Abstract

The prevalence of measles has been drastically reduced by well over 70% globally, through vaccination with a proven and potent vaccine. Despite these efforts, children under 5 years of age in many developing countries remain plagued by it’s scourge in recurrent waves of epidemics. This study retrospectively investigated an outbreak of measles by reviewing surveillance, epidemiologic and laboratory records, including Integrated Disease Surveillance & Response (IDSR) forms, measles line lists, routine immunization reports, vaccine ledgers etc. A total of 422 cases were reported, 96% of whom were children under 5 years. Estimated mortalities were 20 (representing a case fatality rate of 4.7%). Vaccination among cases was very low as most of the children (99%) had never received any measles vaccine. Intensified efforts, in order to increase herd immunity among birth cohorts through routine immunization and innovative methods of positively influencing resistant sub-groups within the population towards embracing vaccination are non-negotiable in attaining higher immunization coverages.

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