TABLE. 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 cases and deaths,* by World Health Organization (WHO) region — worldwide, 2000 and 2018.
| WHO region/ Year (no. of countries in region) | % MCV1† coverage | % countries with ≥90% MCV1 coverage | % MCV2† coverage | % of reporting countries with <5 measles cases per 1 million | No. of reported measles cases§ | Measles incidence per 1 million§,¶ | Estimated no. of measles cases (95% CI) | Estimated no. of measles deaths (95% CI) | Estimated % measles mortality reduction, 2000–2018 | Cumulative no. of measles deaths averted by vaccination, 2000–2018 |
|---|---|---|---|---|---|---|---|---|---|---|
|
African
| ||||||||||
| 2000 (46) |
53 |
9 |
5 |
8 |
520,102 |
836 |
10,723,800 (7,718,000–17,119,100) |
345,600 (236,300–562,100) |
85 |
12,146,900 |
| 2018 (47) |
74 |
30 |
26 |
47 |
125,426 |
118 |
1,759,000 (1,141,200–6,002,100) |
52,600 (32,000–173,400) |
||
|
Americas
| ||||||||||
| 2000 (35) |
93 |
63 |
65 |
89 |
1,754 |
2 |
8,770 (4,400–35,100) |
NA** |
NA |
97,100 |
| 2018 (35) |
90 |
57 |
82 |
91 |
16,327 |
24 |
83,500 (41,800–334,200) |
NA |
||
|
Eastern Mediterranean
| ||||||||||
| 2000 (21) |
71 |
57 |
28 |
17 |
38,592 |
90 |
2,427,900 (1,503,800–3,892,900) |
37,900 (21,700–64,000) |
−29 |
2,820,600 |
| 2018 (21) |
82 |
57 |
74 |
35 |
64,722 |
93 |
2,852,700 (2,293,700–4,265,200) |
49,000 (36,700–72,500) |
||
|
European
| ||||||||||
| 2000 (52) |
91 |
62 |
48 |
45 |
37,421 |
50 |
860,176 (227,200–6,668,300) |
400 (100–2,200) |
50 |
95,600 |
| 2018 (53) |
95 |
89 |
91 |
34 |
82,523 |
98 |
861,800 (71,100–6,480,300) |
200 (0–1,800) |
||
|
South-East Asia
| ||||||||||
| 2000 (10) |
63 |
30 |
3 |
0 |
78,558 |
51 |
11,411,900 (8,764,600–15,572,100) |
141,700 (100,100–199,600) |
72 |
6,825,400 |
| 2018 (11) |
89 |
82 |
80 |
36 |
34,741 |
18 |
3,803,800 (2,856,700–6,702,900) |
39,100 (24,800–76,000) |
||
|
Western Pacific
| ||||||||||
| 2000 (27) |
85 |
48 |
2 |
30 |
177,052 |
105 |
2,786,500 (1,923,900–22,167,600) |
10,000 (5,200–74,200) |
87 |
1,213,200 |
| 2018 (27) |
95 |
59 |
91 |
77 |
29,497 |
15 |
408,400 (42,500–16,753,800) |
1,300 (100–2,786,500) |
||
|
Total
| ||||||||||
|
2000 (191)
|
72
|
45
|
18
|
38
|
853,479
|
145
|
28,219,100 (20,141,900–65,455,000)
|
535,600 (363,400–901,700)
|
73 | 23,198,800 |
| 2018 (194) | 86 | 61 | 69 | 54 | 353,236 | 49 | 9,769,400 (6,446,900–40,538,500) | 142,300 (93,600–387,900) | ||
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 new WHO/UINICEF estimates of national immunization coverage (WUENIC) data, as well as updated surveillance data, adjusted results for each year, including the baseline year, are also produced and updated.
† Coverage data: WUENIC. Geneva, Switzerland: World Health Organization; 2019. https://www.who.int/immunization/monitoring_surveillance/data/en.
§ Reported measles cases (2018) from World Health Organization. Geneva, Switzerland: World Health Organization; 2019. https://apps.who.int/immunization_monitoring/globalsummary/timeseries/tsincidencemeasles.html.
¶ Cases per 1 million population; population data from United Nations, Department of Economic and Social Affairs, Population Division, 2019. Any country not reporting data on measles cases for that year was removed from both the numerator and denominator.
** Estimated measles mortality was too low to allow reliable measurement of mortality reduction.