Progress Towards Global

Immunization Goals - 2013

Summary presentation of
key indicators
Updated July 2014

Global Immunization 1980-2013, DTP3 coverage

global coverage at 84% in 2013
100

% coverage

80
76

60

64

40

45

50 52

69

72 70 70 73 73 72 72 72 72 73 73 73

75

80 80
77 78

83 84 84 83 83 84

56

38

20
20

23 25

Global

African

American

Eastern Mediterranean

Source: WHO/UNICEF coverage estimates 2013 revision. July 2014

Immunization Vaccines and Biologicals, (IVB), World Health Organization.
194 WHO Member States. Date of slide: 15 July 2014.

European

South East Asian

Western Pacific

2013

2012

2011

2010

2009

2008

2007

2006

2005

2004

2003

2002

2001

2000

1999

1998

1997

1996

1995

1994

1993

1992

1991

1990

1989

1988

1987

1986

1985

1984

1983

1982

1981

1980

21.8 million infants not immunized (DTP3), 2013

African
American
Eastern
Mediterranean
European
South East Asian
Western Pacific

Source: WHO/UNICEF coverage estimates 2013 revision. July 2014 / United Nations, Population Division. The World Population Prospects - the 2012 revision". New
York, 2013.
Immunization Vaccines and Biologicals, (IVB), World Health Organization.
194 WHO Member States. Date of slide: 28 July 2014.

GLOBAL
Annual surviving infants cohort = 133.6 million
84% DTP3 coverage
111.8 million children vaccinated

Additional children to reach

at different coverage level

Children unvaccinated

84%

21.8 million

90%

8.4 million

13.4 million

100%

21.8 million

Source: WHO/UNICEF coverage estimates 2013 revision. July 2014 / United

Nations, Population Division. The World Population Prospects - the 2012
revision". New York, 2013.
4
Immunization
Vaccines and Biologicals, (IVB), World Health Organization.
194 WHO Member States. Date of slide: 28 July 2014.

Developing* countries with all districts

achieving at least 80% DTP3 coverage, 2013

1,250

2,500

5,000 Kilometers

Yes (47 countries or 30%)

No (90 countries or 58%)
*156 developing countries and economies in transition per
UN World Economic & Social Survey, 2013 classification

No Data (19 countries or 12%) (DTP3 estimated coverage for 2013: 14 countries > 90%; 5 countries < 90%)
Developed countries (38 countries)

Source: WHO/UNICEF coverage estimates 2013 revision, July 2014 & WHO/IVB
Database. 194 WHO Member States. Map production: Immunization Vaccines
and Biologicals, (IVB). World Health Organization
Date of slide: 29 July 2014

Not available
Not applicable

The boundaries and names shown and the designations used on this map do not imply
the expression of any opinion whatsoever on the part of the World Health Organization
concerning the legal status of any country, territory, city or area or of its authorities, or
concerning the delimitation of its frontiers or boundaries. Dotted lines on maps
represent approximate border lines for which there may not yet be full agreement.
WHO 2014. All rights reserved

Developing* countries with % of districts

achieving at least 80% DTP3 coverage, 2013

1,250

2,500

5,000 Kilometers

< 50% (20 countries or 13%)

*156 developing countries and economies in transition per
UN World Economic & Social Survey, 2013 classification

50-79% (33 countries or 21%)

Developed Countries (38 countries)

Source: WHO/UNICEF coverage estimates 2013 revision, July 2014 & WHO/IVB
Database. 194 WHO Member States. Map production: Immunization Vaccines
and Biologicals, (IVB). World Health Organization
Date of slide: 29 July 2014

100% (47 countries or 30%)

80-99% (37 countries or 24%)

No data (19 countries or 12%) (DTP3 estimated coverage for 2012: 14 countries > 90%; 5 countries < 90%)
Not applicable

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion
whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or
area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps
represent approximate border lines for which there may not yet be full agreement. WHO 2014. All rights reserved

Polio Eradication Progress, 1988 2013

Certified polio-free regions (114 countries)

Not certified but non-endemic (73 countries)
Endemic with wild poliovirus ( 3 countries)
The boundaries and names shown and the designations used on this map do not imply the expression of
any opinion whatsoever on the part of the World Health Organization concerning the legal status of any
country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or
boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full
agreement.
WHO 2014. All rights reserved

Source: WHO/POLIO database, as of Jul 2014

Progress in Polio Eradication,

Estimated and Reported Polio Cases, 1985-2013
2000: Original Target Date for
Interruption of Transmission
Reported cases: 2 971
Estimated cases: 3 500

300
200

2013:
Reported
polio cases:
1999: WHA Resolution to accelerate
polio eradication activities

100
0

Reported
Source: WHO/Polio database, July 2014

416

1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013

Nu m b er (th o u san d s)

400

1988: WHA Resolution to

Eradicate Polio

194 WHO Member States.

Estimated

Immunization coverage with measles containing

vaccines in infants, 2013

1'100

2'200

4'400 Kilometers

<50% (4 countries or 2%)

50-79% (33 countries or 17%)
80-89% (28 countries or 14%)
>= 90% (129 countries or 66%)
Source: WHO/UNICEF coverage estimates 2013 revision, July 2014. 194 WHO
Member States. Map production: Immunization Vaccines and Biologicals,
(IVB). World Health Organization
Date of slide: 16 July 2014

Not available
Not applicable

The boundaries and names shown and the designations used on this map do not imply
the expression of any opinion whatsoever on the part of the World Health Organization
concerning the legal status of any country, territory, city or area or of its authorities, or
concerning the delimitation of its frontiers or boundaries. Dotted lines on maps
represent approximate border lines for which there may not yet be full agreement.
WHO 2014. All rights reserved

34 Countries eliminated MNT between 2000 & 2013

*(Plus 18 States out of 35 in India, Ethiopia all except Somali region and 29 provinces out of 33 in Indonesia) leaving 25
countries yet to eliminate MNT

Data Source: WHO/UNICEF database, May 2014

194 WHO Member States.
Map production: Immunization Vaccines and
Biologicals, (IVB), World Health Organization
Date of Slide: 12 May 2014
The boundaries and names shown and the designations used on this map do not
imply the expression of any opinion whatsoever on the part of the World Health
Organization concerning the legal status of any country, territory, city or area or of
its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted
lines on maps represent approximate border lines for which there may not yet be
full agreement.
WHO 2014. All rights reserved

MNT eliminated prior to 2000

MNT eliminated since 2000
MNT not eliminated
Not applicable

1,200 2,400

4,800 Kilometers

Countries Providing Vitamin A

Supplementation, 2013

1,250

2,500

5,000 Kilometers

The boundaries and names shown and the designations used on this map do not imply
the expression of any opinion whatsoever on the part of the World Health Organization
concerning the legal status of any country, territory, city or area or of its authorities, or
concerning the delimitation of its frontiers or boundaries. Dotted lines on maps
represent approximate border lines for which there may not yet be full agreement.
WHO 2014. All rights reserved

Vitamin A distributed with routine and supplementary immunization

activities (34 countries or 22%)
Vitamin A distributed only with routine immunization
services (30 countries or 20%)
Vitamin A distributed only with supplementary
immunization activities (12 countries or 8%)
No Vitamin A distribution (77 countries or 50% )
Not a public health problem (41 )

11

Source: WHO/IVB Database as at 08 June 2014. 194 WHO Member

States. Map production: Immunization Vaccines and Biologicals,
(IVB). World Health Organization
Date of slide: 28 July 2014

Global summary of EPI-linked Vitamin A distribution

Vitamin A with routine EPI: 64 countries
Vitamin A with EPI campaigns: 46 countries
Vitamin A with both (routine & EPI campaigns): 34 countries
Total: 76 countries

200
150
100
50

43 51
39
35
23 31

70
60 64

81

94

107

121

137

148

165
154 159

171

178 179 179 180 181 183

100
80
60
40
20
0

Number of countries introduced HepB

Source: WHO/UNICEF coverage estimates 2013 revision. July 2014

Immunization Vaccines and Biologicals, (IVB), World Health Organization.
194 WHO Member States. Date of slide: 29 July 2014.

2013

2012

2011

2010

2009

2008

2007

2006

2005

2004

2003

2002

2001

2000

1999

1998

1997

1996

1995

1994

1993

1992

1991

1990

1989

HepB3 coverage

*excluding 3 countries where HepB administered for

adolescence

% coverage

number of countries

Number of countries having introduced HepB vaccine* and

global infant HepB3 coverage, 1989-2013

Immunization coverage with 3rd dose of HepB

vaccines in infants, 2013

1,050

2,100

4,200 Kilometers

< 50% (5 countries or 3%)

50-79% (29 countries or 15%)
80-89% (31 countries or 16%)
>= 90% (117 countries or 60%)
Source: WHO/UNICEF coverage estimates 2013 revision, July 2014. 194 WHO
Not available or HepB not in schedule* (12 countries or 6%)
Member States. Map production: Immunization Vaccines and Biologicals,
The boundaries and names shown and the designations used on this map do not imply the expression of any
Not applicable
opinion whatsoever on the part of the World Health Organization concerning the legal status of any
(IVB). World Health Organization
country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or
Date of slide: 30 July 2013
* Equatorial Guinea has HepB in its schedule but no coverage data available boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full
agreement. WHO 2014. All rights reserved

Countries having introduced Hib vaccine

in 1997 and 2013

1997
29 countries introduced
2 countries partially introduced

2013
186 countries introduced
3 countries partially introduced
0

The boundaries and names shown and the designations used on this map do not imply the expression of
any opinion whatsoever on the part of the World Health Organization concerning the legal status of any
country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or
boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full
agreement.
WHO 2014. All rights reserved

Source: WHO/IVB Database as at 08 July 2014.

Map production: Immunization Vaccines and Biologicals, (IVB),
World Health Organization.
194 WHO Member States. Date of slide: 30 July 2014

1,050

2,100

4,200 Kilometers

Immunization coverage with PCV3 containing

vaccines in infants, 2013

1,250

2,500

5,000 Kilometers

< 50% (9 countries or 5%)

The boundaries and names shown and the designations used on this map do not imply the
expression of any opinion whatsoever on the part of the World Health Organization
concerning the legal status of any country, territory, city or area or of its authorities, or
concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent
approximate border lines for which there may not yet be full agreement. WHO 2014. All
rights reserved

Source: WHO/UNICEF coverage estimates 2013 revision, July 2014. 194

WHO Member States. Map production: Immunization Vaccines and
Biologicals, (IVB). World Health Organization
Date of slide: 30 July 2014

50-79% (17 countries or 9%)

80-89% (17 countries or 9%)
>= 90 (41 countries or 21%)
PCV3 vaccine introduced but no coverage data available (19 countries or 10%)
Not available or PCV vaccine not introduced (91 country or 47%)
Not applicable

Immunization coverage with Rota containing

vaccines in infants, 2013

1,250

2,500

5,000 Kilometers

The boundaries and names shown and the designations used on this map do not imply
the expression of any opinion whatsoever on the part of the World Health Organization
concerning the legal status of any country, territory, city or area or of its authorities, or
concerning the delimitation of its frontiers or boundaries. Dotted lines on maps
represent approximate border lines for which there may not yet be full agreement.
WHO 2014. All rights reserved

< 50% (7 countries or 4%)

50-79% (9 countries or 5%)
80-89% (18 countries or 9%)
>= 90% (10 countries or 4%)

Source: WHO/UNICEF coverage estimates 2013 revision, July 2014. 194

WHO Member States. Map production: Immunization Vaccines and
Biologicals, (IVB). World Health Organization
Date of slide: 30 July 2014

Rotavirus vaccine introduced but no coverage data available (8 countries or 4%)

Not available or Rotavirus vaccine not introduced (142 country or 73%)
Not applicable

Countries with a 3-5 year strategic plan for the

national immunization system, 2013

1,050

2,100

4,200 Kilometers

Yes (145 countries or 75%)

No (29 countries or 15%)
No data (20 countries or 10%)
Source: WHO/IVB Database as at 08 July 2014. 194 WHO Member States. Map
production: Immunization Vaccines and Biologicals, (IVB). World Health
Organization
Date of slide: 30 July 2014

17

Not available
Not applicable

The boundaries and names shown and the designations used on this map do not imply the expression of any
opinion whatsoever on the part of the World Health Organization concerning the legal status of any
country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or
boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full
agreement. WHO 2014. All rights reserved

Countries with a national annual work plan for

immunization services, 2013

1,050

2,100

4,200 Kilometers

Yes (162 countries or 84%)

No (8 countries or 4%)
No data (24 countries or 12%)
Source: WHO/IVB Database as at 08 July 2014. 194 WHO Member States. Map
production: Immunization Vaccines and Biologicals, (IVB). World Health
Organization
Date of slide: 30 July 2014

18

Not available
Not applicable

The boundaries and names shown and the designations used on this map do not imply the expression of any
opinion whatsoever on the part of the World Health Organization concerning the legal status of any
country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or
boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full
agreement. WHO 2014. All rights reserved

Countries having a policy being implemented for

immunization injection safety, 2013

1,050

2,100

4,200 Kilometers

Yes (139 countries or 72%)

No (20 countries or 10%)
No data (35 countries or 18%)
Source: WHO/IVB Database as at 08 July 2014. 194 WHO Member States. Map
production: Immunization Vaccines and Biologicals, (IVB). World Health
Organization
Date of slide: 30 July 2014

19

Not available
Not applicable

The boundaries and names shown and the designations used on this map do not imply the expression of any
opinion whatsoever on the part of the World Health Organization concerning the legal status of any
country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or
boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full
agreement. WHO 2014. All rights reserved