Bekele, Gebeyehu Dumessa (2015) Ethiopia Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology. Masters thesis, Addis Ababa University.
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Abstract
Measles (rubeola) is a highly contagious, acute, viral illness of the respiratory tract caused by RNA enveloped virus of the family paramyxovirus, genus Morbillivirus. Measles is the most common of vaccine preventable diseases that occur in Ethiopia; where parents recognize it as a self-limited common childhood illness for which no medical care is often sought. Measles outbreak was detected in Beko Jimma Kebele of Sibu Sire District, East Wollega Zone in March 2014. Investigation was done to verify the existence of an outbreak, to determine the magnitude and identify associated risk factors contributed for the occurrence of the outbreak. A Cross-sectional descriptive study followed by a one to two unmatched case control study was conducted from May 4 to 18, 2014. Interview by using structured questionnaire was used to collect data from cases and controls. Data was managed and analyzed by using Microsoft Excel 2007 and Epi- Info 7.1. From five of the cases, blood samples were collected for laboratory confirmation, and all tested positive for Measles IGM. All other cases were epidemiologically linked with the confirmed cases. Over the period of outbreak a total of 291 measles cases with 10 community deaths were detected. 52.2 % of the cases were females and the age of the cases ranged from 1 month to 55 years with median age of 5 years. More than three quarter of the cases were aged below 15 years. 88.3% of the cases including all the deceased were not vaccinated for measles. The overall attack rate was 2.91% and the case fatality rate was 3.44%. Having contact with a person suspected to have measles AOR: 31.16 (95% CI, 8.19 – 118.62) and presence of measles case patient among the family in the house hold AOR: 6.36 (95% CI, 2.23 – 18. 13) were independent risk factors for contracting measles infection. However, nutritionally being normal was found to be protective for measles infection AOR: 0.13 (0.05 – 0.34). This outbreak occurred in remote pocket kebele of the Sibu Sire District with extremely low immunization coverage. Multiple factors contributed for the occurrence of the outbreak. We recommend enhanced routine immunization service, availing therapeutic feeding service and awareness creation to the community on mode of transmission, prevention and health seeking behavior.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | measles, outbreak, Beko Jimma, Sibu Sire |
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 13 Jul 2018 07:41 |
| Last Modified: | 13 Jul 2018 07:41 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/7382 |
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