7% Apr-8 - - - - Bulgaria 7 04 29 0.00 0 0.07 0 0 0 0 00% 00% Jun-8 0% 0.00 0% 00% Croatia 4 209 8 0.00 0 0.00 0 0 0 0 0 0 00% 67% Jun-8-0.00 - - Cyprus 87 7 0.00 0 0.00 0 0 0 0 0 0 00% 00% Jun-8-0.00 - - Czech Republic 0 30 0.09 2 0.00 0 0 0 0 0 0 00% 7% Jun-8-0.00 - - Denmark 8 7 837 - - - - - - - - - - - See footnote - - - - Estonia 30 7 0.00 0 0.00 0 0 0 0 7 0 00% 00% Jun-8 00% 0.4 0% 00% Finland 4 274 0.8 0.00 0 0 0 0 0 0 00% 00% Jun-8-0.00 - - France 8 64 938 76 - - - - - - - - - - - See footnote - - - - Georgia 3 972 32.26 0.00 0 0 0 0 2 0 00% 33% Jun-8 67%.3 0% 00% Germany 80 636 24 0.9 74 0.7 28 7 0 2 0 0 00% 00% Jun-8 2% 0.00 4% 0% Greece 0 892 93 0.00 0 0.00 0 0 0 0 0 0 00% 00% Jun-8-0.00 - - Hungary 9 787 90 0.00 0 0.00 0 0 0 0 0 00% 0% Jun-8 00% 0.0 0% 00% Iceland 334 303 0.00 0 0.00 0 0 0 0 0 0 00% 00% Jun-8-0.00 - - Ireland 4 749 3 0.00 0 0.32 3 0 0 3 0 0 00% 00% Jun-8 0% 0.00 33% 33% Israel 8 323 248 0.00 0 0.06 0 0 0 0 00% 0% Jun-8 00% 0.00 0% 00% Italy 9 797 978.2 68 0. 4 7 2 7 00% 00% Jun-8 89% 0.0 43% 0% Kazakhstan 8 064 470 0.00 0 0.00 0 0 0 0 0 0 83% 83% May-8 - - - - Kyrgyzstan 6 24 94 0.6 4 0.49 6 6 0 0 4 0 00% 0% Jun-8 00% 0.07 60% 80% Latvia 944 6 0.00 0 0. 3 3 0 0 0 00% 83% Jun-8 00% 0.00 00% 33% Lithuania 2 830 82 0.00 0 0.8 0 0 0 0 00% 83% Jun-8 00% 0.00 00% 0% Luxembourg 84 03 0.00 0 0.00 0 0 0 0 0 0 00% 00% Jun-8-0.00 - - Malta 420 2 0.00 0 0.00 0 0 0 0 0 0 00% 00% Jun-8-0.00 - - Monaco 38 00 - - - - - - - - - - - No Report - - - - Montenegro 626 20 0.00 0 0.00 0 0 0 0 0 0 83% 0% May-8-0.00 - - Netherlands 7 032 84 0.00 0 0.00 0 0 0 0 0 0 00% 00% Jun-8-0.00 - - Norway 330 800 0.00 0 0.00 0 0 0 0 0 0 00% 83% Jun-8-0.00 - - Poland 38 63 73 2.34 476 3.66 282 3 278 0 0 00% 00% Jun-8 - - - - Portugal 0 264 797 0.39 4 0.00 0 0 00% 83% Jun-8 83% 0.0 7% 67% Republic of Moldova 4 04 640 0.00 0 0.00 0 0 0 0 0 0 00% 83% Jun-8 - - - - Romania 9 237 3 0.47 9 0.0 4 2 0 2 0 0 00% 67% Jun-8 7% 0.00 00% 00% Russian Federation 43 37 006 0.04 7 0.00 2 2 0 0 0 00% 00% Jun-8 00% 0.00 00% 00% San Marino 32 04 0.00 0 0.00 0 0 0 0 0 0 00% 67% Jun-8-0.00 - - Serbia 8 776 940 - - - - - - - - - - - No Report - - - - Slovakia 432 7 0.00 0 0.00 0 0 0 0 0 0 00% 00% Jun-8-0.00 - - Slovenia 2 07 22 0.00 0 0.00 0 0 0 0 0 0 00% 00% Jun-8-0.00 - - Spain 46 070 46 0.00 0.02 2 2 0 0 0 00% 00% Jun-8 00% 0.00 0% 00% Sweden 9 920 624 0.00 0 0.00 0 0 0 0 0 0 00% 00% Jun-8-0.00 - - Switzerland 8 44 083 0.2 0.2 2 2 0 0 0 00% 00% Jun-8 94% 0.8 0% 6% Tajikistan 8 88 0. 0.00 0 0 0 0 0 83% 83% Jun-8 00% 0.7 0% 00% 2 083 308 0.00 0 0.00 0 0 0 0 0 0 67% 33% Apr-8 - - - - Turkey 80 47 26 0.02 2 0.06 9 9 0 0 0 0 00% 0% Jun-8 00% 0.00 % 89% Turkmenistan 02 86 - - - - - - - - - - - No Report - - - - Ukraine 44 40 0 - -.66 47 0 0 37 0 0 00% 0% Jun-8 - - - - United Kingdom 6 098 0.00 3 0.00 0 0 0 00% 67% Jun-8 00% 0.00 00% 0% Uzbekistan 30 690 94 0.03 0.00 0 0 0 0 0 00% 83% Jun-8 00% 0.02 0% 60% /Averages 94 98 09 0.76 703 0.28 3 6 3 449 327 6 87.7% 7.% 46.0% 0.0 2.2% 8.2% 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 20 Revision", New York, United Nations. Epi-Link Clinically compatible 4 Discarded Rubella Imported cases Completeness Reporting Timeliness Month & year of last report Laboratory investigation rate Surveillance Indicators 7 Rate of discarded cases 6 Origin of infection Timeliness of investigation 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. 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.

Table : Measles and rubella laboratory test results, January June 208 (data as of August 208) Measles Rubella Reporting to CISID / MRLDMS specimens tested Positive for measles (%) Genotypes reported to MeaNS 2 % sequencing reported within 60 days 2 Genotypes Positive for specimens reported to tested rubella (%) RubeNS 3 % sequencing reported within 60 days 3 % % Timeliness Completeness 4 4 Month of last report Albania 234 82 (0.0) B3 0% 0 0 - - 00% 0% Jun-8 Andorra - No Lab Armenia 40 7 (2.0) D8 0% 40 0 (0.0) - - 67% 33% Apr-8 Austria 82 49 (6.0) B3,D8 00% 266 9 (0.0) - - 00% 00% Jun-8 Azerbaijan 96 0 (0.0) - - 0 (0.0) - - 00% 00% Jun-8 Belarus 06 22 (42.0) B3,D8 00% 270 3 (.0) 2B 00% 00% 83% Jun-8 Belgium 87 60 (32.0) B3,D8 6% 69 (7.0) - - 00% 33% Jun-8 Bosnia and Herzegovina 7 28 (39.0) B3 67% 7 4 (6.0) - - 00% 00% Jun-8 Bulgaria 96 0 (0.0) B3 00% 43 0 (0.0) - - 00% 83% Jun-8 Croatia 7 - B3,D8 83% 2 0 (0.0) - - 00% 7% Jun-8 Cyprus 03 7 (7.0) - - 26 0 (0.0) - - 67% 67% Apr-8 Czech Republic 40 36 (33.0) D8 0% 0 0 - - 00% 00% Jun-8 Denmark 480 7 (4.0) D8 00% 8 (6.0) - - 00% 00% Jun-8 Estonia 32 7 (3.0) - - 23 (0.0) - - 00% 00% Jun-8 Finland 70 (6.0) D8 00% 70 4 (6.0) - - 00% 00% Jun-8 France 2 46 (38.0) B3, D8 7% 4 0 (0.0) - - 00% 0% Jun-8 Georgia - - - - - - - - No Report Germany - - - - - - - - - No Report Greece 24 444 (8.0) B3 7% 0 0 - - 00% 7% Jun-8 Hungary 80 27 (.0) B3,D8 00% 78 0 (0.0) - - 00% 00% Jun-8 Iceland - - - - - - - - - No Report Ireland 049 00 (0.0) B3,D8 00% 24 0 (0.0) - - 00% 00% Jun-8 Israel 4 82 (33.0) D8 00% 672 24 (8.0) - - 00% 83% Jun-8 Italy 6 923 (7.0) B3,D8 6% 774 4 (7.0) - - 00% 00% Jun-8 Kazakhstan 37 2 (.0) - - 36 0 (0.0) - - 00% 00% Jun-8 Kyrgyzstan 26 246 (47.0) B3 0% 478 7 (.0) - - 00% 00% Jun-8 Latvia 73 67 (9.0) B3 93% 9 (2.0) - - 83% 33% May-8 Lithuania 29 0 (0.0) - - 28 2 (7.0) - - 00% 83% Jun-8 Luxembourg 2 (4.0) D8 00% 0 0 - - 00% 00% Jun-8 Malta 40 6 (.0) D8 00% 373 0 (0.0) - - 00% 00% Jun-8 Monaco No Lab Montenegro No Lab Netherlands 34 2 (3.0) B3,D8 00% 3 0 (0.0) - - 00% 00% Jun-8 Norway - B3,D8 00% - - - - - No Report Poland - D8 44% - - - - - No Report Portugal 989 0 (.0) B3, D8 29% 2 (0.0) - - 00% 67% Jun-8 Republic of Moldova 83 36 (43.0) - - 68 0 (0.0) - - 00% 00% Jun-8 Romania 4080 342 (8.0) B3 68% 36 2 (0.0) - - 00% 0% Jun-8 Russian Federation 436 6 (40.0) B3,D8 7% 3096 23 (.0) - - 00% 00% Jun-8 San Marino No Lab Serbia 222 334 (60.0) B3 0% 843 6 (.0) - - 0% 0% Mar-8 Slovakia 34 26 (9.0) D8 0% 2 0 (0.0) - - 00% 00% Jun-8 Slovenia 234 6 (7.0) B3 00% 86 0 (0.0) - - 00% 00% Jun-8 Spain - - B3,D8,D4 63% - - - - - No Report Sweden 740 92 (.0) B3,D8 00% 662 3 (0.0) - - 67% 0% Apr-8 Switzerland 02 36 (3.0) B3,D8 88% 4 4 (00.0) - - 00% 00% Jun-8 Tajikistan 6 0 (0.0) - - 9 0 (0.0) - - 83% 83% Jun-8 7 7 (4.0) - - 3 0 (0.0) - - 0% 0% May-8 Turkey 382 44 (.0) - - 3327 8 (2.0) - - 00% 33% Jun-8 Turkmenistan 77 0 (0.0) - - 77 0 (0.0) - - 00% 00% Jun-8 Ukraine 824 429 (2.0) B3,D8 3% 20 8 (4.0) - - 00% 00% Jun-8 United Kingdom 324 780 (24.0) B3,D8 98% 38 4 (.0) - - 00% 00% Jun-8 Uzbekistan 42 4 (0.0) - - 42 0 (0.0) - - 00% 00% Jun-8 / Average 33906 2639 (37%) - 70% 7764 334 (2%) - 00% 76.7% 63.% 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). 2 MeaNS: http://www.who-measles.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.

Figure : Map of Measles Cases in European Region, Jan to Jun 208 (n=403) (data as of August 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: Quarterly distribution of measles cases in the European Region, Jan 200 to Jun 208* (data as of 0 August 208) 2000 20000 000 0000 000 0 Number of measles cases 200 (n=3060) 20 (n=3397) 202 (n=26788) 203 (n=32862) 204 (n=8867) 20 (n=2847) 206 (n=273) 207 (n=23927) 208 (n=403) Measles Lab Confirmed and Epi Linked Measles Clinically Compatible *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.: +4 4 33 70 00 E mail: eumeasles@who.int and/or eucddata@who.int Web site: h p://www.euro.who.int/vaccine World Health Organiza on, 208.

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