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Measles and rubella elimination country profile Azerbaijan

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Measles elimination status Rubella elimination status

Total population 9 949 537

< 1 year old 163 702

< 5 years old 872 452

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 Azerbaijan

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

2 or more cases of same disease in a particular territory or group of people (family, school, etc.)

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 and communication with the country

Vaccine Schedule MCV1 MMR 12 months

MCV2 MMR 6 years

Year of introduction

MCV2 2001

RCV 2003

Measles vaccination in school No

0 10 20 30 40 50 60 70 80 90 100

0 20 40 60 80 100 120 140 160 180

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

% coverage

Number of cases

Year

Measles Rubella Coverage MCV1 Coverage MCV2

0 5 10 15 20 25 30 35 40 45 50

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

(2)

Measles and rubella elimination country profile Azerbaijan

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 1 0

Import-related 54 0

Endemic 0 0

Unknown/ Not

reported 0 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

0 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

B3

D8

H1

D9

1 точка = 1 случай

2

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Suspected measles

cases

Confirmed measles cases Discarded as measlesnon-

Measles

incidence Genotypes detected Laboratory Epi- linked Clinically Total

2014 75 0 0 0 0 75 0 ND

2015 111 0 0 0 0 111 0 ND

2016 111 0 0 0 0 111 0 ND

2017 88 0 0 0 0 88 0 ND

2018 188 55 0 0 55 133 5.5 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 Azerbaijan

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 1.0 38% 100% 0% 99 0% 0 ND

2015 1.2 45.3% 100% 0% 111 0% 0 100%

2016 1.1 54.7% 100% 0% 175 0% 0 100%

2017 59.4% ND 90% 100% 88 0% 0 100%

2018 1.3 6.3% 100% 100% 282 19.5% ND 100%

Suspected rubella

cases

Confirmed rubella cases Discarded non-as rubella

Rubella

incidence Genotypes detected Laboratory Epi- linked Clinically Total

2014 31 0 0 0 0 31 0 NA

2015 43 0 0 0 0 43 0 NA

2016 64 0 0 0 0 64 0 NA

2017 53 0 0 0 0 53 0 NA

2018 69 0 0 0 0 69 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 0.4 20.3% 100% 0% 35 0% 0 ND

2015 0.4 31.3% 100% 0% 43 0% 0 100%

2016 0.1 34.4% 100% 0% 202 0% 0 100%

2017 0.5 42.2% 100% 100% 53 0% 0 100%

2018 0.7 100% 100% NA 282 0% NA 100%

RVC comments, based on 2018 reporting

The RVC concluded that endemic transmission of both measles and rubella remained interrupted in Azerbaijan in 2018 and confirmed that measles- and rubella-elimination have been sustained. The RVC is aware that attempts have been made to genotype positive samples. If such data becomes available, the RVC urges the NVC and its secretariat to report genotyping data for better documentation of the elimination status in future ASUs.

Source:European Regional Verification Commission for Measles and Rubella Elimination (RVC) meeting report: http://www.euro.who.int/8thRVC

© World Health Organization 2020. Some rights reserved.

This work is available under the CC BY-NC-SA 3.0 IGO license.

Document number: WHO/EURO:2020-1376-41126-55906

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