Proceedings of Nigeria Centre for Disease Control/Nigeria Field Epidemiology and Laboratory Training Programme 2nd Annual Scientific Conference (Abuja, 2018)

Opening ceremony

Measles outbreak investigation in Otodogbame Community, Eti-Osa LGA, Lagos State, Nigeria, February 2016

Cite this: Pan African Medical Journal - Conference Proceedings. Mar 2018; 8(8): 11. doi:10.11604/pamj.cp.2018.8.11.593

Submitted: 12 Jan 18   Accepted: 29 Jan 18   Published: 21 Mar 18

Key words: Measles, outbreak, Lagos State, Nigeria

© Oyeladun Funmi Okunromade et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.proceedings.panafrican-med-journal.com/conferences/2018/8/11/abstract

Corresponding author: Oyeladun Funmi Okunromade, Nigeria Field Epidemiology and Laboratory Training Program, Asokoro, Abuja, Nigeria (ookunromade@yahoo.com)

This abstract is published as part of the proceedings of Nigeria Centre for Disease Control/Nigeria Field Epidemiology and Laboratory Training Programme 2nd Annual Scientific Conference(NIGERIA, )

Measles outbreak investigation in Otodogbame Community, Eti-Osa LGA, Lagos State, Nigeria, February 2016

Oyeladun Funmi Okunromade1,&, Folasade Osundina1, Nurain Ayeola1, Hakeem Yusuff1, Musiliyu Agbalaya1, Hakeem Bisiriyu1, Saheed Gidado2, Patrick Nguku1

 

1Nigeria Field Epidemiology and Laboratory Training Program, Abuja, Nigeria, 2African Field Epidemiology Network (AFENET), Nigeria

 

 

&Corresponding author
Oyeladun Funmi Okunromade, Nigeria Field Epidemiology and Laboratory Training Program, Asokoro, Abuja, Nigeria

 

 

Abstract

Introduction: measles is a highly contagious vaccine preventable viral infection with high mortality and morbidity. Immunisation coverage as low as 20% were reported in Nigeria. Suspected Measles outbreak was reported in Otodogbame Community. We investigated to verify, characterize and determine risk factors associated with the mortality.

 

Methods: we conducted unmatched case-control study using IDSR case definition of Measles from December to February 2016 residing in Otodogbame Community. We interviewed 82 cases and 246 controls using an interviewer-administered questionnaire on socio-demographic information and risk factors for Measles. Anthropometric measurements of assessing children were taken. Malnutrition was defined as =2 standard deviation away from the WHO recommended Z-score table of weight for height. Independent risk factor for Measles mortality was determined by bivariate and multivariate analysis.

 

Results: a total of 82 cases and 246 controls were interviewed. Median ages for cases and controls were 42 months (range: 10-156) and 36 months (range: 9-108), Mortality was 30%, 269 (82%) were malnourished [OR = 2.9; 95% CI: 1.1-3.3)], failure to achieve DPT3 immunization [OR = 2.3; (95% CI: 1.4 - 3.7)], lack of formal education [OR = 1.9; (95% CI: 1.1-3.1)],maternal age < 30 years [OR = 1.9; (95% CI: 1.1-3.2)], spending > 500 naira on transport per vaccination visit [OR = 2.3; (95% CI: 1.3 - 4.1)] and family income <10,000 naira ($20) per month [OR = 2.1; (95% CI: 1.3-3.5)] were statistically significant risk factors for Measles disease on bivariate analysis. Multivariate analysis revealed failure to vaccinate for Measles [AOR = 2.3; (95% CI: 1.1-4.7)], failure to achieve DPT3 coverage [AOR =3.3; (95% CI: 1.7 - 6.4)], family earning < 10000 naira ($20) per month [AOR = 2.1; (95% CI: 1.3-3.5)], spending > 500 naira (>$2) per vaccination visit [AOR = 2.4; (95% CI: 1.2 - 4.6)] as independent risk factors for measles disease.

 

Conclusion: acute malnutrition, lack of easy access to a health facility, financial limitations in the family and low immunization coverage led to the high mortality. Effective RI delivery, improving the socio-economic status could reduce Measles mortality.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nigeria CDC/Nigeria Field Epidemiology and Laboratory Training Programme 2<sup>nd</sup> Annual Scientific Conference (Abuja)

To create a platform for epidemiologists and public health physicians to share their scientific works, NCDC/NFELTP organized the 2nd annual scientific conference with the theme "strengthening one health through field epidemiology training" at Transcorp Hilton Hotel, Abuja, Nigeria from July 5-7, 2017. The objectives of the conference were to provide residents and graduates a forum to share findings from their field activities; provide training opportunity for trainees on scientific communication; provide an opportunity for epidemiological networking as well as create a forum to discuss pertinent public health issues. In attendance were dignitaries from the United States Centers for Disease Control and Prevention (CDC), USAID, WHO, Africa CDC, Ministries Departments and Agencies, University officials and other implementing partners. With the current rise in zoonotic diseases, the conference also featured a two-day pre-conference workshop on One Health which prioritized zoonotic infectious diseases in Nigeria using standardized prioritization methods. A second workshop focused on antimicrobial resistance. There were 38 oral presentations, 60 poster presentations and 2 plenary sessions. The presentations covered various sub-themes ranging from outbreak investigations, case management, health system strengthening, vaccine preventable diseases, communicable diseases and surveillance. The conference featured a National Night and climaxed with awards to outstanding presenters.

Country: NIGERIA

Dates: 05 Jul 17 - 07 Jul 17

Venue: Transcorp Hilton Hotel

Organizers: Nigeria Centre for Disease Control / Nigeria Field Epidemiology and Laboratory Training Programme

Secretariat: gchinyere@afenet.net

Contact person: Dr Patrick Nguku (pnguku@afenet.net)