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

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Addis Abeba Universty


Abstract Introduction: Measles is an acute, highly contagious viral disease caused by measles virus. Measles is the fifth killer disease among <5 Yrs of age worldwide. Measles case account for 4% of childhood mortality in Ethiopia. Suspected outbreak of measles was investigated to determine risk factors associated with and to take preventive and control measures based on the findings. Methods: We conducted a descriptive study followed by 1:1 unmatched case control study. EpiInfo7 were used for data processing and analysis. Result: A total of 67 measles cases (5 IgM positive) with median age of 4 year (Q1=0.2; Q3=10) and no deaths reported. The overall attack rate in Kebele was 113 cases with <1, 1-4 and 10-14 year children recorded the highest attack rate of 343, 392 and 244 cases per 10,000 population respectively. The odds of illness in those vaccinated were 0.16 times less than those who were not vaccinated [95%CI (0.07-0.34)]. Contact with the case [95%CI (1.95-8.35)] and <5 year malnutrition [95%CI (1.47-7.82) were significantly associated with the disease. Cases from households of family size >7 persons and illiterate parents were 3.02 times [95%CI (1.49-6.10)] and 4 times [95%CI (1.93-8.21)] more likely to develop measles respectively. Conclusion: An outbreak of measles occurred in Melgano Doya Kebele of Bona Zuria Woreda. Unvaccination, having contact with case, living in crowded room, <5 children malnutrition and illiteracy of parents were associated with contracting measles. <5 years children vaccination, case management, health education and active case search undertaken as prevention and control measure. Keywords: Measles outbreak, Melgano Doya, Bona Zuria, Ethiopia



Measles outbreak, Melgano Doya, Bona Zuria, Ethiopia