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Community-based measles mortality surveillance in two districts of Katanga Province, Democratic Republic of Congo | Journal Article / Short Report | MSF Science Portal
Journal Article
|Short Report

Community-based measles mortality surveillance in two districts of Katanga Province, Democratic Republic of Congo

N Goran AA, Ilunga N, Coldiron ME, Grais RF, Porten K
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Abstract
BACKGROUND
Mortality due to measles is often under-reported. Traditional methods of measuring mortality can be time and resource-intensive. We describe the implementation of a community-based method to monitor measles mortality.

FINDINGS
Using standardized questionnaires in the midst of a measles outbreak, a community-based network of volunteers recorded a much larger number of deaths (376) than deaths recorded in health centres (27). Deaths were predominantly (93.5%) among children aged less than 5 years; 54.5% of measles deaths reported antecedent measles vaccination.

CONCLUSIONS
In this setting, the number of deaths due to measles reported in community-based surveillance was much higher than deaths reported in health centres. Lack of reliable population data and incomplete coverage of the surveillance system make it impossible to calculate overall attack rates and cause-specific mortality rates. Similar systems could be rapidly implemented in other difficult outbreak settings.

Countries

Democratic Republic of Congo

Subject Area

models of caremeaslesoutbreaksdisease surveillance

Languages

English
DOI
10.1186/1756-0500-6-537
Published Date
17 Dec 2013
PubMed ID
24344804
Journal
BMC Research Notes
Volume | Issue | Pages
Volume 6, Issue 1, Pages 537
Issue Date
2013-12-01
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