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Year : 2006  |  Volume : 11  |  Issue : 2  |  Page : 101-107

Measles in Abakaliki - current status: A need for review of immunization status

1 Department of Paediatrics, Ebonyi State University Teaching Hospital, Abakaliki, Nigeria
2 Department of Community Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria

Correspondence Address:
Uche Nnebe-Agumadu
Department of Paediatrics, Ebonyi State University Teaching Hospital, Abakaliki
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Source of Support: None, Conflict of Interest: None

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Background: To highlight the burden of measles infection in Abakaliki and to join in the call for review of vaccination strategies in Nigeria. Methods: Case files of patients admitted with measles into Ebonyi state university teaching hospital, Abakaliki, from January 2001 to December 2005 were reviewed and relevant data collected and analyzed. Results: A total of 2,530 patients were admitted during the period of study, out of which 62 had measles giving a period prevalence of 24 per thousand. Age range was 6 months to 12 years. Prevaccination age group (<9 months) and children above 60 months each constituted 23.0% of the study group. Majority of the patients (61.0%) did not receive measles vaccine while 36.0% had vaccine failure. Bronchopneumonia was the commonest complication encountered (67.0%). Case fatality rate was 12.9%. Conclusion: Morbidity and mortality from measles is still a significant health problem in Abakaliki. Prevaccination age group and children above 5 years are increasingly infected. There is urgent need to increase vaccine coverage and effectiveness if measles control will ever be a reality in Nigeria. A 2-dose measles vaccine policy may help realize this dream.

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