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Measles in Equatoria region--south Sudan
M M A/Wahab1, A M Ismail, M A Rais
1Sabbah Children's Hospital, Juba, Sudan.
Insights
Measles vaccination is recommended at 6 months in Juba due to a 23% case fatality rate. The study found malnutrition and death rates increased with age in children under 10 months.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Measles poses a significant threat to young children, particularly in resource-limited settings.
- Understanding age-specific mortality and risk factors is crucial for effective intervention.
Purpose of the Study:
- To analyze measles cases and outcomes in children admitted to Sabbah Children's Hospital, Juba.
- To determine the case fatality rate and identify risk factors associated with measles mortality.
Main Methods:
- Retrospective analysis of 208 measles cases.
- Data collected from Sabbah Children's Hospital admissions.
- Analysis of age, malnutrition incidence, and fatality rates.
Main Results:
- Overall case fatality rate for measles was 23%.
- Children under 10 months represented 17% of cases.
- Mortality and malnutrition incidence increased with age.
Conclusions:
- Measles vaccination should be initiated at 6 months of age in the Juba area.
- Intensive health education on measles dangers and management is recommended.
Abstract:
A retrospective analysis of 208 cases of measles admitted to Sabbah Children's Hospital, Juba is presented. Seventeen per cent of the children were less than 10 months of age. The overall case fatality rate was 23%. The death rate was lowest in the first 9 months of life and increased with age, as did the incidence of malnutrition. It is recommended that measles vaccination should commence at 6 months of age in the Juba area, and that intensive health education about the dangers and management of measles be instituted.