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MDSC MENINGITIS WEEKLY BULLETIN Regional Office for Africa

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MDSC MENINGITIS WEEKLY BULLETIN Regional Office for Africa MDSC MENINGITIS WEEKLY BULLETIN Regional Office for Africa Bulletin Hebdomadaire de retro-information sur la méningite cérébrospinale Weekly feedback bulletin on cerebrospinal meningitis Semaine/Week 17, 2006 I. SITUATION EPIDEMIOLOGIQUE DE LA SEMAINE 17 2006 EPIDEMIOLOGICAL SITUATION OF WEEK 17 2006 Tableau/ Table 1 : Situation épidémiologique de la semaine 17 (24 au 30 avril 2006)/ Epidemiological Situation week 17 (April 24 - 30, 2006) Létalité District District en Complét. Autres Pays Cas Décès NmA NmW135 Pneumo Hib (%) en Alerte Epidémie (%) Nm District in District in Complet Country Case Death Letality NmA NmW135 Other Nm Pneumo Hib Alert Epdemic (%) Benin 3 2 66.7 0 0 97.4 - - - - - Burkina Faso 1185 51 4.3 7 13 100.0 11 0 0 0 0 Cameroun - - - - - Centrafrique - - - - - Cote d'Ivoire 10 1 10.0 0 0 35.4 - - - - - Ethiopia - - - - - Ghana - - - - - Guinée - - - - - Mali 37 5 13.5 0 0 86.6 5 0 0 2 0 Niger 357 32 9.0 3 2 100.0 51 0 19 1 0 Nigeria 501 44 8.7 7 9 - - - - - - **RD Congo 99 16 16.2 - - 13.2 - - - - - Tchad 116 16 13.8 4 0 86.8 13 0 0 3 1 Togo Total 2308 166 7.1 21 24 86.5 80 19 6 1 - : Non disponible / Not available * Identification par / identification by: PCR, LATEX, CULTURE ** Définition des seuils d’alerte/épidémique non applicable à ce pays situé en dehors de la ceinture de la méningite Definition of alert/epidemic thresholds not applicable to this country outside the meningitis belt Commentaires : Comments: Burkina Faso : 13 districts restent toujours en épidémie et 6 autres en Burkina Faso : 13 districts are still in epidemic phase and 6 in alerte alert. Niger : Niger : Les districts de Dogondouchi et Niamey I restent en épidémie avec The districts of Dogondoutchi and Niamey I are still in epidemic respectivement 14.3 cas et 14.4 cas pour 100 000 habitants et 3 phase with respectively 14.3 and 14.4 cases per 100 000 inhts. districts en alerte Boboye 5.7, Aguié 5.1 et Madarounfa 6.0 cas pour Three districts are in alert: Boboye 5.7; Aguie 5.1 and Madarounfa 6 100 000 habitants. cases per 100 000 inhts. Tchad : Tchad : 4 districts sont en alerte avec des taux d’attaque de : N’Djaména Sud 4 districts are in alert phase with the respective attack rates of: 6.3 cas, Bikine 5.3 cas, Mongo 6.8 cas et Goundi 6.0 cas pour 100 000 NDjamena south 6.3; Bikine 5.3; Mongo 6.8 and Goundi 6.0 cases habitants. per 100 000 inhts. Nigeria : Nigeria: 9 LGAs dans 3 Etats supervisés récemment par le MDSC et le FMOH 9 LGAs from 3 States recently supervised by the MDSC and the sont en épidémie : FMOH are in epidemic phase: - Jigawa State : Taura, Ringim, Birninkudu - Jigawa State : Taura, Ringim, Birninkudu - Kano State : Gaya, Kibiya, Wudil - Kano State : Gaya, Kibiya, Wudil - Katsina State : Batsari, Batagarawa, Kankia - Katsina State : Batsari, Batagarawa, Kankia 7 LGAs des mêmes Etats sont en alerte : 7 LGAs of the same States are in alert : - Jigawa State : Dutse, Kazaure - Jigawa State : Dutse, Kazaure - Kano State : Gezawa, Madobi - Kano State : Gezawa, Madobi - Katsina State : Safana, Ingawa, Danmusa - Katsina State : Safana, Ingawa, Danmusa Nous contacter / Contact us: Pays sous Surveillance Renforcée de Multi Disease Surveillance Centre / Centre de Surveillance pluri pathologique la Méningite dans la Région Africaine 01 BP 549 Ouagadougou 01, Burkina Faso de l'OMS Tel: (226) 50-34-29-53, Fax: (226) 50-34-29-53 E.mail: [email protected] / Site web/Web site: www.who.int/csr Nota bene: Les données publiées dans ce bulletin sont des informations Countries under Enhanced hebdomadaires. Elles sont susceptibles d’évoluer après complétude et vérification./ Surveillance of Meningitis in the WHO 1 The data published in this bulletin are weekly informations. They are susceptible to African Region change after completeness and vérification. II. SYNTHESE DE LA SITUATION EPIDEMIOLOGIQUE 2006 (semaines notifiées 01 – 17) SYNTHESIS OF THE EPIDEMIOLOGIC SITUATION 2006 (reported weeks 01 – 17) Tableau/ Table 2: Synthèse de la situation épidémiologique (semaines notifiées)/ Synthesis of the epidemiological situation (reported weeks) District en District en Semaines En districts En Pays Cas Décès Létalité (%) Alerte Epidémie notifies (%) semaines(%) District in District in Reported In districts Country Case Death Letality (%) In weeks Alert Epdemic weeks (%) Benin 220 52 23.6 4 0 01-17 97.4 99.8 Burkina Faso 16959 1451 8.6 83301-17 100.0 100.0 Cameroun - - - - - - - - Centrafrique 53 17 32.1 0 0 01-13 100.0 100.0 Côte d'Ivoire 459 64 13.9 1 1 01-17 47.7 76.6 Ethiopia 487 22 4.5 - - 01-08 - - Ghana 256 65 25.4 1 0 01-15 25.5 70.7 Guinée 129 20 15.50 0 1 01-13 2.6 Mali 796 68 8.5 3301-17 86.6 100.0 Niger 3528 258 7.3 5 5 01-17 100.0 100.0 Nigeria 1956 176 8.9 7 18 01-17 - - **RD Congo 2073 286 13.8 - - 01-17 17.2 88.9 Tchad 1033 126 12.2 6 0 01-17 57.8 - Togo 107 15 14.0 1 0 01-13 100.0 100.0 Total 28056 2620 9.3 36 61 01-17 - - - : Non disponible / Not available ** Définition des seuils d’alerte/épidémique non applicable à ce pays situé en dehors de la ceinture de la méningite Definition of alert/epidemic thresholds not applicable to this country outside the meningitis belt Commentaires : Comments : ème A la 17 semaine de l’année, 6 pays ont connu des districts At week 17 of this year, 6 countries reported epidemic districts: . en épidémie : Burkina Faso : 33 districts, Niger : 5 districts, Mali : 3 districts, Burkina Faso : 33 districts ; Niger : 5 districts; Mali : 3 districts ; Côte d’Ivoire : 1 district, Guinée : 1 district, and Nigeria : 18 Côte d’Ivoire : 1 district ; Guinée : 1 district ; et Nigeria : 18 LGAs from 3 States supervised by MDSC and FMOH: LGAs dans 3 Etats supervisés par MDSC et FMOH : - Jigawa 5 (Taura, Ringim, Birninkudu, Jahun, Gumel), - Jigawa 5 (Taura, Ringim, Birninkudu, Jahun, Gumel), - Kano 8 (Gaya, Kibiya, Wudil, Ajingi, Fagge, Kabo, Tofa, - Kano 8 (Gaya, Kibiya, Wudil, Ajingi, Fagge, Kabo, Tofa, Bebeji) and Bebeji) and - Katsina 5 (Batsari, Batagarawa, Kankia, Katsina, - Katsina 5 (Batsari, Batagarawa, Kankia, Katsina, Dutsinma) Dutsinma) Tableau/Table 3: Pathogènes identifiés par PCR, Latex, culture (semaines notifiées 2006)/ Pathogens identified by PCR, Latex, Culture (reported weeks 2006) NmA Autres Pays Nombre LCR LCR contam LCR negativ NmW135 Autres Nm S.pneumoniae Hib Pathogènes Country Number CSF CSF contam CSF negativ NmA NmW135 Other Nm S.pneumoniae Hib Other Patho Bénin 88 3 3 32 7 0 26 4 13 Burkina Faso 1955 0 1697 215 3 0 26 7 7 Cameroun - - - - - - - - - Centrafrique - - - - - - - - - Côte d'Ivoire - - - - - - - - - Ethiopia - - - - - - - - - Ghana - - - - - - - - - Mali 254 0 170 35 0 0 24 25 0 Niger 1756 0 902 420 18 314 64 28 10 Nigeria 22 0 4 16 0 1 1 0 0 RD Congo - - - - - - - - - Tchad 83 0 52 26 0 0 4 1 0 Togo - - - - - - - - - Total 4158 3 2828 744 28 315 145 65 30 Pathogen Identification par /Pathogen identification by: PCR, LATEX, CULTURE Commentaires : Comments : Neisseria meningitidis A reste le germe prédominant isolé dans les Neisseria meningitidis A is the main germ isolated in the epidemic districts en épidémie. Au Niger c’est le NmX qui prédomine dans les districts. In Niger the NmX is prevailing in the epidemic districts. The districts en épidémie. L’analyse au laboratoire de 22 échantillons de laboratory analysis of 22 CSF samples from Jigawa State yielded 16 LCR de Jigawa State a donné 16 NmA, 1 NmB, 1 Spn et 4 negatifs. NmA, 1 NmB, 1 Spn and 4 negative. 2 III. REPRESENTATION GRAPHIQUE DES DONNEES/ GRAPHICAL REPRESENTATION OF DATA Figure 1: Cartographie des taux d’attaque de la Méningite par district par pays à la semaine 17, 2006 Map of meningitis attack rates by district by country at week 17, 2006 3 Figure 2 : Cartographie récapitulative des taux d’attaque cumulés de la Méningite, Semaine 01 – 17, 2006 (Représentation basée sur les taux d’attaque hebdomadaires les plus élevés par district au cours de l’année Recapitulative map of cumulative Meningitis attack rates at week 01 - 17, 2006 (Mapping based on weekly highest attack rates by district during the year) 4 IV. COURBES DE TENDANCE SUR LES DEUX DERNIERE ANNEES/ EPIDEMIOLOGICAL TRENDS DURING TWO CONSECUTIVE YEARS Figure 3 : Evolution hebdomadaire comparative par pays des années 2005 et 2006/ (Uniquement les pays ayant transmis des données pour la semaine en cours) Comparative weekly evolution by country, years 2005-2006 (Only countries which transmitted data during the current week) 5 Côte d'Ivoire Cas par semaine / Cases by week Année/Year 2005 Année/Year 2006 Cas cases / 0 102030405060 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52 Semaines / Weeks 6 Tchad cas par semaine/cases by week Année/Year 2005 Année/Year 2006 cas/cases 0 100 200 1 4 7 101316192225283134374043464952 Semaines/Weeks 7 République Centrafrique Cas par semaine / Cases by week Année/Year 2005 Année/Year 2006 Cas/Cases 0102030 1357911131517192123252729313335373941434547495153 Semaines / weeks Ethiopia Cas par semaine / Cases by week Année/Year 2005 Année/Year 2006 Cas/Cases 0 100 200 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52 Semaines / weeks 8.
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