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Measles and rubella monthly update for the WHO European Region. 5/2019. Data as of 31 May 2019
1. Measles and rubella monthly update for the
WHO European Region
Data as of 31 May 2019
Vaccine-preventable Diseases and Immunization programme
Division of Health Emergencies and Communicable Diseases
5. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 31 May 2019
1370
1387
1744
2138
2714
2925
3886
4997
7349
83533
0 10000 20000 30000 40000 50000 60000 70000 80000 90000
North Macedonia
Romania
France
Italy
Russian Federation
Kyrgyzstan
Israel
Georgia
Kazakhstan
Ukraine
Number of cases
Ten countries with the highest numbers of measles cases in the WHO European
Region, May 2018–April 2019
Out of 122 456 measles cases reported for May 2018 to
April 2019, 112 043 (91%) cases were reported by these 10
countries.
5
6. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 31 May 2019
Measles cases by month in the WHO European Region, 2017–April 2019
6
Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems.
0
2000
4000
6000
8000
10000
12000
14000
16000
18000
20000
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
2017
(n=25869)
2018
(n=84079)
2019
(n=66641)
Numberofcases
Month
Lab confirmed Epi linked Clinically compatible
11. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 31 May 2019
1466
2005
2193
2203
2256
2686
2913
3156
5076
53218
0 10000 20000 30000 40000 50000 60000
Albania
Romania
Greece
Georgia
Russian Federation
Italy
France
Israel
Serbia
Ukraine
Number of cases
Ten countries with the highest numbers of measles cases in the WHO European
Region, 2018
Out of 84 079 measles cases reported for 2018,
77 172 (92%) cases were reported by these 10 countries.
11
12. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 31 May 2019
Measles cases by month in the WHO European Region, 2016–2018
12
Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems.
0
2000
4000
6000
8000
10000
12000
14000
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2016
(n=5273)
2017
(n=25869)
2018
(n=84079)
Numberofcases
Month
Lab confirmed Epi linked Clinically compatible
13. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 31 May 2019
Measles cases and incidence by age group and vaccination status in the WHO
European Region, 2018*
13
Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2017 Revision.
*Age was unknown for 7 cases.
626
327
237
185 166
115
29
0
100
200
300
400
500
600
700
0
2000
4000
6000
8000
10000
12000
14000
16000
18000
20000
<1
(n=6760)
1–4
(n=14774)
5–9
(n=13428)
10–14
(n=9863)
15–19
(n=8498)
20–29
(n=13539)
30+
(n=17220)
Incidencepermillionpopulation
Numberofcases
Age group (years)
0 dose 1 dose 2+ doses Unknown Incidence
14. 14
7884
30604
33254
26788
32857
18869
28413
5273
25869
84079
94 93 94 95 95 94 94 93
95
73
80
83 83
89 89 89 88
90
0
20
40
60
80
100
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
0
10000
20000
30000
40000
50000
60000
70000
80000
90000
%Coverage
Year
Numberofcases
Measles cases MCV1 coverage MCV2 coverage
Measles cases, MCV1 and MCV2 coverage by year in the WHO European Region,
2009–2018
Data source: 1) Measles cases – monthly aggregated and case-based data reported by Member States to WHO/Europe or via ECDC/TESSy as of 31 May 2019.
2) MCV1 and MCV2 coverage - WHO/UNICEF Estimates of National Immunization Coverage (WUENIC) as of 8 Nov 2018.
MCV1: first dose of measles-containing vaccine
MCV2: second dose of measles-containing vaccine
16. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 31 May 2019
19
19
20
54
200
421
0 50 100 150 200 250 300 350 400 450
Russian
Federation
Italy
Turkey
Germany
Ukraine
Poland
Number of cases
Six countries* with the highest numbers of rubella cases in the WHO European
Region, May 2018–April 2019
16
Out of 785 rubella cases reported for May 2018 to
April 2019, 733 (93%) cases were reported by these
6 countries.
*Six countries are shown this month rather than five because both Italy and the Russian Federation are reporting the same number of cases.
17. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 31 May 2019
Rubella cases by month in the WHO European Region, 2017–April 2019
17
Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems.
0
20
40
60
80
100
120
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
2017
(n=702)
2018
(n=846)
2019
(n=288)
Numberofcases
Month
Lab confirmed Epi linked Clinically compatible
19. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 31 May 2019
16
21
58
235
450
0 50 100 150 200 250 300 350 400 450 500
Turkey
Italy
Germany
Ukraine
Poland
Number of cases
Five countries with the highest numbers of rubella cases in the WHO European
Region, 2018
19
Out of 846 rubella cases reported for 2018, 780 (92%)
cases were reported by these 5 countries.
20. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 31 May 2019
Rubella cases by month in the WHO European Region, 2016–2018
20
Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems.
0
20
40
60
80
100
120
140
160
180
200
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2016
(n=1322)
2017
(n=702)
2018
(n=846)
Numberofcases
Month
Lab confirmed Epi linked Clinically compatible