Open AccessMeasles burden in urban settings: characteristics of measles cases in Addis Ababa city administration, Ethiopia, 2004-2014
Author(s) -
Amare Mengistu Mersha,
Fiona Braka,
Kathleen Gallagher,
Aysheshim Ademe Tegegne,
Aron Kassahun Argay,
Mekonnen Admassu Mekonnen,
Merawi Aragaw,
Debritu Mengesha Abegaz,
Etsehiwot Zeamlak Worku,
Mekonen Getahun Baynesagn
Publication year - 2017
Publication title -
the pan african medical journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.287
H-Index - 30
ISSN - 1937-8688
DOI - 10.11604/pamj.supp.2017.27.2.10677
Subject(s) - measles , medicine , incidence (geometry) , logistic regression , measles vaccine , pediatrics , age groups , environmental health , demography , vaccination , immunology , sociology , physics , optics
Introduction In developing countries, measles was a major cause of morbidity and mortality before the wide spread use of measles vaccine. The purpose of this study was to describe measles burden in an urban setting, Addis Ababa- since the implementation of measles case-based surveillance in Ethiopia. We analyzed measles surveillance data for 2004 -2014. Methods Incidence of measles was described by sub city, by year and by age groups. Age specific incidence rate were calculated. Logistic regression was used to identify the predictors of confirmed measles cases. Results Of 4220 suspected measles cases 39% were confirmed cases. Males and females were equally affected. The mean affected age was 7.59 years. Measles cases peaked in 2010 and 2013-2014. Incidence of measles is higher among children less than five years old. Outer sub cities were more affected by measles in all years. Conclusion Sub cities bordering with Oromia Regional State were more affected by measles. Older age groups were more affected than younger age groups (age ≤ five years old). Efforts to close immunity gaps against measles and further strengthen surveillance in urban settings, particularly among children below five years old, should be prioritized.