Measles and rubella monthly update- WHO European Region - Vaccine-preventable Diseases and Immunization Division of Country Health Programmes
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Measles and rubella monthly update— WHO European Region Vaccine-preventable Diseases and Immunization Division of Country Health Programmes Data as of 02 March 2023
Measles cases—WHO European Region, February 2022–January 2023 Top 10 countries Country Cases Tajikistan 513 Türkiye 286 Russian Federation 233 United Kingdom 56 Poland 25 Kyrgyzstan 24 Serbia 24 France 22 Italy 18 Belgium 17 30 (57%) countries reported measles cases in the rolling 12-months. 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 November not yet be full agreement. © WHO 2023. All rights reserved. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 02 March 2023 3
Measles incidence per million population— WHO European Region, February 2022–January 2023 Top 10 countries Country Cases Incidence Tajikistan 513 51.54 Kyrgyzstan 24 3.62 Georgia 13 3.47 Türkiye 286 3.35 Serbia 24 3.32 Bosnia and Herzegovina 6 1.86 Russian Federation 233 1.61 Belgium 17 1.46 United Kingdom 56 0.83 Poland 25 0.63 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 November not yet be full agreement. © WHO 2023. All rights reserved. Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2022 revision. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 02 March 2023 4
Ten countries with the highest numbers of measles cases— WHO European Region, February 2022–January 2023 Tajikistan 513 Türkiye 286 Russian Federation 233 United Kingdom 56 Poland 25 Kyrgyzstan 24 Out of 1309 measles cases reported for February 2022 to Serbia 24 January 2023, 1218 (93%) cases were reported by these 10 France 22 countries. Italy 18 Belgium 17 0 100 200 300 400 500 600 Number of cases 30 (57%) countries reported measles cases in the rolling 12-months. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 02 March 2023 5
Measles cases by month—WHO European Region, 2021–January 2023 450 400 350 Number of cases 300 250 200 150 100 50 0 Oct Nov Dec Oct Nov Dec Feb Feb Jan Jun May Jun Jan May Jan Mar Jul Sep Mar Aug Sep Apr Aug Apr Jul 2021 2022 2023 2023 (n=159) (n=937) (n=405) (n=405) Month Lab confirmed Epi linked Clinically compatible Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 02 March 2023 6
Number of sequences reported 10 20 30 40 50 60 0 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 2020 29 30 2020 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2 3 4 5 6 7 8 9 10 Data source: WHO measles nucleotide surveillance online database (MeaNS) data as of 02 March 2023 11 12 13 B3 14 15 16 17 18 19 20 21 22 23 24 25 26 2021 27 28 2021 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 D8 46 47 48 49 Week of sample collection 50 51 Measles genotypes by week of sample collection— 52 1 2 3 WHO European Region, week 5, 2020 to week 4, 2023 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 2022 27 28 29 2022 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2 2023 3 2023 4 7
Measles Latest update for 2022 8
Measles cases—WHO European Region, 2022 Top 10 countries Country Cases Tajikistan 455 Türkiye 126 Russian Federation 114 United Kingdom 52 Poland 27 Kyrgyzstan 23 France 19 Italy 18 Belgium 17 Germany 15 28 (53%) countries reported measles cases for 2022. 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 November not yet be full agreement. © WHO 2023. All rights reserved. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 02 March 2023 9
Measles incidence per million population— WHO European Region, 2022 Top 10 countries Country Cases Incidence Tajikistan 455 45.72 Kyrgyzstan 23 3.47 Georgia 12 3.20 Bosnia and Herzegovina 6 1.86 Türkiye 126 1.48 Belgium 17 1.46 Russian Federation 114 0.79 United Kingdom 52 0.77 Poland 27 0.68 Romania 9 0.46 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 November not yet be full agreement. © WHO 2023. All rights reserved. Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2022 revision. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 02 March 2023 10
Ten countries with the highest numbers of measles cases— WHO European Region, 2022 Tajikistan 455 Türkiye 126 Russian Federation 114 United Kingdom 52 Poland 27 Out of 937 measles cases reported for 2022, 866 (92%) Kyrgyzstan 23 cases were reported by these 10 countries. France 19 Italy 18 Belgium 17 Germany 15 0 50 100 150 200 250 300 350 400 450 500 Number of cases 28 (53%) countries reported measles cases for 2022. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 02 March 2023 11
Measles cases by month—WHO European Region, 2020–2022 4500 4000 3500 Number of cases 3000 2500 2000 1500 1000 500 0 Nov Dec Oct Nov Dec Oct Nov Oct Dec Feb Feb Feb Jan Jan Jan May May May Mar Jun Jun Jun Apr Jul Mar Jul Sep Mar Jul Aug Sep Aug Sep Apr Aug Apr 2020 2021 2022 (n=12204) (n=159) (n=937) Month Lab confirmed Epi linked Clinically compatible Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 02 March 2023 12
Measles cases and incidence by age group* and vaccination status—WHO European Region, 2022 350 20.00 Incidence per million population 18.12 18.00 300 16.00 Number of cases 250 14.00 12.00 200 10.00 150 7.85 8.00 100 6.00 4.00 50 1.82 1.65 1.21 2.00 0.54 0.11 0 0.00
Measles cases, MCV1 and MCV2 coverage by year— WHO European Region, 2010–2022 120000 100 95 95 95 95 96 94 94 94 94 93 94 94 91 91 92 91 91 89 89 89 88 100000 104442 83 83 80 80 Number of cases 88693 80000 % Coverage 60 60000 40 40000 33254 32857 12204 30604 28413 20 26788 20000 5273 25872 18869 159 937 0 0 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 Year Measles cases MCV1 coverage MCV2 coverage MCV1: first dose of measles-containing vaccine MCV2: second dose of measles-containing vaccine Data source: 1) Measles cases – monthly aggregated and case-based data reported by Member States to WHO/Europe or via ECDC/TESSy as of 02 March 2023. 2) MCV1 and MCV2 coverage - WHO/UNICEF Estimates of National Immunization Coverage (WUENIC) as of 15 July 2022. 14
Rubella Updates including 2023 15
Five countries with the highest numbers of rubella cases— WHO European Region, February 2022–January 2023 Poland 144 Türkiye 44 Italy 9 Out of 221 rubella cases reported for February 2022 to January 2023, 210 (95%) cases were reported by these 5 countries. Germany 7 Ukraine 6 0 20 40 60 80 100 120 140 160 Number of cases 10 (20%) countries reported rubella cases in the rolling 12-months. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 02 March 2023 16
Rubella cases by month—WHO European Region, 2021–January 2023 35 30 25 Number of cases 20 15 10 5 0 Nov Dec Dec Oct Oct Nov Feb Feb May Jun Jan Jun Jan Jan May Mar Apr Mar Apr Jul Jul Aug Aug Sep Sep 2021 2022 2023 (n=100) (n=226) (n=8) (n=8) Month Lab confirmed Epi linked Clinically compatible Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 02 March 2023 17
Rubella Latest update for 2022 18
Five countries with the highest numbers of rubella cases— WHO European Region, 2022 Poland 152 Türkiye 40 Germany 9 Out of 226 rubella cases reported for 2022, 217 (96%) cases were reported by these 5 countries. Ukraine 9 Italy 7 0 20 40 60 80 100 120 140 160 Number of cases 10 (20%) countries reported rubella cases for 2022. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 02 March 2023 19
Rubella cases by month—WHO European Region, 2020–2022 60 50 Number of cases 40 30 20 10 0 Oct Oct Oct Dec Nov Nov Dec Nov Dec Feb Feb Feb Mar Mar Jun Jul Jan Mar Jun Jul Jan Jan Apr May Aug Sep Apr Aug May Sep Jul Apr Aug Sep May Jun 2020 2021 2022 (n=190) (n=100) (n=226) Month Lab confirmed Epi linked Clinically compatible Criteria for date of case inclusion may differ in accordance with Member States’ surveillance systems. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 02 March 2023 20
Links to measles and rubella information • WHO EpiData https://www.who.int/europe/teams/vaccine-preventable-diseases-immunization/who-epidata • Country slides for measles and rubella https://www.who.int/teams/immunization-vaccines-and-biologicals/immunization-analysis-and-insights/surveillance/monitoring/provisional- monthly-measles-and-rubella-data • WHO EpiBrief https://www.who.int/europe/teams/vaccine-preventable-diseases-immunization/who-epibrief 21
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