WHO vaccine-preventable diseases: monitoring system. 2013 global summary

Last updated 20-Octl-2013 (data as of 16-Oct-2013)
Next overall update June 2014
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Development status: Developing GNI / capita (US$): 11'6301 Infant (under 12 months) mortality rate: 142
GDP / capita (US$): 11'9091 Child (under 5 years) mortality rate: 162

Population data in thousands3

  2012  2011  2010  2009  2008  2000  1990  1980 
Total population 198'656  196'935  195'210  193'491  191'766  174'505  149'648  121'740 
Births 3'009  3'023  3'044  3'078  3'127  3'642  3'616  3'896 
Surviving infants 2'949  2'961  2'979  3'009  3'055  3'532  3'445  3'620 
Pop. less than 5 years 14'563  14'711  15'198  15'557  16'022  17'468  17'714  17'037 
Pop. less than 15 years 48'693  49'165  49'763  50'151  50'525  51'647  52'803  46'318 
Female 15-49 years 54'631  54'302  53'894  53'552  53'178  48'476  38'866  30'210 

Number of reported case

(Click for retrospective incidence data for Brazil)
Diphtheria 32  85  46  640  4'646 
Japanese encephalitis
Measles 43  68  36  61'435  99'263 
Mumps
Pertussis 5'400  2'257  477  1'037  1'275  764  15'329  45'752 
Polio* 1'342 
Rubella 2'201  8'781 
Rubella (CRS) 14  30 
Tetanus (neonatal) 34  298 
Tetanus (total) 314  333  308  278  333  346  1'547  3'098 
Yellow fever 46  46  85  27 
* Polio refers to all polio cases (indigenous or imported), including polio cases caused by vaccine derived polio viruses (VDPV);"
"it does not include cases of vaccine-associated paralytic polio (VAPP) and cases of non polio acute flaccid paralysis [AFP]).

Percentage target population vaccinated by antigen

Hovering over an antigen reveals its fuller definition
  Most recent coverage survey4  

Official country estimates5

  (Click for retrospective coverage estimates data for Brazil)
Vaccine year result method % card seen                                                
BCG 1995  93  DHS   78.9  100  99*  99*  99*  99*  100  79  56 
DTP1 1995  95  DHS   78.9  100  99*  97  99*  99  100 
DTP3 1995  81  DHS   78.9  97  100  96  99*  98  98  66  37 
HepB_BD          99*  99*  100 
HepB3          97  98  94  100  96  94 
Hib3          97  100  96  99*  99  90 
JapEnc         
MCV 1995  87  DHS   78.9  100  99*  98  99*  99*  100  78  57 
MCV2          74  71  53  55  56  95 
PCV1          97  100 
PCV3          89  82 
Pol3 1995  81  DHS   78.9  100  99*  97  99*  100  100  58  69 
Rota1          99  97  93  94  94 
Rota_last          89  87  81  86  81 
Rubella1          99  99*  98  99  99 
TT2plus 1995  45  DHS   78.9  54  34  31  89  31  100 
PAB         
VAD1         
YFV          92  91  88  89  96  100 
  ° indicates that more than 1 survey occurred that year

  Next update: July 2014

WHO-UNICEF estimates6

  (Click for full retrospective WHO-UNICEF coverage estimates data for Brazil)
BCG 99  99  99  99  99  99  79  56 
DTP1 99  99  99  99  99  99  86  62 
DTP3 94  99  98  98  98  98  66  37 
HepB3 97  98  96  99  96  94 
Hib3 95  97  96  98  99  90 
MCV 99  99  99  99  99  99  78  57 
PAB 93  92  92  92  92  92  63 
PCV3 89  82  24 
Pol3 97  98  99  99  99  99  58  69 
Rota_last 86  87  83  86  81 
YFV 42  39  34  34  35  37 

Number of districts in the country 5'565  Proportion of
districts reporting
DTP3 coverage:
% of coverage reports received at national
level vs number of reports expected
100 
   
/
|
|
\
Greater or equal to 90% 66
From 80 to 89% 17
From 50 to 79% 16
Less than 50% 1
Proportion of districts
not reporting DTP3 coverage
0
 

Immunization Schedule (2012 or latest available)

Hovering over an antigen reveals its fuller definition
Vaccine Schedule Entire country Comment
BCG birth; Yes Children and at risk
CHOLERA >= 2 years (x2 doses); Yes Military
DT 2, 4, 6, 15 months; Yes risk groups
DTaP 2, 4, 6, 15 months; Yes special groups
DTwP 15 months; 4 years; Yes
DTwPHib 2, 4, 6 months; Yes
DTwPHibHep 2, 4, 6 months; Yes
HPV Yes From 2013
HepA 12, 18 months; Yes special groups
HepB birth; 1, 6 months; Yes and 3 doses between 20 and 29 years, and risk groups
Hib 2, 4, 6, 15 months; Yes Special groups
IPV 2, 4 months; Yes
Influenza 6, 7 months; Yes and risk groups and PW
MMR 12 months; 4 years; Yes
MenAC >= 2 years; Yes Special groups
MenC_conj 3, 5, 15 months; Yes '
OPV 2, 4, 6, 15 months; Yes
Pneumo_conj 2, 4, 6, 12 months; Yes
Pneumo_ps >2 years; Yes special groups
Rabies x5 doses; in case of an accident
Rotavirus 2, 4 months; Yes
Td >7 years (x3); 14 years; Yes
Tdap pregnant women; Yes From August 2013
Typhoid >=2 years (x2 doses); Yes Special groups
Varicella 12 months; Yes special groups and in routine from 2013
YF 9 months; 10 years; No where indicated

Immunizaton indicators

Indicator Expected answer 2012  2011  2010  2009  2008  2007  2006 

Planning and management

Multi-year plan (MYP) for immunization Yes/No/NR Yes  Yes  Yes  Yes  Yes  Yes  Yes 
What years does the MYP cover? number 2011-2015    2008-2011  2008-2011  2008-2011  4 anos 
Nº of districts with microplans that include activities to raise immunization coverage number 5'565      5'565  5'564  5'564  5'565 

National Immunization Advisory Mechanism

Does the country have a standing technical advisory group on immunization? Yes/No/NR Yes  Yes  Yes         

System performance

Total number of districts in country number 5'565  5'565  5'565  5'565  5'564  5'564  5'564 
Nº districts with DTP3 coverage >=80% number 4'616  4'950  4'951  5'140  4'901  4'934  5'272 
% of districts with DTP3 coverage >=80% From 0 to 100% 83  89  89  92  88  89  95 
Nº districts with measles (MCV1) coverage >=95% number 3'413  3'369  3'354  3'872  3'365     
% of districts with MCV1 coverage >=95% From 0 to 100% 61  61  60  70  60     

Safety

Monitoring of Adverse Events Following Immunization (AEFI)? Yes/No/NR Yes  Yes  Yes  Yes  Yes  Yes  Yes 
Does your country have a vaccine adverse events review committee? Yes/No/NR/ND Yes  Yes  Yes         

Finance

Percentage of routine vaccines funded by Government From 0 to 100% 100  100  100  100  100     

Maternal and neonatal tetanus (NT) elimination

NT eliminated Yes/No Yes  Yes  Yes  Yes  Yes  Yes  Yes 

Sources

Unless otherwise specified, data provided by Member States through WHO-UNICEF Joint Reporting Form and WHO Regional offices.
 1  "The 2013 World Bank Development Indicators Online", GDP per capita is PPP adjusted.
 2  World Health Statistics 2012, data for 2011
 3  "United Nations, Population Division. The World Population Prospects - the 2012 revision". New York, 2013.
 4  UNICEF/WHO survey database
 5  If no official estimate is available, the administrative coverage is reported. '*' indicates coverage over 99.5%.
 6  WHO-UNICEF estimates.