Ethiopia: Measles Outbreak - May 2017
In Ethiopia, 348 cases had been confirmed and 40 outbreaks reported in Addis Ababa, Afar, Amhara, Oromia, Southern Nations Nationalities and Peoples, Somali and Tigray regions, as of 31 March 2017. The majority of the cases (39 per cent) have occurred among children under five years. Although not yet officially confirmed by the Federal Ministry of Health (FMOH), over 100 cases of measles were additionally reported during the month of April 2017 in Gashamo Woreda, Jarar zone, in Somali region, which would bring total number of cases in 2017 to approximately 450 cases. (UNICEF, 17 May 2017)
The measles outbreak is still persisting. During week 24, a total of 37 new suspected measles cases were reported in the country. Since the beginning of 2017, a total of 2,119 suspected measles cases were reported from across the country. This includes 979 confirmed cases (434 laboratory-confirmed, 490 epidemiologically-linked and 55 clinically compatible cases). Of the reported cases, 18.5% had not received any measles vaccination and 44.1% had an unknown status. Oromia is still the most affected region, with 32% of reported cases, followed by Amhara (28%), Addis Ababa (17%) and SNNPR (11%). (WHO, 23 Jun 2017)
The outbreak of measles is still ongoing but continues to improve. During week 44, 35 cases were reported including 3 lab-confirmed cases. Oromia Region remains the most affected region with 46% of the total reported cases, followed by Amhara 21 %, Addis Ababa 16 %, and Somali 20 %. (WHO, 1 Dec 2017)
The outbreak of measles continues to improve. During week 47, 37 cases were reported from Dollo zone and Jijiga City. Oromia Region remains the most affected region with approximately 46% of the total reported cases, followed by Amhara (21 %), Addis Ababa (16 %) and Somali (20 %). (WHO, 05 Jan 2018)
In 2018, a total of 2 625 suspected measles cases have been reported across the country including 56 new suspected cases reported in week 23. From the total suspected cases reported, 699 are confirmed cases (102 laboratory confirmed, 553 epi-linked and 44 clinically compatible). A total of 18 laboratory confirmed measles outbreaks have been reported up to week 26 and five [Amhara (1) and Somali (4) regions] are currently active. So far, the outbreaks reported are from the regions of Amhara (4), SNNPR (1), Somali (12), and Tigray (1). Between January and December 2017, a cumulative total of 4 011 suspected measles cases have been reported across the country. (WHO, 6 Jul 2018)
In 2018, a total of 3 062 suspected measles cases have been reported across the country. From the total suspected cases reported, 857 were confirmed cases (137 laboratory confirmed, 688 epi-linked and 52 clinically compatible). In week 34 (week ending 26 August 2018), no new suspected or confirmed cases were reported. (WHO, 14 Sep 2018)
Most read reports
- UNICEF Horn of Africa Drought Situation as of September 2018
- UNICEF Ethiopia Humanitarian Situation Report #8 – Reporting Period: August 2018
- Ethiopia Weekly Humanitarian Bulletin, 8 May 2017
- WHO AFRO Outbreaks and Other Emergencies, Week 40: 29 September - 5 October 2018 (Data as reported by 17:00; 5 October 2018)
- ACAPS Briefing Note - Ethiopia: Somali, Oromia and Tigray Displacement, 31 August 2018
Intercommunal conflict in the Somali and Oromia border regions that escalated on 4 August has led to the internal displacement of more than 141,000 people. Shelter and health assistance are among the most urgent needs for the IDPs. The areas most affected by the conflict are Jijiga in Somali region and East Hararghe area in Oromia, where fatalities among the population were reported. With the exception of a reported influx of around 2,000 displaced people into Mekelle Town of Tigray region, there is no other information regarding the impact of the August events on Tigray.
Around 400,000 people have been newly displaced on both sides of the regional borders of Gedeo (SNNP region) and Guji (Oromia region) zones since 1 June (ECHO 19/06/2018). In total, some 700,000 people have been displaced since a new wave of violence between the Gedeo and Guji communities started on 13 April. Insecurity continues to prevent IDPs from returning to their areas of origin (OCHA 14/06/2018; OCHA 22/05/2018; UNICEF 10/05/2018). IDPs are staying in shelters in public buildings and spontaneous IDP sites.
While Africa has seen tremendous progress towards access to immunization, one in five African children still lack access to all the World Health Organization (WHO) recommended life-saving vaccines, a threat not only to the health of families, but also to the strength of economies and equity in African societies.
INTRODUCTION & KEY TAKEAWAYS
This publication reports on measles based on surveillance data from 1 January 2016 to 30 June 2017 and epidemic intelligence up to the first week of September 2017. For rubella, the report covers surveillance data from 1 July 2016 to 30 June 2017.
• EU/EEA countries reported more than 14 000 measles cases including 34 deaths attributed to measles from 1 January 2016 to end of June 2017 (source: the European Surveillance System - TESSy and the National Institute of Public Health in Romania).
Southern and eastern Ethiopia continue to battle the impact of the Indian Ocean Dipole-induced drought, exacerbated by disease outbreaks, large scale loss of livelihood assets and displacement. The humanitarian situation countrywide has been further compounded by below average spring rains – the third consecutive poor/failed rains in the southern drought belt.
I. EXECUTIVE SUMMARY