Volume 12 Issue 1 January 2018 ISSN 1814 3601 Figure 1 .

ISSN 1814 3601Volume 12 Issue 1 January 2018Figure 1. Incidence rate of total (confirmed and compatible) measles cases with rash onset 1–31 December 2017,WHO Western Pacific RegionPacific island countries and areasLegend:No cases 1 per million population1.0-10.0 per million population 10.0 per million populationNo data submittedNo geographical distributioninformation availableDISCLAIMER: The boundaries and names shown and thedesignations used on this map do not imply the expression of anyopinion whatsoever on the part of the World Health Organizationconcerning the legal status of any country, territory, city or area orof its authorities, or concerning the delimitation of its frontiers orboundaries. Dotted lines on maps represent approximate borderlines for which there may not yet be full agreement. WHO Regional Office for the Western Pacific 2009. All rightsreservedMeasles outbreak was declared in Davao City and Zamboanga City, Philippines.Sources of information: http://www.doh.gov.ph/node/12720 and Executive Order BC 333-2018*Map of Australia is from the Australian Bureau of StatisticsSource: Measles and rubella monthly country reports to the Western Pacific Regional Office by 20 January 2018Table 1. Numbers of confirmed and total (confirmed and compatible) measles cases by month of rash onset,July 2017–December 2017, WHO Western Pacific Region2017Country/areaJulAugSepOctNovDecNo. ofTotal no.No. ofTotal no.No. ofTotal no.No. ofTotal no.No. ofTotal no.No. ofTotal no.confirmedof casesconfirmedof casesconfirmedof casesconfirmedof casesconfirmedof casesconfirmedof casesAustralia122441414770022Brunei 3292231238178180193202251257China, Hong Kong SAR000011000000China, Macao SAR220000000000Japan227799330001Lao People's Democratic 721331336768Mongolia000000000000New Zealand000000000000Papua New 07900Republic of Korea000011000200Singapore222455331289Viet Nam451134616292235192702Pacific island countries and 339ChinaWestern Pacific Region"-" No data1Reports only confirmed casesSource: Case based and aggregate data reports to the Western Pacific Regional Office by 20 January 2018

Figure 2. Total (confirmed and compatible) measles cases by month of rash onset, WHO Western Pacific Region, 2012–2017 as of 20 January 201825 000Number of measles cases20 00015 00010 0005 ongoliaPapua New Guinea2016Philippines2017Viet NamOthersSource: Measles and rubella monthly country reports to WHO by 20 January 2018Includes laboratory confirmed, epi-linked and clinically confirmed cases for 2012Table 2. Status of verification of measles elimination, WHO Western Pacific Region2016Country/areaYearNo. ofverified confirmedcases2017% of c asesSource of infectionImportedImportrelatedUnknownEndemic/ notw ithNo. ofknow nconfirmedsourc e ofcasesreported infec tion% of c asesSource of infectionImportedImportrelatedUnknownEndemic/ notw ithknow nsourc e ofreported infec tionAustralia201499311805049.5%813832011Brunei 0.0%10000100.0%23 96000023 9600.0%5 1810005 1810.0%9100811.1%4300175.0%China-86.4%China, Hong Kong SAR2016China, Macao 33413601392.9%Lao People's Democratic Republic-800080.0%300030.0%Malaysia-1 577501 5036995.6%1 624501 05656365.3%-3 58702 3921 liaNew Zealand2017Papua New 004320817.1%Republic of 475.7%67192202661.2%Viet Nam-36000360.0%85000850.0%Pacific island countries and areas-600060.0%100010.0%29 832912 6062 71824 41218.2%7 5271021921 1086 12518.6%BlueNo measles casesTotalGreen 80%Yellow60–79%RedSource: Measles and rubella monthly country reports to WHO by 20 January 20182 60%

Table 3. Measles case classification and incidence by country and area, WHO Western Pacific Region, 2013—2017 as of 20 January ompatible1Australia2014Measles1 .2015Measles1 rcompatible11 incidenceper1 millionRashonset ofConfirmed and compatible measles casesSuspectedPopulation(in lizedconfirmedandDeathsdue tomeaslesincidence per measlescompatible 1 million 124.6NA3000783813.3026-Oct-17Brunei Jun-172782520.552 48538.542 86430.724 83918.01388.236 854029 2608125 131505 -Oct-17ChinaChina, Hong Kong SARChina, Macao SARJapanLao People's Democratic RepublicMalaysiaMongoliaNew ZealandPapua New 2130.4010-Jan-171826.12227.31 31843.91 58751.631.28 1762766 252241 605191 64852.9027-Nov-1700.000.020 3747136.828 .910422.84.6352181113153.3025-May-1771.02 54 669548.02 00319.76416.3103.83 5973961 977973226251 22411.8421-Sep-17Republic of 708013.8014-Nov-17Viet Nam123213.616 741182.88849.43683.995.43 0731112 11.101-May-17Federated States of --16.0----0.0---------14-Mar-14Solomon u--519.41971.800.00.0---------23-Sep-1535 70019.5128 78670.167 76836.256 8681876.254 5371 04042 0392 4117 4261019 9385.39Pacific island countries and areas4Western Pacific Region30.51Includes compatible, laboratory confirmed and epi-linked confirmed casesGreen 1 confirmed measles case / 1 000 000 population2United Nations, Department of Economic and Social Affairs, Population Division World Population Prospects.Yellow1–9.9 confirmed measles case / 1 000 000 population3Australia reports confirmed cases only.4Classification is provisional based on laboratory data only.3Red 10 confirmed cases / 1 000 000 population

Table 4. Measles surveillance performance indicators by country and area, WHO Western Pacific Region, 2016—2017 as of 20 January 20182016Discarded non-measlesrate perCountry/area100 000 popSecond level units with 2 discarded cases perSuspected cases with100 000 popadequate investigation[annualized]1Suspected cases withDiscarded non-measlesadequate specimens forrate perlaboratory confirmation2100 000 popSecond level units with 2 discarded cases perSuspected cases with100 000 popadequate investigation[annualized]1Suspected cases withadequate specimens forlaboratory confirmation 2 80% 80% 80% 2 80% 80% 80%Insufficient dataInsufficient dataInsufficient dataInsufficient dataInsufficient dataInsufficient dataInsufficient dataInsufficient dataBrunei Darussalam2.8Not applicable100.0%100.0%0.0Not 8%91.5%China, Hong Kong SAR2.5Not applicable97.9%99.5%0.0Not applicable100.0%100.0%China, Macao SAR2.0Not applicable100.0%100.0%2.5Not applicable83.3%100.0%Japan0.74.3%Insufficient dataInsufficient data0.40.0%Insufficient dataInsufficient dataLao People's Democratic .495.5%8.0%14.4%4.813.6%88.3%93.5%Australia 3New Zealand1.1Insufficient dataInsufficient dataInsufficient data0.4Insufficient dataInsufficient dataInsufficient dataPapua New nes1.517.6%57.3%70.2%1.929.4%46.0%69.3%Republic of 685.1%51.8%1.466.3%67.5%Viet 89.2%Pacific island countries and areasWestern Pacific Region14Not applicableThis indicator is not applicable for countries which have no second-level administrative units2 Adequate specimen defined as blood specimen collected within 28 days of rash onset or other specimen (throat swab,nasopharyngeal swab, cerebrospinal fluid, urine) collected within 5 days of rash onset; excludes epidemiologically-linkedcases.3 Reports only confirmed cases4 Surveillance performance indicators refer to all the Pacific island countries and areas as one epidemiological block;each country is considered as second level unit42201770.9%Not applicableGreenReached or surpassed targetYellowNearly reached target: 1.00–1.99 for non- measles suspected case rate; 10.1–25% for percent clinically confirmed cases; 60–79% for other indicatorsRedSubstantially below target2

Table 5. Rubella case classification and incidence by country and area, WHO Western Pacific Region, 2014–2017 as of 20 January d(inincidence perincidence perincidence perandandandfor rubella1 million pop.1 million pop.1 million pop. millions) iaBrunei 43192.1181.140.316.088792017Confirmed and compatible rubella casesTotalAnnualized ncidence per syndromecompatible 1 million pop.---------01900000.0-18269205050.3-11 8878.78 2455.94 4763.21 388.2336 854--2471 2131411 4761.1-China, Hong Kong SAR10.1121.630.47.400-----00.0-China, Macao SAR00.023.511.70.611801800000.0-JapanLao People's Democratic 168 2292767 30134.3-New Zealand------4.60---------Papua New 6103.803 5973962 6910429194484.3-Republic of 10.200.05.7830003030.5-500.597210.43503.795.412 5181162 4.511.111.10.909308904044.4-Solomon --6750.41 2530.76670.41 876.2153 2221 04014 5632951 9361622 3931.3PhilippinesViet Nam2Pacific island countries and areasVanuatuWestern Pacific Region1United Nations, Department of Economic and Social Affairs, Population Division World Population Prospects.Green 1 confirmed measles case / 1 000 000 population2Classification is provisional based on laboratory data only.Yellow1–9.9 confirmed measles case / 1 000 000 population"-" No data5Red 10 confirmed cases / 1 000 000 populationGrayNo data-

Table 6A. Measles and rubella laboratory testing, WHO Western Pacific Region, 2016MeaslesMeasles and yTotalTotalnumber numberofofsamples samplesreceived testedTotalnumberof casestestedBloodSamplestested for Measles IgM ( )measles IgMNo.No.%MeaslesIgM equivNo.DBS samplesNo.received%No.( )RubellaVirus detectionSerumandblood(includes DBS)Measles VirusMeaslesisolation/ReverseTotal% ofSamplesdetectionTranscription- number ofRubellasamplestested for Rubella IgM ( )(swab, urine and Polymerase ChainlabIgM equivwithrubella IgMothers)Reactionconfirmedresults 4No. ofNo. ofcasesNo. ofdaysNo.No.%No.%samplessamples No. ( 471940.600%ChinaCCDC----------89.0----------China, Hong Kong SARBrunei 530.631%China, M acao D1 5851 3988022064421.43417%0--0-669146156101-00%Lao People's Democratic 4%M alaysiaNPHL8 5796 5936 5936 2561 62025.91803%0-93.61 2641220-1 6624 5131082.4531%M ongoliaNCCD10 03110 0319 9969 7494 96951.098110%0-99.8102861425 0766 50631-150%New 10.600%Papua New nesRITM1 6121 6121 6101 524362.4312%51598.9620620401 5761107.0624%Republic of 8660-2534720.600%Viet Nam national lab 19.9155%Viet Nam national lab 444.4243%Viet Nam subnational lab 2%Viet Nam subnational lab CCDC1515151500.000%150-0-0-01500.017%27 58225 40924 36421 7936 89731. 61 3226%198795.11 5341321 9864547 25816 6627264.42071%Total"-" No data6

Table 6B. Measles and rubella laboratory testing, WHO Western Pacific Region, 2017 as of 20 January 2018MeaslesMeasles and yTotalTotalnumber numberofofsamples samplesreceived testedTotalnumberof casestestedBloodSamplestested for Measles IgM ( )measles IgMNo.No.%MeaslesIgM equivNo.DBS samplesNo.received%No.( )RubellaVirus detectionSerumandblood(includes DBS)Measles VirusMeaslesisolation/ReverseTotal% ofSamplesdetectionTranscription- number ofRubellasamplestested for Rubella IgM ( )(swab, urine and Polymerase ChainlabIgM equivwithrubella IgMothers)Reactionconfirmedresults 4No. ofNo. ofcasesNo. ofdaysNo.No.%No.%samplessamples No. ( 50.500%ChinaCCDC----------91.2----------China, Hong Kong unei DarussalamChina, M acao D1 1201 1206011574428.02214%0--0-51617318380-00%Lao People's Democratic 143%M alaysiaNPHL11 94611 9469 0698 6721 87421.62233%0-95.51 8071290-1 9226 4791862.91763%M 295%New 011%Papua New ippinesRITM2 9642 9642 9482 8731886.5271%701097.21726221302202 86231310.91295%Republic of 45204585262961212.500%Viet Nam national lab 82.9366%Viet Nam national lab 215.6206%Viet Nam subnational lab 00%40-0-0-18844.522%21 27721 27717 68815 7952 22214. 13492%2291093.42 0731591 6953492 56013 3906464.84413%Viet Nam subnational lab (Highland)FijiTotal"-" No data7