Data as of 30 July

1. Measles and rubella monthly update for the
WHO European Region
Data as of 30 July 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 30 July 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, July 2018–June 2019
3
Top 10 countries
Country Cases
Ukraine 84394
Kazakhstan 9430
Georgia 4950
Israel 3982
Russian Federation 3494
Kyrgyzstan 2928
Turkey 2669
France 2368
North Macedonia 1885
Italy 1831

4. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 30 July 2019
Measles incidence per million population in the WHO European Region,
July 2018–June 2019
Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2017 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 1917.64
Georgia 1266.91
North Macedonia 904.05
Kazakhstan 512.39
Kyrgyzstan 477.42
Israel 471.08
Bosnia and
Herzegovina 377.62
Lithuania 264.56
Albania 215.04
Bulgaria 147.65

5. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 30 July 2019
1831
1885
2368
2669
2928
3494
3982
4950
9430
84394
0 10000 20000 30000 40000 50000 60000 70000 80000 90000
Italy
North Macedonia
France
Turkey
Kyrgyzstan
Russian Federation
Israel
Georgia
Kazakhstan
Ukraine
Number of cases
Ten countries with the highest numbers of measles cases in the WHO European
Region, July 2018–June 2019
Out of 130 281 measles cases reported for July 2018 to
June 2019, 117 931 (91%) 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 30 July 2019
Measles cases by month in the WHO European Region, 2017–June 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
2017
(n=25870)
2018
(n=84462)
2019
(n=89994)
Numberofcases
Month
Lab confirmed Epi linked Clinically compatible

7. Measles genotypes by week of sample collection in the WHO European Region,
week 27, 2016 to week 26, 2019
7Data source: WHO measles nucleotide surveillance online database (MeaNS) data as of 30 July 2019
0
20
40
60
80
100
120
140
160
180
27
28
29
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
3
4
5
6
7
8
9
10
11
12
13
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15
16
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18
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22
23
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25
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27
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29
30
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42
43
44
45
46
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49
50
51
52
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2
3
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5
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7
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9
10
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12
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16
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22
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52
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2
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8
9
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16
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18
19
20
21
22
23
24
25
26
2016 2017 2018 2019
Numberofsequencesreported
Week of sample collection
H1 D4 D9 B3 D8
2016 2017 2018 2019

8. Measles
Latest update for 2018
8

9. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 30 July 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
9
Top 10 countries
Country Cases
Ukraine 53218
Serbia 5076
Israel 3159
France 2913
Italy 2686
Russian Federation 2290
Georgia 2203
Greece 2193
Romania 2190
Albania 1466

10. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 30 July 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 2017 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.
10
Top 10 countries
Country Incidence
Ukraine 1209.25
Serbia 579.32
Georgia 563.84
Albania 499.60
Israel 373.72
Montenegro 322.62
Greece 196.82
Kyrgyzstan 180.01
Romania 111.85
Slovakia 104.96

11. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 30 July 2019
1466
2190
2193
2203
2290
2686
2913
3159
5076
53218
0 10000 20000 30000 40000 50000 60000
Albania
Romania
Greece
Georgia
Russian Federation
Italy
France
Israel
Serbia
Ukraine
Number of cases
Ten countries with the highest numbers of measles cases in the WHO European
Region, 2018
Out of 84 462 measles cases reported for 2018,
77 394 (92%) cases were reported by these 10 countries.
11

12. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 30 July 2019
Measles cases by month in the WHO European Region, 2016–2018
12
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=25870)
2018
(n=84462)
Numberofcases
Month
Lab confirmed Epi linked Clinically compatible

13. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 30 July 2019
Measles cases and incidence by age group and vaccination status in the WHO
European Region, 2018*
13
Population source: United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2017 Revision.
*Age was unknown for 7 cases.
631
331
238
186
166
115
29
0
100
200
300
400
500
600
700
0
2000
4000
6000
8000
10000
12000
14000
16000
18000
20000
<1
(n=6811)
1–4
(n=14923)
5–9
(n=13483)
10–14
(n=9902)
15–19
(n=8512)
20–29
(n=13565)
30+
(n=17259)
Incidencepermillionpopulation
Numberofcases
Age group (years)
0 dose 1 dose 2+ doses Unknown Incidence

14. 14
7884
30604
33254
26788
32857
18869
28413
5273
25870
84462
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
0
10000
20000
30000
40000
50000
60000
70000
80000
90000
%Coverage
Year
Numberofcases
Measles cases MCV1 coverage MCV2 coverage
Measles cases, MCV1 and MCV2 coverage by year in the WHO European Region,
2009–2018
Data source: 1) Measles cases – monthly aggregated and case-based data reported by Member States to WHO/Europe or via ECDC/TESSy as of 30 July 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

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 30 July 2019
24
24
35
55
182
372
0 50 100 150 200 250 300 350 400
Russian
Federation
Italy
Turkey
Germany
Ukraine
Poland
Number of cases
Six countries* with the highest numbers of rubella cases in the WHO European
Region, July 2018–June 2019
16
Out of 740 rubella cases reported for July 2018 to
June 2019, 692 (94%) cases were reported by these
6 countries.
*Six countries are shown this month rather than five because both Italy and the Russian Federation are reporting the same number of cases.

17. Data source: Monthly aggregated and case-based data reported by Member States to WHO/Europe directly or via ECDC/TESSy data as of 30 July 2019
Rubella cases by month in the WHO European Region, 2017–June 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
2017
(n=702)
2018
(n=852)
2019
(n=410)
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 30 July 2019
21
22
58
235
450
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 852 rubella cases reported for 2018, 786 (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 30 July 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=852)
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