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Outbreak investigation of measles in Kaduna State, Northwestern Nigeria, 2015

Outbreak investigation of measles in Kaduna State, Northwestern Nigeria, 2015

Aisha Ahmed Abubakar1,2,&, Abdulrazaq Abdullahi Gobir1, Ibrahim Ismaila Nda1,2, Ibrahim Usman Kusfa1,2, Babalola Obafemi2, Olaniran Alabi2, Meeyoung Mattie Park3, Shreya Kothari3, Joseph Asamoah Frimpong4, Patrick Nguku2


1Ahmadu Bello University Zaria, Nigeria, 2Nigeria Field Epidemiology & Laboratory Training Programme, 3Rollins School of Public Health, Emory University, Atlanta USA, 4African Field Epidemiology Network, Accra, Ghana



&Corresponding author
Aisha Ahmed Abubakar, Ahmadu Bello University Zaria, Nigeria




Sub-Saharan Africa reports repeated outbreaks of measles, a vaccine preventable disease, which is notifiable under the Integrated Disease Surveillance and Response strategy in Nigeria. Nigeria has reported several outbreaks of measles in the last three years. Poor immunization coverage and weak health systems have been related with measles. This case study is based on real events that occurred during the 2015 outbreak of measles in Kaduna state Northwestern Nigeria. This case study was based upon real events that occurred in community X in Igabi LGA of Kaduna state. However, some of the results were edited to allow the case study to be completed in a facilitated classroom session. Knowledge and practice of investigating outbreaks is a key public health function of public health workers. The purpose of this case study is to simulate outbreak investigation for teaching of postgraduate public health practitioners. The participants should have received lectures or other training on outbreak investigation without the practical experience of investigating an outbreak but are being prepared to investigate outbreaks in the field. This case study should be taken in a classroom setting and should take two hours to complete.



How to use this case study    Down

General instructions: this case study should be facilitated by one facilitator with 8-10 participants. It should be facilitated in a classroom setting. The case study should be interactive allowing the participants to learn from each other.In some aspects group discussion and role play should be used to facilitate learning.


Audience: residents in the Field Epidemiology & Laboratory Training Program (FELTP), Field Epidemiology Training Program (FETP), West African College of Physicians (WACP), National Postgraduate Medical College (NPMC) and Master in Public Health students.


Prerequisites: before using this case study, participants should have received lectures in basic epidemiology, outbreak investigation and biostatistics.


Materials needed: computers with MS Excel or graph paper, calculators, flip charts and markers.


Level of training and associated public health activity: novices who have little or no experience with outbreak investigation in a field setting.


Time required: 2-3 hours.


Language: English.



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Competing interests Up    Down

The authors declare no competing interests.



Acknowledgments Up    Down

We wish to acknowledge the Igabi Local Government Area Disease Surveillance and Notification Officer, the Kaduna state Epidemiologist, the Kaduna state Disease Surveillance and Notification Officer, NFELTP and WHO Nigeria.



References Up    Down

  1. Mobilising for Development. Accessed on 28/8/2016.

  2. Federal Ministry of Health Nigeria and WHO Nigeria. Guidelines for measles surveillance and outbreak response Nigeria. Federal Ministry of Health Nigeria and WHO Nigeria. 2012. Google Scholar

  3. Heymann DL. Control of Communicable Disease Manual. APHPA. 2015; 20th Edition. Google Scholar