The geomagnetic field causes not only the east-west effect on primary cosmic rays but also affects the trajectories of the secondary charged particles in the shower, causing their lateral distribution to be stretched. Thus, both the density of the secondaries near the shower axis and the trigger efficiency of detector arrays decrease. The effect depends on the direction of the showers, thus, introducing a modulation in the measured azimuthal distribution. The azimuthal distribution of the events collected by the ARGO-YBJ detector is deeply investigated for different zenith angles in light of this effect.
Background
Ethiopia endorsed the African Regional measles elimination goal and has been implementing the recommended strategies. Measles immunization coverage has been increasing but is still below the target, and measles incidence has remained high.
Objective
To describe the measles epidemiology in Ethiopia, identify predictors of high measles incidence in Ethiopia and recommend strategies to achieve the elimination goal.
Methods
Measles surveillance 2006-2016 data, routine immunization and post measles campaign coverage data was analyzed. We analysed the epidemiology and incidence of measles cases by age, vaccination status, year of occurrence, and geographic area.
Result
There were 66,719 confirmed cases, out of the 94,104 suspected measles cases reported between January 2006 and December 2016. Measles incidence increased from 20 cases per million total population in 2006 to 194 cases per million in 2015 and declined to 49 per million in 2016. On multiple logistic regression analysis, the median age of measles cases, the 2013 measles Supplemental Immunisation Activity (SIAs) coverage, the 2012 routine immunization coverage, and the proportion of reported under-five measles cases were predictors of very high measles incidence (>240 cases per million in the under-five years age population) in the three-year period following the 2013 measles SIAs implementation (p<0.01).
Conclusion
Ethiopia is not on track to achieve the measles elimination goal of less than 1 case per million population by 2020 with the current pace of elimination efforts. Accumulation of susceptible children due to suboptimal routine measles immunization combined with suboptimal and narrow age–group (9-59 months) measles SIAs resulted in continued measles outbreaks.
Recommendation
Ethiopia should scale up the quality and implementation of all the measles elimination strategies, including the introduction of measles second dose and conducting high quality measles SIAs targeting the appropriate age groups as per the measles epidemiology in various parts of the country to accelerate and achieve the 2020 measles elimination goal.
The densities of an ideal and a non-ideal liquid-liquid solution were determined experimentally. The experimental results were then compared to calculated values using two mathematical expressions for density, employing partial densities in one and mole fraction in the other. Results were presented in form of tables and graphs, indicating the validity of applying mole fractions in the estimation of liquidliquid solutions.
Our results suggest that inhaled steroids are better than cromones in preventing admissions for asthma when two provinces with different practices for maintenance medication of steady-state asthma were compared.
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