There is a ongoing measles outbreak in West Wollega, Ethiopia. As of April 3, 2023, there have been 281 reported cases across 3 districts, with 264 cases in Begi and 17 in Kondala. Over 45 kebeles have been affected and 18 deaths have been reported, resulting in a case fatality rate of 6.4%. Most cases are in children under 5 years old who were unvaccinated. Health officials are providing medical support, mobilizing partners to respond urgently, and planning vaccination campaigns in the affected areas. Challenges include lack of timely reporting, low routine immunization coverage in the outbreak regions, and security issues. Strengthening of surveillance, immunization, and

1. West wollega PHEM sub Team
Measles outbreak updates
Gimbi, April,3,2023

2. Summary of Measles out break situation in West wollega,April,3,2023
∑Currently number of woreda with confirmed outbreak=3(Begi lab. confirmed,Kondala
Epilink, Babo Gambel Lab. confirmed.)
∑281 cases were reported with line list until April, 3,2023(17 from kondala the rest 264
were from Begi.)
∑more than 45 kebeles were affected according to data from line list of two woreda(Begi
and Kondala)
∑Until April 3,2023 eighteen(18) death confirmed death were reported with CFR of 6.4%.
∑From total Affected peoples most them were under five years of age.
∑Most Affected children were not vaccinated for measles.

3. Reported Measles out break by Woreda, April 3,2023,West Wollega.
264
17
Begi Kondala
N=281

4. Number of Reported Measles cases by Kebele, April 3,2023,
West wollega
0
2
4
6
8
10
12
14
16
#Measles Cases

5. Measles Laboratory Result, 3 April,2023, West wollega
Woreda
ReportingHealthFacili
ty
DateSpecimenCollect
ed
DateSpecimenSentLa
b Igm+veResults DistrictOfresidence
BEGI BEGI HOSPITAL 20-Mar-23 14-Mar-23 1 W WELLEGA
BEGI BEGI HOSPITAL 22-Mar-23 22-Mar-23 1 W WELLEGA
BEGI BEGI HOSPITAL 22-Mar-23 22-Mar-23 1 W WELLEGA
BEGI BEGI HOSPITAL 22-Mar-23 22-Mar-23 1 W WELLEGA
Babo Gembel BABO H/CENTER 26-Mar-23 26-Mar-23 1 W Wellega
Babo Gembel BABO H/CENTER 26-Mar-23 26-Mar-23 1 W Wellega
Babo Gembel BABO H/CENTER 26-Mar-23 26-Mar-23 1 W Wellega

6. Measles outbreak Cases distribution by Sex 13April 2023 West Wollega
Male
52%
Female
48%
N=281

7. Measles outbreak Cases distribution by age group in % April 3, 2023,
West Wollega
58
35.9
5.6
0
10
20
30
40
50
60
70
<5yrs 5-14yrs 15-44 >45
N=281
# measles cases

8. Measles outbreak Cases distribution by Vaccination status in % April 3,
2023, West Wollega
Not Vaccinated
54%
Only one times
27%
Received two doses
8%
Unknown
11%
% FROM TOTAL REPORTED MEASLES CASES
Not Vaccinated Only one times Received two doses Unknown

9. Tends of Measles cases by date of onset April 3,2023 West
Wollega
1 1 1 1 1 1 1
3
1 1
12
14
18
1616
4
6
8
7
22
12
1
36
14
12
10
19
12
29
0
5
10
15
20
25
30
35
40
2/6/2023
2/7/2023
2/8/2023
2/9/2023
2/10/2023
2/11/2023
2/12/2023
2/13/2023
2/14/2023
2/15/2023
2/16/2023
2/17/2023
2/18/2023
2/19/2023
2/20/2023
2/21/2023
2/22/2023
2/23/2023
2/24/2023
2/25/2023
2/26/2023
2/27/2023
2/28/2023
3/1/2023
3/2/2023
3/3/2023
3/4/2023
3/5/2023
3/6/2023
3/7/2023
3/8/2023
3/9/2023
3/10/2023
3/11/2023
3/12/2023
3/13/2023
3/14/2023
3/15/2023
3/16/2023
3/17/2023
3/18/2023
3/19/2023
3/20/2023
3/21/2023
3/22/2023
3/23/2023
3/24/2023
3/25/2023
3/26/2023
3/27/2023
3/28/2023
3/29/2023
3/30/2023
3/31/2023
4/1/2023
4/2/2023
4/3/2023
Number of cases

10. Measles Cases outbreak trend of zones by WHO week ,April 3, 2023,
West Wollega.
1 1 2 1 2
49
79
117
29
0
20
40
60
80
100
120
140
Week6 Week7 Week8 Week9 Week10 Week11 Week12 Week13 Week14
# of Measles cases

11. Trends of deaths of Measles in Begi, West Wollega,April 3, 2023
1
0 0 0 0 0 0
1 1
0 0 0 0 0 0
2
1
2 2
0
1 1 1 1
0
3
1
0 0
0
0.5
1
1.5
2
2.5
3
3.5
N=18

12. Major Intervention
Available supplies were supported by Zonal Health
Case has being managed at Health Facility
Partners were mobilised and expecte to act urgently
Campaign were planned to be conducted in Begi and Kondala
West Wollega- PHEM

13. Challenges/Gaps for intervention
 Lack of timely and represntative report
 Low coverage of routine immunization in Outbreak Area
 Security problem
West Wollega- PHEM

14. Recommendation
• Enhance Routine immunization
• Strengthening Surveillance system in all level
• Capacity building for health workers
• Conduct deep investigation why measles outbreak occur after Measles
SIAs
West Wollega- PHEM