Ethiopia Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology
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Date
2015-06
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Addis Ababa University
Abstract
Background: Measles is a highly contagious viral disease caused by Paramyxovirus, of the genus Morbillivirus. A measles outbreak was detected in Jimma Town, Oromia Region on the 16th of August 2014. An outbreak investigation was carried out.
Objective: To assess the occurrence of the outbreak and identify factors associated with contracting measles in Jimma Town, Oromia Region, Ethiopia 2014.
Methods: We conducted unmatched case control study. We recruited a total of 34 cases and 102 controls. Data was collected from 14-29 October 2014, using structured questionnaire to solicit information from cases and controls. Verbal consent from all participants and confidentiality were in place. Permission to carry out the study was obtained from Ethiopian Public Health Institute and Oromia Regional Health Bureau. Epi Info was used to calculate frequencies, odds ratios and 95% confidence interval finally SPSS software used to perform logistic regression to identify risk factors for measles.
Result: We recruited a total of 34 cases and 102 controls. The mean age for cases was 12.8+14.6 SD and for controls 8.4+9.1 SD. Cases whose mothers educated to the level of primary were 3.4 times more likely to develop measles compared to their counter parts (AOR=3.4; 95%CI: 1.03-15.94) and Children’s who had contact with measles cases were 3.2 times at risk of contracting measles compared to who had no contact (AOR=3.2; 95%CI: 1.14-8.93). Also cases that had travel history to outbreak site were 6.3 times more likely to develop measles compared to that had no travel history (AOR= 6.3; 95%CI: 2.52-15.94).
Conclusion: Factors independently associated with the occurrence of measles outbreak were mother’s education to the level of primary, travel history and contact with cases and, we recommend routine vaccination for all children before enrolling into schools and strengthening supplemental measles vaccination and Public advocacy on immunization campaigns
Keywords: Measles; Outbreak; Risk factors; Ethiopia
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Keywords
Measles, Outbreak, Risk factors