Crisis Severity The severity score from 1 to 5 is based on 31 indicators aggregated into 3 pillars (impact, conditions, and complexity)1.90 Very lowVery high 5
Impact This measures the impact of the crisis itself, in terms of the scope of its geographical, and human effects.3.40 Very lowVery high 5
Humanitarian Conditions This measures the conditions and status of the people affected, including info about the distribution of severity.1.50 Very lowVery high 5
Complexity This measures the complexity of the crisis, in terms of factors that affect its mitigation or resolution.1.60 Very lowVery high 5
Access Constraints This measures the level of humanitarian constraints.1.0No constraintsExtreme constraints
As of 21 April 2019, a total of 139,550 suspected measles cases, including 902 deaths (CFR 0.6%) 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.?Currently 95 districts out of 114 districts and all 22 regions have reported cases.?
A decreasing trend in incidence of measles cases continues to be observed following the reactive vaccination campaign conducted from 14 to 18 January 2019.?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.?
26/05: A total of 145,136 suspected measles cases and 909 deaths (CFR 0.6%) have been reported since 3 September 2018. 54% of cases are amongst children are aged nine months to nine years. The overall disease trend continues to decline following the vaccination campaign conducted in February.?
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.?