title: [Difficulties in the epidemiological surveillance of measles in Africa: exemplified by the Ivory Coast].
abstract: In tropical areas measles cases often are under-reported but the authors comment here two epidemics which had at first been considered as outbreaks of measles but were not. The first epidemic resembled a Chikungunya virus outbreak with important rashes, hyperthermia and pain attacks and was due to Igbo-Ora arbovirus. In the second epidemic children were having rashes with hyperthermia and adenopathy evoking rubella. The authors consider the possibility of over-reporting in view of the surveillance of measles, the target-disease in EPI (Expanded Programme on Immunization). This hypothesis is confirmed by the distribution of reported cases at national level with a high rate of out-season cases and among adults.
authors.affiliation: Institut National de la Santé Publique, Abidjan, Côte d'Ivoire.
authors.forename: J L
authors.initials: JL
authors.lastname: Rey
authors.forename: C
authors.initials: C
authors.lastname: Trolet
authors.forename: B
authors.initials: B
authors.lastname: Soro
authors.forename: P
authors.initials: P
authors.lastname: Cunin
authors.forename: F
authors.initials: F
authors.lastname: Merouze
mesh_terms: D001102:Arbovirus Infections / Q000175:diagnosis / Q000453:epidemiology*; D015986:Confounding Factors, Epidemiologic; D007560:Cote d'Ivoire / Q000453:epidemiology; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D004196:Disease Outbreaks; D006801:Humans; D008457:Measles / Q000175:diagnosis / Q000453:epidemiology*
vernacular_title: Difficultés de la surveillance épidémiologique de la rougeole en Afrique: exemple de la Côte d'Ivoire.