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Measles and rubella monthly update for the WHO European Region
1. Measles and rubella monthly update for the
WHO European Region
Data as of 4 July 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 4 July 2019
1616
1816
1923
2056
2982
3034
4011
5024
8476
85833
0 10000 20000 30000 40000 50000 60000 70000 80000 90000 100000
Romania
Turkey
Italy
France
Kyrgyzstan
Russian Federation
Israel
Georgia
Kazakhstan
Ukraine
Number of cases
Ten countries with the highest numbers of measles cases in the WHO European
Region, June 2018–May 2019
Out of 127 747 measles cases reported for June 2018 to
May 2019, 116 771 (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 4 July 2019
Measles cases by month in the WHO European Region, 2017–May 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
May
2017
(n=25870)
2018
(n=84411)
2019
(n=80345)
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 4 July 2019
1466
2190
2193
2203
2288
2686
2913
3158
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 84 411 measles cases reported for 2018,
77 391 (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 4 July 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=25870)
2018
(n=84411)
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 4 July 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.
630
330
238
186
166
115
29
0
100
200
300
400
500
600
700
0
2000
4000
6000
8000
10000
12000
14000
16000
18000
20000
<1
(n=6805)
1–4
(n=14901)
5–9
(n=13478)
10–14
(n=9901)
15–19
(n=8512)
20–29
(n=13559)
30+
(n=17248)
Incidencepermillionpopulation
Numberofcases
Age group (years)
0 dose 1 dose 2+ doses Unknown Incidence
14. 14
7884
30604
33254
26788
32857
18869
28413
5273
25870
84411
94 93 94 95 95 94 94 93
95 95
73
80
82 83
89 89 89 88
90 91
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 4 July 2019.
2) MCV1 and MCV2 coverage - WHO/UNICEF Estimates of National Immunization Coverage (WUENIC) as of 15 July 2019.
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 4 July 2019
20
26
58
192
402
0 50 100 150 200 250 300 350 400 450
Italy
Turkey
Germany
Ukraine
Poland
Number of cases
Countries with the highest numbers of rubella cases in the WHO European Region,
June 2018–May 2019
16
Out of 767 rubella cases reported for June 2018 to
May 2019, 698 (91%) cases were reported by these
5 countries.
17. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 4 July 2019
Rubella cases by month in the WHO European Region, 2017–May 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
May
2017
(n=702)
2018
(n=854)
2019
(n=356)
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 4 July 2019
21
24
58
235
450
0 50 100 150 200 250 300 350 400 450 500
Italy
Turkey
Germany
Ukraine
Poland
Number of cases
Five countries with the highest numbers of rubella cases in the WHO European
Region, 2018
19
Out of 854 rubella cases reported for 2018, 788 (93%)
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 4 July 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=854)
Numberofcases
Month
Lab confirmed Epi linked Clinically compatible