ArticleThe Pan African medical journal2020
Measles outbreak investigation in Ginnir district of Bale zone, Oromia region, Southeast Ethiopia, May 2019.
Article in The Pan African medical journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The quality of measles outbreak investigation report, how can it bridge the gap and help to fulfill the goal of measles elimination?BMC infectious diseases · 2025Pooled it
- Epidemiology of measles outbreaks, incidence and associated risk factors in Ethiopia from 2000 to 2023: a systematic review and meta-analysis.BMC infectious diseases · 2024Pooled it
- Attack rate, case fatality rate and determinants of measles infection during a measles outbreak in Ethiopia: systematic review and meta-analysis.BMC infectious diseases · 2023Pooled it
- Exploring gender-intentional implementation of Digital Health Information for Immunization in Ethiopia.PLOS global public health · 2026Article
- Determinants of second-dose measles vaccination dropout in Ethiopia: A community-based matched case-control study.Heliyon · 2024Article
- Descriptive Analysis of Measles Outbreak in Liberia, 2022.IJID regions · 2024Article
- Second dose of measles-containing vaccine coverage and associated factors among children aged 24-36 months in Gondar city, Central Gondar, Northwest Ethiopia, 2023.Frontiers in public health · 2024Article
- Measles outbreak investigation in Berhet District, North Shewa, Ethiopia.Frontiers in public health · 2024Article
- Measles outbreak investigation in Tocha district, southwestern Ethiopia: an unmatched case-control study.Frontiers in public health · 2024Article
- Article
- Measles Outbreak Investigation in Garda Marta District, Southwestern Ethiopia, 2022: Community-Based Case-Control Study.Infection and drug resistance · 2023Article
- Measles outbreak investigation in Kasoshekumer kebele, Sinana district, South-Eastern Oromia, Ethiopia: A case-control study.SAGE open medicine · 2023Article
- Article
- Measles Outbreak Investigation in Guradamole District of Bale Zone, South Eastern Ethiopia, 2021.Infection and drug resistance · 2022Article
- Nanoemulsions: The rising star of antiviral therapeutics and nanodelivery system-current status and prospects.Current opinion in colloid & interface science · 2021Review
- Risk factors for measles outbreak in Ataq and Habban districts, Shabwah governorate, Yemen, February to May 2018.BMC infectious diseases · 2021Article
- Evaluation of Measles Surveillance Systems in Ginnir District, Bale Zone, Southeast Ethiopia: A Concurrent Embedded Mixed Quantitative/Qualitative Study.Risk management and healthcare policy · 2021Article
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4 authors.
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Abstract
introductionMeasles is a vaccine-preventable viral infection of humans, primarily affecting children <5 years. During early 2019, outbreak of measles occurred in Ginnir district of Bale zone, Southeast Ethiopia. We investigated to describe the outbreak and identify risk factors.
methodsWe conducted a descriptive and 1:2 unmatched case-control study in Ginnir district from March 18 to April 29, 2019. Fifty-six cases and 112 controls were recruited. For descriptive study, we identified 1043 cases recorded on the line-list and for case-control study, cases were identified using national standard case-definition. Mothers of case-patients and controls were interviewed using structured questionnaire. We estimated vaccine efficacy (VE) from case-control study. We conducted bivariate and multivariable logistic regression.
resultsIn four-months period, a total of 1,043 suspected measles cases epidemiologically linked to five laboratory confirmed cases reported. Of which, 555 (53.2%) were males and 714 (68.5%) were <5 years. The median age of cases was 36 months (IQR=12-60 months). The overall attack rate (AR) was 63/10,000 population with case fatality ratio of 0.5% (5 deaths/1043). Infant <9 months were the most affected age groups (AR=31/1000). Majority (79%) of measles cases were not vaccinated against measles. Last-year (2017/18) administrative measle vaccine coverage of the district was 76.7%. Being unvaccinated against measles (AOR=5.4, 95%CI=2.2-13.4), travel history (AOR=4.02, 95%CI=1.2-13.6), contact with measles case-patient (AOR=5.6, 95%CI=2.12-14.4) and mothers knowledge of measles transmission (AOR=0.36, 95%CI=0.15-0.87) were associated with measles infection. VE in children aged 9-59 months was 90% (95%CI=69-97%).
conclusionThis confirmed measles outbreak was caused by failure to vaccinate, as indicated by the high VE, low administrative coverage, and 79% unvaccinated cases. Strengthening routine and supplementary immunization are required.
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