WHO vaccine-preventable diseases: monitoring system. 2016 global summary

Last updated 27-May-2016 (Data received as of 20-May-2016)
Next overall update Fall 2016
2015 data are provisionary
EPI mother and child logo         
Select a country

Development status: Developing GNI / capita (US$): 1 Infant (under 12 months) mortality rate: 72
GDP / capita (US$): 1 Child (under 5 years) mortality rate: 82

Population data in thousands3

  2015  2014  2013  2012  2011  2000  1990  1980 
Total population 21  21  21  21  20  18  18  18 
Surviving infants
Pop. less than 5 years
Pop. less than 15 years
Female 15-49 years

Number of reported cases

(Click for retrospective incidence data for Cook Islands)
Diphtheria
ChartChart
 
Japanese encephalitis
ChartChart
 
Measles
ChartChart
  36  363 
Mumps
ChartChart
 
Pertussis
ChartChart
 
Polio*
ChartChart
 
Rubella
ChartChart
 
Rubella (CRS)
ChartChart
 
Tetanus (neonatal)
ChartChart
 
Tetanus (total)**
ChartChart
 
Yellow fever
ChartChart
 
* Polio refers to all polio cases (indigenous or imported), including polio cases caused by vaccine derived polio viruses (VDPV). For desagregated data please click on this hyperlink: https://extranet.who.int/polis/public/CaseCount.aspx
it does not include cases of vaccine-associated paralytic polio (VAPP) and cases of non polio acute flaccid paralysis [AFP]).
** Neonatal Tetanus and Total Tetanus cases equality may be the result from a lack of non-Neonatal Tetanus surveillance system.

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 Cook Islands)
Vaccine year result method % card seen                                                
BCG          99  99*  98  98  98  99*  99*  29 
DTP1          99  99*  98  98  98  99 
DTP3          99  99*  98  98  93  92  93  40 
DTP4          95  97 
IPV1          99 
HepB_BD          99  99*  98  97  97  76 
HepB3          99  99*  98  98  93  98  71 
Hib3          99  99*  98  98  93 
JapEnc         
MCV1          99  98  97  97  89  76  67 
MCV2          95  98  95  98  96  70 
PCV1         
PCV3         
Pol3          99  99*  98  98  93  92  83  39 
Rota1         
RotaC         
Rubella1          99  98  97  97  89 
TT2plus          15  34 
PAB         
VAD1         
YFV         
° indicates that more than 1 survey occurred that year.  * indicates the country reported above 100% coverage.

  Next update: Mid July 2016

WHO-UNICEF estimates6

  (Click for full retrospective WHO-UNICEF coverage estimates data for Cook Islands)
BCG
ChartChart
  99  98  98  98  99  99  29 
DTP1
ChartChart
  99  98  98  98  99  97  65 
DTP3
ChartChart
  99  98  98  93  92  93  40 
HepB3
ChartChart
  99  98  98  93  98  71 
HepB_BD
ChartChart
  99  98  97  97  76 
Hib3
ChartChart
  99  98  98  93 
MCV1
ChartChart
  98  97  97  89  76  67 
MCV2
ChartChart
  98  95  98  96  70 
PCV3
ChartChart
 
Pol3
ChartChart
  99  98  98  93  92  83  39 
RotaC
ChartChart
 

Number of districts in the country 13  Proportion of
districts reporting
DTP3 coverage:
% of coverage reports received at national
level vs number of reports expected
100 
   
/
|
|
\
Greater or equal to 90%
From 80 to 89%
From 50 to 79%
Less than 50%
Proportion of districts
not reporting DTP3 coverage
100
DTP3 reported coverageDTP3 reported coverage

Immunization Schedule (2015 or latest available)

Hovering over an antigen reveals its fuller definition
Vaccine Schedule Entire country Comment
BCG birth; Yes
DTwP 4 years; Yes
DTwPHibHepB 6 weeks; 3, 5 months; Yes
HPV 9 years; Yes
HepB_Pediatric birth; Yes
IPV 5 months; Yes
MMR 15 months; 4 years; Yes
OPV 6 weeks; 3, 5 months; 4 years; Yes
TT 11 years; Yes

Immunizaton indicators

Indicator Expected answer 2015  2014  2013  2012  2011  2010  2009 

Planning and management

Has the country a Multi-Year Plan (MYP) for immunization? Yes/No/NR No  No  No  Yes  Yes  Yes  Yes 
What years does the MYP cover? number       2010-2011  2009 - 2012  2009-2010  1'985 
Nº of districts with microplans that include activities to raise immunization coverage number   38  39    39  41 

System performance

Total Nº districts in country number 13  13  13  38  39  41 
Nº districts with DTP3 coverage >=80% number   13  13  28  39   
% of districts with DTP3 coverage >=80% From 0 to 100%   100  100  74  100  100   
Nº districts with measles (MCV1) coverage >=95% number   13  13     
% of districts with MCV1 coverage >=95% From 0 to 100%   100  100  100     

Safety

Has the country a vaccine adverse events review committee? Yes/No/NR/ND Yes  Yes  Yes  Yes  Yes     
Is there a national system to monitor adverse events following immunization (AEFI)? Yes/No/NR Yes  Yes  Yes  Yes  Yes  Yes  Yes 

Finance

Immunization expenditure financed, using Government funds? From 0 to 100%         80  100  100 

National Immunization Advisory Mechanism

Has the country a standing technical advisory group on immunization (NITAG)? Yes/No/NR No  No  No  No  Yes     

Sources

 1  "The 2013 World Bank Development Indicators Online", GDP per capita is PPP adjusted.
 2  World Health Statistics 2013, data for 2012
 3  "United Nations, Population Division. The World Population Prospects - the 2015 revision". New York, 2016.
 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.