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
Oyeladun Funmi Okunromade, Nigeria Field Epidemiology and Laboratory Training Program, Asokoro, Abuja, Nigeria
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.
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.
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)],
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
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
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.
Dates: 05 Jul 17 - 07 Jul 17
Venue: Transcorp Hilton Hotel
Organizers: Nigeria Centre for Disease Control / Nigeria Field Epidemiology and Laboratory Training Programme
Contact person: Dr Patrick Nguku (firstname.lastname@example.org)