Ethiopian Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology

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Addis Abeba University


Authors: Gosaye B.Chakiso1, A. Bekele2, A. Yadasa3, C.Mahamed4, 1. Ethiopian Field Epidemiology Training program Addis Ababa, Ethiopia. 2. Ethiopian Public Health Association Addis Ababa, Ethiopia 3. Oromia Regional Health Bureau, Addis Ababa, Ethiopia 4. West Hararge Zone Health Department, Chiro, Oromia, Ethiopia Introduction: Measles is highly contagious viral disease and is one of the leading causes of death in children worldwide. In August 2014, Measles like illness affecting the community was detected in Chiro woreda of West Hararge zone, Oromia Region. Woreda health office calls to Oromia Regional Health Bureau for possible assistant to investigate the illness. Therefore, the investigator conducted study to verify the existence of measles outbreak in the woreda and assessed factors contributing to the outbreak. Method: Descriptive study followed by Case-control study design was conducted on January 2015 in Chiro woreda. Initially, Data collection instrument was prepared. During data collection, Cases were identified by Public Health Emergency management Guideline (PHEM) case definition and compared each of them to two controls recruited in the household of the closest neighbors. Finally, A total of 180 samples were interviewed of which 60 were cases; The outbreak was confirmed by laboratory and Bivariate and multivariate analysis were conducted and odds ratio with 95%CI significant statistical association was declared at <0.05 P-value. Result: A total of 173 cases (attack rate 8/10,000) and one death (case fatality rate 58/10,000) were identified .Of the cases 90(33%) were unvaccinated. Being vaccinated and having awareness on the mode of transmission for measles infection were protective factor for developing the disease and statically significant with OR 0.06 (95% CI = 0.03-0.13) and OR 0.04(95%CI= 0.03-0.05) respectively. Conclusion: Low community awareness and low vaccination coverage was prone contributing to the outbreak. Key words: Measles outbreak, Case-control, Chiro, Oromia, Ethiopia, 2015



Measles outbreak, Case-control, Chiro, Oromia, Ethiopia, 2015