• Crisis Severity ?
    1.9
    0 Very low
    Very high 5
  • Impact ?
    3.4
    0 Very low
    Very high 5
  • Humanitarian Conditions ?
    1.5
    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

  • 4,268,000 People affected [?]
  • 139,550 Illness cases reported [?]
  • 902 Fatalities reported [?]

Overview

24/05/2019

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.?

Latest Developments

24/05/2019

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.?

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.?