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Journal of Tropical Pediatrics Advance Access published online on May 30, 2006
Journal of Tropical Pediatrics, doi:10.1093/tropej/fml026
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© The Author [2006]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Original Papers

Retrospective Measles Outbreak Investigation: Sudan, 2004

Fátima Coronado 1 *, Nisreen Musa 2, El Sayed Ahmed El Tayeb 3, Salah Haithami 4, Alya Dabbagh 5, Frank Mahoney 6, Robin Nandy 7, and Lisa Cairns 7

1 Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, USA; New York State Department of Health
2 Federal Ministry of Health, Sudan
3 National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Georgia, USA; Federal Ministry of Health, Sudan
4 World Health Organization, Sudan
5 World Health Organization, Geneva
6 World Health Organization, EMRO
7 National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Georgia, USA

* To whom correspondence should be addressed.
Fátima Coronado, E-mail: fcoronado{at}cdc.gov


  Abstract

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.

The authors report no conflicts of interest. Funding for this outbreak investigation was provided by the World Health Organization. The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention. Correspondence and reprints requests should be addressed to:Correspondence: Fátima Coronado, Office of Workforce and Career Development, Centers for Disease Control and Prevention
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