1. Confirmed Measles cases by province: during the first 14 weeks of 2009, out of 16831 suspected measles cases reported in Iraq, 351 cases (2%) were reported by the 3 Northern Governorates. The provinces of Najaf, Anbar, Salahadin, Ninewa and Kirkuk where containment operations were done early in 2008 reported 468 (3%) cases; the majority of cases in the containment group (332 or 71%) were reported from Mosul where only selective SIAs were carried out. The 4 Southern provinces of Basra, Missan, Thiqar and Muthana reported 2144 (12%) of the total cases. The remaining 8 provinces in central Iraq reported the remaining (13831) 82% of cases. It is clear that the outbreak is mainly concentrated in the Central part of Iraq and is gradually moving to the South and North. The DoH where the outbreak is well established and many cases were confirmed by NML do not require the collecting of blood samples; however, the case investigation should be completed carefully for every case. It is also important to collect serum and other specimens from cases reported in children below 6 months of age.