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2014 -01 2014 -02 2014 -03 2014 -04 2014 -05 2014 -06 2014 -07

2014 -01 2014 -02 2014 -03 2014 -04 2014 -05 2014 -06 2014 -07 2014 -08 2014 -09 2014 -10 2014 -11 2014 -12 2015 -01 2015 -02 2015 -03 2015 -04 2015 -05 2015 -06 2015 -07 2015 -08 2015 -09 2015 -10 2015 -11 2015 -12 2016 -01 2016 -02 2016 -03 2016 -04 2016 -05 2016 -06 2016 -07 2016 -08 2016 -09 2016 -10 2016 -11 2016 -12 2017 -01 2017 -02 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 Measles cases (Lab+Epi+Clinical) Կարմրուկի դեպքերն ըստ ամիսների և ԱՀԿ տարածաշրջանների (2014 -2018) 40000 35000 WPR SEAR EUR EMR AFR 30000 25000 20000 15000 10000 5000 0 Month of onset Notes: Based on data received 2018 -09 - Data Source: IVB Database - This is surveillance data, hence for the last month(s), the data may be incomplete.

Կարմրուկով հիվանդացությունը (1մլն-ի հաշվով , 12 ամիս ) Top 10** Country Cases Rate India

Կարմրուկով հիվանդացությունը (1մլն-ի հաշվով , 12 ամիս ) Top 10** Country Cases Rate India 61567 46. 49 Ukraine 30343 682. 81 Philippines 12654 122. 47 Nigeria 8529 45. 86 Yemen 6574 238. 32 Serbia 5694 645. 57 China 4377 3. 12 Indonesia 4097 15. 69 DR Congo 3346 42. 50 Greece 3217 287. 65 Other countries with high incidence rates*** Country Cases Rate Georgia 1220 310. 80 Lebanon 764 127. 19 Liberia 434 94. 07 Malaysia 2580 82. 73 Romania 1539 77. 81 Measles cases from countries with known discrepancies between case-based and aggregate surveillance, as reported by country Country DR Congo Somalia Year 2017 2018 Cases 45, 165 23, 979 23, 353 7295 Data Source SITUATION EPIDEMIOLOGIQUE DE LA ROUGEOLE EN RDC, Week of 11/09/2018 Somali EPI/POL Weekly Update Week 36, 2018 Notes: Based on data received 2018 -09 and covering the period between 2017 -08 and 2018 -07 - 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)

2014 -01 2014 -02 2014 -03 2014 -04 2014 -05 2014 -06 2014 -07

2014 -01 2014 -02 2014 -03 2014 -04 2014 -05 2014 -06 2014 -07 2014 -08 2014 -09 2014 -10 2014 -11 2014 -12 2015 -01 2015 -02 2015 -03 2015 -04 2015 -05 2015 -06 2015 -07 2015 -08 2015 -09 2015 -10 2015 -11 2015 -12 2016 -01 2016 -02 2016 -03 2016 -04 2016 -05 2016 -06 2016 -07 2016 -08 2016 -09 2016 -10 2016 -11 2016 -12 2017 -01 2017 -02 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 Number of measles cases Կարմրուկի դեպքերը Եվրոպական տարածաշրջանում , 2014 -2018 9000 8000 7000 Ukraine Serbia Russian Federation Romania Others Kyrgyzstan Month of onset Notes: Based on data received 2018 -09 - Data Source: IVB Database Italy Germany Georgia France Bosnia and Herzegovina 6000 5000 4000 3000 2000 1000 0

Կարմրուկի դեպքերը՝ Ուկրաինա Number of cases 6000 4000 2018 -09 2018 -08 2018 -07

Կարմրուկի դեպքերը՝ Ուկրաինա Number of cases 6000 4000 2018 -09 2018 -08 2018 -07 2018 -06 Year 4000 3627. 3 2695. 1 4000 3000 2466 1899. 4 2000 699. 8 477 238. 1 0 <1 year 1 -4 years 5 -9 years 10 -14 years 15 -19 years 20 -29 years Age at onset 0 doses 1 dose 2+ doses Unknown 30+ years 1000 0 Incidence rate per 1, 000 Number of cases 2018 -05 Month of onset Ukraine age distribution, vaccination status, and incidence, 2017 -08 to 2018 -07 6000 2018 -04 2018 -03 2018 -02 2018 -01 2017 -12 2017 -11 2017 -10 2017 -09 2017 -08 2017 -07 2017 -06 2017 -05 2017 -04 2017 -03 2017 -02 2017 -01 2016 -12 2016 -11 2016 -10 2016 -09 Discarded Clinical Epi Lab 2016 -08 0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Confirmed Cases 945 232 41 24 42 1313 12744 3308 2326 141 90 4782 26947

Number of cases Կարմրուկի դեպքերը՝ Սերբիա 1500 1000 500 2018 -09 2018 -08 2018

Number of cases Կարմրուկի դեպքերը՝ Սերբիա 1500 1000 500 2018 -09 2018 -08 2018 -07 2018 -06 2018 -05 Month of onset 5167. 8 2000 2325. 2 515. 5 319. 7 232. 6 444. 8 650. 2 5 -9 years 10 -14 years 15 -19 years 20 -29 years 30+ years 0 <1 year 1 -4 years Age at onset 0 doses 1 dose 2+ doses Unknown 6000 5000 4000 3000 2000 1000 0 Incidence rate per 1, 000 Year Serbia age distribution, vaccination status, and incidence, 2017 -08 to 2018 -07 Number of cases 2018 -04 2018 -03 2018 -02 2018 -01 2017 -12 2017 -11 2017 -10 2017 -09 2017 -08 2017 -07 2017 -06 2017 -05 2017 -04 2017 -03 2017 -02 2017 -01 2016 -12 2016 -11 2016 -10 2016 -09 Discarded Clinical Epi Lab 2016 -08 0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Confirmed Cases 0 147 2 1 8 358 0 1 35 368 14 702 5003

Կարմրուկի դեպքերը՝ Ղըրղզստան Number of cases 150 100 50 2018 -09 2018 -08 2018

Կարմրուկի դեպքերը՝ Ղըրղզստան Number of cases 150 100 50 2018 -09 2018 -08 2018 -07 2018 -06 Year 991. 3 100 50 230. 5 23. 3 14. 5 23. 9 10. 1 7. 5 5 -9 years 10 -14 years 15 -24 years 25 -39 years 40+ years 0 <1 year 1 -4 years Age at onset 0 doses 1 dose 2+ doses Unknown 1000 800 600 400 200 0 Incidence rate per 1, 000 Number of cases 2018 -05 Month of onset Kyrgyzstan age distribution, vaccination status, and incidence, 2017 -08 to 2018 -07 150 2018 -04 2018 -03 2018 -02 2018 -01 2017 -12 2017 -11 2017 -10 2017 -09 2017 -08 2017 -07 2017 -06 2017 -05 2017 -04 2017 -03 2017 -02 2017 -01 2016 -12 2016 -11 2016 -10 2016 -09 Discarded Clinical Epi Lab 2016 -08 0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Confirmed Cases 26 2 16 0 1 210 0 0 318 17779 0 5 364

Number of cases Կարմրուկի դեպքերը՝ Ֆրանսիա 800 600 400 2018 -09 2018 -08 2018

Number of cases Կարմրուկի դեպքերը՝ Ֆրանսիա 800 600 400 2018 -09 2018 -08 2018 -07 2018 -06 Year 312. 9 300 200 177 400 79. 8 200 83 70. 9 51. 5 0 <1 year 1 -4 years 5 -9 years 10 -14 years 15 -24 years 25 -39 years Age at onset 0 doses 1 dose 2+ doses Unknown 100 5 40+ years 0 Incidence rate per 1, 000 Number of cases 2018 -05 Month of onset France age distribution, vaccination status, and incidence, 2017 -08 to 2018 -07 600 2018 -04 2018 -03 2018 -02 2018 -01 2017 -12 2017 -11 2017 -10 2017 -09 2017 -08 2017 -07 2017 -06 2017 -05 2017 -04 2017 -03 2017 -02 2017 -01 2016 -12 2016 -11 2016 -10 2016 -09 Discarded Clinical Epi Lab 2016 -08 0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Confirmed Cases 16 40 606 1541 5019 15214 859 272 267 373 79 519 2672

Number of cases Կարմրուկի դեպքերը՝ Վրաստան 300 200 100 2018 -09 2018 -08 2018

Number of cases Կարմրուկի դեպքերը՝ Վրաստան 300 200 100 2018 -09 2018 -08 2018 -07 2018 -06 Year 2494. 2 300 200 812. 9 590. 1 477 100 380. 8 435. 7 15 -24 years 25 -39 years 0 <1 year 1 -4 years 5 -9 years 10 -14 years Age at onset 0 doses 1 dose 2+ doses Unknown 45. 2 40+ years 2500 2000 1500 1000 500 0 Incidence rate per 1, 000 Number of cases 2018 -05 Month of onset Georgia age distribution, vaccination status, and incidence, 2017 -08 to 2018 -07 400 2018 -04 2018 -03 2018 -02 2018 -01 2017 -12 2017 -11 2017 -10 2017 -09 2017 -08 2017 -07 2017 -06 2017 -05 2017 -04 2017 -03 2017 -02 2017 -01 2016 -12 2016 -11 2016 -10 2016 -09 Discarded Clinical Epi Lab 2016 -08 0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Confirmed Cases 8 2 55 23 22 64 30 7868 3190 430 14 96 1128

Կարմրուկի դեպքերը՝ Հունաստան Number of cases 600 500 400 300 200 100 2018 -09

Կարմրուկի դեպքերը՝ Հունաստան Number of cases 600 500 400 300 200 100 2018 -09 2018 -08 2018 -07 2018 -06 Year 3873. 3 4000 3000 600 1865. 4 400 2000 1075. 8 200 604. 6 235 51. 4 15 -24 years 25 -39 years 40+ years 0 <1 year 1 -4 years 5 -9 years 10 -14 years Age at onset 0 doses 1 dose 1000 286. 8 2+ doses Unknown 0 Incidence rate per 1, 000 Number of cases 800 2018 -05 Month of onset Greece age distribution, vaccination status, and incidence, 2017 -08 to 2018 -07 1000 2018 -04 2018 -03 2018 -02 2018 -01 2017 -12 2017 -11 2017 -10 2017 -09 2017 -08 2017 -07 2017 -06 2017 -05 2017 -04 2017 -03 2017 -02 2017 -01 2016 -12 2016 -11 2016 -10 2016 -09 Discarded Clinical Epi Lab 2016 -08 0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Confirmed Cases 215 1 1 2 149 40 3 2 1 1 0 1067 2168

Կարմրուկի գենոտիպերի տարածվածությունը (անցած 12 ամիս ) Notes: Data Source: Mea. NS database (Genotypes)

Կարմրուկի գենոտիպերի տարածվածությունը (անցած 12 ամիս ) Notes: Data Source: Mea. NS database (Genotypes) and IVB Database (Incidence) as of 2018 -09 -12 and covering the period 2017 -08 -01 to 2018 -07 -31 - Pie charts proportional to the number of sequenced viruses

National MR Supplementary Immunization Campaign, 1 -13 October, 2007 Measles Outbreak , 2004 -2005

National MR Supplementary Immunization Campaign, 1 -13 October, 2007 Measles Outbreak , 2004 -2005 National MR campaign 6 -29 years 6 -29 years 15