MDSC Meningitis Weekly Bulletin

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MDSC Meningitis Weekly Bulletin 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 2008 I. SITUATION EPIDEMIOLOGIQUE DE LA SEMAINE 17 (21 au 27 avril 2008) 2008 EPIDEMIOLOGICAL SITUATION OF WEEK 17 (21 to 27 April 2008) 2008 Tableau/ Table 1 : Situation épidémiologique de la semaine 17 (21 au 27 avril 2008)/ Epidemiological Situation week 17 (21 to 27 April 2008) Létalité District en District en Complét. Autres Pays Cas Dècès NmA NmW135 Pneum Hib (%) Alerte Epidémie (%) Nm District in District in Complet Country Case Death Letality NmA NmW135 Other Nm Pneum Hib Alert Epdemic (%) Benin 8 1 12.5 0 0 100.0 0 0 0 4 1 Burkina Faso 500 51 10.2 5 5 100.0 - - - - - Cameroun - - - - - - - - - - - Centrafrique 15 5 33.3 0 0 47.1 - - - - - Cote d'Ivoire - - - - - - - - - - - Ethiopia - - - - - - - - - - - Ghana - - - - - - - - - - - Guinée - - - - - - - - - - - Mali 101 3 3 0 1 88.1 - - - - - Niger 553 31 5.6 8 3 97.6 - - - - Nigeria 614 47 7.7 7 8 70.4 - - - - - RD Congo** - - - - - - - - - - - Tchad 5 0 0 0 0 3.0 - - - - - Togo 4 1 25 0 0 82.9 - - - - - Total 1 800 139 7.7 20 17 66.4 0 0 0 4 1 * 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 : 5 districts en épidémie : Barsalgho, Burkina Faso : 5 districts in epidemic phase : Barsalgho, Karangasso-Vigué, Gourcy, Titao et Ouahigouya. Karangasso-Vigué, Gourcy, Titao and Ouahigouya 5 districts en alerte : Bogandé, Dori, Boulmiougou, Réo et 5 districts in alert phase : Bogandé, Dori, Boulmiougou, Réo Houndé. and Houndé. Mali : Le district Kolokani est en épidémie Mali: District of Kolokani is in epidemic phase Nigeria : 8 Etat de Gombe (Nafada), Etat de Kebbi Nigeria: 8 LGAs have crossed the epidemic threshold: (Argungu et Birnin Kebbi), Etat de Sokoto (Gwadabawa , Gombe state (Nafada), Kebbi state (Argungu and Birnin Rabah et Yabo) et Etat de Yobe (Damaturu et Potiskum ). Kebbi), Sokoto state (Gwadabawa , Rabah and Yabo) and 7 LGAs en alerte : Katsina Etat (Kurfi) ; Etat de Kebi Yobe state (Damaturu and Potiskum ). (Kalgo); Etat de Sokoto (Goronyo, Kware, Sabon Birnim 7 LGAs in alert phase: Katsina state (Kurfi); Kebi State Sokoto North et Tangaza ). (Kalgo); Sokoto State (Goronyo, Kware, Sabon Birnim Niger : 3 districts en épidémie : Boboye, Birni N’koni et Sokoto North and Tangaza ). Madaoua Niger: 3 districts have crossed the epidemic threshold. 8 en alerte : Dogon-Douchi, Dosso, Bouza, Illela, Filingue, Boboye, Birni N’koni and Madaoua Matameye, Say et Gaye. 8 districts in alert phase. Dogon-Douchi, Dosso, Bouza, Illela, Filingue, Matameye, Say et Gaye. Nous contacter / Contact us: Pays sous Surveillance Multi Disease Surveillance Centre / Centre de Surveillance pluri pathologique Renforcée de la Méningite 01 BP 549 Ouagadougou 01, Burkina Faso dans la Région Africaine de Tel: (226) 50-34-29-53, Fax: (226) 50-34-29-53 E.mail: [email protected] / Site web/Web site: www.who.int/csr l'OMS Nota bene: Les données publiées dans ce bulletin sont des informations hebdomadaires. Elles sont susceptibles d’évoluer après complétude et Countries under Enhanced vérification./ Surveillance of Meningitis in The data published in this bulletin are weekly informations. They are susceptible to the WHO African Region change after completeness and vérification. 1 II. SYNTHESE DE LA SITUATION EPIDEMIOLOGIQUE 2008 (SEMAINES NOTIFIEES 01 – 17) SYNTHESIS OF THE EPIDEMIOLOGICAL SITUATION 2008 (REPORTED WEEKS 1 – 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 Dècès Létalité (%) Alerte Epidémie notifies (%) semaines(%) District in District in Reported In districts Country Case Death Letality (%) In weeks Alert Epidemic weeks (%) Benin 243 28 11.5 1 0 01-17 100.0 99.9 Burkina Faso 8 882 862 9.7 21 20 01-17 100.0 100.0 Cameroun - - - - - - - - Centrafrique 260 75 28.8 1 1 01-17 47.1 99.5 Côte d'Ivoire 824 137 16.6 0 2 01-16 95.4 58.9 Ethiopia 280 12 4.3 0 1 01-16 - - Ghana 123 25 20.3 0 0 01-07 - 75.0 Guinée 263 58 22.1 0 1 01-13 100.0 100.0 Mali 1 219 68 5.6 3 3 01-17 88.1 100.0 Niger 2 045 114 5.6 8 3 01-17 100.0 99.7 Nigeria 5 142 387 7.5 28 43 01-17 70.4 99.9 RD Congo** 123 17 13.8 1 3 01-04 - 100.0 Tchad 693 80 11.5 4 1 01-17 56.0 93.4 Togo 289 51 17.6 1 0 01-17 100.0 95.0 Total 20 386 1 914 9.4 68 78 01-17 76.1 96.8 ** 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: ¾ Le pays les plus touché (données cumulées) est le ¾ The most hit country (cumulative data) is Burkina Faso Burkina Faso avec 8 882 cas suspects et 20 districts with 8,882 suspected cases and 20 districts in epidemic en épidémie; phase; ¾ le Nigeria et le Niger avec une situation préoccupante ¾ Nigeria and Niger with and alarming situation où l’épidémie continue à sévir. where the epidemic continues ¾ Les pays devant faire d’effort pour mettre à jour leurs ¾ Data from Ghana and DRC need to be updated. données : Ghana et RDC ¾ Pays silencieux : Cameroun ¾ Silent country. Cameroun Tableau/Table 3: Pathogènes identifiés par PCR, Latex, Culture (semaines notifiées 2008)/ Pathogens identified by PCR, Latex, Culture (reported weeks 2008) NmA Autres Pays Numéro LCR LCR contam LCR negativ NmW135 Autres Nm S.Pneum Hib Patho Country Number LCR LCR contam LCR negativ NmA NmW135 Other Nm S.Pneum Hib Other Patho Benin 68 0 17 7 1 0 28 3 12 Burkina Faso 200 0 35 142 0 0 19 0 3 Cameroun - - - - - - - - - Centrafrique 18 0 3 14 0 0 1 0 0 Cote d'Ivoire 73 1 38 24 3 0 5 2 0 Ethiopia - - - - - - - - - Ghana - - - - - - - - - Mali 99 3 59 16 0 0 7 6 8 Niger 772 0 409 297 0 5 43 18 0 Nigeria - - - - - - - - - RD Congo - - - - - - - - - Tchad - - - - - - - - - Togo 74 0 49 3 4 0 11 6 1 Total 1 304 4 610 503 8 5 114 35 24 Pathogen Identification par /Pathogen identification by: PCR, LATEX, CULTURE Commentaires: Comments: Le NmA est toujours le germe dominant. NmA is still the most prevailing germ. Le nombre de LCR collectés et examiné reste très faible A part from Niger, few number of CSF are collected and dans les pays à part le Niger. tested. 2 III. REPRÉSENTATION GRAPHIQUE DES DONNÉES/ GRAPHICAL REPRESENTATION OF DATA Figure 1: Cartographie des taux d’attaque de la Méningite par district par pays de la semaine 17, 2008 Map of meningitis attack rates by district by country at week 17, 2008 3 Figure 2 : Cartographie récapitulative des taux d’attaque cumulés de la Méningite, Semaine 1 – 17, 2008 (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 1 - 17, 2008 (Mapping based on weekly highest attack rates by district during the year) 4 Figure 3. Taux d’attaque cumulés de la Méningite au Burkina Faso, Semaine 1 – 17, 2008 Cumulative Meningitis attack rates of Burkina Faso at week 1 - 17, 2008 Figure 4. Taux d’attaque cumulés de la Méningite du Nigeria, Semaine 1 – 17, 2008 Cumulative Meningitis attack rates of Nigeria at week 1 - 17, 2008 5 Figure 5. Taux d’attaque cumulés de la Méningite du Niger, Semaine 1 – 17, 2008 Cumulative Meningitis attack rates of Niger at week 1 - 17, 2008 Figure 6. Taux d’attaque cumulés de la Méningite du Mali, Semaine 1 – 17, 2008 Cumulative Meningitis attack rates of Mali at week 1 - 17, 2008 6 IV. Courbes de tendance sur les deux dernières années/ Epidemiological trends during two consecutive years Figure 3 : Evolution hebdomadaire comparative par pays des années 2007 et 2008/ (Uniquement les pays ayant transmis des données pour la semaine en cours) Comparative weekly evolution by country, years 2007-2008 (Only countries which transmitted data during the current week) 7 8 9 10 Ghana cas par semaine/cases by week Année/Year 2007 Année/Year 2008 cas/cases 0 50 100 150 1 4 7 101316192225283134374043464952 Semaines/Weeks 11.
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