تقييم اداء نظام مراقبة الحصبة في العراق 2011 - 2017 == Evaluation of Measles Surveillance System Performance in Iraq, 2011 - 2017
Author name:
صفاء سعدون علي
Supervisor name:
بتول علي غالب ياسين
General topic:
Medicine
Specific topic:
Applied Epidemiology
Degree:
Higher Diploma
University:
University of Baghdad - Faculty Of Medicine
Language:
English
University location:
Baghdad
First pages:
19T1388 - p.pdf
Abstract:
Introduction : Measles is a highly contagious viral disease and an important cause of death among young children globally. Adequate vaccine coverage and enhancing surveillance system are the keys for elimination goal by 2020. Objectives : to evaluate the surveillance system performance and to identify the epidemiological characteristics and vaccine coverage of measles in Iraq from 2011 to 2017. Methods : a descriptive study was done on measles surveillance data from Iraq obtained during the period from 1st of January 2011 to the 31st of December 2017. The performance of surveillance was evaluated according to the WHO performance indicators. Results : Of 9,114 suspected cases, 35% were confirmed, there were three outbreaks at 2013, 2014 & 2015, case fatality rate reached 1.04% in 2014; 74% of confirmed cases were below 5 years. Non - measles non - rubella rate didn’t achieve their targets (≥ 2/100,000) during the last three years at the national level, no governorate achieved the target throughout the whole study period. Suspected measles cases notified ≤ 48 h after rash onset didn’t achieve their targets (≥80%) during 2013, 2014 and 2015 at the national level, only Basrah and Dahuk achieved the target throughout the whole study period. Suspected measles cases investigated ≤ 48 h after notification achieved their target (≥80%) throughout the whole study period at both the national and governorate level. Suspected measles cases with adequate specimen collected within 28 days of rash onset have been achieved (≥ 80%) throughout the whole study period except; Kirkuk, Anbar, Ninawa, Salah Al - Din and Diyala in 2014 and 2015; Babylon, Al - Qadisiyah and Wasit in 2015. Throughout the whole study period; suspected measles cases with specimens received by the laboratoryIIIwithin four days of the collection have never been achieved (≥ 80%) in Dahuk, Erbil, Wasit, Sulaymaniyah, Dhi - Qar, and Babylon; only Najaf, Karbala and Basrah achieved the target. Suspected measles cases with laboratory result reported within seven days achieved their target (≥ 80%) throughout the whole study period at national level except in 2015 at which the target was achieved only in Dahuk and Muthanna. Conclusions and Recommendation : Most measles surveillance performance indicators still need improvement. Expanding vaccine coverage, more education and enhancement of the commitment of the staff about the importance of notification of measles cases and ensuring logistic and financial Supports are crucial for the strengthening of the surveillance system to reach the elimination goal
