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Updated: Jan 27, 2026

Isolating Central Nervous System Tissues and Associated Meninges for the Downstream Analysis of Immune cells
Published on: May 19, 2020
Epidemiology of Meningitis in Oman-Implications for Future Surveillance
Padmamohan J Kurup1, Seif Al-Abri2, Salim Al-Mahrooqi2
1Directorate General for Health Services, Muscat, Oman.
Objectives:
This study aimed to understand the epidemiology of meningitis cases admitted to hospitals in Oman and to identify any changing microbial patterns from the introduction of the new vaccines.
Methods:
A retrospective analysis of all cases of meningitis reported through a national surveillance system. Meningitis is a notifiable disease.
Results:
Of a total of 581 cases of meningitis from the period between January 1, 2005 and December 31, 2013, 15% (88) were confirmed to be bacterial in origin and 7.2% (42/581) viral. In 50.9% (296) of patients with suspected pyogenic meningitis, no specific bacterial pathogen were identified, and in 26% of cases (151) a cerebrospinal fluid study could not be undertaken. Among 88 cases with confirmed bacterial pathogens the organisms identified were Streptococcus pneumoniae (65.9%), Neisseria meningitides (18.2%), Haemophilus influenzae (6.8%), and other organisms (9.1%). The peak incidence was in children <2 years of age (39.4%). It showed notable decline in H. influenzae cases as well as pneumococcal meningitis cases, possibly indicative of the successful immunization program.
Conclusion:
A drop in H. Influenzae and pneumococcal meningitis cases was possibly the effect of the introduction of vaccines. It shows the need for improving diagnostic accuracy, laboratory capacities, and quality of surveillance reporting.
Insights
Meningitis cases in Oman declined, particularly for bacterial pathogens like Streptococcus pneumoniae and Haemophilus influenzae, following vaccine introduction. Enhanced surveillance and diagnostics are recommended.
Area of Science:
- Epidemiology
- Infectious Diseases
- Vaccinology
Background:
- Meningitis remains a significant public health concern globally.
- Understanding epidemiological trends and microbial patterns is crucial for effective disease control.
Purpose of the Study:
- To investigate the epidemiology of meningitis in Oman.
- To assess changes in microbial patterns post-vaccine introduction.
Main Methods:
- Retrospective analysis of national meningitis surveillance data.
- Review of 581 meningitis cases from 2005-2013.
Main Results:
- Bacterial meningitis confirmed in 15% of cases; viral in 7.2%.
- Streptococcus pneumoniae (65.9%) and Neisseria meningitides (18.2%) were primary bacterial pathogens.
- A decline in Haemophilus influenzae and pneumococcal meningitis observed, potentially linked to immunization.
Conclusions:
- Vaccine introduction may have reduced H. influenzae and pneumococcal meningitis.
- Improving diagnostic accuracy and surveillance quality is essential.
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