International Journal of Infectious Diseases and Therapy

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Suspected Chicken Pox Outbreak Investigation and Response in Yirga Chefe Town, Ethiopia, August 2018

Received: 23 July 2020    Accepted: 03 August 2020    Published: 18 August 2020
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Abstract

Introduction: Chicken pox or varicella is an acute viral infectious disease of childhood caused by varicella-zoster virus. Humans are the only known hosts for this virus. The major route of transmission is airborne, however, transmissions via aerosols or direct contact with blister fluid have also been reported. The primary infection presents as fever and exanthematous rash. Clinically apparent infection usually provides lifelong immunity. The disease is usually acute and self-limiting but occasionally can lead to secondary infections like pneumonia, encephalitis, and secondary bacterial infections. Varicella is vaccine preventable disease. An estimated 4.2 million cases and 4200 deaths occur annually worldwide. This outbreak investigation was conducted to describe chicken pox cases in terms of person, place and time from 6th to 18th August 2018. Methods: We conducted a descriptive study in the Yirga cheffe town. We line listed all reported cases which contains sociodemographic characteristics and signs and symptoms of patients. We have also visited the reporting internally displaced population (IDP) sites during investigation. The line listed data were analyzed with person, place and time. Cases were treated symptomatically in mobile clinics. Results: A total of 25 suspected cases of chicken pox were reported between 6th and 18th of August 2018 from Yirga cheffe town IDP sites. The cases were reported from two IDP sites. Out of the total reported cases 14 (56%) were males while the remaining 11 (44%) were females with regard to sex. 88% of the total reported cases were children under the age of fifteen. Conclusion: The most affected age group in this outbreak was under the age of fifteen. Males were more affected than females in this outbreak. Unavailability of chicken pox vaccine in Ethiopia might be a risk for the occurrence of this outbreak. Strengthening routine surveillance in the IDP sites is recommended. Ministry of Health of Ethiopia should consider the introduction of chicken pox vaccine in the country. Ministry of Health should prepare guidelines and manuals for response of outbreaks.

DOI 10.11648/j.ijidt.20200503.16
Published in International Journal of Infectious Diseases and Therapy (Volume 5, Issue 3, September 2020)
Page(s) 70-73
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Chicken Pox, Outbreak, Yirga Cheffe, Investigation, Internally Displaced Population, Ethiopia

References
[1] Arvin AM. Varicella-zoster virus. Clin Microbiol Rev 1996; 9: 361-81.
[2] Ozaki T, Kajita Y, Namazue J, Yamanishi K. Isolation of varicella-zoster virus from vesicles in children with varicella. J Med Virol 1996; 48: 326-8.
[3] Tabak F, Murtezaoglu A, Tabak O, et al. Clinical features and etiology of adult patients with fever and rash. Ann Dermatol. 2012; 24 (4): 420-5.
[4] Nagel MA, Gilden D. Complications of varicella zoster virus reactivation. Curr Treat Options Neurol 2013; 15: 439-53.
[5] Guess HA, Broughton DD, Melton LJ 3rd, Kurland LT. Population-based studies of varicella complications. Pediatrics 1986; 78: 723-7.
[6] Outbreak observatory, Chicken pox outbreaks in United States, 2017.
[7] Hannah Hussey and others, Varicella zoster associated morbidity and mortality in Africa -a systematic review.
[8] www.who.int/immunization/diseases/varicella/en/ accessed on May 31, 2019.
[9] Manual for vaccine preventable diseases Center for Disease control and Prevention.
[10] Weekly epidemiological record number 25, World Health Organization, 2014.
[11] Poulsen and others, Varicella Zoster in Guinea-Bissau: Intensity of Exposure and Severity of Infection, 2005.
[12] CDC. Prevention of varicella: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 2007; 56 (RR-4).
[13] World Health Organization, Varicella and Herpes Zoster Vaccination Position Paper, June 2014.
Author Information
  • Center for Public Health Emergency Management, Ethiopian Public Health Institute, Addis Ababa, Ethiopia

  • Center for Public Health Emergency Management, Ethiopian Public Health Institute, Addis Ababa, Ethiopia

  • Public Health Emergency Management, Southern Nations, Nationalities and People Region Health Bureau, Hawassa, Ethiopia

  • Center for Public Health Emergency Management, Ethiopian Public Health Institute, Addis Ababa, Ethiopia

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  • APA Style

    Habtamu Tilahun, Mikias Alayu, Mekdes Demssie, Tadesse Yalew. (2020). Suspected Chicken Pox Outbreak Investigation and Response in Yirga Chefe Town, Ethiopia, August 2018. International Journal of Infectious Diseases and Therapy, 5(3), 70-73. https://doi.org/10.11648/j.ijidt.20200503.16

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    ACS Style

    Habtamu Tilahun; Mikias Alayu; Mekdes Demssie; Tadesse Yalew. Suspected Chicken Pox Outbreak Investigation and Response in Yirga Chefe Town, Ethiopia, August 2018. Int. J. Infect. Dis. Ther. 2020, 5(3), 70-73. doi: 10.11648/j.ijidt.20200503.16

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    AMA Style

    Habtamu Tilahun, Mikias Alayu, Mekdes Demssie, Tadesse Yalew. Suspected Chicken Pox Outbreak Investigation and Response in Yirga Chefe Town, Ethiopia, August 2018. Int J Infect Dis Ther. 2020;5(3):70-73. doi: 10.11648/j.ijidt.20200503.16

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  • @article{10.11648/j.ijidt.20200503.16,
      author = {Habtamu Tilahun and Mikias Alayu and Mekdes Demssie and Tadesse Yalew},
      title = {Suspected Chicken Pox Outbreak Investigation and Response in Yirga Chefe Town, Ethiopia, August 2018},
      journal = {International Journal of Infectious Diseases and Therapy},
      volume = {5},
      number = {3},
      pages = {70-73},
      doi = {10.11648/j.ijidt.20200503.16},
      url = {https://doi.org/10.11648/j.ijidt.20200503.16},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijidt.20200503.16},
      abstract = {Introduction: Chicken pox or varicella is an acute viral infectious disease of childhood caused by varicella-zoster virus. Humans are the only known hosts for this virus. The major route of transmission is airborne, however, transmissions via aerosols or direct contact with blister fluid have also been reported. The primary infection presents as fever and exanthematous rash. Clinically apparent infection usually provides lifelong immunity. The disease is usually acute and self-limiting but occasionally can lead to secondary infections like pneumonia, encephalitis, and secondary bacterial infections. Varicella is vaccine preventable disease. An estimated 4.2 million cases and 4200 deaths occur annually worldwide. This outbreak investigation was conducted to describe chicken pox cases in terms of person, place and time from 6th to 18th August 2018. Methods: We conducted a descriptive study in the Yirga cheffe town. We line listed all reported cases which contains sociodemographic characteristics and signs and symptoms of patients. We have also visited the reporting internally displaced population (IDP) sites during investigation. The line listed data were analyzed with person, place and time. Cases were treated symptomatically in mobile clinics. Results: A total of 25 suspected cases of chicken pox were reported between 6th and 18th of August 2018 from Yirga cheffe town IDP sites. The cases were reported from two IDP sites. Out of the total reported cases 14 (56%) were males while the remaining 11 (44%) were females with regard to sex. 88% of the total reported cases were children under the age of fifteen. Conclusion: The most affected age group in this outbreak was under the age of fifteen. Males were more affected than females in this outbreak. Unavailability of chicken pox vaccine in Ethiopia might be a risk for the occurrence of this outbreak. Strengthening routine surveillance in the IDP sites is recommended. Ministry of Health of Ethiopia should consider the introduction of chicken pox vaccine in the country. Ministry of Health should prepare guidelines and manuals for response of outbreaks.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Suspected Chicken Pox Outbreak Investigation and Response in Yirga Chefe Town, Ethiopia, August 2018
    AU  - Habtamu Tilahun
    AU  - Mikias Alayu
    AU  - Mekdes Demssie
    AU  - Tadesse Yalew
    Y1  - 2020/08/18
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ijidt.20200503.16
    DO  - 10.11648/j.ijidt.20200503.16
    T2  - International Journal of Infectious Diseases and Therapy
    JF  - International Journal of Infectious Diseases and Therapy
    JO  - International Journal of Infectious Diseases and Therapy
    SP  - 70
    EP  - 73
    PB  - Science Publishing Group
    SN  - 2578-966X
    UR  - https://doi.org/10.11648/j.ijidt.20200503.16
    AB  - Introduction: Chicken pox or varicella is an acute viral infectious disease of childhood caused by varicella-zoster virus. Humans are the only known hosts for this virus. The major route of transmission is airborne, however, transmissions via aerosols or direct contact with blister fluid have also been reported. The primary infection presents as fever and exanthematous rash. Clinically apparent infection usually provides lifelong immunity. The disease is usually acute and self-limiting but occasionally can lead to secondary infections like pneumonia, encephalitis, and secondary bacterial infections. Varicella is vaccine preventable disease. An estimated 4.2 million cases and 4200 deaths occur annually worldwide. This outbreak investigation was conducted to describe chicken pox cases in terms of person, place and time from 6th to 18th August 2018. Methods: We conducted a descriptive study in the Yirga cheffe town. We line listed all reported cases which contains sociodemographic characteristics and signs and symptoms of patients. We have also visited the reporting internally displaced population (IDP) sites during investigation. The line listed data were analyzed with person, place and time. Cases were treated symptomatically in mobile clinics. Results: A total of 25 suspected cases of chicken pox were reported between 6th and 18th of August 2018 from Yirga cheffe town IDP sites. The cases were reported from two IDP sites. Out of the total reported cases 14 (56%) were males while the remaining 11 (44%) were females with regard to sex. 88% of the total reported cases were children under the age of fifteen. Conclusion: The most affected age group in this outbreak was under the age of fifteen. Males were more affected than females in this outbreak. Unavailability of chicken pox vaccine in Ethiopia might be a risk for the occurrence of this outbreak. Strengthening routine surveillance in the IDP sites is recommended. Ministry of Health of Ethiopia should consider the introduction of chicken pox vaccine in the country. Ministry of Health should prepare guidelines and manuals for response of outbreaks.
    VL  - 5
    IS  - 3
    ER  - 

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