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Published on: July 14, 2020
OUTBREAK OF CEREBROSPINAL MENINGITIS IN KEBBI STATE, NIGERIA
G J Gana1, S Badung1, A U Bunza1
1Epidemiogy Unit, Department of Public Health, Ministry of Health, Birnin Kebbi, Kebbi State.
Insights
Cerebrospinal meningitis (CSM) caused a massive outbreak in Kebbi State in 2015, with Neisseria meningitidis type C identified as the primary cause. Enhanced surveillance and mass vaccination are crucial to prevent future epidemics.
Area of Science:
- Epidemiology
- Public Health
- Infectious Diseases
Background:
- Cerebrospinal meningitis (CSM) remains a significant public health concern in sub-Saharan Africa.
- Epidemics are often caused by Neisseria meningitidis groups A and C in the African meningitis belt.
- This study focuses on the 2015 CSM outbreak in Kebbi State, Nigeria.
Purpose of the Study:
- To describe the epidemiological patterns of a cerebrospinal meningitis outbreak in Kebbi State in 2015.
- To identify the causative agent and affected demographics during the outbreak.
Main Methods:
- Data on suspected cases and fatalities were collected across affected local government areas.
- Case definition included sudden onset of fever with meningeal signs.
- Data analysis was performed using SPSS statistical software.
Main Results:
- A total of 1,992 suspected CSM cases were reported over 18 weeks, with a 4.0% case fatality rate.
- The majority of cases (31.0%) were individuals over 15 years old.
- Neisseria meningitidis type C was identified in 77.3% of analyzed samples, with Aliero LGA heavily impacted.
Conclusions:
- Kebbi State experienced a substantial cerebrospinal meningitis outbreak in 2015, predominantly caused by Neisseria meningitidis type C.
- Implementing effective surveillance systems is vital for early detection.
- Mass vaccination campaigns utilizing polyvalent vaccines, including serogroup C, are recommended to prevent future outbreaks.
Background:
Cerebrospinal meningitis (CSM), is a major public health problem still affecting tropical countries particularly in sub-Saharan Africa. Group A and occasionally group C account for large scale epidemics in many countries in the African meningitis belt. The study aimed to describe the pattern of cerebrospinal meningitis outbreak in Kebbi state in 2015.
Method:
Information on cases and deaths was collected throughout the duration of the meningitis outbreak in all affected local government areas of Kebbi state. During this outbreak, we defined a suspected case as any person with sudden onset of fever (>38.5 C rectal or 38.0 C axillary) and one of the following signs: neck stiffness, altered consciousness or other meningeal signs and any toddler with sudden onset of fever (>38.5 C rectal or 38.0 C axillary) and one of the following signs: neck stiffness, or flaccid neck, bulging fontanel, convulsion or other meningeal signs. All the data was entered into SPSS statistical software and analyzed.
Results:
A total of 1,992 suspected cases of CSM were seen within the 18 weeks that the outbreak lasted. 1127 (57.0%) were males and 865 (43.0%) were females with a case fatality rate of 4.0%. The highest proportion of cases was found among those above 15 years of age (31.0%), 1252 (62.9%) of cases were immunized against neisseria meningitides type A. Two-thirds (16) of the LGAs in the state were affected and Aliero LGA had about half (n=1106; 55.5%) of cases seen. Most (77.3%) of samples analysed were positive for Nm type C.
Conclusion:
Kebbi state experienced an outbreak of cerebro-spinal Meningitis in 2015 which was massive. Effective surveillance system and mass vaccination with polyvalent vaccines containing serogroup C will prevent future occurrence.
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