Burundi has been experiencing an increase in the number of confirmed cases of measles since November 2019 This outbreak initially started in a refugee transit camp Centre de transit de Cishemere Cibitoke Health district whose inhabitants had arrived from measles affected provinces of the Democratic Republic of Congo Refugees spend 21 days in the Transit Camp of Cishemere before they are sent to permanent camps in Nyankanda and Bwagiriza refugee camps in Butezi Kavumu camp of Cankuzo Garsowe camp of Muyinga and Mulumba camp at Kiremba The outbreak was identified when suspected measles cases had been reported by the local residents in the surrounding areas highlighting pockets of under vaccinated populations According to WHO UNICEF 2018 estimates measles first dose vaccination coverage is relatively high 88 and slightly lower for the second dose 77 However this does not reflect the vaccination coverage of incoming refugees