A. Situation analysis
Description of the disaster
Measles, a highly contagious viral disease, remains a leading cause of death amongst young children around the world, despite the availability of an effective vaccine. In July 2018, the first case of measles was notified in the urban health centre of the district of Antananarivo Renivohitra in Madagascar. According to WHO, from 4 October 2018 to 7 January 2019, 19,539 measles cases and 39 “facility-based” deaths (case fatality ratio: 0.2%) were reported by the Ministry of Public Health (MoH) of Madagascar. Cases were reported from 66 of 114 total districts in all 22 regions of Madagascar.
In February 2019 (weeks 7 to 8), an overall 774 new cases were recorded in 3 newly affected districts including ANDILAMENA (145 cases in week 7 and 167 cases in week 8); MAHAJANGA II (142 cases in week 7 and 241 cases in week 8) and MAHANORO (22 cases in week 7 and 57 cases in week 8).
Despite stabilizing in some areas, the above-mentioned spikes show that the epidemic is progressing, and the epidemic is now posing significant risk to remote and hard to reach communities as seen in below table, which summarizes the rate at which the disease has been spreading with 7,288 new cases in March 2019 (weeks 9 to 12).