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. 2019 Dec 4;19(1):1636.
doi: 10.1186/s12889-019-8012-6.

Descriptive epidemiology of measles surveillance data, Osun state, Nigeria, 2016-2018

Folajimi O Shorunke  1 , Oluwatoyin Adeola-Musa  2 , Aisha Usman  3 , Celestine Ameh  3 , Endie Waziri  3 , Stephen A Adebowale  4
Affiliations

Descriptive epidemiology of measles surveillance data, Osun state, Nigeria, 2016-2018

Folajimi O Shorunke et al. BMC Public Health. .

Abstract

Background: Globally, an estimate of 254,928 measles cases in 2015 and 89,780 deaths in 2016 occur annually. In Nigeria, measles is the fifth leading causes of under-five child mortality with 342 confirmed cases found in the first 9 epidemic weeks in some states including Osun State. We described the distribution, trend and make projection of measles cases in Osun State.

Methods: The Osun State surveillance weekly reporting data on measles cases from all its 30 Local Government Area (LGA) were reviewed, from January 2016 to December 2018 (n = 1205). Data were analyzed using descriptive statistics and a multiplicative time series model (MTSM). The MTSM was used to determine the trend, seasonality in the data and make projections for 2019 and 2020.

Results: Cases of measles were reported across the 30 LGAs of the state between January 2016 and December 2018. The rate of reported cases of measles was 20.2, 34.4 and 28.8 per 100,000 populations in 2016, 2017 and 2018 respectively in Ede south LGA where the highest rates were reported in the 3-year period. Out of the three studied years, year 2017, recorded the highest number of reported cases of measles in Osun State. The trend line for the 3-year period showed a positive correlation (r = + 0.4979, p = 0.056). The computed quarterly variation for the studied years was 1.094 for the 1st quarter, 1.162 for the 2nd quarter, 0.861 for the 3rd quarter and 0.888 for the 4th quarter. A quarterly projection for 2019 and 2020 showed an increasing trend with the second quarter of each year likely to have the highest reported cases of measles.

Conclusions: Ede south LGA has the highest proportion of reported measles cases in Osun State. Measles cases may increase in years ahead, but the second quarter of a year has the highest number. Government should strengthen the existing framework on measles reduction and more attention should be given to the second quarter of each year.

Keywords: Measles surveillance; Osun-state; Seasonal variation; Trend.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Rates of reported cases of measles per 100,000 populations by year for all LGA in Osun State. Distribution of rates of reported cases of measles per 100,000 populations across the 30 LGA of Osun state Nigeria from January 2016 to December 2018. Each year is represented by the color beside it and the rate of reporting represented by the figures on the Y axis
Fig. 2
Fig. 2
Frequency distribution of observed and 3-months moving average of cases of measles in Osun State. This shows the frequency distribution of the observed cases of measles and the 3 months moving average of the reported cases over the period under review. The thick line represents the cases while the dark broken ken line represent the 3 months moving average. The red broken line is the linear trend line
Fig. 3
Fig. 3
Routine immunization vaccination coverage for measles January 2016 to December 2018. This shows the cumulative measles vaccination coverage for all the LGA in Osun State from January 2016 to December 2018, the vertical axis shows the percentage vaccine coverage while the horizontal axis represent the 30 LGA in Osun state
See this image and copyright information in PMC

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