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Journal of Tropical Pediatrics Advance Access originally published online on May 30, 2006
Journal of Tropical Pediatrics 2006 52(5):329-334; doi:10.1093/tropej/fml026
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Published by Oxford University Press, 2006.

Retrospective Measles Outbreak Investigation: Sudan, 2004

Fátima Coronadoa,c,, Nisreen Musad, El Sayed Ahmed El Tayebb,d, Salah Haithamie, Alya Dabbaghf, Frank Mahoneyg, Robin Nandyb and Lisa Cairnsb

aEpidemic Intelligence Service and bNational Immunization Program, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
cNew York State Department of Health
dFederal Ministry of Health, Sudan
eWorld Health Organization, Sudan
fWorld Health Organization, Geneva
gWorld Health Organization, EMRO

Correspondence and reprints requests should be addressed to: Fátima Coronado, Office of Workforce and Career Development, Centers for Disease Control and Prevention, 1600 Clifton Rd. NE MS E-92, Atlanta, GA 30333, USA. E-mail < fcoronado{at}cdc.gov>

Recent population-based studies of measles incidence and deaths in Sudan are not available. To determine the epidemiology and case-fatality rate (CFR) of measles, we conducted a retrospective outbreak investigation in two states in northern Sudan. Of 1144 case-patients identified, 92% were <15 years; 48.6% were vaccinated; and 62% received vitamin A before illness. Ten measles-associated deaths were identified (CFR 0.9%; 95% confidence interval 0.16–1.91). CFR determined by this investigation is lower than expected for the region but remains 10 times higher than that in developed countries. Measles control should be strengthened by improving vaccine coverage, measles surveillance and case-management.


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J Trop Pediatr 2006 52: i. [Full Text]  



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