Ethiopian Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology
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Date
2018-05
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Addis Ababa Universty
Abstract
Introduction: Measles is an acute, highly contagious viral disease caused by measles virus the risk factors for measles virus infection includes: infants who loss passive antibody before the age of routine immunization, children with vitamin A deficiency, immunodeficiency and children who travel to areas were measles endemic or contact with travels to endemic area.
In 2016, there were 89,780 measles death globally. Measles is still common in many developing countries. Particularly in parts of Africa and ASIA estimated 7 million people were affected by measles in 2016. The general objective of this study was to confirm and assess factors associated with measles outbreak and to implement early Measles control intervention in Kolfe Keranyo sub city, Addis Ababa region, 2017
Methods: Applied unmatched case control study with a case to control ratio of 1:2, to identify the possible risk factors of the outbreak. A face to face interview was conducted using structured questionnaire with adults, and care takers for children. Epi- info used to analyses the data.
Result: A total of 16 measles cases with no death were reported from 5/1/17 to 3/3/2017. Age specific attack rate was higher in age group of 0-4. The age range of the case was from 9 months to 28 years with median age 5 years. 12% of the cases were not vaccinated. Active case searching and health education was conducted during the outbreak. Based on the case-control finding: history of travelling prior to two weeks of onset were risk factor for developing the diseases and statistically significant with an OR of 5.492[95%CI= 1.283-23.507, P=0.022].
Conclusion and Recommendation: An outbreak of measles cases occurred in Kolfe keranyo sub city affecting primarily the age group under 5 years. History of travelling prior to two weeks of onset likely contributed to the outbreak. Therefore, the health extension worker should enhance the awareness of the community towards measles infection.
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Keywords
Outbreak Investigation, Measles, Case Control, Kolfe keranyo sub city, AA