Table 3.

Countries with low endemic rates (<2 case/100,000 population per year)

Country	Year	Incidence/100,000 population	Predominant serogroup	Source	Comments
			African Region
		No country in this region is in the low rate category
			European Region
Austria	1999–2010	1.02–1.2	B, C	[23,24]
Bulgaria	2000–2010	0.11–1.1	*	[23,28]
Croatia	1997–2005	0.7–1.3	*	[28]
Cyprus	1997–2010	0.13–1.7	*	[23,28]
Czech Republic	1999–2010	0.57–1.0	B, C	[23,24]
Estonia	2001–2010	0.15–1.6	*	[23,28]
Finland	1999–2010	0.64–1.1	B	[23,24]
France		0.7–1.13	B, C
Germany		0.47–0.73	B, C
Hungary	2004–2010	0.3–0.4	*
Italy	1999–2010	0.25–0.55	B, C
Latvia	2004–2008	0.25–1.03	*
Poland	1999–2010	0.17–0.84	B
Serbia	2000	0.9	*	[28]
Slovakia	2004–2010	0.59–0.9	*	[23,24][23,24]
Slovenia	1999–2010	0.3–1.2	*
Sweden	2004–2010	0.5–0.7	B, C
			Eastern Mediterranean Region
		No country in this region is in the low rate category
			Region of the Americas
Argentina	2009	0.6	B	[31]
Canada	1985–2006	1.4 (pre-vaccine)	C	[32,33]	Vaccination in 2001–2 in all provinces
		0.4 (post-vaccine)
Chile	1998–2006	0.8	B	[19]
Columbia		0.3	Y
Mexico		0.1	C
USA	2000–2009	0.8 (pre-vaccine)	Equal B, C,Y	[34]	Routine vaccination program started in 2005
		0.3 (post-vaccine)
Venezuela		0.3	Y	[19]
			South-East Asia Region
Korea	2002–2008	<0.1		[35]
Thailand	2007–2008	<0.1		[36]	Higher in <5 year olds
			Western Pacific Region
China	2000 onward	<0.2	A, C	[37,38]
Japan	1999–2004	<0.02	*	[39]
Philippines	2004–2008	<0.1	A	[1]
Singapore	2005–2009	0.1–0.2		[36,40]	25/100,000 in Hajj pilgrims in 2000 [41]
Taiwan	2000–2001	0.1–0.2	A	[42]
		Eastern Mediterranean Region
		No country in this region is in the low rate category

*Data not available.