TABLE 1. Estimates of coverage with the first and second doses of measles-containing vaccine administered through routine immunization services, reported measles cases and incidence, and estimated measles deaths,* by World Health Organization (WHO) region — worldwide, 2000 and 2016.
| WHO region (no. countries in region)/Year | % Coverage with MCV1† | % Countries with ≥90% MCV1 coverage | % Coverage with MCV2† | % Countries with incidence <5/million | No. reported measles cases§ | Measles incidence§,¶ | Estimated no. of measles deaths (95% CI) | % Estimated mortality reduction, 2000–2016 |
|---|---|---|---|---|---|---|---|---|
|
African (47)
| ||||||||
| 2000 |
53 |
9 |
5 |
8 |
520,102 |
835 |
340,800 (232,000–554,000) |
89 |
| 2016 |
72 |
36 |
24 |
51 |
36,269 |
36 |
37,500 (11,900–124,200) |
|
|
Americas (35)
| ||||||||
| 2000 |
93 |
63 |
43 |
89 |
1,754 |
2.1 |
NA |
—
|
| 2016 |
92 |
74 |
54 |
100 |
12 |
0.02 |
NA |
|
|
Eastern Mediterranean (21)
| ||||||||
| 2000 |
72 |
57 |
29 |
17 |
38,592 |
90 |
55,300 (35,000–87,700) |
79 |
| 2016 |
77 |
57 |
69 |
47 |
6,264 |
10 |
11,400 (5,700–28,300) |
|
|
European (53)
| ||||||||
| 2000 |
91 |
60 |
48 |
45 |
37,421 |
50 |
400 (130–2,000) |
80 |
| 2016 |
93 |
83 |
88 |
85 |
4,175 |
5 |
80 (0–1,400) |
|
|
South-East Asia (11)
| ||||||||
| 2000 |
63 |
30 |
3 |
0 |
78,558 |
51 |
143,000 (101,500–199,900) |
73 |
| 2016 |
87 |
64 |
75 |
27 |
27,530 |
14 |
39,000 (27,600–69,700) |
|
|
Western Pacific (27)
| ||||||||
| 2000 |
85 |
48 |
2 |
30 |
177,052 |
105 |
10,600 (5,200–52,400) |
83 |
| 2016 |
96 |
63 |
93 |
67 |
57,879 |
31 |
1,800 (500–46,000) |
|
|
Total (194)
| ||||||||
| 2000 |
72 |
44 |
15 |
38 |
853,479 |
145 |
550,100 (374,000–896,500) |
84 |
| 2016 | 85 | 63 | 64 | 69 | 132,137 | 19 | 89,780 (45,700–269,600) | |
Abbreviations: CI = confidence interval; MCV1 = first dose of measles-containing vaccine; MCV2 = second dose of measles-containing vaccine; NA = not applicable; UNICEF = United Nations Children’s Fund.
* Mortality estimates for 2000 might be different from previous reports. When the model used to generate estimated measles deaths is rerun each year using the new WHO/UNICEF Estimates of National Immunization Coverage data, as well as updated surveillance data, adjusted results for each year, including the baseline year, are also produced and updated.
† Coverage data: WHO/UNICEF Estimates of National Immunization Coverage, July 15, 2017 update. http://www.who.int/immunization/monitoring_surveillance/data/en.
§ Reported case data: measles cases (2016) from World Health Organization, as of July 15, 2017 (http://apps.who.int/immunization_monitoring/globalsummary/timeseries/tsincidencemeasles.html). Reported cases are a sizeable underestimate of the actual number of cases, accounting for the inconsistency between reported cases and estimated deaths.
¶ Cases per 1 million population; population data from United Nations, Department of Economic and Social Affairs, Population Division, 2016. Any country not reporting data on measles cases for that year was removed from both the numerator and denominator.