Measles Surveillance Data

NPSP assisted Measles

Surveillance & IDSP
NPSP assisted Measles Surveillance

2006 (Surveillance initiated)

2007 (Surveillance initiated)
2009 (Surveillance initiated)
2010 (Surveillance initiated)
 Clinical measles cases through routine weekly
reporting
2007 2008 2009 2010*

16478 cases 24258 cases 32921 cases 12257 cases

* data as on 15th May, 2010

 Serologically confirmed# measles, rubella and mixed outbreaks India
(Andhra Pradesh, Gujarat, Karnataka, Kerala, Rajasthan, Tamil Nadu and West Bengal)

2008 2009*

111 68
36 56
39 41

186 outbreaks 165 outbreaks

Measles outbreaks confirmed

Rubella outbreaks confirmed

Mixed outbreaks confirmed
* data as on 15th May, 2010 Outbreak confirmation for Measles: ≥ 1 cases IgM positive for measles, Similarly for Rubella
#
 Measles cases by age, 2009*

Andhra Pradesh Gujarat Karnataka

% % %

Total cases- 1089 Total cases- 464 Total cases- 1238

Kerala Rajasthan Tamil Nadu West Bengal

% % % %

Total cases- 236 Total cases- 293 Total cases- 301 Total cases- 3583
* data as on 15th May, 2010 Cases from serologically confirmed measles & mixed outbreaks
 Measles cases (1-4 years) by vaccination status, 2009*
Andhra Pradesh Gujarat Karnataka

N=340 N=183 N=599

Vaccinated Not Vaccinated Unknown

Kerala Rajasthan Tamil Nadu West Bengal

N=47 N=135 N=105 N=1172

* data as on 15th May, 2010 Cases from serologically confirmed measles & mixed outbreaks
 Summary
• India scenario:
– 90% of measles cases in low coverage states <10
years of age
– Low immunization coverage in many states
– No second opportunity

• Challenges for India

– Improve RI coverage
– Offer second opportunity
– Improve and expand surveillance