South Sudan Africa 1,6442025 134.9 South Sudan Invasive meningococcal disease: 2020 to 2025, latest 1644 in 2025, lowest 0, highest 2296. C · weak Cabo Verde Africa 702025 132.7 Cabo Verde Invasive meningococcal disease: 2021 to 2025, latest 70 in 2025, lowest 0, highest 70. C · weak Libya Eastern Mediterranean 4582022 63.4 Libya Invasive meningococcal disease: 2021 to 2022, latest 458 in 2022, lowest 328, highest 458. D · poor Ethiopia Africa 7,2502022 57.8 Ethiopia Invasive meningococcal disease: 2020 to 2022, latest 7250 in 2022, lowest 7250, highest 17246. D · poor Democratic Republic of the Congo Africa 5,6172025 49.8 Democratic Republic of the Congo Invasive meningococcal disease: 2024 to 2025, latest 5617 in 2025, lowest 5617, highest 6435. D · poor Niger Africa 6922025 24.8 Niger Invasive meningococcal disease: 2020 to 2025, latest 692 in 2025, lowest 81, highest 1884. C · weak Andorra Europe 22025 24.1 Andorra Invasive meningococcal disease: 2020 to 2025, latest 2 in 2025, lowest 0, highest 2. C · weak Lao People's Democratic Republic Western Pacific 1442021 19.3 Lao People's Democratic Republic Invasive meningococcal disease: 2020 to 2021, latest 144 in 2021, lowest 0, highest 144. D · poor Vanuatu Western Pacific 62025 17.9 Vanuatu Invasive meningococcal disease: 2021 to 2025, latest 6 in 2025, lowest 0, highest 6. C · weak Nigeria Africa 3,9892025 16.8 too few points D · poor Sierra Leone Africa 1192021 14.7 too few points D · poor Uruguay Americas 482025 14.2 Uruguay Invasive meningococcal disease: 2020 to 2025, latest 48 in 2025, lowest 2, highest 48. C · weak Russian Federation Europe 1,8352025 12.7 Russian Federation Invasive meningococcal disease: 2020 to 2025, latest 1835 in 2025, lowest 315, highest 1835. C · weak Qatar Eastern Mediterranean 392025 12.5 Qatar Invasive meningococcal disease: 2020 to 2025, latest 39 in 2025, lowest 0, highest 39. C · weak Guyana Americas 102025 12 Guyana Invasive meningococcal disease: 2020 to 2025, latest 10 in 2025, lowest 0, highest 10. C · weak Ireland Europe 602025 11.3 Ireland Invasive meningococcal disease: 2020 to 2025, latest 60 in 2025, lowest 10, highest 66. C · weak Montenegro Europe 72025 11.1 Montenegro Invasive meningococcal disease: 2020 to 2025, latest 7 in 2025, lowest 0, highest 7. C · weak New Caledonia Western Pacific 32024 10.3 New Caledonia Invasive meningococcal disease: 2022 to 2024, latest 3 in 2024, lowest 3, highest 5. D · poor France Europe 6252025 9.4 France Invasive meningococcal disease: 2020 to 2025, latest 625 in 2025, lowest 120, highest 625. C · weak Samoa Western Pacific 22025 9.1 Samoa Invasive meningococcal disease: 2020 to 2025, latest 2 in 2025, lowest 0, highest 626. C · weak Saudi Arabia Eastern Mediterranean 3072025 8.9 Saudi Arabia Invasive meningococcal disease: 2020 to 2025, latest 307 in 2025, lowest 1, highest 307. C · weak Spain Europe 4052025 8.5 Spain Invasive meningococcal disease: 2020 to 2025, latest 405 in 2025, lowest 69, highest 405. C · weak Mali Africa 2082025 8.3 Mali Invasive meningococcal disease: 2024 to 2025, latest 208 in 2025, lowest 14, highest 208. D · poor Burkina Faso Africa 1862023 8.1 Burkina Faso Invasive meningococcal disease: 2020 to 2023, latest 186 in 2023, lowest 147, highest 186. D · poor Slovenia Europe 172025 8 Slovenia Invasive meningococcal disease: 2020 to 2025, latest 17 in 2025, lowest 3, highest 17. C · weak Angola Africa 3072025 7.9 too few points D · poor Lithuania Europe 222025 7.8 Lithuania Invasive meningococcal disease: 2020 to 2025, latest 22 in 2025, lowest 11, highest 22. C · weak New Zealand Western Pacific 412025 7.8 New Zealand Invasive meningococcal disease: 2020 to 2025, latest 41 in 2025, lowest 35, highest 69. C · weak Belarus Europe 692025 7.7 Belarus Invasive meningococcal disease: 2020 to 2025, latest 69 in 2025, lowest 20, highest 69. C · weak Slovakia Europe 412025 7.5 Slovakia Invasive meningococcal disease: 2020 to 2025, latest 41 in 2025, lowest 25, highest 54. C · weak Cyprus Europe 102025 7.3 Cyprus Invasive meningococcal disease: 2020 to 2025, latest 10 in 2025, lowest 0, highest 10. C · weak United Arab Emirates Eastern Mediterranean 822025 7.2 United Arab Emirates Invasive meningococcal disease: 2020 to 2025, latest 82 in 2025, lowest 0, highest 82. C · weak French Polynesia Western Pacific 22025 7.1 French Polynesia Invasive meningococcal disease: 2020 to 2025, latest 2 in 2025, lowest 1, highest 3. C · weak Croatia Europe 262025 6.8 Croatia Invasive meningococcal disease: 2020 to 2025, latest 26 in 2025, lowest 6, highest 30. C · weak United Kingdom of Great Britain and Northern Ireland Europe 4452025 6.4 United Kingdom of Great Britain and Northern Ireland Invasive meningococcal disease: 2020 to 2025, latest 445 in 2025, lowest 152, highest 499. C · weak Belgium Europe 722025 6.1 Belgium Invasive meningococcal disease: 2020 to 2025, latest 72 in 2025, lowest 28, highest 92. C · weak Chile Americas 1172025 5.9 Chile Invasive meningococcal disease: 2020 to 2025, latest 117 in 2025, lowest 6, highest 117. C · weak Luxembourg Europe 42025 5.9 Luxembourg Invasive meningococcal disease: 2020 to 2025, latest 4 in 2025, lowest 1, highest 5. C · weak Denmark Europe 322025 5.3 Denmark Invasive meningococcal disease: 2020 to 2025, latest 32 in 2025, lowest 10, highest 32. C · weak Portugal Europe 532025 5.1 Portugal Invasive meningococcal disease: 2020 to 2025, latest 53 in 2025, lowest 15, highest 53. C · weak Brazil Americas 1,0652025 5 Brazil Invasive meningococcal disease: 2020 to 2025, latest 1065 in 2025, lowest 213, highest 1065. C · weak Poland Europe 1902025 5 Poland Invasive meningococcal disease: 2020 to 2025, latest 190 in 2025, lowest 102, highest 190. C · weak Hungary Europe 472025 4.9 Hungary Invasive meningococcal disease: 2020 to 2025, latest 47 in 2025, lowest 24, highest 47. C · weak Latvia Europe 92025 4.9 Latvia Invasive meningococcal disease: 2020 to 2025, latest 9 in 2025, lowest 4, highest 9. C · weak Lesotho Africa 112020 4.9 too few points D · poor Oman Eastern Mediterranean 272025 4.9 Oman Invasive meningococcal disease: 2020 to 2025, latest 27 in 2025, lowest 0, highest 27. C · weak Romania Europe 862025 4.5 Romania Invasive meningococcal disease: 2020 to 2025, latest 86 in 2025, lowest 6, highest 91. C · weak Mozambique Africa 1412021 4.4 too few points D · poor Australia Western Pacific 1172025 4.3 Australia Invasive meningococcal disease: 2020 to 2025, latest 117 in 2025, lowest 76, highest 143. C · weak Switzerland Europe 392025 4.3 Switzerland Invasive meningococcal disease: 2020 to 2025, latest 39 in 2025, lowest 8, highest 39. C · weak Afghanistan Eastern Mediterranean 1612020 4.1 too few points D · poor Netherlands (Kingdom of the) Europe 762025 4.1 Netherlands (Kingdom of the) Invasive meningococcal disease: 2020 to 2025, latest 76 in 2025, lowest 68, highest 137. C · weak Kuwait Eastern Mediterranean 202025 4 Kuwait Invasive meningococcal disease: 2021 to 2025, latest 20 in 2025, lowest 0, highest 58. C · weak Georgia Europe 152025 3.9 Georgia Invasive meningococcal disease: 2020 to 2025, latest 15 in 2025, lowest 1, highest 15. C · weak Greece Europe 392025 3.9 Greece Invasive meningococcal disease: 2020 to 2025, latest 39 in 2025, lowest 4, highest 39. C · weak Bhutan South-East Asia 32025 3.8 Bhutan Invasive meningococcal disease: 2020 to 2025, latest 3 in 2025, lowest 0, highest 7. C · weak Germany Europe 3182025 3.8 Germany Invasive meningococcal disease: 2020 to 2025, latest 318 in 2025, lowest 74, highest 344. C · weak Sweden Europe 412025 3.8 Sweden Invasive meningococcal disease: 2020 to 2025, latest 41 in 2025, lowest 10, highest 46. C · weak Armenia Europe 112025 3.7 Armenia Invasive meningococcal disease: 2020 to 2025, latest 11 in 2025, lowest 0, highest 11. C · weak Costa Rica Americas 192025 3.7 Costa Rica Invasive meningococcal disease: 2020 to 2025, latest 19 in 2025, lowest 0, highest 19. C · weak Czechia Europe 392025 3.7 Czechia Invasive meningococcal disease: 2020 to 2025, latest 39 in 2025, lowest 12, highest 39. C · weak Estonia Europe 52025 3.7 Estonia Invasive meningococcal disease: 2020 to 2025, latest 5 in 2025, lowest 0, highest 5. C · weak Kazakhstan Europe 752025 3.6 Kazakhstan Invasive meningococcal disease: 2020 to 2025, latest 75 in 2025, lowest 22, highest 84. C · weak Austria Europe 312025 3.4 Austria Invasive meningococcal disease: 2020 to 2025, latest 31 in 2025, lowest 2, highest 31. C · weak Canada Americas 1352025 3.4 Canada Invasive meningococcal disease: 2020 to 2025, latest 135 in 2025, lowest 51, highest 135. C · weak Finland Europe 192025 3.4 Finland Invasive meningococcal disease: 2020 to 2025, latest 19 in 2025, lowest 2, highest 19. C · weak Mongolia Western Pacific 122025 3.4 Mongolia Invasive meningococcal disease: 2020 to 2025, latest 12 in 2025, lowest 2, highest 12. C · weak Tunisia Eastern Mediterranean 402025 3.2 Tunisia Invasive meningococcal disease: 2020 to 2025, latest 40 in 2025, lowest 10, highest 40. C · weak Equatorial Guinea Africa 62025 3.1 Equatorial Guinea Invasive meningococcal disease: 2024 to 2025, latest 6 in 2025, lowest 3, highest 6. D · poor Norway Europe 172025 3 Norway Invasive meningococcal disease: 2020 to 2025, latest 17 in 2025, lowest 5, highest 17. C · weak North Macedonia Europe 52025 2.8 North Macedonia Invasive meningococcal disease: 2020 to 2025, latest 5 in 2025, lowest 1, highest 5. C · weak Paraguay Americas 192025 2.7 Paraguay Invasive meningococcal disease: 2020 to 2025, latest 19 in 2025, lowest 0, highest 19. C · weak Bolivia (Plurinational State of) Americas 322023 2.6 Bolivia (Plurinational State of) Invasive meningococcal disease: 2020 to 2023, latest 32 in 2023, lowest 0, highest 32. D · poor Colombia Americas 1372025 2.6 Colombia Invasive meningococcal disease: 2020 to 2025, latest 137 in 2025, lowest 36, highest 291. C · weak Bulgaria Europe 162025 2.4 Bulgaria Invasive meningococcal disease: 2020 to 2025, latest 16 in 2025, lowest 2, highest 16. C · weak Ukraine Europe 982022 2.4 Ukraine Invasive meningococcal disease: 2020 to 2022, latest 98 in 2022, lowest 91, highest 137. D · poor South Africa Africa 1482025 2.3 South Africa Invasive meningococcal disease: 2020 to 2025, latest 148 in 2025, lowest 44, highest 148. C · weak Lebanon Eastern Mediterranean 112025 1.9 Lebanon Invasive meningococcal disease: 2023 to 2025, latest 11 in 2025, lowest 4, highest 11. D · poor Maldives South-East Asia 12025 1.9 Maldives Invasive meningococcal disease: 2021 to 2025, latest 1 in 2025, lowest 0, highest 2. C · weak Italy Europe 1052025 1.8 Italy Invasive meningococcal disease: 2020 to 2025, latest 105 in 2025, lowest 25, highest 105. C · weak Malta Europe 12025 1.8 Malta Invasive meningococcal disease: 2020 to 2025, latest 1 in 2025, lowest 0, highest 3. C · weak Zambia Africa 392025 1.8 Zambia Invasive meningococcal disease: 2020 to 2025, latest 39 in 2025, lowest 39, highest 954. C · weak China, Hong Kong SAR Western Pacific 112025 1.5 China, Hong Kong SAR Invasive meningococcal disease: 2020 to 2025, latest 11 in 2025, lowest 0, highest 11. C · weak Serbia Europe 102025 1.5 Serbia Invasive meningococcal disease: 2020 to 2025, latest 10 in 2025, lowest 0, highest 16. C · weak Argentina Americas 562025 1.2 Argentina Invasive meningococcal disease: 2020 to 2025, latest 56 in 2025, lowest 20, highest 73. C · weak Bahrain Eastern Mediterranean 22025 1.2 Bahrain Invasive meningococcal disease: 2020 to 2025, latest 2 in 2025, lowest 0, highest 2. C · weak United States of America Americas 3122023 0.9 United States of America Invasive meningococcal disease: 2020 to 2023, latest 312 in 2023, lowest 208, highest 371. D · poor El Salvador Americas 52025 0.8 El Salvador Invasive meningococcal disease: 2020 to 2025, latest 5 in 2025, lowest 1, highest 5. C · weak Japan Western Pacific 862025 0.7 Japan Invasive meningococcal disease: 2020 to 2025, latest 86 in 2025, lowest 1, highest 86. C · weak Namibia Africa 22024 0.7 Namibia Invasive meningococcal disease: 2021 to 2024, latest 2 in 2024, lowest 0, highest 226. D · poor Panama Americas 32025 0.7 Panama Invasive meningococcal disease: 2020 to 2025, latest 3 in 2025, lowest 0, highest 3. C · weak Singapore Western Pacific 42024 0.7 too few points D · poor Viet Nam Western Pacific 672025 0.7 Viet Nam Invasive meningococcal disease: 2020 to 2025, latest 67 in 2025, lowest 0, highest 67. C · weak Burundi Africa 82022 0.6 Burundi Invasive meningococcal disease: 2021 to 2022, latest 8 in 2022, lowest 8, highest 8. D · poor Guatemala Americas 122025 0.6 Guatemala Invasive meningococcal disease: 2024 to 2025, latest 12 in 2025, lowest 12, highest 25. D · poor Jordan Eastern Mediterranean 72025 0.6 Jordan Invasive meningococcal disease: 2020 to 2025, latest 7 in 2025, lowest 0, highest 7. C · weak Pakistan Eastern Mediterranean 1492025 0.6 too few points D · poor Sri Lanka South-East Asia 122023 0.5 Sri Lanka Invasive meningococcal disease: 2020 to 2023, latest 12 in 2023, lowest 0, highest 12. D · poor Sudan Eastern Mediterranean 232024 0.5 too few points D · poor Iran (Islamic Republic of) Eastern Mediterranean 332025 0.4 Iran (Islamic Republic of) Invasive meningococcal disease: 2020 to 2025, latest 33 in 2025, lowest 11, highest 38. C · weak Israel Europe 42022 0.4 Israel Invasive meningococcal disease: 2020 to 2022, latest 4 in 2022, lowest 4, highest 28. D · poor Thailand South-East Asia 302025 0.4 Thailand Invasive meningococcal disease: 2020 to 2025, latest 30 in 2025, lowest 3, highest 35. C · weak Zimbabwe Africa 52025 0.3 Zimbabwe Invasive meningococcal disease: 2020 to 2025, latest 5 in 2025, lowest 0, highest 5. C · weak Côte d'Ivoire Africa 52025 0.2 Côte d'Ivoire Invasive meningococcal disease: 2020 to 2025, latest 5 in 2025, lowest 5, highest 301. C · weak Mexico Americas 222025 0.2 Mexico Invasive meningococcal disease: 2020 to 2025, latest 22 in 2025, lowest 3, highest 193. C · weak Peru Americas 72025 0.2 Peru Invasive meningococcal disease: 2020 to 2025, latest 7 in 2025, lowest 0, highest 14. C · weak Republic of Korea Western Pacific 102025 0.2 Republic of Korea Invasive meningococcal disease: 2020 to 2025, latest 10 in 2025, lowest 2, highest 17. C · weak China Western Pacific 1872025 0.1 China Invasive meningococcal disease: 2020 to 2025, latest 187 in 2025, lowest 50, highest 187. C · weak Egypt Eastern Mediterranean 72025 0.1 Egypt Invasive meningococcal disease: 2022 to 2025, latest 7 in 2025, lowest 0, highest 10. C · weak Ghana Africa 32025 0.1 Ghana Invasive meningococcal disease: 2020 to 2025, latest 3 in 2025, lowest 0, highest 29. C · weak Honduras Americas 12025 0.1 Honduras Invasive meningococcal disease: 2020 to 2025, latest 1 in 2025, lowest 0, highest 4. C · weak India South-East Asia 772025 0.1 too few points D · poor Philippines Western Pacific 82025 0.1 Philippines Invasive meningococcal disease: 2020 to 2025, latest 8 in 2025, lowest 8, highest 99. C · weak Albania Europe 02022 0 Albania Invasive meningococcal disease: 2020 to 2022, latest 0 in 2022, lowest 0, highest 0. D · poor Anguilla Americas 02025 0 Anguilla Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Antigua and Barbuda Americas 02025 0 Antigua and Barbuda Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Aruba Americas 02024 0 Aruba Invasive meningococcal disease: 2021 to 2024, latest 0 in 2024, lowest 0, highest 2. C · weak Azerbaijan Europe 02025 0 Azerbaijan Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Bahamas Americas 02025 0 Bahamas Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Barbados Americas 02025 0 Barbados Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Belize Americas 02025 0 Belize Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Benin Africa 02025 0 Benin Invasive meningococcal disease: 2023 to 2025, latest 0 in 2025, lowest 0, highest 189. D · poor Bermuda Americas 02025 0 Bermuda Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Bosnia and Herzegovina Europe 02025 0 Bosnia and Herzegovina Invasive meningococcal disease: 2021 to 2025, latest 0 in 2025, lowest 0, highest 3. C · weak Botswana Africa 02022 0 too few points D · poor British Virgin Islands Americas 02025 0 British Virgin Islands Invasive meningococcal disease: 2021 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Brunei Darussalam Western Pacific 02025 0 Brunei Darussalam Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Cayman Islands Americas 02025 0 Cayman Islands Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Central African Republic Africa 02024 0 Central African Republic Invasive meningococcal disease: 2020 to 2024, latest 0 in 2024, lowest 0, highest 768. C · weak China, Macao SAR Western Pacific 02025 0 China, Macao SAR Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Comoros Africa 02025 0 Comoros Invasive meningococcal disease: 2021 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Cuba Americas 02025 0 Cuba Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 6. C · weak Democratic People's Republic of Korea South-East Asia 02022 0 too few points D · poor Djibouti Eastern Mediterranean 02025 0 Djibouti Invasive meningococcal disease: 2022 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Dominica Americas 02025 0 Dominica Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Dominican Republic Americas 02023 0 Dominican Republic Invasive meningococcal disease: 2020 to 2023, latest 0 in 2023, lowest 0, highest 12. D · poor Ecuador Americas 02025 0 Ecuador Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 4. C · weak Eswatini Africa 02024 0 Eswatini Invasive meningococcal disease: 2023 to 2024, latest 0 in 2024, lowest 0, highest 0. D · poor Gambia Africa 02025 0 Gambia Invasive meningococcal disease: 2021 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Grenada Americas 02025 0 Grenada Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Guam Western Pacific 02023 0 too few points D · poor Guinea-Bissau Africa 02025 0 Guinea-Bissau Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 6. C · weak Haiti Americas 02022 0 Haiti Invasive meningococcal disease: 2020 to 2022, latest 0 in 2022, lowest 0, highest 0. D · poor Iceland Europe 02025 0 Iceland Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 1. C · weak Indonesia Western Pacific 02024 0 Indonesia Invasive meningococcal disease: 2023 to 2024, latest 0 in 2024, lowest 0, highest 0. D · poor Iraq Eastern Mediterranean 12025 0 Iraq Invasive meningococcal disease: 2020 to 2025, latest 1 in 2025, lowest 0, highest 741. C · weak Jamaica Americas 02025 0 Jamaica Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Kenya Africa 02023 0 Kenya Invasive meningococcal disease: 2020 to 2023, latest 0 in 2023, lowest 0, highest 3403. D · poor Kosovo (in accordance with UN Security Council resolution 1244 (1999)) Europe 02025 0 Kosovo (in accordance with UN Security Council resolution 1244 (1999)) Invasive meningococcal disease: 2022 to 2025, latest 0 in 2025, lowest 0, highest 3. C · weak Kyrgyzstan Europe 02025 0 Kyrgyzstan Invasive meningococcal disease: 2021 to 2025, latest 0 in 2025, lowest 0, highest 52. D · poor Liberia Africa 02022 0 too few points D · poor Madagascar Africa 02025 0 Madagascar Invasive meningococcal disease: 2024 to 2025, latest 0 in 2025, lowest 0, highest 14. D · poor Malaysia Western Pacific 02023 0 Malaysia Invasive meningococcal disease: 2020 to 2023, latest 0 in 2023, lowest 0, highest 13. D · poor Marshall Islands Western Pacific 02025 0 Marshall Islands Invasive meningococcal disease: 2022 to 2025, latest 0 in 2025, lowest 0, highest 0. C · weak Mauritania Africa 02025 0 Mauritania Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Mauritius Africa 02025 0 Mauritius Invasive meningococcal disease: 2021 to 2025, latest 0 in 2025, lowest 0, highest 1. C · weak Micronesia (Federated States of) Western Pacific 02023 0 Micronesia (Federated States of) Invasive meningococcal disease: 2020 to 2023, latest 0 in 2023, lowest 0, highest 0. D · poor Monaco Europe 02024 0 Monaco Invasive meningococcal disease: 2021 to 2024, latest 0 in 2024, lowest 0, highest 0. D · poor Montserrat Americas 02025 0 Montserrat Invasive meningococcal disease: 2021 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Nicaragua Americas 02025 0 Nicaragua Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Niue Western Pacific 02025 0 Niue Invasive meningococcal disease: 2022 to 2025, latest 0 in 2025, lowest 0, highest 0. C · weak Northern Mariana Islands Western Pacific 02024 0 Northern Mariana Islands Invasive meningococcal disease: 2023 to 2024, latest 0 in 2024, lowest 0, highest 0. D · poor Palau Western Pacific 02025 0 Palau Invasive meningococcal disease: 2022 to 2025, latest 0 in 2025, lowest 0, highest 0. C · weak Papua New Guinea Western Pacific 02025 0 Papua New Guinea Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Republic of Moldova Europe 02025 0 Republic of Moldova Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 20. C · weak Rwanda Africa 02023 0 Rwanda Invasive meningococcal disease: 2022 to 2023, latest 0 in 2023, lowest 0, highest 0. D · poor Saint Kitts and Nevis Americas 02025 0 Saint Kitts and Nevis Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Saint Lucia Americas 02025 0 Saint Lucia Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Saint Vincent and the Grenadines Americas 02025 0 Saint Vincent and the Grenadines Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor San Marino Europe 02025 0 San Marino Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Sao Tome and Principe Africa 02021 0 too few points D · poor Seychelles Africa 02025 0 Seychelles Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Solomon Islands Western Pacific 02024 0 too few points D · poor Somalia Eastern Mediterranean 02020 0 too few points D · poor Suriname Americas 02025 0 Suriname Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Syrian Arab Republic Eastern Mediterranean 02025 0 Syrian Arab Republic Invasive meningococcal disease: 2021 to 2025, latest 0 in 2025, lowest 0, highest 300. C · weak Tajikistan Europe 02025 0 Tajikistan Invasive meningococcal disease: 2021 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Timor-Leste South-East Asia 02023 0 Timor-Leste Invasive meningococcal disease: 2020 to 2023, latest 0 in 2023, lowest 0, highest 0. D · poor Togo Africa 02024 0 Togo Invasive meningococcal disease: 2020 to 2024, latest 0 in 2024, lowest 0, highest 29. D · poor Tokelau Western Pacific 02025 0 too few points D · poor Tonga Western Pacific 02025 0 Tonga Invasive meningococcal disease: 2021 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Trinidad and Tobago Americas 02025 0 Trinidad and Tobago Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Turkmenistan Europe 02025 0 Turkmenistan Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 2. C · weak Turks and Caicos Islands Americas 02025 0 Turks and Caicos Islands Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Uganda Africa 02024 0 Uganda Invasive meningococcal disease: 2022 to 2024, latest 0 in 2024, lowest 0, highest 0. D · poor Uzbekistan Europe 02025 0 Uzbekistan Invasive meningococcal disease: 2020 to 2025, latest 0 in 2025, lowest 0, highest 51. C · weak Venezuela (Bolivarian Republic of) Americas 02022 0 Venezuela (Bolivarian Republic of) Invasive meningococcal disease: 2020 to 2022, latest 0 in 2022, lowest 0, highest 4. D · poor Yemen Eastern Mediterranean 02025 0 Yemen Invasive meningococcal disease: 2023 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor occupied Palestinian territory, including east Jerusalem Eastern Mediterranean 02025 0 occupied Palestinian territory, including east Jerusalem Invasive meningococcal disease: 2021 to 2025, latest 0 in 2025, lowest 0, highest 0. C · weak Bonaire Americas 02025 — Bonaire Invasive meningococcal disease: 2024 to 2025, latest 0 in 2025, lowest 0, highest 0. D · poor Saba Americas 02024 — too few points D · poor Sint Eustatius Americas 02024 — too few points D · poor