Tahir, Abdifatah (2015) Ethiopia Field Epidemiology Training Program. Masters thesis, Addis Ababa University.
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Abstract
Introduction: Measles remains to be a common disease in many parts of the developing world and is the most common cause of morbidity and mortality in Ethiopia. On April 13, 2014, the Somali Regional Health Bureau received report of a suspected Measles outbreak in Hamaro Woreda of Somali Region. Investigation was launched to confirm the outbreak, identify risk factors and implement control measures. Methods: A 1:2 unmatched case-control study was conducted, with 44 cases and 88 controls. A suspected measles case was defined as any person with fever, rash, cough, and coryza in Hamaro District from April 6 to April 27, 2014. Health center records and line lists were reviewed. Furthermore, cases and controls were interviewed using questionnaire appropriate for the purpose. In addition to that, five blood samples were taken for laboratory confirmation. Data were entered excel and analyzed using Epi-Info version 7. Result: A total of 43 suspected Measles cases with one death were reported from April 6 to April 27, 2014. 27(62%) were male. 24 (55%) were aged below five years, while mean age was 11 years (8 months to 35 years).The overall attack rate (AR) was found to be 6.1/10,000 with one death (CFR:2.2%) are identified). The outbreak occurred in four kebele out of the 5 kebeles in the Woreda, the most affected kebele was Hardhagax 30/10,000 population. All five blood sample were positive for measles IgM. In the case control study being illiterate AOR: 15.0 (3.78-59.68) and travel history AOR: 34.8 (3.83-316.26) was associated with contracting measles. Conclusion: An outbreak of measles was confirmed in Hamaro affecting primarily under 5 children. Low vaccination coverage, mother‘s illiteracy and travel history were associated risk factor identified. Strengthening routine immunization is recommended.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Measles: Outbreak: case control: Hamaro |
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 25 Sep 2018 10:08 |
| Last Modified: | 25 Sep 2018 10:08 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/5734 |
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