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Published on: November 5, 2019
Recent increase in meningitis Caused by Neisseria meningitidis serogroups A and W135, Yaoundé, Cameroon
Marie-Christine Fonkoua1, Muhamed-Kheir Taha, Pierre Nicolas
1Centrte Pasteur du Cameroun, Yaoundé, Cameroon.
Abstract:
From 1991 to 1998, Neisseria meningitidis serogroups A, B, and C represented 2%-10% of strains isolated from cases of bacterial meningitis in Yaoundé. During 1999 to 2000, the percentage of meningococci reached 17%, a proportion never reported since recordkeeping began in 1984. The increase of serogroup A meningococci and the emergence of W135 strains highlight the need for increased surveillance for better diagnosis and prevention.
Insights
Bacterial meningitis cases in Yaoundé saw a significant rise in Neisseria meningitidis strains between 1999-2000. Increased surveillance is crucial due to the rise of serogroup A and emergence of W135 strains.
Area of Science:
- Epidemiology
- Microbiology
- Public Health
Background:
- Neisseria meningitidis serogroups A, B, and C were previously identified as minor contributors to bacterial meningitis in Yaoundé between 1991-1998.
- These serogroups accounted for only 2%-10% of isolated strains during this period.
Purpose of the Study:
- To analyze the changing trends of Neisseria meningitidis serogroups causing bacterial meningitis in Yaoundé.
- To assess the implications of observed shifts for public health surveillance and prevention strategies.
Main Methods:
- Retrospective analysis of Neisseria meningitidis isolates from bacterial meningitis cases in Yaoundé.
- Comparison of strain percentages from 1991-1998 with data from 1999-2000.
Main Results:
- A notable increase in Neisseria meningitidis was observed, reaching 17% of isolates in 1999-2000.
- This represents a significant rise compared to the 2%-10% reported between 1991-1998.
- Serogroup A strains increased, and serogroup W135 strains emerged during the later period.
Conclusions:
- The rising prevalence of Neisseria meningitidis, particularly serogroup A and the emergence of W135, necessitates enhanced meningitis surveillance in Yaoundé.
- Improved diagnostic and preventive measures are essential to manage the evolving epidemiology of meningococcal disease.
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