MORTALITY AND MORBIDITY OF MEASLES FROM 21 MARCH 2021 TO 20 MARCH 2022 IN MIRWAIS REGIONAL HOSPITAL PEDIATRIC DEPARTMENT KANDAHAR AFGHANISTAN

Abstract

Background: Objectives: To study the demographic profile and mortality and morbidity  of measles, as well as the outcome of the measles in children who were admitted to pediatric department of Mirwais regional Hospital, Kandahar Afghanistan from the 2021 to 2022. Methodology: This cross-sectional study was conducted in Mirwais Regional hospital pediatric ward Kandahar Afghanistan The diagnosis of measles based on clinical features, The data of all the patients of measles who were from 1month to 15 years, and  were admitted from measles in MRH in pediatric ward from 21 march 2021 to 20 March 2022, compiled and analyzed from the Medical Records of each case at Hospital. Information obtained from the medical record from each patient file and was coded and entered into computer software. After that, the data were analyzed with SPSS version 22. 0. Results: Total 16792 patients were admitted during the study period and among them 1865 were confirmed as measles. Average Rate of measles was found as 11.1% among hospitalized children. There were 1050 (56.30%) male patients and 815 (43.7%) female patients with a male female ratio of 1.28:1. Among the measles patients age of onset was <6 months in 38(2%), 6-12 months in 633(33.94%),13-60 months in 1028(55.12%) and 61-120 months 137(7.34%) and 29(1.55%) above in 120months .the majority of the measles children were in the age group between one year up to 5years old. Prevalence of measles during was 11.1 % in 2021 to 2022. Which has clearly high incidence in 2022 and with lower incidence of measles cases in 2021. case fatality among measles diagnosed children was 118(6.32%) in (2021 to 2022) which shows cleared increase in 2022. we also found in our study more cases were in spring and winter season N=(621-579),from  (2021 to 2022).Conclusion: The prevalence and case fatality of measles was higher   form one year to 5years of age. Although boys were more affected by measles than girls, Majority of measles cases developed in rural  than urban areas in 2021.