<p>Of the 406 cases reported, 38 died (case fatality rate 9.4%). All deaths on the line list were from participants whose religion does not believe in seeking medical care. Of 146 cases, 77% were unvaccinated for measles whereas 9.9% of controls were unvaccinated. The independent risk factor for contracting measles was being in contact with a case [AOR 39; 95% CI (15-97)], while the independent protective factor was being vaccinated [AOR 0.14; 95% CI (0.02-0.80)]. Mutasa district’s cold chain system was not functioning effectively, and vaccination schedules were disrupted by Covid-19.</p>