Investigation of measles outbreak-Herena and Dawe-Serer Districts of Bale Zone, Oromia Region, Ethiopia, February 2011

Woyessa, Abyot Bekele; Deti, Tesfaye; Yadata, Amanuel; Kenna, A. P.; Addisalem, K; Yesuf, Mohammed; Abebe, Melkamu Getu

doi:10.1186/1742-4690-9-s1-p39

Cited by 3 publications

(4 citation statements)

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“…Children who had contact history with other measles cases were 12.24 times more likely infected with measles virus than those children did not have contact history (AOR = 12.24; 95%CI (6.992,28.121), which was similar to other studies (9,10,16,17).…”

Section: Discussionsupporting

confidence: 87%

Malnutrition Precipitated Measles Outbreak in Gewane District, Afar Regional State, Northeastern Ethiopia, 2016

Ayele¹

2020

Preprint

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Background: Measles is a contagious viral and vaccine-preventable disease that is continuing a public health problem. It is occurring as an outbreak not only in developing but also in developed countries.Methods: A 1:2 ratios, unmatched case-control study was conducted from September 19/2016- October 08/2016 in Undufo Kebele, Gewane district, Northeastern Ethiopia. Both confirmed by laboratory and epidemiologically linked measles cases were involved. Controls were those who had no clinical signs of measles during the data collection period and residents of the same community where cases were identified. An interviewer-administered questionnaire was used to collect data. Nutritional status was measured using MUAC and the result decided based on the world health organization's nutritional categorization of children by MUAC. Data were entered into Epi-info 7 and analyzed using SPSS-21. Binary logistic regression was done to identify risk factors for measles infection with 95% confident level of Odds ratio.Result: Fifty cases and 100 controls have participated in this investigation. Four out of five samples collected were positive for measles IgM antibody. There were three deaths reported. There was no vaccination history of cases and controls. The majority of cases were female and between 6–15 years of age. In multivariable analysis, malnutrition (AOR = 3.21; 95%CI 1.871,6.334), and contact history (AOR = 12.24; 95%CI 6.992,28.121) increased the risk of contracting measles infection.Conclusion: children under 15-year age were more affected groups. The absence of vaccination in the area precipitated by a high rate of malnutrition was the main cause that aggravates the number of new infections. Contact history and malnutrition were the identified risk factors for measles infection. Therefore, increasing immunization coverage of more than 80%, and securing food security decrease the susceptibility of outbreak occurrence.

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Section: Discussionsupporting

confidence: 87%

Malnutrition Precipitated Measles Outbreak in Gewane District, Afar Regional State, Northeastern Ethiopia, 2016

Ayele¹

2020

Preprint

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“…This affords a relatively fast and cheap way of reporting, but the inconvenience due connection lower quality. Seventy four percent of health facilities had at least one standard IDSR case definition available; this was higher than the 35% reported in Tanzania [2] [12] and higher than to findings in Nigeria, where case definitions were not used for recording diagnosis in registers [4]. However, this differed from the assessment of surveillance in Nigeria in 2013, where 62%health facility had case definition for any of the priority diseases and the 2009 assessment of IDSR where 68% of health facilities did not have case definitions for any of the priority diseases [4].…”

Section: Discussionmentioning

confidence: 67%

“…Some of these programs were well funded, while others were in a zone were undermined. Surveillance data were collected by programs under different authorities which led to disjointed and inconsistent systems in which health workers used multiple intricate reporting formats with different terminologies and reporting mechanisms [1][2][3]. This resulted in health workers becoming overloaded and not encouraged.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Integrated Disease Surveillance and Response Implementation in Special Health Facilities of Dawuro Zone

Begashaw¹,

Tesfaye²

2016

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Background: Widespread epidemics of malaria, yellow fever, meningitis and Tuberculosis across the Sub-Saharan African in the 1990s were largely attributed to poor surveillance systems which were neither able to detect communicable diseases on time nor build up an effective response. Effective communicable disease control relies on effective response systems which are dependent upon effective disease surveillance. Integrated Disease Surveillance and Response strategy (IDSR) was adopted by the AFRO members of the World Health Organization (WHO) to improve surveillance activities. Objective: This study was conducted to assess IDSR implementation in selected Health Facilities of Dawuro zone. Settings and Design: Dawuro zone is located in Southwestern Ethiopia. It shares borders with the Gamo-Gofa zone in south, Wolayta zone in the east, Konta Special district in the west, Oromia region in North, Hadya and Kambata Tembaro Zones in North east. Based on the 2006 census, it has a population of 590,090. A cross-sectional facility based descriptive study was conducted. Materials and Methods: An interviewer administered questionnaire of an adapted from the WHO Protocol for the Assessment of National Communicable Disease Surveillance and Response systems was used. Data analysis was carried out using SPSS version 21. Results: All of the health facilities (38%) have any case definition for the priority diseases. About 43% of the health facilities had electricity. Only seven percent has standby generators, which were functional. All health centers had calculators and stationery available for data management while 36% had computers and but 28% have printers available. No form of data analysis was available in 93% of the health centers, analysis of data were however available in all 14 Health centers studied. A reporting system was available in 92% of health centers. There was no feedback from the region to the district health offices and Health centers, nor was there feedback from the national to the zone level. Conclusion and recommendation: The implementation of IDSR in Dawuro zone is moderate. Resources are insufficient and although some structures are present on ground like the presence of reporting mechanism, feedback is low from the higher to lower levels. Standard case definitions are not used in all health facilities for all priority diseases. Standard case definitions should be made available and used in all health facilities.

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“…Most of the associated deaths occur in children aged five years and younger. [9][10][11][12] Studies have shown that infants infected with measles have twofold higher case deaths than children with measles who are older. 13,14 The measles vaccine was widely used throughout Africa, and the measles incidence was at an historic low, as at 2009.…”

Section: Introductionmentioning

confidence: 99%

Measles outbreak and response immunisation in a south-western district of Nigeria: January to June 2013

Isere

Fatiregun

Adeyemo

2015

Southern African Journal of Infectious Diseases

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Investigation of measles outbreak-Herena and Dawe-Serer Districts of Bale Zone, Oromia Region, Ethiopia, February 2011

Cited by 3 publications

References 0 publications

Malnutrition Precipitated Measles Outbreak in Gewane District, Afar Regional State, Northeastern Ethiopia, 2016

Malnutrition Precipitated Measles Outbreak in Gewane District, Afar Regional State, Northeastern Ethiopia, 2016

Assessment of Integrated Disease Surveillance and Response Implementation in Special Health Facilities of Dawuro Zone

Measles outbreak and response immunisation in a south-western district of Nigeria: January to June 2013

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