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The disease re-emerged several weeks ago and according to the Health and Child Care ministry, 15 suspected cases and zero deaths had been reported by April 3 this year.
The death of 16 children from four families is feared to be a tip of the iceberg compared to hundreds of unrecorded deaths among the apostolic sect members in the district.
In October last year, the country experienced a resurgence in the mediaeval disease which resulted in many deaths and confirmed cases being recorded in several provinces.
The country also witnessed a reduction in maternal deaths, and introduction of the eye strategy in the wake of increased eye conditions, mainly catalysed by diabetes.