IPROC iproc Iproceedings 2369-6893 JMIR Publications Toronto, Canada v4i1e10591 10.2196/10591 Abstract Abstract Measles Outbreak-Khywan, Huth District, Amran Governorate, Yemen, March, 2017 Khader Yousef Mayad Mona Albakhshi W Corresponding Author: Mona Mayad alferdos25@yahoo.com Jan-Dec2018 29 03 2018 4 1 e10591 29 3 2018 29 3 2018 ©Mona Mayad, W Albakhshi. Originally published in Iproceedings (http://www.iproc.org), 29.03.2018. 2018

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 Background

On March 3, 2017, cases with fever and skin rash were reported in Khywan, Huth district, Amran by electronic disease early warning system (eDEWS) coordinator. A team from Y-FETP was sent to investigate the problem.

 Objective

To confirm the existence of outbreak and recommend control measures.

 Methods

We conducted active house to house- case search. Suspected case was any person with fever and skin rash at any age in Khywan area, Huth district, Amran governorate, from 5 February to 5 March 2017. Data analysis was performed by Epi Info version 7.2.

 Results

Results 32 cases met the standard case definition, the index case was reported in 5 Feb. 2017, the outbreak continued till 5 March with the peak of cases in 3 March 2017 (6 cases). The percentage of females was 53%. The highest percent was among the age group 1-<5 years with the attack rate 21/1000 of population. The percent of non-vaccinated cases was 97%. Reasons for non-vaccination were: lack of outreach vaccination services (39%), absence of vaccine in the nearby health center (39%), and vaccination refusal (22%). All cases had fever and skin rash, 97% of cases had cough and conjunctivitis. About 13% of cases were admitted in Huth hospital due to pneumoniae as a complication of measles.

 Conclusions

Existence of Measles outbreak in Khywan area, Huth district, Amran governorate was confirmed. Urgent measles immunization campaign with ongoing routine and outreach immunization services are recommended to increase vaccination coverage.