SEAR 2014 Immunization and Vaccine Development South-East Asia Region World Health Organization• SEARO/FHR/IVD • 22 July 2015 T he Immunization and Vaccine Development (IVD) unit of the Department of Family Health and Research (FHR), World Health Organization (WHO), Regional Office for South-East Asia (SEARO) has been producing annually the Expanded Programme on Immunization (EPI) fact sheets since 2002 for all SEA countries and the region. The 2014 EPI fact sheets are the thirteenth annual publication. The primary data source of the EPI fact sheets are the WHO-UNICEF joint reporting form (JRF) and SEARO annual EPI reporting form (AERF) in which each country officially reports EPI and vaccine preventable diseases (VPD) related core information annually. Figure 1: SEAR population density by first administrative level*, 2014 Source: Annual EPI reporting form 2014. *Population density by second administration level for Bhutan, Sri Lanka and Timor-Leste. Source: Annual EPI reporting form 2013 a District & city b Township 1 WHO, World Health Statistics 2014; India-SRS 2013; Sri Lanka - Census & Statistics Department and MOH; Table 1: Basic information, 2014 Country 2014 population Mortality 1 Administrative levels Total population Live births Under 1 year Under 5 years Under 15 years Neonatal mor- tality rate (per 1,000 LB) "Infant mortali- ty rate (per 1,000 LB)" Under-5 mor- tality rate (per 1,000 LB) Maternal mortatlity ratio (per 100,000 LB) Number of province /region / division Number of district Bangladesh 156,012,726 3,525,888 3,374,274 16,381,336 53,980,403 24 33 41 170 7 64 Bhutan 745,153 13,338 12,938 89,418 230,997 21 36 45 120 - 20 DPR Korea 24,759,000 342,458 337,950 1,698,664 5,233,093 16 23 29 87 12 210 India 1,265,308,000 27,016,000 25,928,200 ND 432,037,331 29 42 52 178 36 674 Indonesia 252,124,458 4,809,304 4,665,025 24,085,400 ND 15 26 31 190 34 511 a Maldives 341,848 7,739 7,028 33,931 89,307 6 9 11 31 - 20 Myanmar 51,419,420 958,495 928,960 4,584,847 13,709,745 26 41 52 200 17 330 b Nepal 27,311,978 662,285 628,824 2,808,179 9,941,560 24 34 42 190 5 75 Sri Lanka 20,675,000 349,715 346,253 1,778,050 5,210,100 6.8 9.2 10.4 37.7 9 26 Thailand 64,875,909 780,197 733,412 3,841,366 11,884,129 8 11 13 26 77 928 Timor-Leste 1,212,110 43,924 40,351 192,340 510,594 24 48 57 270 - 13 SEAR 1,864,785,602 - 37,003,215 - 532,827,259 27 39 50 190 - - Disclaimer: The boundaries and names shown and the designations used on all the maps 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.
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SEAR 2014
Immunization andVaccine Development
South-East Asia Region
World Health Organization• SEARO/FHR/IVD • 22 July 2015
The Immunization and Vaccine Development (IVD) unit of the Department of Family Health and Research (FHR), World Health Organization (WHO), Regional Office for South-East Asia (SEARO) has been producing annually the Expanded Programme on Immunization (EPI) fact sheets since 2002 for all SEA countries and the region. The 2014 EPI fact sheets are the thirteenth annual
publication. The primary data source of the EPI fact sheets are the WHO-UNICEF joint reporting form (JRF) and SEARO annual EPI reporting form (AERF) in which each country officially reports EPI and vaccine preventable diseases (VPD) related core information annually.
Figure 1: SEAR population density by first administrative level*, 2014
Source: Annual EPI reporting form 2014.
*Population density by second administration level for Bhutan, Sri Lanka and Timor-Leste.
Source: Annual EPI reporting form 2013 a District & city b Township1 WHO, World Health Statistics 2014; India-SRS 2013; Sri Lanka - Census & Statistics Department and MOH;
Disclaimer: The boundaries and names shown and the designations used on all the maps 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.
E P I F A C T S H E E T
World Health Organization• SEARO/FHR/IVD • 22 July 2015
2
Source: WHO/UNICEF JRF 2014 W=Week M=Month Y=Year
Reference labs
Polio (global specialized)
Measles and rubella
Japanese encephalitis
IBD reference
Rota reference
National labs
Polio
Measles and rubella
Japanese encephalitis
IBD
Rota
Sub-national measles lab
Table 2: Routine immunization schedule, 2014
Country BCG DTP HepB MCV OPV TT Vitamin A Other vaccinations
Figure 4: AFP surveillance indicators by first administrative level1, 2014
*Number of discarded AFP cases per 100,000 children under 15 years of age. *Percentage with 2 specimens 24 hours apart and within 14 days of paralysis onset.1 Bhutan, Maldives & Timor-Leste by Country.
0
10
20
30
40
50
60
70
AF
P c
ases
in T
ho
usa
nd
s
India SEAR excluding India
Year
AFP cases
SEAR excluding India
India Total
1997 1,503 3,047 4,550
1998 2,387 9,465 11,852
1999 2,329 9,587 11,916
2000 2,655 8,103 10,758
2001 3,143 7,470 10,613
2002 3,195 9,705 12,900
2003 2,781 8,508 11,289
2004 2,996 13,274 16,270
2005 4,481 27,049 31,530
2006 4,471 32,194 36,665
2007 4,600 41,524 46,124
2008 4,927 45,582 50,509
2009 4,557 50,405 54,962
2010 4,670 55,782 60,452
2011 4,791 60,540 65,331
2012 5,123 60,922 66,045
2013 4,825 54,660 59,485
2014 4,571 54,101 58,672
Figure 5: Number of annual AFP cases reported in SEAR, 1997-2014
1 At least 5 blood samples should be collected and tested from each outbreak. ND=No data* Total suspected outbreaks may not add to total lab confirmed outbreaks because some outbreak samples are in process with results pending and/or outbreak reports are not received from the field (investigation in process).
Figure 11: DTP3 immunization coverage by first administrative level*, 2014
2010 20142011 2012 2013
% C
over
age
Bang
lade
sh
Bhut
an
DPR
Kor
ea
Indi
a
Indo
nesi
a
Mal
dive
s
Mya
nmar
Nep
al
Sri L
anka
Thai
land
Tim
or-L
este
0
20
40
60
80
100
% o
f Dis
tric
ts
0
20
40
60
80
100
Bang
lade
sh
Bhut
an
DPR
Kor
ea
Indi
a
Indo
nesi
a
Mal
dive
s
Mya
nmar
Nep
al
Sri L
anka
Thai
land
*
Tim
or-L
este
2010 2011 2012 2013 2014
Source: WHO/UNICEF coverage estimates 2014. Source: WHO/UNICEF JRF *district level data not reported
Immunization andVaccine Development
South-East Asia Region
7
Introduced
Planned in 2015
Figure 14: Measles second dose through routine immunization, 2014
Timor-Leste Dilli ND SEAR Total 21,829 20,917 9,110 43.6 2,125 18.0 69.6
Source: Reported by SEAR Measles Laboratory Network ND=No Data
Table 8: Measles and rubella laboratory network serology results, 2014
E P I F A C T S H E E T
Immunization andVaccine Development
South-East Asia Region
World Health Organization• SEARO/FHR/IVD • 22 July 2015
Figure 15: TT2+ coverage by country, 2010-2014
For contact or feedback: Immunization and Vaccine Development (IVD), Department of Family Health and ResearchWorld Health Organization, Regional Office for South East Asia, IP Estate, Mahatma Gandhi Marg, New Delhi 110002, IndiaTel: +91 11 23370804, Fax: +91 11 23370251, Email: [email protected], www.searo.who.int/entity/immunization
2010 20142011 2012 2013
% C
over
age
0102030405060708090
100
Bang
lade
sh
Bhut
an
DPR
Kor
ea
Indi
a
Indo
nesi
a
Mal
dive
s
Mya
nmar
Nep
al
Sri L
anka
Thai
land
Tim
or-L
este
Figure16: Neonatal tetanus elimination status*
Source: WHO/UNICEF JRF
*India & Indonesia by province (As of April 2015)
Elimination validated
Elimination not validated or planned
Conducted or planned SIA to reach MNT elimination
Table 9: Planning and management indicators, 2014
Country
Multi year plan (MYP) for immunization
Annual work plan
Standing technical advisory group on
immunization
Number and percentage of districts with updated micro-plans to raise immunization coverageYears covered by
MYPCosting is included
Country has an annual workplan for immunization
activities in 2013
Costing is included
Bangladesh 2011-2016 Yes Yes Yes Yes 64 (100%)
Bhutan 2014-2018 Yes Yes Yes Yes 20 (100%)
DPR Korea 2011-2015 Yes Yes Yes Yes 210 (100%)
India 2013-2017 Yes Yes Yes Yes 674 (100%)
Indonesia 2015-2019 Yes Yes Yes Yes 179 (35%)
Maldives 2009-2013 Yes Yes Yes Yes 20 (100%)
Myanmar 2012-2016 Yes Yes Yes Yes 330 (100%)
Nepal 2011-2016 Yes Yes Yes Yes 75 (100%)
Sri Lanka 2011-2016 Yes Yes Yes Yes 26 (100%)
Thailand 2013-2016 Yes Yes Yes Yes 928 (100%)
Timor-Leste 2013-2015 Yes Yes Yes No 13 (100%)
Source: WHO/UNICEF JRF ND=No data
Table 10: Vaccine safety and immunization financing, 2014
Country
Activities being implemented Adverse events following immunization (AEFI) Government financed on
Immunization injection safety Waste management National system to monitor