1. Measles and rubella monthly update for the
WHO European Region
Data as of 29 November 2019
Vaccine-preventable Diseases and Immunization programme
Division of Health Emergencies and Communicable Diseases

2. Measles
Updates including 2019
2

3. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 29 November 2019
Disclaimer: 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 2019. All rights reserved.
Measles cases in the WHO European Region, November 2018–October 2019
3
Top 10 countries
Country Cases
Ukraine 75084
Kazakhstan 12334
Georgia 4611
Russian Federation 3765
Turkey 2769
Kyrgyzstan 2734
France 2685
Israel 2479
Uzbekistan 1974
North Macedonia 1902

4. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 29 November 2019
Measles incidence per million population in the WHO European Region,
November 2018–October 2019
Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2019 Revision.
Disclaimer: 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 2019. All rights reserved.
4
Top 10 countries
Country Incidence
Ukraine 1706.70
Georgia 1153.68
North Macedonia 912.90
Kazakhstan 664.85
Kyrgyzstan 426.13
Bosnia and Herzegovina 424.11
San Marino 324.87
Lithuania 312.00
Israel 290.98
Albania 188.13

5. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 29 November 2019
1902
1974
2479
2685
2734
2769
3765
4611
12334
75084
0 10000 20000 30000 40000 50000 60000 70000 80000
North Macedonia
Uzbekistan
Israel
France
Kyrgyzstan
Turkey
Russian Federation
Georgia
Kazakhstan
Ukraine
Number of cases
Ten countries with the highest numbers of measles cases in the WHO European
Region, November 2018–October 2019
Out of 124 022 measles cases reported for November
2018–October 2019, 110 337 (89%) 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 29 November 2019
Measles cases by month in the WHO European Region, 2017–October 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
Jun
Jul
Aug
Sep
Oct
2017
(n=25868)
2018
(n=88693)
2019
(n=101280)
Numberofcases
Month
Lab confirmed Epi linked Clinically compatible

7. 7
Measles cases, MCV1 and MCV2 coverage by year in the WHO European Region,
2009–October 2019
Data source: 1) Measles cases – monthly aggregated and case-based data reported by Member States to WHO/Europe or via ECDC/TESSy as of 29 November 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
7884
30604
33254
26788
32857
18869
28413
5273
25868
88693
101280
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 2019
0
20000
40000
60000
80000
100000
120000
%Coverage
Year
Numberofcases
Measles cases MCV1 coverage MCV2 coverage

8. 0
20
40
60
80
100
120
140
160
180
200
44
45
46
47
48
49
50
51
52
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38
39
40
41
42
43
2016 2017 2018 2019
Numberofsequencesreported
Week of sample collection
H1 D4 D9 B3 D8
Measles genotypes by week of sample collection in the WHO European Region,
week 44, 2016 to week 43, 2019
8Data source: WHO measles nucleotide surveillance online database (MeaNS) data as of 29 November 2019
2016 2017 2018 2019

9. Measles
Latest update for 2018
9

10. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 29 November 2019
Disclaimer: 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 2019. All rights reserved.
Measles cases in the WHO European Region, 2018
10
Top 10 countries
Country Cases
Ukraine 53218
Romania 6397
Serbia 5076
Israel 3161
France 2919
Italy 2686
Russian Federation 2290
Georgia 2203
Greece 2193
Albania 1466

11. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 29 November 2019
Measles incidence per million population in the WHO European Region, 2018
Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2019 Revision.
Disclaimer: 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 2019. All rights reserved.
11
Top 10 countries
Country Incidence
Ukraine 1202.77
Serbia 576.64
Georgia 550.35
Albania 508.54
Israel 377.14
Romania 327.95
Montenegro 323.35
Greece 208.42
Kyrgyzstan 175.13
Slovakia 104.90

12. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 29 November 2019
1466
2193
2203
2290
2686
2919
3161
5076
6397
53218
0 10000 20000 30000 40000 50000 60000
Albania
Greece
Georgia
Russian Federation
Italy
France
Israel
Serbia
Romania
Ukraine
Number of cases
Ten countries with the highest numbers of measles cases in the WHO European
Region, 2018
Out of 88 693 measles cases reported for 2018,
81 609 (92%) cases were reported by these 10 countries.
12

13. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 29 November 2019
Measles cases by month in the WHO European Region, 2016–2018
13
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=25868)
2018
(n=88693)
Numberofcases
Month
Lab confirmed Epi linked Clinically compatible

14. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 29 November 2019
Measles cases and incidence by age group and vaccination status in the WHO
European Region, 2018*
14
Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2019 Revision.
*Age was unknown for 7 cases.
698
352
247
195
170
117
30
0
100
200
300
400
500
600
700
800
0
2000
4000
6000
8000
10000
12000
14000
16000
18000
20000
<1
(n=7695)
1–4
(n=16113)
5–9
(n=14116)
10–14
(n=10490)
15–19
(n=8776)
20–29
(n=13872)
30+
(n=17624)
Incidencepermillionpopulation
Numberofcases
Age group (years)
0 dose 1 dose 2+ doses Unknown Incidence

15. Rubella
Updates including 2019
15

16. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 29 November 2019
34
44
53
158
310
0 50 100 150 200 250 300 350
Russian
Federation
Turkey
Germany
Ukraine
Poland
Number of cases
Five countries with the highest numbers of rubella cases in the WHO European
Region, November 2018–October 2019
16
Out of 671 rubella cases reported for November 2018–
October 2019, 599 (89%) 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 29 November 2019
Rubella cases by month in the WHO European Region, 2017–October 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
Jun
Jul
Aug
Sep
Oct
2017
(n=702)
2018
(n=838)
2019
(n=575)
Numberofcases
Month
Lab confirmed Epi linked Clinically compatible

18. Rubella
Latest update for 2018
18

19. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 29 November 2019
20
22
58
235
437
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 838 rubella cases reported for 2018, 772 (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 29 November 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=838)
Numberofcases
Month
Lab confirmed Epi linked Clinically compatible

21. • WHO EpiData
www.euro.who.int/en/health-topics/disease-prevention/vaccines-and-immunization/publications/surveillance-and-
data/who-epidata
• Country slides for measles and rubella
www.who.int/immunization/monitoring_surveillance/burden/vpd/surveillance_type/active/measles_monthlydata/en/
• WHO EpiBrief
www.euro.who.int/en/health-topics/disease-prevention/vaccines-and-immunization/publications/surveillance-and-
data/who-epibrief
21
Links to measles and rubella information