Measles elimination status Rubella elimination status
Total population 627 809
< 1 year old 7397
< 5 years old 36 589
Demographic information, 2018
Source: World Population Prospects: The 2019 Revision, New York, United Nations
Measles and rubella surveillance National case-based surveillance for measles, rubella and CRS
Lab confirmation for diagnosis of measles, rubella and CRS
Source: WHO/UNICEF Joint Reporting Form on immunization, 2018
Measles and rubella elimination country profile Montenegro
Measles and rubella immunization schedule, 2018
Source: WHO/UNICEF Joint Reporting Form on immunization, 2018
MMR = measles-mumps-rubella vaccine; MCV1 = first dose measles-containing vaccine;
MCV2 = second dose measles-containing vaccine; RCV = rubella-containing vaccine
Measles and rubella cases and immunization coverage, 2009–2018
Source: WHO/UNICEF Joint Reporting Form on immunization, 2018 and WHO/UNICEF Estimates of National Immunization Coverage (WUENIC), 2018
MCV1 = first dose of measles-containing vaccine MCV2= second dose of measles-containing vaccine
Definition used for an outbreak
Source: Measles and rubella elimination Annual Status Update report, 2018
There is no “classic” definition of a measles out- break in Montenegro as country is in the elimi- nation phase. Defining and outbreak is based on several parameters with the main one being num- ber of endogenous cases, burden of the healthcare services and other
2017 eliminated
2018 eliminated
Source:European Regional Verification Commission for Measles and Rubella Elimination (RVC) meeting report: http://www.euro.who.int/8thRVC
2017 eliminated
2018 eliminated
Source:European Regional Verification Commission for Measles and Rubella Elimination (RVC) meeting report: http://www.euro.who.int/8thRVC
Confirmed measles cases by month of onset, 2014-2018
Source: CISID, 2018
Vaccine Schedule MCV1 MMR 13 months MCV2 MMR 6 years
Year of introduction
MCV2 1994
RCV 1994
Measles vaccination in school Yes
0 10 20 30 40 50 60 70 80 90 100
0 50 100 150 200 250
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
% coverage
Number of cases
Year
Measles Rubella Coverage MCV1 Coverage MCV2
0 10 20 30 40 50 60 70
J F M A M J J A S O N D J F M A M J J A S O N D J F M A M J J A S O N D J F M A M J J A S O N D J F M A M J J A S O N D
2014 2015 2016 2017 2018
Number of cases
Month and year
Measles and rubella elimination country profile Montenegro
Information on CRS, 2018
No cases reported
Source: Measles and rubella elimination Annual Status Update report, 2018 CRS = congenital rubella syndrome
Measles cases by first subnational level, 2018
Source: Measles and rubella elimination Annual Status Update report, 2018
Measles genotypes by first subnational level, 2018
Source: MeaNS, 2018 Note: The dots in the maps are placed randomly within the administrative regions.
Map disclaimer: The boundaries and names shown and the designations used on 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. Dotted and dashed lines on maps represent approximate border lines for which there may not yet be full agreement.
Sources of infection, 2018
Measles Rubella
Imported 18 0
Import-related 9 0
Endemic 165 0
Unknown/ Not
reported 8 0
Source: Measles and rubella elimination Annual Status Update report, 2018
Measles cases by age group and vaccination status, 2018
Source: Measles and rubella elimination Annual Status Update report, 2018 Note: Excludes imported cases
Supplementary immunization activities
Year Target age Vaccine used % Coverage
2018 2-3Y MMR 12.8%
2018 3-4Y MMR 5%
2017 1-6Y MMR 88%
Source: Measles and rubella elimination Annual Status Update report, 2017-2018 MMR = measles-mumps-rubella vaccine
ND = Data not available
1dot=1case
•
B3•
D8•
H1•
D90 10 20 30 40 50 60 70 80 90 100
<1 1-4 5-9 10-14 15-19 20-29 30 +
% of cases
Age group (years)
0 doses 1 dose 2 or more doses Unknown
2
Suspected measles
cases
Confirmed measles cases Discarded as measlesnon-
Measles
incidence Genotypes detected Laboratory Epi- linked Clinically Total
2014 65 7 0 ND 7 60 6.5 ND
2015 19 13 2 0 15 4 16 ND
2016 3 0 0 0 0 3 0 NA
2017 6 0 0 0 0 6 0 NA
2018 275 180 4 16 200 75 292.4 ND
Measles incidence, epidemiologic and virologic
characteristics, 2014-2018 Measles surveillance and laboratory performance indicators, 2014-2018
Source: Measles and rubella elimination Annual Status Update report, 2014-2018 Incidence calculated per 1 million population
ND = Data not available; NA= Not applicable
Source: Measles and rubella elimination Annual Status Update report, 2014-2018 ND = Data not available; NA= Not applicable
A proficient laboratory is WHO accredited and/or has an established quality assurance programme with oversight by a WHO accredited laboratory
Rubella incidence, epidemiologic and virologic
characteristics, 2014-2018 Rubella surveillance and laboratory performance indicators, 2014-2018
Source: Measles and rubella elimination Annual Status Update report, 2014-2018 Incidence calculated per 1 million population
ND = Data not available; NA= Not applicable
Source: Measles and rubella elimination Annual Status Update report, 2014-2018 ND = Data not available; NA= Not applicable
A proficient laboratory is WHO accredited and/or has an established quality assurance programme with oversight by a WHO accredited laboratory
Surveillance performance indicators and targets
a. Rate of discarded cases: at least 2 discarded measles or rubella cases per 100 000 population b. % cases with adequate laboratory investigation: ≥ 80%
c. % origin of infection known: ≥ 80%
d. Rate of viral detection: ≥ 80%
Measles and rubella elimination country profile Montenegro
Discarded non- measles rate
% 1st sub- national unit
with ≥ 2 discarded cases
% cases with adequate laboratory investigation
% origin of infection
known
# specimen tested for measles
% positive for measles
Rate of viral detection
% WHO and proficient
labs
2014 0.8 19% 91.6% 100% 7 0% 0 ND
2015 9.5 9.5% 100% 100% 19 79% 0 0%
2016 4.8 30.4% 100% NA 30 0% NA 0%
2017 0 14.3% 100% NA 0 NA NA 0%
2018 12.1 56.5% 94.5% 96% 264 68.2% 100% 98.5%
Suspected rubella
cases
Confirmed rubella cases Discarded non-as rubella
Rubella
incidence Genotypes detected Laboratory Epi- linked Clinically Total
2014 7 0 0 0 0 7 0 NA
2015 8 0 0 0 0 8 0 NA
2016 0 0 0 0 0 0 0 NA
2017 6 0 0 0 0 6 0 NA
2018 19 0 0 0 0 19 0 NA
Discarded non- rubella rate
% 1st sub- national unit
with ≥ 2 discarded
cases
% cases with adequate laboratory investigtion
% origin of infection
known
# specimen tested for rubella
% positive for rubella Rate of viral
detection
% WHO and proficient
labs
2014 1.1 19% 100% NA 0 0% 0 ND
2015 1.3 14.3% 100% NA 8 0% 0 0%
2016 12.9 73.9% 100% NA 72 0% NA 0%
2017 0 19% 100% NA 0 NA NA 0%
2018 3.1 34.8% 100% NA 19 0% NA 100%
RVC comments, based on 2018 reporting
The RVC concluded that endemic transmission of both measles and rubella remained interrupted in Montenegro in 2018 and confirmed that measles- and rubella-elimination have been sustained. The RVC is concerned about the continuing low vaccination coverage, which has resulted in a dangerous accumulation of susceptible children and created a high risk for re-establishing transmission. The RVC encourages implementation of WHO strategies and recommendations to increase vaccination coverage and close existing immunity gaps. The RVC requests that the NVC work with its secretariat to ensure inclusion of genotyping data in future ASUs.
Source:European Regional Verification Commission for Measles and Rubella Elimination (RVC) meeting report: http://www.euro.who.int/8thRVC
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