situation de la méningite et de la rougeole dans la sous-région · 2020. 4. 30. · notes: based...
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1 |
Situation de la méningite et de la
rougeole dans la sous-région
Réunion du Groupe régional Santé (RHWG)
Dakar, le 25 avril 2019
2 |
La méningite
3 |Réunion du Groupe Régional Santé
Dakar, le 28 mars 2019
Méningite (vue globale)Synthèse de la situation épidémiologique, S01-S14/2019 (Source : Meningitis Weekly Bulletin, WHO, IST/WA)
4 |Réunion du Groupe Régional Santé
Dakar, le 28 mars 2019
Méningite (vue globale)Cartographie récapitulative des taux d’attaque, S01-S14/2019(Source : Meningitis Weekly Bulletin, WHO, IST/WA)
5 |Réunion du Groupe Régional Santé
Dakar, le 28 mars 2019
MéningitePathogènes identifiés, S01-S14/2019 (Source : Meningitis Weekly Bulletin, WHO, IST/WA)
6 |Réunion du Groupe Régional Santé
Dakar, le 28 mars 2019
MéningiteCartographie des principaux germes, S01-S14/2019 (Source : Meningitis Weekly Bulletin, WHO, IST/WA)
7 |Réunion du Groupe Régional Santé
Dakar, le 28 mars 2019
MéningiteGuide de référence pour le contrôle des épidémies de méningite (revu en 2015)
Lien : http://www.who.int/csr/resources/publications/HSE_GAR_ERI_2010_4/fr/
8 |Réunion du Groupe Régional Santé
Dakar, le 28 mars 2019
MéningiteGuide de référence pour le contrôle des épidémies de méningite (revu en 2015)
Lien : http://www.who.int/csr/resources/publications/HSE_GAR_ERI_2010_4/fr/
9 |
La rougeole
Global Measles UpdateApril 2019
Please note that all data contained within is provisional. The number of cases of
measles and rubella officially reported by a member state is only available by July of
each year (through the joint WHO UNICEF annual data collection exercise). If any
numbers from this provisional data are quoted, they should be properly sourced with a
date (i.e. “provisional data based on monthly data reported to WHO (Geneva) as of April
2019”). For official data from 1980-2017, please visit our website.
Number of Reported Measles Cases by WHO Regions
2019
RegionMember
States*
Suspected
cases
Measles
casesClin Epi Lab Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Date
Received
AFR 38/47 64043 59943 7290 50323 2330 41147 16476 2320 0 0 0 0 0 0 0 0 0 2019-04
AMR 27/35 3117 597 0 0 597 94 201 302 0 0 0 0 0 0 0 0 0 2019-04
EMR 17/21 4335 2077 430 296 1351 1344 687 46 0 0 0 0 0 0 0 0 0 2019-04
EUR 53/53 35591 34383 24302 1675 8406 18823 15477 83 0 0 0 0 0 0 0 0 0 2019-04
SEAR 11/11 16045 12127 7875 1288 2964 5434 5989 704 0 0 0 0 0 0 0 0 0 2019-04
WPR 24/27 9221 3036 2185 16 835 2413 611 12 0 0 0 0 0 0 0 0 0 2019-04
Total 170/194 132352 112163 42082 53598 16483 69255 39441 3467 0 0 0 0 0 0 0 0 0
2018
RegionMember
States*
Suspected
cases
Measles
casesClin Epi Lab Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Date
Received
AFR 42/47 81859 55445 14288 33606 7551 2947 4325 5071 3887 2947 1774 1714 1296 1882 5135 9982 14485 2019-04
AMR 32/35 29094 16689 0 0 16689 3 16 84 152 291 204 410 139 645 2609 5952 6184 2019-04
EMR 20/21 79726 57054 29535 15555 11964 4002 4862 8067 7974 9648 5650 4484 2765 3030 3045 2234 1293 2019-04
EUR 53/53 96896 83540 50960 4189 28391 5964 6610 7418 7735 8719 7127 5411 3704 2735 5445 9936 12736 2019-04
SEAR 11/11 105063 82929 57277 18505 7147 8990 9007 14323 12230 10904 5027 3461 3845 3309 4112 3672 4049 2019-04
WPR 26/27 75229 30388 18294 1742 10352 1926 2479 3388 3229 3051 2422 2221 1949 1923 2610 3043 2147 2019-04
Total 184/194 467867 326045 170354 73597 82094 23832 27299 38351 35207 35560 22204 17701 13698 13524 22956 34819 40894
Notes: Based on data received 2019-04 - This is surveillance data, hence for the last month, the data may be incomplete. * Member States Reporting / Total Member States in Region
Number of Reported Measles Cases by WHO Regions
2019
RegionMember
States*
Suspected
cases
Measles
casesClin Epi Lab Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Date
Received
AFR 38/47 64043 59943 7290 50323 2330 41147 16476 2320 0 0 0 0 0 0 0 0 0 2019-04
AMR 27/35 3117 597 0 0 597 94 201 302 0 0 0 0 0 0 0 0 0 2019-04
EMR 17/21 4335 2077 430 296 1351 1344 687 46 0 0 0 0 0 0 0 0 0 2019-04
EUR 53/53 35591 34383 24302 1675 8406 18823 15477 83 0 0 0 0 0 0 0 0 0 2019-04
SEAR 11/11 16045 12127 7875 1288 2964 5434 5989 704 0 0 0 0 0 0 0 0 0 2019-04
WPR 24/27 9221 3036 2185 16 835 2413 611 12 0 0 0 0 0 0 0 0 0 2019-04
Total 170/194 132352 112163 42082 53598 16483 69255 39441 3467 0 0 0 0 0 0 0 0 0
Notes: Based on data received 2019-04 and 2018-04 - This is surveillance data, hence for the last month, the data may be incomplete. * Member States Reporting / Total Member States in Region
2018
RegionMember States*
Suspected cases
Measles cases
Clin Epi Lab Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov DecDate
Received
AFR 38/47 10097 7361 5645 623 1093 2802 3083 1476 0 0 0 0 0 0 0 0 0 2018-04
AMR 26/35 2065 376 0 0 376 3 9 364 0 0 0 0 0 0 0 0 0 2018-04
EMR 15/21 3173 1055 79 53 923 824 211 20 0 0 0 0 0 0 0 0 0 2018-04
EUR 49/53 9172 8449 4265 263 3921 5476 2851 122 0 0 0 0 0 0 0 0 0 2018-04
SEAR 10/11 10328 8733 7372 921 440 5195 3417 121 0 0 0 0 0 0 0 0 0 2018-04
WPR 25/27 5425 2150 1269 1 880 1485 665 0 0 0 0 0 0 0 0 0 0 2018-04
Total 163/194 40260 28124 18630 1861 7633 15785 10236 2103 0 0 0 0 0 0 0 0 0
Measles case distribution by month and WHO Region (2015-2019)
20
15
-01
20
15
-02
20
15
-03
20
15
-04
20
15
-05
20
15
-06
20
15
-07
20
15
-08
20
15
-09
20
15
-10
20
15
-11
20
15
-12
20
16
-01
20
16
-02
20
16
-03
20
16
-04
20
16
-05
20
16
-06
20
16
-07
20
16
-08
20
16
-09
20
16
-10
20
16
-11
20
16
-12
20
17
-01
20
17
-02
20
17
-03
20
17
-04
20
17
-05
20
17
-06
20
17
-07
20
17
-08
20
17
-09
20
17
-10
20
17
-11
20
17
-12
20
18
-01
20
18
-02
20
18
-03
20
18
-04
20
18
-05
20
18
-06
20
18
-07
20
18
-08
20
18
-09
20
18
-10
20
18
-11
20
18
-12
20
19
-01
20
19
-02
20
19
-03
20
19
-04
0
5000
10000
15000
20000
25000
30000
35000
40000
45000
50000
55000
60000
65000
70000
75000
Month of onset
Measle
s c
ases (
Lab
+E
pi+
Cli
nic
al)
AFR AMR EMR EUR SEAR WPR
Notes: Based on data received 2019-04 - Data Source: IVB Database - This is surveillance data, hence for the last month(s), the data may be incomplete.2019-04-09
Measles Incidence Rate per Million(12M period)
Top 10**
Country Cases Rate
Ukraine 72408 1629.39
Madagascar 69720 2800.61
India 60641 45.8
Pakistan 28164 145.77
Philippines 19358 187.36
Yemen 10566 383.05
Brazil 10318 49.69
Nigeria 7481 40.22
Thailand 6213 90.22
DR Congo 5864 74.48
Other countries with high incidence
rates***
Country Cases Rate
Georgia 3017 768.58
Liberia 2762 598.64
Albania 1376 470.21
Israel 3541 432.26
Kyrgyzstan 2043 343.03
Serbia 2947 334.12
Montenegro 187 297.48
Notes: Based on data received 2019-04 and covering the period between 2018-03 and 2019-02 – DRC and Somalia incidence on the map is a reflection of the numbers in this monthly case-based data not the number reported in aggregate surveillance as shown in the table. Incidence: Number of cases / population* * 100,000 - * World population prospects, 2017 revision - ** Countries with the highest number of cases for the period - *** Countries with the highest incidence rates (excluding those already listed in the table above)
Measles cases from countries with known discrepancies between case-based and aggregate surveillance, as
reported by country
Country YearCases in
Case-based
Cases in
AggregateData Source for aggregate #s
DR Congo 2018 5621 67072 SITUATION EPIDEMIOLOGIQUE DE LA
ROUGEOLE EN RDC, Week of 09/04/20192019 1414 49942
Somalia 2018 131 9135Somali EPI/POL Weekly Update Week 13
2019 6 1081
Number of Reported Measles Cases(6M period)
Top 10*
Country Cases
Madagascar 69696
Ukraine 49073
India 16222
Brazil 9168
Philippines 8767
Venezuela
(Bolivarian
Republic of)
5668
Thailand 5389
Kazakhstan 3988
Nigeria 3830
Pakistan 3799
Notes: Based on data received 2019-04 - Surveillance data from 2018-09 to 2019-02 - * Countries with highest number of cases for the period
Measles case distribution (AFR), 2015-2019
20
15
-01
20
15
-02
20
15
-03
20
15
-04
20
15
-05
20
15
-06
20
15
-07
20
15
-08
20
15
-09
20
15
-10
20
15
-11
20
15
-12
20
16
-01
20
16
-02
20
16
-03
20
16
-04
20
16
-05
20
16
-06
20
16
-07
20
16
-08
20
16
-09
20
16
-10
20
16
-11
20
16
-12
20
17
-01
20
17
-02
20
17
-03
20
17
-04
20
17
-05
20
17
-06
20
17
-07
20
17
-08
20
17
-09
20
17
-10
20
17
-11
20
17
-12
20
18
-01
20
18
-02
20
18
-03
20
18
-04
20
18
-05
20
18
-06
20
18
-07
20
18
-08
20
18
-09
20
18
-10
20
18
-11
20
18
-12
20
19
-01
20
19
-02
20
19
-03
02000400060008000
100001200014000160001800020000220002400026000280003000032000340003600038000400004200044000
Month of onset
Nu
mb
er
of
me
as
les
ca
se
s
Uganda
OthersNigeria
Niger
Madagascar
Liberia
Ethiopia
Equatorial Guinea
DR Congo
Chad
Cameroon
Notes: Based on data received 2019-04 - Data Source: IVB Database
DRC has experienced a nationwide epidemic that has affected all Provinces, however, only a small proportion of the measles cases in the IDSR aggregate
reporting system are reflected in the case based data. As of 27 May 2013, South Sudan has reassigned to the Africa region (AFR) from the Eastern
Mediterranean region (EMR). For data presentation and statistical purposes, South Sudan data is presented in AFR for all the years.2019-04-09
Measles cases: Central African Republic
0
100
2002017
-03
2017
-04
2017
-05
2017
-06
2017
-07
2017
-08
2017
-09
2017
-10
2017
-11
2017
-12
2018
-01
2018
-02
2018
-03
2018
-04
2018
-05
2018
-06
2018
-07
2018
-08
2018
-09
2018
-10
2018
-11
2018
-12
2019
-01
2019
-02
2019
-03
2019
-04
Discarded
ClinicalEpi
Lab Month of onset
Nu
mb
er
of
ca
se
s
0
10
20
30
40
50
60
<1 year 1-4 years 5-9 years 10-14 years 25-39 years 40+ years
0 doses 1 dose 2+ doses Unknown
Age at onset
Nu
mb
er
of
cases
Central African Republic age distribution, vaccination status, and incidence, 2018-03 to 2019-02
0
50
100
150
Incid
ence
ra
te p
er
1,0
00
,00
0
153.7
96.7
12.9 6.8 6 4.8 0
YearConfirmed
Cases2006 9
2007 54
2008 13
2009 11
2010 3
2011 671
2012 67
2013 370
2014 210
2015 175
2016 205
2017 74
2018 28
2019 16615-24 years
Measles cases: Cameroon
0
200
400
600
800
2017
-03
2017
-04
2017
-05
2017
-06
2017
-07
2017
-08
2017
-09
2017
-10
2017
-11
2017
-12
2018
-01
2018
-02
2018
-03
2018
-04
2018
-05
2018
-06
2018
-07
2018
-08
2018
-09
2018
-10
2018
-11
2018
-12
2019
-01
2019
-02
2019
-03
2019
-04
Discarded
ClinicalEpi
Lab Month of onset
Nu
mb
er
of
ca
se
s
0
200
400
600
800
1000
<1 year 1-4 years 5-9 years 10-14 years 25-39 years 40+ years
0 doses 1 dose 2+ doses Unknown
Age at onset
Nu
mb
er
of
cases
Cameroon age distribution, vaccination status, and incidence, 2018-03 to 2019-02
0
100
200
300
Incid
ence
ra
te p
er
1,0
00
,00
0
275.3304.8
85.6
30.4 10.1 7.4 2
YearConfirmed
Cases2006 192
2007 96
2008 494
2009 870
2010 228
2011 909
2012 616
2013 774
2014 765
2015 1999
2016 694
2017 712
2018 896
2019 113215-24 years
Measles cases: Chad
0
500
1000
1500
2017
-03
2017
-04
2017
-05
2017
-06
2017
-07
2017
-08
2017
-09
2017
-10
2017
-11
2017
-12
2018
-01
2018
-02
2018
-03
2018
-04
2018
-05
2018
-06
2018
-07
2018
-08
2018
-09
2018
-10
2018
-11
2018
-12
2019
-01
2019
-02
2019
-03
2019
-04
Discarded
ClinicalEpi
Lab Month of onset
Nu
mb
er
of
ca
se
s
0
500
1000
1500
2000
<1 year 1-4 years 5-9 years 10-14 years 25-39 years 40+ years
0 doses 1 dose 2+ doses Unknown
Age at onset
Nu
mb
er
of
cases
Chad age distribution, vaccination status, and incidence, 2018-03 to 2019-02
0
200
400
600
800
Incid
ence
ra
te p
er
1,0
00
,00
0
696.7780.7
312.7
176.8119 88.5
15.9
YearConfirmed
Cases2006 15
2007 65
2008 70
2009 632
2010 219
2011 156
2012 153
2013 217
2014 1251
2015 477
2016 169
2017 30
2018 1079
2019 286215-24 years
Measles cases: Democratic Republic of the Congo
0
500
1000
1500
2017
-03
2017
-04
2017
-05
2017
-06
2017
-07
2017
-08
2017
-09
2017
-10
2017
-11
2017
-12
2018
-01
2018
-02
2018
-03
2018
-04
2018
-05
2018
-06
2018
-07
2018
-08
2018
-09
2018
-10
2018
-11
2018
-12
2019
-01
2019
-02
2019
-03
2019
-04
Discarded
ClinicalEpi
Lab Month of onset
Nu
mb
er
of
ca
se
s
0
1000
2000
3000
4000
<1 year 1-4 years 5-9 years 10-14 years 25-39 years 40+ years
0 doses 1 dose 2+ doses Unknown
Age at onset
Nu
mb
er
of
cases
Democratic Republic of the Congo age distribution, vaccination status, and incidence, 2018-03 to 2019-02
0
100
200
300
Incid
ence
ra
te p
er
1,0
00
,00
0
281.9 301.1
111.2
21.6 9.8 4.7 0.9
YearConfirmed
Cases2006 1012
2007 539
2008 214
2009 83
2010 208
2011 1651
2012 2332
2013 2527
2014 1649
2015 6110
2016 5463
2017 3610
2018 5621
2019 1414
Due to surveillance gaps, case-based data is a poor representation of the current situation in DRC
15-24 years
Measles cases: Nigeria
0
1000
2000
3000
2017
-03
2017
-04
2017
-05
2017
-06
2017
-07
2017
-08
2017
-09
2017
-10
2017
-11
2017
-12
2018
-01
2018
-02
2018
-03
2018
-04
2018
-05
2018
-06
2018
-07
2018
-08
2018
-09
2018
-10
2018
-11
2018
-12
2019
-01
2019
-02
2019
-03
2019
-04
Discarded
ClinicalEpi
Lab Month of onset
Nu
mb
er
of
ca
se
s
National (9-59 M)
Cov: 107%
National (9-59 M)
Cov: 106%
0
1000
2000
3000
4000
<1 year 1-4 years 5-9 years 10-14 years 25-39 years 40+ years
0 doses 1 dose 2+ doses Unknown
Age at onset
Nu
mb
er
of
cases
Nigeria age distribution, vaccination status, and incidence, 2018-03 to 2019-02
0
50
100
150
Incid
ence
ra
te p
er
1,0
00
,00
0
165.3 157.1
66.3
21.55.1 2.5 1
YearConfirmed
Cases2006 1019
2007 3129
2008 10453
2009 1498
2010 9072
2011 19062
2012 6423
2013 55392
2014 6850
2015 15656
2016 16438
2017 11196
2018 7018
2019 3813
National SIA Sub-national SIA
15-24 years
Distribution of measles genotypes(last 12 months)
Notes: Data Source: MeaNS database (Genotypes) and IVB Database (Incidence) as of 2019-04-09 and covering the period 2018-03-01 to 2019-02-28 - Pie charts proportional to the number of sequenced viruses
Réunion du Groupe Régional Santé
Dakar, le 28 mars 201923 |
Cas particulier : DRC
Réunion du Groupe Régional Santé
Dakar, le 28 mars 201924 |
Cas particulier : DRC
Réunion du Groupe Régional Santé
Dakar, le 28 mars 201925 |
Cas particulier : DRC (Réponse)
26 |Réunion du Groupe Régional Santé
Dakar, le 28 mars 2019
Relevé épidémiologique hebdomadaire(WER No 48, 30 Nov 2018, 93, p.649-660)
27 |Réunion du Groupe Régional Santé
Dakar, le 28 mars 2019
Mise à jour hebdomadaire sur les épidémies
et autres situations d'urgenceOutbreaks and other emergencies updates :
http://www.afro.who.int/en/clusters-a-programmes/whe/outbreaks-and-other-emergencies-updates.html
28 |
Nous vous remercions pour votre attention