Journal of Medicne and Medical Sciences (ISSN: 2141-9477) Vol. 5(4), pp. 78-86, April 2014. DOI: http:/dx.doi.org/10.14303/jmms.2014.045. Copyright © 2014 International Research Journals

 

Full Length Research Paper

A 5 year review of childhood measles at the Niger Delta University Teaching Hospital, Bayelsa state, Nigeria

*Chika O. Duru, Oliemen Peterside and Oyedeji O. Adeyemi 

Department of Paediatrics and Child Health, Niger Delta University, Teaching Hospital, PMB 100, Okolobri, Bayelsa State, Nigeria

*Corresponding author’s e-mail: duru_chika@yahoo.com

Abstract

 

Measles control is yet to be achieved in Nigeria despite global efforts geared towards measles elimination. The aim of this study was to determine the prevalence and describe the pattern of childhood measles among children presenting to the Niger Delta University Teaching Hospital (NDUTH), Okolobri, Bayelsa State. Case notes of children with measles seen at the NDUTH over a five year period (1st September 2008 to 31st August 2013) were retrospectively reviewed. A hundred and seventeen (117) cases of measles were seen at the NDUTH. Measles constituted 2.0% of the total paediatric admissions and the peak age of presentation was in infancy (41.0%). Twenty-seven (23.1%) of the children were less than 9 months old. Majority (81.2%) had not received prior measles vaccine with a major reason given for failure to receive the vaccine being that the child was not up to the age for immunization. Complications occurred more in the malnourished and the un-vaccinated children. Of the 76 children who were admitted, there was a case fatality rate of 3.9%. Mortality was associated with bronchopneumonia, lack of vaccination and age under 2 years. Measles remains a burden in our environment, affecting mostly infants and the unimmunized.

Keywords:  Measles, children, infancy, vaccination, Bayelsa, Nigeria.