1. 1 Prevention and Control of Vaccine Preventable Disease in Myanmar Expanded Programme on Immunization Central Epidemiology Unit Department of Health Ministry of Health Phone: 95-67-420437, 95-67-421205

2. The Republic of the Union of Myanmar The major ethnic groups are Kachin, Kayah, Kayin, Chin, Mon, Bamar, Rakhine, Shan

3. 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

4. Health Care System in Myanmar

5. Organogram of Disease Control Unit, Department of Health Deputy Directors (Epidemiology) AD (CEU) (VPD/AEFI Surveillance) ADs (EPI) (EPI Manager) AD (Port Health) AD (Plague) Regional Epidemiologists SDCU Team Leaders Directors (States/ Regions Health Departments) TMO (Township Medical Officer) BHS from RHC/ SC

6. Population Vs Reporting Units (as of 2012) Total land area- 676,578 sq km 86 per sq km (16 - 688 per sq km) Source- State/Regional Health Departments States/ Regions Area sq km Population 2012 Population Density (per sq km.) No. of Reporting sites AYEYARWADY35137.478435786240254 BAGO EAST24200.003395686140110 BAGO WEST14904.752759487185103 CHIN36019.055804511678 KACHIN89042.3019627482287 KAYAH11705.663214472728 KAYIN30385.4918489596163 MAGWAY45102.775480736122216 MANDALAY14294.728865858620244 MON12296.19300172424483 RAKHINE36778.21341252993153 SAGAING94132.81638272368255 SHAN EAST37092.7810253982877 SHAN NORTH61268.2626575884375 SHAN SOUTH58483.50226986639124 TANINTHARYI17445.1316762829662 YANGON10171.317563377744163

7. 7 Integrated Weekly Reporting of AFP, NNT, Measles and ILI NHL

8. WHO support RSO Network 2010 2004-2009 NSC Office 17 RSOs Office (2004-2009)9 RSOs Office (2010)14 RSOs Office (2012) 2012 17 9 14

9. National immunization coverage, 1980-2011

10. DTP3 coverage and Diphtheria and Pertussis cases, 1980-2011

11. Measles1 coverage and measles cases, 1980-2011

12. TT2+ coverage1 and NT cases2, 1980-2011

13. AFP surveillance performance indicators, 2002-2011 Indicator2002200320042005200620072008200920102011 AFP cases306291271340410413511472414418 Wild polio00000110000 Compatibles0000080000 AFP rate1.901.611.471.842.132.102.552.332.02 Non-polio AFP rate 1 1.901.611.471.842.121.982.552.332.02 Adequate stool collection rate 2 88%95%92%95% 91%95%96%94%95% Total stool samples collected609578532680808811 1,01 6 942828834 % NPEV92016111611 714 % Timeliness of primary result reported 3 100 9189

14. 14 Recent History of Polio Cases in Myanmar 2007,2010,2012 2007 P1 WPV cases Rakhine = 11 Onset of last case = 31-5-2007 P1 VDPV cases Yangon = 1 Kayin = 1 Bago (East) = 1 Mon = 1 Onset of last case = 06-12-2007 2010 P2 VDPV case Mandalay Date of Onset = 06-12-2010 Source: CEU, DOH, Ministry of Health 2012 P1 VDPV case Northern Shan State Laukkaing Township Date of onset = 29-5-2012

15. Reported cases of vaccine preventable diseases, 2002-2011

16. VPD Surveillance Data, 2012 Myanmar-Thailand Bordering Area AFP MeaslesDiphtheriaNNT 1 Dot = 1 case

17. < 60% 60% - 79% 80% or above No data Routine EPI Coverage 2011 BCG DPT3OPV3HepB3

18. < 60% 60% - 79% 80% or above No data Routine EPI Coverage in bordering Townships 2011 BCG DPT3OPV3HepB3

19. Measles 1 < 60% 60% - 79% 80% or above No data Routine EPI Coverage 2011 Measles 2

20. Measles 1 < 60% 60% - 79% 80% or above No data Routine EPI Coverage in bordering Townships 2011 Measles 2

21. < 60% 60% - 79% 80% or above No data Routine EPI Coverage 2011 TT 2 TT 1

22. < 60% 60% - 79% 80% or above No data Routine EPI Coverage in bordering Townships 2011 TT 2TT 1

23. Myanmar-Thailand Border 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 Border Townships Tachileik Myawaddy Kawthaung Gate