Addis Ababa University, College of Health Sciences, School of Public Health Ethiopian Field Epidemiology and Laboratory Training Program (EFELTP) Compiled Body of Works in Field Epidemiology By Tessema Tarekegn Submitted to the School of Graduate Studies of Addis Ababa University in partial fulfillment for the degree of Master of Public Health in Field Epidemiology May 27, 2015 Addis Aba Addis Ababa University College of Health Sciences School of Public Health Ethiopian Field Epidemiology and Laboratory Training Program (EFELTP) Compiled Body of Works in Field Epidemiology By Tessema Tarekegn (BSc) Submitted to the School of Graduate Studies of Addis Ababa University in partial fulfillment for the degree of Master of Public Health in Field Epidemiology Advisors Adamu Addissie. (MD, MPH, PhD) Haftom Taame. (MPH) May 27, 2015 Addis Ababa Ethiopian Field Epidemiology Training Program [email protected] Addis Ababa University School of Graduate Studies Compiled Body of Works in Field Epidemiology By Tessema Tarekegn Ethiopian Field Epidemiology and Laboratory Training Program (EFELTP) School of Public Health, College of Health Sciences Addis Ababa University Approval by Examining Board _________________________ ___________________ Chairman, School Graduate Committee _________________________ ___________________ Advisor _________________________ ___________________ Examiner _________________________ ___________________ Examiner May 27, 2015 Addis Ababa Ethiopian Field Epidemiology Training Program [email protected] Acknowledgments First of all I really extend my gratitude to my mentors Mr. Haftom Taame (EPHI), Dr. Adamu Addissi (AAU academic coordinator of field epidemiology), Dr. Desalegn Dalecha (former AAU academic coordinator of field epidemiology), Mr. Jemal Hasen (SNNPR PHEM coordinator and field base supervisor) and Abyot Bekele (EPHI field base supervisor), Mr. Yeshitila Mogassie (Konta Special Woreda Health Office) for their continuous support, guidance, encouragement to complete this program successfully. Secondly I would like to extend my great thanks to Dr. Lucy Boulanger (Resident Advisor of field epidemiology in AAU) and Abba Greenlife for unlimited suggestion, and encouragement in all directions during my academic stay in the university as well as in a field base. My great thanks also forwarded to Dr. Zegeye Hailemariam (EPHI program coordinator, and Mr. Alemayehu Bekele (EPHA program coordinator) for their valuable, kind and constructive inputs and support during the academic stay. Finally I would also like to thank all my class mates, SNNPR and EPHI PHEM staffs for their constructive and supportive inputs during the preparation of all outputs, and CDC and African Field Epidemiology Network (AFENET) for covering and support of all the costs used to conduct this program. Ethiopian Field Epidemiology Training Program [email protected] Table of Content Contents Acknowledgments ............................................................................................................................. iii Table of Content .............................................................................................................................. iv List of Tables .................................................................................................................................... x List of Figures ................................................................................................................................. xiii List of Annexes. .............................................................................................................................. xvi List of Abbreviations .................................................................................................................... xvii Executive Summary............................................................................................................................ xx Chapter I – Outbreak/Epidemic Investigations ................................................................................... 1 1.1 MEASLES OUTBREAK INVESTIGATION IN HALABA SPECIAL WOREDA, SOUTH, NATIONS, NATIONALITIES, AND PEOPLES REGION, 2014 ........................................................................................................................ 1 1.1.1 Introduction ................................................................................................................... 2 1.1.2 Rational of the study ...................................................................................................... 5 1.1.3 Objective ......................................................................................................................... 5 1.1.4 Methods .......................................................................................................................... 5 1.1.5 Ethical clearance ........................................................................................................... 9 1.1.6 Result .............................................................................................................................. 9 1.1.7 Discussion .................................................................................................................... 16 1.1.8 Limitation. .................................................................................................................... 16 1.1.9 Conclusion. .................................................................................................................. 16 1.1.10 Recommendation ....................................................................................................... 17 Reference............................................................................................................................... 18 1.2 MEASLES OUTBREAK INVESTIGATION IN KIRARA HEALTH CENTER CATCHMENT, KONTA SPECIAL WOREDA, SOUTHERN NATIONS, NATIONALITIES, AND PEOPLES REGION, ETHIOPIA, 2014. ............................................. 19 1.2.1 Introduction ................................................................................................................. 20 1.2.2 Rational of study .......................................................................................................... 23 1.2.3 Objective. ...................................................................................................................... 23 Ethiopian Field Epidemiology Training Program [email protected] 1.2.4 Methods and Materials .................................................................................................... 23 1.2.5 Ethical clearance ......................................................................................................... 26 1.2.6 Result ............................................................................................................................ 26 1.2.7 Discussion .................................................................................................................... 32 1.2.8 Limitation ..................................................................................................................... 32 1.2.9 Conclusion ................................................................................................................... 32 1.2.10 Recommendation ....................................................................................................... 32 Reference ............................................................................................................................... 33 Chapter II – Surveillance Data Analysis Report ................................................................................. 34 2.1.1 INRODUCTION .............................................................................................................. 35 2.1.2 Purpose ......................................................................................................................... 37 2.1.3 Objectives ..................................................................................................................... 38 2.1.4 Materials and Method ................................................................................................. 38 2.1.5 Ethical clearance ......................................................................................................... 39 2.1.6 Result ............................................................................................................................ 40 2.1.7 Discussion. ................................................................................................................... 52 2.1.8 Limitation ..................................................................................................................... 53 2.1.9 Conclusion. .................................................................................................................. 53 2.1.10 Recommendation ....................................................................................................... 53 References ............................................................................................................................. 54 Chapter III – Evaluation of Surveillance System ................................................................................ 55 3.1 EVALUATION OF MALARIA SURVEILLANCE SYSTEM IN KEMBATA-TEMBARO ZONE, SNNPR, 2014 ................. 55 3.1.1 Introduction 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