Review of measles notification data within the integrated disease surveillance and response (IDSR) in Nigeria (2012-2016)
Background: Nigeria is among the 45 countries that account for 94% of the global deaths due to measles. This study examined measles data retrospectively for five years in other to ascertain measles trend and epidemiology, focusing on timeliness and completeness of data, attack rate (AR) and Case fatality rate (CFR) in order to proffer solutions to reduce measles cases in Nigeria.
Methodology: A retrospective survey design. Permission granted by Nigeria Centre for Disease Control, Abuja to use existing routine measles and outbreak notification data from 2012 – 2016. Using SPSS 20, the data was collated, analyzed and interpreted using percentages, graphs and Chi square at 0.05 significant level.
Results: A very low rate of laboratory confirmed cases was revealed. There is a significant difference in the number of cases of measles in the age groups (p < 0.05). Children in the age group of 1 – 5 years mostly affected. There is a significant difference in the cases of measles in terms of geopolitical zone distribution (p < 0.05); the northern zones were more affected. There is a significant difference in the number of deaths recorded for measles (p < 0.05); the case fatality rate (CFR) and attack rate (AR) show that deaths from measles were highest among children under 5 years. Timeliness and completeness of reporting data indicate poor quality in gathering measles data.
Conclusion: From data analyzed, IDSR appears to have an ineffective case management system and poor data reporting quality. There is the need for more proactive and efficient surveillance to combat measles.
. Nigeria Centre for Disease Control (NCDC). Contact tracing: A critical activity for enhanced surveillance. Available from http://www.ncdc.gov.ng/reports/weekly [Accessed January 10, 2018].
Measles. Available from http://www.who.int/mediacentre/factsheets/fs286/en/ [Accessed February 1, 2018].
Saleh JEA. Trends of measles in Nigeria: A systematic review. Sahel Med J. 2016; 19 (1):5-11. doi: 10.4103/1118-8561.181887.
Integrated Disease Surveillance and Response Technical Guidelines. Available from www.ncdc.gov.ng/themes/common/docs/protocols/4_1476085948.pdf [Accessed February 14, 2018].
WHO-recommended surveillance standard of measles. Available fromhttps://www.who.int/immunization/monitoring_surveillance/burden/vpd/surveillance_type/active/measles_standards/en/ [Accessed January 10, 2019].
African Regional Guidelines for Measles and Rubella Surveillance. WHO Regional Office for Africa, Draft 2015. Available from African Regional guidelines for measles and rubella surveillance- Draft version April. 2015. [Accessed March 16, 2018].
AFRO/WHO. As Nigerian government Flags-off 2017/2018 Measles Vaccination Campaign, Kaduna state Governor's children get vaccinated against measles disease. Available from http://www.afro.who.int/news/nigerian-government-flags-20172018-measles-vaccination-campaign-kaduna-state-governors [Accessed January 20, 2018].
Biellik R, Madema S, Taole A, Kutsulukuta A, Allies E, Eggers R et al. First 5 years of measles elimination in southern Africa: 1996–2000. Lancet. 2002; 359:1564-1568.
Public health surveillance. Available from https://www.who.int/topics/public_health_surveillance/en/ [Accessed February 5, 2018].
Phalkey RK, Shukla S, Shardul S, Ashtekar N, Valsa S, Awate P et al. Assessment of the core and support functions of the Integrated Disease Surveillance system in Maharashtra, India. BMC Public Health. 2013; 13:575.
Types of Surveillance. Available from https://www.who.int/immunization/monitoring_surveillance/burden/vpd/surveillance_type/en/ [Accessed January 10, 2019].
Abubakar A, Idris SH, Sabitu KS, Shehu AH, Sambu MN. Emergency preparedness and the capability to identify outbreaks: a case study of Sabon Gari Local Government Area, Kaduna State. Annals of Nigerian Medicine. 2010; 4: 21-7.
Centre for Disease Control and Prevention. Measles | Statistics and Surveillance. Available from https://www.cdc.gov/measles/stats-surv.html [Accessed January 10, 2018].
Measles. Available from http://www.who.int/immunization/diseases/measles/en/ [Accessed January 30, 2018].
Olusola BA, Adeniji JA. Molecular Detection of Measles Virus from Children during a Sporadic Outbreak in Two Semi-Urban Areas in Nigeria. Afr. J. Infect. Dis. 2014; 8(2): 44 – 49.
Adedokun ST, Uthman OA, Adekanmbi VT, Wiysonge CS. Incomplete childhood immunization in Nigeria: a multilevel analysis of individual and contextual factors. BMC Public Health. 2017; 17:236. doi 10.1186/s12889-017-4137-7.
Oleribe O, Kumar V, Awosika-Olumo O, Taylor-Robinson SD. Individual and socioeconomic factors associated with childhood immunization coverage in Nigeria. The Pan African Medical Journal. 2017; 26:220. doi:10.11604/pamj.2017.26.220.11453.
Hassen MN, Woyessa AB, Getahun M, Beyene B, Buluanger L, Ademe A et al. Epidemiology of measles in the metropolitan setting, Addis Ababa, Ethiopia, 2005–2014: a retrospective descriptive surveillance data analysis. BMC Infectious Diseases. 2018; 18: 400.
Moss WJ, Strebel P. Biological Feasibility of Measles Eradication. The Journal of Infectious Diseases. 2011; 204 (Suppl 1): S47 – S 53.
Hübschen JM, Bork SM, Brown KE, Mankertz A, Santibanez S, Ben Mamou M, Mulders MN, Muller CP. Challenges of measles and rubella laboratory diagnostic in the era of elimination. Clinical Microbiology and Infection. 2017; 23 (8): 511-515.
Hyde TB, Nandy R, Hickman CJ, Langidrik JR, Strebel PM, Papania MJ et al. Laboratory confirmation of measles in elimination settings: experience from the Republic of the Marshall Islands, 2003. Bull World Health Organ. 2009; 87(2): 93–98. doi: 10.2471/BLT.07.045484.
Olusola BA, Adeniji JA. Molecular Detection of Measles Virus from Children During a Sporadic Outbreak in Two Semi-Urban Areas in Nigeria. African Journal of Infectious Diseases. 2014; 8(2): 44–49.
W.H.O. Guidelines for Epidemic Preparedness and Response to Measles Outbreaks. From http://www.who.int/csr/resources/publications/measles/whocdscsrisr991.pdf Accessed February 25, 2018.
Lukwago L, Nanyunja M, Ndayimirije N, Wamala J, Malimbo M, Mbabazi W, et al. The implementation of Integrated Disease Surveillance and Response in Uganda: a review of progress and challenges between 2001 and 2007. Health Policy and Planning. 2013; 28 (1):30-40.
Ministry of Health (MoH) Nigeria. IDSR in West Africa—Bridging the Gaps. In: The National Science Academy (Ed). Lagos: West African Book Publishers Limited; 2010.
World Health Organization and Centers for Disease Control and Prevention. Technical Guidelines for Integrated Disease Surveillance and Response in the African Region, Brazzaville, Republic of Congo and Atlanta, USA; 2010: 1-398.
WHO Recommended Surveillance Standards. WHO/CDS/CSR/ISR/99.2 Available from www.who.int/csr/resources/publications/surveillance/whocdscsrisr992.pdf [Accessed February 15,2018].
Balogun SA, Yusuff HA, Yusuf KQ, Al-Shenqiti AM, Balogun MT, Tettey P. Maternal education and child immunization: the mediating roles of maternal literacy and socioeconomic status. Pan Afr Med J. 2017; 26: 217. doi: 10.11604/pamj.2017.26.217.11856.
McKee C, Bohannon K. Exploring the Reasons Behind Parental Refusal of Vaccines. J Pediatr Pharmacol Ther. J Pediatr Pharmacol Ther. 2016; 21(2): 104–109. doi: 10.5863/1551-6776-21.2.104.
Clements CJ, Ratzan S. Misled and confused? Telling the Public about MMR Vaccine Safety. Journal of Medical Ethics. 2003; 29:22-26.
Katona P, Katona-Apte J. The Interaction between Nutrition and Infection. Clinical Infectious Diseases. 2008; 46 (10): 1582–1588. https://doi.org/10.1086/587658.
Harrington RA. Case fatality rate. Available from https://www.britannica.com/science/case-fatality-rate [Accessed March 20, 2018].
Oyefolu AOB, Oyero OG, Anjorin AA, Salu OB, Akinyemi KO, Omilabu SA. Measles Morbidity and Mortality Trend in Nigeria: A 10-Year Hospital-Based Retrospective Study in Lagos State, Nigeria. Journal of Microbiology and Infectious Diseases. 2016; 6 (1): 12-18.
Pettygroove S. Attack rate. Available from https://www.britannica.com/science/attack-rate [Accessed March 20, 2018].
Sawa BA, Buhari B. Temperature Variability and Outbreak of Meningitis and Measles in Zaria, Northern Nigeria. Research Journal of Applied Sciences, Engineering and Technology. 2011; 3 (5): 399-402.
Yang Q, Fu C, Wang N, Dong Z, Hu W, Wang M. The effects of weather conditions on measles incidence in Guangzhou, Southern China. Journal Human Vaccines & Immunotherapeutics. 2014; 10 (4): 1104-1110.
Completeness and Timeliness - UiO. Available from
www.uio.no/studier/emner/matnat/ifi/INF5761/v14/timeplan/completeness.docx. [Accessed April 10, 2018].
Ward M, Brandsema P, VanStraten E, Bosman A. Electronic reporting improves timeliness and completeness of infectious disease notification, The Netherlands, 2003. Euro Surveill. 2005; 10 (1): 27- 30.
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