Carol YatesAHMAD ABDUALKREEM ALI RAJEH2022-05-292022-05-29https://drepo.sdl.edu.sa/handle/20.500.14154/46099Introduction: All countries, including those in sub-Saharan, have made considerable strides towards the elimination of MeV. Despite concerted efforts to eliminate the disease, MeV persists. The recent re-emergence in the DRC has impelled this investigation into the likely causes. There is also speculation that the disease might be triggered by EVD outbreaks. The ensuing analysis seeks (1) to identify the factors associated with the outbreaks and (2) ascertain whether (or not) EVD outbreaks are increasing the risk of MeV pandemics. Methods: A descriptive epidemiological analysis of published studies and surveillance data is conducted to understand the causes of MeV resurgence in the DRC. The aim is threefold: First, to review the literature on the factors abetting the re-occurrence and spread of MeV in the DRC. Second, to ascertain the possible role (or lack thereof) of EVD in increasing the burden of the disease in the country. Third, to develop recommendations for the prevention and elimination of the disease. Findings: MeV is a highly communicable viral disease and a leading cause of morbidity and mortality among children. In the DRC, the risk factors linked to the re-occurrence and subsequent transmission include low immunization coverage and a weakened public health system infrastructure. Other factors are financial or topographical barriers, lopsided supply – or even stock-outs – of vaccines, armed conflicts and displacement of populations, and limited logistical or transportation. Findings also suggest a somewhat positive correlation between EVD and MeV pandemics. Conclusion: The re-occurrence of MeV is linked to numerous factors. To eliminate the virus, it is essential that surveillance and immunization coverage is improved. Operational challenges also need to be addressed.en