Prevention and Control of Vaccine Preventable Disease in Myanmar

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Prevention and Control of Vaccine Preventable
Disease in Myanmar
Expanded Programme on Immunization Central
Epidemiology Unit Department of Health Ministry
of Health Phone [phone]
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The Republic of the Union of Myanmar

• The major ethnic groups are Kachin, Kayah, Kayin,
  Chin, Mon, Bamar, Rakhine, Shan

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Administratively in 2011

• The country is divided into
• (14) States and Regions
• 67 districts
• 330 townships
• 64 sub-townships
• 2891 wards
• 13698 village tracts
• 64817 villages

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Health Care System in Myanmar
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Organogram of Disease Control Unit, Department of
Health
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Population Vs Reporting Units (as of 2012)
Total land area- 676,578 sq km
States/Regions Areasq km Population2012 Population Density(per sq km.) No. of Reporting sites
AYEYARWADY 35137.47 8435786 240 254
BAGO EAST 24200.00 3395686 140 110
BAGO WEST 14904.75 2759487 185 103
CHIN 36019.05 580451 16 78
KACHIN 89042.30 1962748 22 87
KAYAH 11705.66 321447 27 28
KAYIN 30385.49 1848959 61 63
MAGWAY 45102.77 5480736 122 216
MANDALAY 14294.72 8865858 620 244
MON 12296.19 3001724 244 83
RAKHINE 36778.21 3412529 93 153
SAGAING 94132.81 6382723 68 255
SHAN EAST 37092.78 1025398 28 77
SHAN NORTH 61268.26 2657588 43 75
SHAN SOUTH 58483.50 2269866 39 124
TANINTHARYI 17445.13 1676282 96 62
YANGON 10171.31 7563377 744 163
86 per sq km (16 - 688 per sq km)
Source- State/Regional Health Departments
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Integrated Weekly Reporting of AFP, NNT, Measles
and ILI
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WHO support RSO Network
2004-2009
2010
2012
NSC Office 17 RSOs Office (2004-2009) 9 RSOs
Office (2010) 14 RSOs Office (2012)
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National immunization coverage, 1980-2011
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DTP3 coverage and Diphtheria and Pertussis
cases, 1980-2011
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Measles1 coverage and measles cases, 1980-2011
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TT2 coverage1 and NT cases2, 1980-2011
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AFP surveillance performance indicators,
2002-2011
Indicator 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
AFP cases 306 291 271 340 410 413 511 472 414 418
Wild polio 0 0 0 0 0 11 0 0 0 0
Compatibles 0 0 0 0 0 8 0 0 0 0
AFP rate 1.90 1.61 1.47 1.84 2.13 2.10 2.55 2.33 2.02 2.02
Non-polio AFP rate1 1.90 1.61 1.47 1.84 2.12 1.98 2.55 2.33 2.02 2.02
Adequate stool collection rate2 88 95 92 95 95 91 95 96 94 95
Total stool samples collected 609 578 532 680 808 811 1,016 942 828 834
NPEV 9 20 16 11 16 11 11 7 14 14
Timeliness of primary result reported3 100 100 100 100 100 100 100 100 91 89
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Recent History of Polio Cases in Myanmar
2007,2010,2012
2007
2010
2012
P2 VDPV case Mandalay Date of Onset 06-12-2010
P1 VDPV case Northern Shan State Laukkaing
Township Date of onset 29-5-2012
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Source CEU, DOH, Ministry of Health
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Reported cases of vaccine preventable diseases,
2002-2011
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VPD Surveillance Data, 2012 Myanmar-Thailand
Bordering Area
Measles
Diphtheria
NNT
AFP
1 Dot 1 case
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Routine EPI Coverage 2011
DPT3
OPV3
HepB3
BCG
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Routine EPI Coverage in bordering Townships 2011
BCG
DPT3
OPV3
HepB3
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Routine EPI Coverage 2011
Measles 1
Measles 2
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Routine EPI Coverage in bordering Townships 2011
Measles 1
Measles 2
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Routine EPI Coverage 2011
TT 2
TT 1
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Routine EPI Coverage in bordering Townships 2011
TT 2
TT 1
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Myanmar-Thailand Border
Border Townships
Shan East State 1. Tachileik 2. Mongsat 3.
Mongton 4. Mongpan Kayah State 5. Shadaw 6.
Mae-Sei Kayin State 7. Hpar-Pon 8. Hlaingbwe
9. Myawaddy 10. Kyar-Inn Seik Kyi Mon State 11.
Ye Tanintharyi Division 12. Yebyu 13. Dawei 14.
Tanintharyi 15. Bokepyin 16. Kaw Thaung
Tachileik
Myawaddy
Kawthaung
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THANK YOU