Mersha Amare Mengistu, Braka Fiona, Gallagher Kathleen, Tegegne Aysheshim Ademe, Argay Aron Kassahun, Mekonnen Mekonnen Admassu, Aragaw Merawi, Abegaz Debritu Mengesha, Worku Etsehiwot Zeamlak, Baynesagn Mekonen Getahun
World Health Organization, Ethiopia.
Federal Democratic Republic of Ethiopia, Ministry of Health.
Pan Afr Med J. 2017 Jun 9;27(Suppl 2):11. doi: 10.11604/pamj.supp.2017.27.2.10677. eCollection 2017.
In developing countries, measles was a major cause of morbidity and mortality before the wide spread use of measles vaccine. The purpose of this study was to describe measles burden in an urban setting, Addis Ababa- since the implementation of measles case-based surveillance in Ethiopia. We analyzed measles surveillance data for 2004 -2014.
Incidence of measles was described by sub city, by year and by age groups. Age specific incidence rate were calculated. Logistic regression was used to identify the predictors of confirmed measles cases.
Of 4220 suspected measles cases 39% were confirmed cases. Males and females were equally affected. The mean affected age was 7.59 years. Measles cases peaked in 2010 and 2013-2014. Incidence of measles is higher among children less than five years old. Outer sub cities were more affected by measles in all years.
Sub cities bordering with Oromia Regional State were more affected by measles. Older age groups were more affected than younger age groups (age ≤ five years old). Efforts to close immunity gaps against measles and further strengthen surveillance in urban settings, particularly among children below five years old, should be prioritized.
在发展中国家，在麻疹疫苗广泛使用之前，麻疹是发病和死亡的主要原因。本研究的目的是描述自埃塞俄比亚实施基于病例的麻疹监测以来，亚的斯亚贝巴这个城市环境中的麻疹负担。我们分析了2004年至2014年的麻疹监测数据。
按次城区、年份和年龄组描述麻疹发病率。计算年龄特异性发病率。使用逻辑回归来确定确诊麻疹病例的预测因素。
在4220例疑似麻疹病例中，39%为确诊病例。男性和女性受影响程度相同。平均受影响年龄为7.59岁。麻疹病例在2010年以及2013年至2014年达到峰值。五岁以下儿童的麻疹发病率更高。在所有年份中，外围次城区受麻疹影响更为严重。
与奥罗米亚州接壤的次城区受麻疹影响更为严重。年龄较大的年龄组比年龄较小的年龄组（年龄≤五岁）受影响更严重。应优先努力缩小麻疹免疫差距，并进一步加强城市环境中的监测，特别是五岁以下儿童中的监测。
