Browsing by Author "Equbay G/Egziabher"

Now showing 1 - 1 of 1
  • No Thumbnail Available
    Item
    Compiled Body of Works in Field Epidemiology.
    (Addis Abeba Universty, 2016-05) Equbay G/Egziabher; Negussie Dayissa
    Introduction: Globally, about 3.2 billion people were at risk of malaria and the disease killed about 584 000 people in 2013, the burden is heaviest in the African Region. In Ethiopia, 68% of the population lives in malaria endemic areas, and malaria was the leading cause of outpatient visits and health facility admissions during 2009/2010. The malaria outbreak investigated to describe, determine the source and risk factors of the outbreak. Methodology: We investigated malaria outbreak in Asgede Tsimbla woreda from 1-10 Mar, 2016 using descriptive cross-sectional study followed by unmatched case-control study design. We recruited 50 cases and 100 controls. Data entry and cleaning conducted using Epi Info 7.1.6 and exported to SPSS 21 for analysis. Result: The bed net coverage of the district was 45% or 0.8/house hold. A total of 745 malaria confirmed cases were identified, with 22.2 cumulative incidence rate per 1000 population and 52.4 % positivity rate (68.7%, Plasmodium falciparum) in Asgede Tsimbla district from Jan, 25-Feb, 07, 2016. The outbreak affected six kebeles (22.2 %) of the district. The attack rate ranges from 16.4 to 28.4 per 1000 population by kebele. Majority (58.7%) of the cases were males .The median age was 19 years (range; 3mon-85yrs), age specific attack rate was higher in 15-59yrs age group, 25.2 per 1000 population. Stay inside home in the evening, AOR 0.16 (95%CI; 0.06-0.47) and sleeping under net always, AOR 0.13(95%CI; 0.05-0.3) were protective factors. Presence of sick patient in house hold, AOR 4.7 (95%CI; 1.8-11.8), breeding sites, AOR 5.7(95%CI; 2.2-14.5) and intermittent rivers, AOR 3.9(95%CI; 1.5-10.3) were independent risk factors. Conclusion: Presence of malaria breeding sites and malaria sick patient in house hold were independent risk factors for the outbreak. The low coverage and utilization of vector control measures were responsible for the malaria outbreak. Scaling up key anti malaria interventions and utilization of the existing ones were among the recommendations.