World Health Organization Global Measles Surveillance - updated August 2014

1. Global Measles
Surveillance Update
August 2014

2. Number of Reported Measles Cases by WHO Regions, 2013-2014
WHO
region
WHO
region
Member states
reported
(expected)
Member states
reported
(expected)
Total
suspected
cases
Total
suspected
cases
Total
measles
cases
Total
measles
cases
Clinically
confirmed
Clinically
confirmed
Epidemiol
ogical link
Epidemiol
ogical link
Laboratory
confirmed
Other
Laboratory
confirmed Other
Countries not reporting in the last 12 months (from 7-2013 to 6-2014):
AFR (4.4% of pop): Algeria, Comoros, Mauritius, Sao Tome and Principe, Seychelles.
AMR (2% of pop): (Canada and USA do not report suspected cases). Caribbean, Ecuador, Grenada and Uruguay
EMR (0.1% of pop): Djibouti
EUR (0.4% of pop): Bosnia and Herzegovina, Monaco
SEAR (67% of pop): India.
Data source: surveillance DEF file
Data in HQ as of 4 August 2014
Monthly case distribution
Monthly case distribution
This is surveillance data, hence for the last month, the data may be incomplete.
As of 27 May 2013, South Sudan has reassigned to the Africa region (AFR) from the Eastern Mediterranean region (EMR). For data presentation and
statistical purposes, South Sudan data is presented in AFR for both the years (2013 and 2014).
2013
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Unkno
wn
Data
received
AFR 42 (47) 104805 77392 14581 52471 10340 0 9083 14770 20017 11093 6058 2970 2511 2186 2019 2209 2918 1558 0 Aug-14
AMR 33 (35) 18178 651 0 0 651 0 14 8 27 62 73 46 46 43 16 17 81 218 0 Aug-14
EMR 20 (21) 34714 16667 878 2707 13082 0 4393 2359 2002 1938 2043 1517 808 348 314 311 306 328 0 Aug-14
EUR 51 (53) 34568 32894 10017 3948 18929 0 1718 2565 3450 4917 5714 4329 2741 1174 1151 1472 1843 1820 0 Aug-14
SEAR 10 (11) 26971 16935 12154 1943 2838 0 1510 2142 1514 1482 1705 1479 1448 1329 1346 1224 1059 697 0 Aug-14
WPR 27 (27) 101024 35262 3017 1258 30987 0 2760 2756 4262 5047 4957 2982 2710 2168 1421 1358 2203 2638 0 Aug-14
Total 183 (194) 320260 179801 40647 62327 76827 0 19478 24600 31272 24539 20550 13323 10264 7248 6267 6591 8410 7259 0
2014
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Unkno
wn
Data
received
AFR 41 (47) 31750 19201 6723 7283 5195 0 3931 5033 4129 2406 2196 1306 197 0 0 0 1 2 0 Aug-14
AMR 29 (35) 10212 1490 0 0 1490 0 121 125 107 97 321 99 619 0 0 0 0 1 0 Aug-14
EMR 20 (21) 13427 4542 912 622 3008 0 605 634 1235 1031 901 136 0 0 0 0 0 0 0 Aug-14
EUR 49 (53) 11240 10583 4381 1058 5142 2 2479 1711 1844 1958 1611 977 1 0 0 0 0 2 0 Aug-14
SEAR 8 (11) 9478 5770 3744 437 1589 0 1215 1201 1320 1073 655 306 0 0 0 0 0 0 0 Aug-14
WPR 27 (27) 141061 84392 25840 9891 48661 0 20592 15244 15924 14506 11345 6748 6 3 3 10 3 8 0 Aug-14
Total 174 (194) 217168 125978 41600 19291 65085 2 28943 23948 24559 21071 17029 9572 823 3 3 10 4 13 0

3. Measles Case Distribution by Month and WHO Regions, 2008-2014
Apr Jul Oct Jan
2010
Apr Jul Oct Jan
2011
Apr Jul Oct Jan
2012
Apr Jul Oct Jan
This is surveillance data, hence for the last month, the data may be incomplete.
SEAR India is not included in this graph.
45000
40000
35000
30000
25000
20000
15000
10000
5000
0
Jan
2008
Apr Jul Oct Jan
2009
2013
Apr Jul Oct Jan
2014
Data source: surveillance DEF file As of 27 May 2013, South Sudan has reassigned to the Africa region (AFR) from the Eastern Mediterranean region (EMR).
Data in HQ as of 4 August 2014
Apr
AFR SEAR AMR EMR EUR WPR

4. Measles Surveillance System Sensitivity
Jul 2013 to Jun 2014 (12M period)
reporting rate of discarded cases* per 100'000 population**
Target: at least 2 discarded cases
per 100'000 population by country
in last 12 month period.
*discarded cases are suspected
measles cases which have been investigated
and discarded as non-measles cases using
laboratory testing and/or epidemiological-linkage.
** World population prospects, 2012 revision.
Data source: surveillance DEF file
Data in HQ as of 4 August 2014
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 2014. All
rights reserved.
≥2 (63 countries or 32%)
>1 - <2 (20 countries or 10%)
≤1 (47 countries or 24%)
No case based
(64 countries or 34%)
surveillance or
No or insufficient data reported
Not applicable

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Reported Measles Incidence Rate*,
Jul 2013 to Jun 2014 (12M period)
*Rate per 1'000'000 population
Data source: surveillance DEF file
Data in HQ as of 4 August 2014
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 2014. All
rights reserved.
<1 (86 countries or 44%)
≥1 - <5 (23 countries or 12%)
≥5 - <10 (21 countries or 11%)
≥10 - <50 (37 countries or 19%)
≥50 (15 countries or 8%)
No data reported
(12 countries or 6%)
to WHO HQ
Not applicable

6. Number of Reported Measles Cases with onset date from
Jan 2014 to Jun 2014 (6M period)
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Data source: surveillance DEF file
Data in HQ as of 4 August 2014
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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 2014. All
rights reserved.
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0 (64 countries or 33%)
1 - 9 (24 countries or 12%)
10 - 99 (32 countries or 16%)
100 - 999 (40 countries or 21%)
≥1000 (15 countries or 8%)
No data reported
(19 countries or 10%)
to WHO HQ
Not applicable
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7. Percentage of suspected measles cases tested in the LabNet
with IgM positive result,
Jan 2014 to Jun 2014 (6M period)
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Data source: Lab DEF file
Data in HQ as of 4 August 2014
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 2014. All
rights reserved.
<5% (56 countries or 29%)
5% - <10% (11 countries or 6%)
10% - <20% (14 countries or 7%)
20% - 50% (30 countries or 15%)
≥ 50% (26 countries or 13%)
No data reported
to WHO HQ
(57 countries or 29%)
Not applicable

8. Distribution of measles genotypes
from Apr 2013 to Mar 2014
Not applicable
Data source: MeaNS Database
Data as of 21 May 2014
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 2014. All
rights reserved.

9. Distribution of rubella genotypes
from Apr 2013 to Mar 2014
Not applicable
Data source: RubeNS Database
Data as of 21 May 2014
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 2014. All
rights reserved.

10. Measles and Rubella Laboratory Data Summary, WHO Regions,
2013-2014
2013
WHO
region
WHO
region
Member states
reporting
(expected)
Specimens
received
Member states
reporting
(expected)
Specimens
received
Data source: surveillance DEF file
Data in HQ as of 4 August 2014
Measles Rubella
Tested Positive % Equiv. % Negative % Tested Positive % Equiv. % Negative %
Data
received
AFR 37 (47) 27000 26968 8924 (33%) 719 (3%) 17325 (64%) 17788 3607 (20%) 852 (5%) 13329 (75%) Aug-14
AMR 24 (35) 6317 6121 202 (3%) 87 (1%) 5686 (93%) 5641 208 (4%) 138 (2%) 5154 (91%) Aug-14
EMR 20 (21) 30892 30035 13094 (44%) 187 (1%) 16754 (56%) 27341 2085 (8%) 148 (1%) 25108 (92%) Aug-14
EUR 44 (53) 60013 54582 16702 (31%) 818 (1%) 36949 (68%) 27539 1020 (4%) 129 (0%) 26321 (96%) Aug-14
SEAR 10 (11) 15258 13466 4658 (35%) 264 (2%) 8647 (64%) 9525 2434 (26%) 346 (4%) 6744 (71%) Aug-14
WPR 25 (27) 17514 16342 3254 (20%) 437 (3%) 12651 (77%) 13493 1135 (8%) 516 (4%) 11843 (88%) Aug-14
Total 160 (194) 156994 147514 46834 (32%) 2512 (2%) 98012 (66%) 101327 10489 (10%) 2129 (2%) 88499 (87%)
2014
Measles Rubella
Tested Positive % Equiv. % Negative % Tested Positive % Equiv. % Negative %
Data
received
AFR 33 (47) 12452 12452 3429 (28%) 330 (3%) 8693 (70%) 8703 2352 (27%) 447 (5%) 5904 (68%) Aug-14
AMR 23 (35) 2925 2826 68 (2%) 29 (1%) 2712 (96%) 2797 83 (3%) 40 (1%) 2622 (94%) Aug-14
EMR 20 (21) 11583 10257 2989 (29%) 79 (1%) 7189 (70%) 9172 1277 (14%) 116 (1%) 7779 (85%) Aug-14
EUR 41 (53) 18580 15387 5657 (37%) 139 (1%) 9555 (62%) 12324 422 (3%) 34 (0%) 11853 (96%) Aug-14
SEAR 10 (11) 10938 9737 4155 (43%) 222 (2%) 5359 (55%) 5878 1201 (20%) 150 (3%) 4517 (77%) Aug-14
WPR 26 (27) 50559 31229 13073 (42%) 1123 (4%) 9482 (30%) 17916 403 (2%) 194 (1%) 10092 (56%) Aug-14
Total 153 (194) 107037 81888 29371 (36%) 1922 (2%) 42990 (52%) 56790 5738 (10%) 981 (2%) 42767 (75%)

11. Measles and Rubella SIA Activities
Rolling 6 months (May-2014 to Oct-2014)
Region Country Activity Interventio YearDone StartDate EndDate AgeGroup Extent Status Target Reached
AFR Democrati FollowUp Measles 2014 27-May-2014 31-May-2014 6 M-9 Y Sub-Nationdone 6137295 6211685
AFR Chad FollowUp Measles 2014 16-Jun-2014 22-Jun-2014 6 M-9 Y Sub-Nationdone 2441686 2536912
AFR Democrati FollowUp Measles 2014 24-Jun-2014 28-Jun-2014 6 M-9 Y Sub-nationplanned 2754425
AFR Democrati FollowUp Measles 2014 29-Jul-2014 02-Aug-2014 6 M-9 Y Sub-Nationplanned 4022570
AFR Angola FollowUp Measles 2014 01-Sep-2014 21-Sep-2014 9 M-9 Y National planned 7950091
AFR Mauritania FollowUp Measles 2014 22-Sep-2014 31-Oct-2014 9 M-14 Y National planned 1363387
AFR United RepCatchUp MR 2014 24-Sep-2014 30-Sep-2014 9 M-14 Y National planned 21159130
AFR Gabon FollowUp Measles 2014 01-Oct-2014 31-Oct-2014 9-59 M National planned 264458
AFR Chad FollowUp Measles 2014 03-Oct-2014 09-Oct-2014 6 M-9 Y Sub-Nationplanned 2530874
AFR Equatorial FollowUp Measles 2014 9-59 M National planned 116686
AFR Togo FollowUp Measles 2014 9 M-9 Y Sub-Nationplanned 808527
AMR Grenada CampaignMMR 2014 01-Jun-2014 National planned
AMR Argentina FollowUp MMR 2014 01-Sep-2014 30-Oct-2014 1-4 Y National planned
EMR Pakistan FollowUp Measles 2014 19-May-2014 31-May-2014 9 M-9 Y Sub-Nationdone 23646459
EMR Pakistan FollowUp Measles 2014 01-Aug-2014 31-Aug-2014 9 M-9 Y National planned 29985821
EMR Pakistan FollowUp Measles 2014 01-Aug-2014 31-Aug-2014 9 M-9 Y National planned 8861130
EMR Qatar Fill in MMR 2014 01-Sep-2014 School-ag National planned
EMR Yemen CatchUp MR 2014 01-Sep-2014 30-Sep-2014 9 M-19 Y National planned 14629556
EMR Morocco FollowUp MR 2014 01-Oct-2014 31-Oct-2014 20-34 Y National planned 8000000
EMR Syrian Ara FollowUp MMR 2014 01-Oct-2014 01-Nov-2014 9-59 M Sub-Nationplanned 400000
EMR AfghanistaMopUp Measles 2014 9-59 M Sub-Nationplanned 1500000
EUR Romania FollowUp MMR 2014 29-Feb-1904 1-21 Y National planned 2746436
EUR AzerbaijanMop up MR 2014 01-Oct-2014 <5 Y Sub-nationplanned 1636
EUR Georgia Mop up MMR 2014 14 Y+ National planned 150000
SEAR Timor-Les FollowUp Measles 2014 01-Sep-2014 31-Oct-2014 9-59 M National planned 93789
WPR Vanuatu CatchUp MR 2014 01-Jul-2014 31-Jul-2014 6-14 Y National planned 64000
WPR PhilippinesFollowUp MR 2014 01-Sep-2014 30-Sep-2014 9-59 M National planned 11634000
WPR Viet Nam CatchUp MR 2014 15-Sep-2014 31-Oct-2014 1-5 Y National planned
Data in HQ as of 4 August 2014

12. Links to regional bulletins
• AFR monthly feedback tables
– http://www.afro.who.int/en/clusters‐a‐programmes/ard/immunization‐and‐vaccines‐
development/programme‐components/measles‐pre‐elimination.
html
• AMR: (weekly bulletin published every Friday)
– http://www.paho.org/English/AD/FCH/IM/MeaslesWeeklyBulletin.htm
• EMR: http://www.emro.who.int/health‐topics/measles/
• EUR :
– periodical bulletin: http://www.euro.who.int/en/health‐topics/communicable‐diseases/
measles‐and‐rubella
– Monthly data: http://data.euro.who.int/cisid/?TabID=96712
• SEAR: (monthly bulletin)
– http://www.searo.who.int/entity/immunization/data/en/
• WPR: (periodical newsletter)
– http://www.wpro.who.int/entity/immunization/documents/measles_rubella_
bulletin/en/index.html
Link to global Measles Surveillance
• HQ website
– http://www.who.int/immunization/monitoring_surveillance/burden/vpd/surv
eillance_type/active/measles/en/index.html