ArticlePloS one2018
Risk factors for measles mortality and the importance of decentralized case management during an unusually large measles epidemic in eastern Democratic Republic of Congo in 2013.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Measles epidemic in Yakusu Health Zone, Democratic Republic of Congo, 2018-2019: a retrospective observational study.BMC infectious diseases · 2026Observational
- The challenge of protracted measles outbreaks in Kismayo, Somalia: A mixed-method investigation of measles burden and vaccination coverage during a 2020-2021 outbreak.PLOS global public health · 2025Article
- Review
- Epidemiological characteristics of a protracted and widespread measles outbreak in the Democratic Republic of Congo, 2018 - 2020.The Pan African medical journal · 2022Article
- Measles Outbreak Investigation in Guradamole District of Bale Zone, South Eastern Ethiopia, 2021.Infection and drug resistance · 2022Article
- Is patient navigation a solution to the problem of "leaving no one behind"? A scoping review of evidence from low-income countries.Health policy and planning · 2021Article
- Outbreak analytics: a developing data science for informing the response to emerging pathogens.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2019Review
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Authors and funding
9 authors.
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Abstract
In 2013, a large measles epidemic occurred in the Aketi Health Zone of the Democratic Republic of Congo. We conducted a two-stage, retrospective cluster survey to estimate the attack rate, the case fatality rate, and the measles-specific mortality rate during the epidemic. 1424 households containing 7880 individuals were included. The estimated attack rate was 14.0%, (35.0% among children aged <5 years). The estimated case fatality rate was 4.2% (6.1% among children aged <5 years). Spatial analysis and linear regression showed that younger children, those who did not receive care, and those living farther away from Aketi Hospital early in the epidemic had a higher risk of measles related death. Vaccination coverage prior to the outbreak was low (76%), and a delayed reactive vaccination campaign contributed to the high attack rate. We provide evidences suggesting that a comprehensive case management approach reduced measles fatality during this epidemic in rural, inaccessible resource-poor setting.
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