Madagascar 2018-2019 measles outbreak response: main strategic areas.
| Autor: | Sodjinou VD; World Health Organization Regional Office for Africa, Congo., Douba A; World Health Organization Country Office, Madagascar.; Felix Houphouet Boigny University, Abidjan, Côte d´Ivoire., Nimpa MM; World Health Organization Country Office, Madagascar., Masembe YV; World Health Organization Country Office, Madagascar., Randria M; World Health Organization Country Office, Madagascar., Ndiaye CF; World Health Organization Country Office, Madagascar. |
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| Jazyk: | angličtina |
| Zdroj: | The Pan African medical journal [Pan Afr Med J] 2020 Sep 05; Vol. 37, pp. 20. Date of Electronic Publication: 2020 Sep 05 (Print Publication: 2020). |
| DOI: | 10.11604/pamj.2020.37.20.24530 |
| Abstrakt: | Introduction: on October 4 th , 2018, a measles outbreak was declared in Madagascar. This study describes the outbreak response in terms of coordination, case management, vaccination response and epidemiological surveillance. Methods: data were collected using a line list and vaccination tally sheet. Serum samples were collected within 30 days of rash onset for laboratory testing; confirmation was made by detection of measles immunoglobulin M antibody. Results: from September 2018 to May 2019, a total of 146,277 measles cases were reported which included 1394 (1%) laboratory-confirmed cases and 144,883 (99%) epidemiological link-confirmed cases. The outbreak affected equally males (72,917 cases; 49.85%) and females (73,233 cases; 50.06%). The sex was not specified for 127 (0.09%) cases. Case fatality rate and attack rate were high among children less than 5 years. Responses interventions include effective coordination, free of charge case management, reactive vaccination, strengthened real-time surveillance, communication and community engagement and the revitalization of the routine immunization. Reactive vaccination was implemented in different phases. A total of 7,265,990 children aged from 6 months to 9 years were vaccinated. Post campaign survey coverage was 95%, 96% and 97% for phase 1, 2, 3 respectively. Conclusion: elimination of measles will be challenging in Madagascar because of low routine immunization coverage and the absence of a second dose of measles vaccine in the routine immunization schedule. Competing Interests: The authors declare no competing interests. (Copyright: Vincent Dossou Sodjinou et al.) |
| Databáze: | MEDLINE |
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