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Table 1 Epidemiological Characteristics of Reviewed Outbreaks

From: Measles vaccination in humanitarian emergencies: a review of recent practice

Region/
CountryREF
Flash/CAP/Years Dates of Outbreak Scope of outbreak (size) Reported
Cases
Age of
Cases
Incidence per 100,000 Vaccination Coverage of Population Vaccination Status of Cases
AMERICAS         
Bolivia [9] 2004, 2007, 2008 1998-2000 Nationwide
(8 million)
2567 55% < 5 y
≈18% 5-14 y
32 1995-1997 < 90% N/A
Haiti [10] 2003, 2005, 2007, 2008, 2010 3/00-9/01 Nationwide
(6.8 million)
1149 N/A 14.1 1995-1999:
47% in 1 y olds
N/A
Colombia [11] 2003 1-7/02 10/33 departments 68 65% 1-4 y 5.5 80% < 1 y (2000)
91% < 1 y (2001)
N/A
Colombia [12]   2-3/02 3 departments (subset of Colombia o/b above) 9 55% < 5 y
45% 5-15 y
N/A 66-127% in affected municipalities N/A
ASIA         
Afghanistan [15] 1999-2003
2006-2010
2001 Nationwide 8762 62% 0-4 y
29% 5-9 y
9% > 10 y
N/A 62-90% N/A
Afghanistan [16]   2000 7 of 30 provinces thousands N/A N/A N/A N/A
Afghanistan [17]   2001 Nationwide (362 sentinel sites, 12.5 million 6 m-12 y) 8762 62% 0-4 y
33% 5-12 y
70 (for 6 m - 12 y) 40-47% N/A
India [13] 2005 (Indian Ocean) Aug 08 to Mar 09 Rural
(362072, 148540 children < 15 y)
1811 N/A N/A N/A N/A
India [14] 2005 (Indian Ocean) Dec 04-Jan 05 Coastal area (87284 - 8803 < 5 y) 30 in non-affected villages
71 in tsunami affected villages
(non-affected)
36.7% < 5 y
5 y < = 60% < 15 y
3.3% > = 15 y
(affected)
43.7% < 5 y
5 y < = 56.3% < 15 y
0% > 15 y
1.7 in non-affected
1.3 in affected
Estimated: 95% 3%
Sri Lanka [19] 2002, 2003, 2006-2008 10/99 - 6/00 Nationwide
(19 million)
15250 suspected
4611 confirmed
15% < 5 y
32% 5-14 y
24
(4611/19 M)
90% 40%
(of 3728 evaluated)
Laos [20, 1] 2009 3/1999 - 3/2000 Nationwide (5 million); 4 villages subset (2871) 2634 nationally, 185 in 4 villages 57% > 5 y
40% 5-13 y
(subsample of 185 in 4 villages)
53 (nationally)
6443 (4 village subset)
68% on avg in previous 4 y 35%
(subsample of 185 in 4 villages)
VE = 68%
AFRICA         
Niger [21] 2005 2003 Nationally, 1/1 - 15/4 in Mirriah District Nationwide (12.5 million); Mirrah district (677,885) 50138 Nationally, 8817 Mirriah district 75% < 5 y
20% 5-14 y
400 Nationwide
1300 in Mirriah district
25-91% in past decade 12.3%
Kenya [28, 1, 2] 2001, 2006, 2008 7-11/1998 2 hospitals 1000 75% > 4 y N/A 70-93% 39%
(VE = 84%)
Tanzania [24] 1999-2001 Refugees from Burundi 3-5/2001 4 refugee camps in Kibondo District (170500) 1062 21% < 9 m
27% 9 m-5 y
31% 6-15 y
623 95% 82% 9 m-5 y
27% 6-15 y
Ethiopia [25] 2000-3, 2006-7 1-7/2000 Gode District, Ethiopia N/A N/A N/A 57% (in 9-36 m) 3% (9-36 m)
Mozambique
[29, 1, 3]
2000, 2001, 2003, 2007 Multiple 1998-2001 Nationwide (16 million) Not clear, about 35-40,000 Varied greatly
30-85% 0-59 m
N/A 67-100% N/A
Niger [2123] 2005 2003-2004 Niamey (surveyed = 26795) 1024 82% < 5 y
3.5% > 15 y
N/A 70.9% 37.3%
Chad [23] 2004-2010 2004-2005 Ndjamena(surveyed = 21812) 745 70% < 5 y
4.4% > 15 y
N/A 33% 70%
South Africa [30, 1, 2, 4] 2003, 2008 July 03-may 05 Johannesburg and rural (Oliver Tambo District) 349 in J'burg
302 in Tambo
J'burg:
80% < 5 y
5 y < = 15% < 15 y
3% > = 15 y
Tambo:
41% < 5 y
5 y < = 49% < 15 y
8% > = 15 y
N/A J'burg: Adm Cov 102%
Tambo: Adm Cov: 90%
J'burg: 47.4%
Tambo: 29.7%
Tanzania [31] 1999, 2001 July 06-Jan 07 Dar-Es-Salaam (2.5 M - 880000 < 14 y) 1533 Before response:
8% < 6 m
6 m = < 60% < 15 y
32% > = 15 y
29.3 84% N/A
Sudan [26, 27] 1998-2008 Mar to Jun 04 Darfur Region 2607082
Accessible 2170985
3 o/b:
(West Darfur)01/03 to 27/04: 48 cases
(North Darfur)27/03 to 16/06: 521
(West Darfur)01/04 to 03/06: 142
58% < 5 y N/A N/A N/A
EUROPE         
Albania [32] 1999 04/99-06/99 442000 refugees from Kosovo 80 43% > = 15 y N/A   unknown
  1. *Abbreviations contained in the body of the table: N/A = not available, o/b = outbreak, w = week, m = month and y = year VE = reported vaccine effectiveness