During 2016-2019, a total of 21,032 suspected measles cases were reported. Of which, 11978(57%) were confirmed cases. The highest mean annual incidence was recorded in 2016 with 49 cases per one million population. The range of measles annual incidence was 15-49 cases per one million. The mean annual incidence of 30 cases per one million population. Under five years children represented the most affected age group accounting for 38.4 % of the total cases.  It peaked in February and January. The highest average incidence rate was recorded in the Somali region. The average case fatality rate was 1.1% .32 % of reported measles cases vaccinated. 29 percent of cases were unvaccinated and 39 % had unknown vaccination status. The highest number of unvaccinated measles cases accounted for 44% and 34% were reported in Somali and Afar regions respectively.