<p>A total of 878 cases were reported from 2018-2022. The number of cases/years progressively increased from 106 in 2018 to 309 in 2022. The median age was 34 months (2 months – 57 years), 55% were male and a majority (74%) lived in rural areas. Seventeen percent (n=149) of cases were laboratory confirmed while 30% (n=271) were epi linked; 2.4% (n=21) were Rubella cases. About half (n=441) had received at least one dose of measles containing vaccine. Through the years 60% of symptom onset occurred during epi weeks 1 and 13 with a peak at week 11. Trends showed seasonality. Risk factors identified were living in a health district neighboring the NWR, OR 5.7 ( 95%CI, 3.7- 8,7) and being unvaccinated OR 5.8 ( 95%CI, 4.1- 8.4).</p>