• Crisis Severity ?
    1.5
    0 Very low
    Very high 5
  • Impact ?
    2.7
    0 Very low
    Very high 5
  • Humanitarian Conditions ?
    1.0
    0 Very low
    Very high 5
  • Complexity ?
    1.6
    0 Very low
    Very high 5
  • Access Constraints ?
    1.0
    No constraints
    Extreme constraints

Key figures

  • 0 People affected [?]
  • 147,277 Illness cases reported [?]
  • 910 Fatalities reported [?]

Overview

26/06/2019

As of 26 May 2019, a total of 147,277 measles cases, including 910 deaths (CFR 0.62%) have been reported since the start of the outbreak on 3 September 2018.?The number could be higher as cases at the community level are often underreported.?The national attack rate is 4,675 cases per 100,000 inhabitants with the highest attack rates in the regions of Boeny (19,875) and Diana (18,077). The individuals most affected are aged nine months to nine years, demonstrated by the high proportion of cases (54%) and deaths (58%).?Malnutrition increases children's vulnerability to serious complications and death from measles.?47% of children under the age of 5 in Madagascar are malnourished.?107 districts out of 114 districts and all 22 regions have reported cases.?

A decreasing trend in incidence of suspected cases of measles had been observed since 17 February, following the series of reactive mass vaccination campaigns conducted in January and February.?According to WHO and UNICEF estimates, the measles immunisation coverage in Madagascar was 58% in 2017. About 56% of current cases are unvaccinated or of unknown vaccine status.?The response has been complicated by the high cost and logistical challenge of transporting the vaccine to health centres in remote districts, and storing it long enough at the required low temperature.?There are also cultural and behavioural barriers.?

INFORM measures Madagascar's risk of humanitarian crisis and disaster to be high, at 5.1/10.?

Latest Developments

20/06/2019

16/06: No new measles cases have been reported by WHO since 11 May. A decreasing trend in incidence of suspected cases of measles had been observed since 17 February, following the series of reactive mass vaccination campaigns conducted in January and February. The third and last phase of the vaccination campaign took place in April. Since 3 September 2018, 146,277 cases and 910 deaths (CFR 0.62%) have been registered. The total number of cases could be higher as cases often go under-reported.?

Key Priorities

24/05/2019

Health: Over 60% of Madagascar’s people live more than 5km from a health center, often in very remote and difficult to reach areas. Health personnel are unevenly distributed, drug and medical supplies are prone to stock outs and are unavailable in some areas.?