| Summary: | 碩士 === 中國醫藥大學 === 公共衛生國際碩士學位學程 === 105 === Background: Despite the availability of a safe and cost-effective vaccine, measles remains a great challenge and public health concern worldwide. In Mongolia, 23,888 confirmed and suspected cases of measles were reported in the first four months of 2016.
Objective: This study aimed to determine the magnitude of measles outbreak in relation to the age group, geographic position and to identify the associated factors with health outcome among the confirmed cases in Mongolia.
Methods: The study design is a cross sectional survey using 2015-2016 data collected by the National Center of Communicable Diseases and the Ministry of Health in Mongolia. The variables for this study included patients’ socio-demographics and clinical characteristics as independent variables and health outcome (recovery or death from measles) as outcome variable. The study population was 3,787 confirmed cases of measles.
Results: Out of the 3787 confirmed cases (or subjects) aged between 1 and 61 years old, 62.6% were aged between 1 and 5 years old. 50.6% were males and 80.4 % came from Ulaanbaatar (the capital city of Mongolia). Almost all the subjects (98.4% and 99.2%) experienced fever and a rash, respectively. Around 57.4% of subjects were admitted to hospital and 59.3 % were not recovered including death. The subject’s socio-demographics information (age, geographic location and profession) and clinical characteristics (rash, cough, coryza, red eyes, admission at hospital and measles PCR) were significantly associated with health outcomes, at P<0.001.
Conclusions: A higher prevalence of measles was found in the capital city and children aged between 1 to 5 years old were more vulnerable. More intervention should be done regarding child vaccination and health promotion in the areas with high prevalence.
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