Evaluation of bacterial meningitis surveillance data of the northern region, Ghana, 2010-2015
Identifieur interne : 000079 ( Main/Exploration ); précédent : 000078; suivant : 000080Evaluation of bacterial meningitis surveillance data of the northern region, Ghana, 2010-2015
Auteurs : Basil Benduri Kaburi [Ghana] ; Chrysantus Kubio [Ghana] ; Ernest Kenu [Ghana] ; Donne Kofi Ameme [Ghana] ; Jacob Yakubu Mahama [Ghana] ; Samuel Oko Sackey [Ghana] ; Edwin Andrew Afari [Ghana]Source :
- The Pan African Medical Journal [ 1937-8688 ] ; 2017.
Abstract
Bacterial meningitis is a disease of major public health importance especially for countries such as Ghana; whose northern part lies within the meningitis belt. The Northern region of Ghana has been recording cases with outbreaks over the years. In order to generate evidence to improve surveillance, we described the epidemiology of bacterial meningitis using surveillance data of the northern region.
Bacterial meningitis datasets from January 2010 to December 2015 for all the 26 districts of the Northern region were retrieved from line lists. Data were analyzed in terms of person, place, time, and identity of causative organisms using descriptive statistics. The results were presented as proportions, rates, tables and graphs.
A total of 1,176 cases were reported. Of these, 53.5% (629/1,176) were males. The proportion of cases aged 0 to 29 years was 77.4%. The Overall Case Fatality Rate (CFR) was 9.7% (114/1,176). About 65% of all cases were recorded from January to April. Only 23.7% (279/1,176) of cases were laboratory-confirmed.
Most cases of bacterial meningitis were recorded in the dry season and in persons younger than 30 years. Less than a quarter of cases were laboratory confirmed, and no new bacteria species were identified. Both morbidity and mortality rates were on the decline. There is the need to consolidate these gains by intensifying meningitis surveillance and improving on the rate of laboratory case confirmation.
Url:
DOI: 10.11604/pamj.2017.27.164.11036
PubMed: 28904692
PubMed Central: 5567946
Affiliations:
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type="wicri:Area/Main/Exploration">000079</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Evaluation of bacterial meningitis surveillance data of the northern region, Ghana, 2010-2015</title><author><name sortKey="Kaburi, Basil Benduri" sort="Kaburi, Basil Benduri" uniqKey="Kaburi B" first="Basil Benduri" last="Kaburi">Basil Benduri Kaburi</name><affiliation wicri:level="4"><nlm:aff id="aff0001">Field Epidemiology and Laboratory Training Programme, Department of Epidemiology and Disease Control, School of Public Health, College of Health Sciences, University of Ghana, Legon</nlm:aff><orgName type="university">Université du Ghana</orgName><country>Ghana</country><placeName><settlement type="city">Accra</settlement><settlement type="town">Legon (Ghana)</settlement><region type="region">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Kubio, Chrysantus" sort="Kubio, Chrysantus" uniqKey="Kubio C" first="Chrysantus" last="Kubio">Chrysantus Kubio</name><affiliation wicri:level="4"><nlm:aff id="aff0001">Field Epidemiology and Laboratory Training Programme, Department of Epidemiology and Disease Control, School of Public Health, College of Health Sciences, University of Ghana, Legon</nlm:aff><orgName type="university">Université du Ghana</orgName><country>Ghana</country><placeName><settlement type="city">Accra</settlement><settlement type="town">Legon (Ghana)</settlement><region type="region">Région du Grand Accra</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0002">Ghana Health Service, West Gonja District Health Directorate, Damongo, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Ghana Health Service, West Gonja District Health Directorate, Damongo</wicri:regionArea><wicri:noRegion>Damongo</wicri:noRegion></affiliation></author><author><name sortKey="Kenu, Ernest" sort="Kenu, Ernest" uniqKey="Kenu E" first="Ernest" last="Kenu">Ernest Kenu</name><affiliation wicri:level="4"><nlm:aff id="aff0001">Field Epidemiology and Laboratory Training Programme, Department of Epidemiology and Disease Control, School of Public Health, College of Health Sciences, University of Ghana, Legon</nlm:aff><orgName type="university">Université du Ghana</orgName><country>Ghana</country><placeName><settlement type="city">Accra</settlement><settlement type="town">Legon (Ghana)</settlement><region type="region">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Ameme, Donne Kofi" sort="Ameme, Donne Kofi" uniqKey="Ameme D" first="Donne Kofi" last="Ameme">Donne Kofi Ameme</name><affiliation wicri:level="4"><nlm:aff id="aff0001">Field Epidemiology and Laboratory Training Programme, Department of Epidemiology and Disease Control, School of Public Health, College of Health Sciences, University of Ghana, Legon</nlm:aff><orgName type="university">Université du Ghana</orgName><country>Ghana</country><placeName><settlement type="city">Accra</settlement><settlement type="town">Legon (Ghana)</settlement><region type="region">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Mahama, Jacob Yakubu" sort="Mahama, Jacob Yakubu" uniqKey="Mahama J" first="Jacob Yakubu" last="Mahama">Jacob Yakubu Mahama</name><affiliation wicri:level="1"><nlm:aff id="aff0003">Ghana Health Service, Northern Regional Health Directorate, Tamale, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Ghana Health Service, Northern Regional Health Directorate, Tamale</wicri:regionArea><wicri:noRegion>Tamale</wicri:noRegion></affiliation></author><author><name sortKey="Sackey, Samuel Oko" sort="Sackey, Samuel Oko" uniqKey="Sackey S" first="Samuel Oko" last="Sackey">Samuel Oko Sackey</name><affiliation wicri:level="4"><nlm:aff id="aff0001">Field Epidemiology and Laboratory Training Programme, Department of Epidemiology and Disease Control, School of Public Health, College of Health Sciences, University of Ghana, Legon</nlm:aff><orgName type="university">Université du Ghana</orgName><country>Ghana</country><placeName><settlement type="city">Accra</settlement><settlement type="town">Legon (Ghana)</settlement><region type="region">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Afari, Edwin Andrew" sort="Afari, Edwin Andrew" uniqKey="Afari E" first="Edwin Andrew" last="Afari">Edwin Andrew Afari</name><affiliation wicri:level="4"><nlm:aff id="aff0001">Field Epidemiology and Laboratory Training Programme, Department of Epidemiology and Disease Control, School of Public Health, College of Health Sciences, University of Ghana, Legon</nlm:aff><orgName type="university">Université du Ghana</orgName><country>Ghana</country><placeName><settlement type="city">Accra</settlement><settlement type="town">Legon (Ghana)</settlement><region type="region">Région du Grand Accra</region></placeName></affiliation></author></analytic><series><title level="j">The Pan African Medical Journal</title><idno type="eISSN">1937-8688</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="s1"><title>Introduction</title><p>Bacterial meningitis is a disease of major public health importance especially for countries such as Ghana; whose northern part lies within the meningitis belt. The Northern region of Ghana has been recording cases with outbreaks over the years. In order to generate evidence to improve surveillance, we described the epidemiology of bacterial meningitis using surveillance data of the northern region.</p></sec><sec id="s2"><title>Methods</title><p>Bacterial meningitis datasets from January 2010 to December 2015 for all the 26 districts of the Northern region were retrieved from line lists. Data were analyzed in terms of person, place, time, and identity of causative organisms using descriptive statistics. The results were presented as proportions, rates, tables and graphs.</p></sec><sec id="s3"><title>Results</title><p>A total of 1,176 cases were reported. Of these, 53.5% (629/1,176) were males. The proportion of cases aged 0 to 29 years was 77.4%. The Overall Case Fatality Rate (CFR) was 9.7% (114/1,176). About 65% of all cases were recorded from January to April. Only 23.7% (279/1,176) of cases were laboratory-confirmed. <italic>Neisseria meningitides</italic> and <italic>Streptococcus pneumonia</italic> accounted for 91.4% of confirmed cases. Over the period, the incidence reduced from 9.0/100,000 population to 3.8/100,000 population and CFR reduced from 16.6% to 5.7%.</p></sec><sec id="s4"><title>Conclusion</title><p>Most cases of bacterial meningitis were recorded in the dry season and in persons younger than 30 years. Less than a quarter of cases were laboratory confirmed, and no new bacteria species were identified. Both morbidity and mortality rates were on the decline. There is the need to consolidate these gains by intensifying meningitis surveillance and improving on the rate of laboratory case confirmation.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Ginsberg, L" uniqKey="Ginsberg L">L Ginsberg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kumar, R" uniqKey="Kumar R">R Kumar</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Leimkugel, J" uniqKey="Leimkugel J">J Leimkugel</name></author><author><name sortKey="Racoz1, V" uniqKey="Racoz1 V">V Racoz1</name></author><author><name sortKey="Jacintho Da Silva, L" uniqKey="Jacintho Da Silva L">L Jacintho da Silva</name></author><author><name sortKey="Pluschke, G" uniqKey="Pluschke G">G Pluschke</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Greenwood, B" uniqKey="Greenwood B">B 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Campbell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dery, M" uniqKey="Dery M">M Dery</name></author><author><name sortKey="Hasbun, R" uniqKey="Hasbun R">R Hasbun</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Whitney, Cg" uniqKey="Whitney C">CG Whitney</name></author><author><name sortKey="Farley, Mm" uniqKey="Farley M">MM Farley</name></author><author><name sortKey="Hadler, J" uniqKey="Hadler J">J Hadler</name></author><author><name sortKey="Harrison, Lh" uniqKey="Harrison L">LH Harrison</name></author><author><name sortKey="Bennett, Nm" uniqKey="Bennett N">NM Bennett</name></author><author><name sortKey="Lynfield, R" uniqKey="Lynfield R">R Lynfield</name></author><author><name sortKey="Reingold, A" uniqKey="Reingold A">A Reingold</name></author><author><name sortKey="Cieslak, Pr" uniqKey="Cieslak P">PR Cieslak</name></author><author><name sortKey="Pilishvili, T" uniqKey="Pilishvili T">T Pilishvili</name></author><author><name sortKey="Jackson, D" uniqKey="Jackson D">D Jackson</name></author><author><name sortKey="Facklam, Rr" uniqKey="Facklam R">RR Facklam</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Codjoe, Sn" uniqKey="Codjoe S">SN Codjoe</name></author><author><name sortKey="Nabie, Va" uniqKey="Nabie V">VA Nabie</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Palmgren, H" uniqKey="Palmgren H">H Palmgren</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Ghana</li></country><region><li>Région du Grand Accra</li></region><settlement><li>Accra</li><li>Legon (Ghana)</li></settlement><orgName><li>Université du Ghana</li></orgName></list><tree><country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Kaburi, Basil Benduri" sort="Kaburi, Basil Benduri" uniqKey="Kaburi B" first="Basil Benduri" last="Kaburi">Basil Benduri Kaburi</name></region><name sortKey="Afari, Edwin Andrew" sort="Afari, Edwin Andrew" uniqKey="Afari E" first="Edwin Andrew" last="Afari">Edwin Andrew Afari</name><name sortKey="Ameme, Donne Kofi" sort="Ameme, Donne Kofi" uniqKey="Ameme D" first="Donne Kofi" last="Ameme">Donne Kofi Ameme</name><name sortKey="Kenu, Ernest" sort="Kenu, Ernest" uniqKey="Kenu E" first="Ernest" last="Kenu">Ernest Kenu</name><name sortKey="Kubio, Chrysantus" sort="Kubio, Chrysantus" uniqKey="Kubio C" first="Chrysantus" last="Kubio">Chrysantus Kubio</name><name sortKey="Kubio, Chrysantus" sort="Kubio, Chrysantus" uniqKey="Kubio C" first="Chrysantus" last="Kubio">Chrysantus Kubio</name><name sortKey="Mahama, Jacob Yakubu" sort="Mahama, Jacob Yakubu" uniqKey="Mahama J" first="Jacob Yakubu" last="Mahama">Jacob Yakubu Mahama</name><name sortKey="Sackey, Samuel Oko" sort="Sackey, Samuel Oko" uniqKey="Sackey S" first="Samuel Oko" last="Sackey">Samuel Oko Sackey</name></country></tree></affiliations></record>Pour 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