: Of ten tested blood samples six were positive for measles specific IgM antibodies confirming the outbreak. About 55 cases and three deaths with attack rate (113/10,000) and case fatality rate (5.3%) were reported from March 17 to April 05. Of which, 31 (56.4%) were males and 40 (72.7%) ≥5 years. Median age of cases was 18 years. In district about 3459 and 2,300 children were dropouts from MCV1 to MCV2 in 2020/21 respectively. In multivariable model, measles case presence in neighbor, being unvaccinated, having travel history with in 7 to 18 days and having contact history were a significant risk factor for measles outbreak with adjusted odds ratio of (AOR): 6.33; 95%CI: 2.68-14.98, AOR: 3.84; 95%CI: 1.08–13.65, AOR: 2.91; 95%CI: 1.22–6.93] and AOR: 2.75; 95%CI: 1.20-6.26) respectively