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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 18 2008 I. SITUATION EPIDEMIOLOGIQUE DE LA SEMAINE 18 (28 avril au 04 mai 2008) 2008 EPIDEMIOLOGICAL SITUATION OF WEEK 18 (28 April to 4 May 2008) 2008 Tableau/ Table 1 : Situation épidémiologique de la semaine 18 (28 avril au 04 mai 2008)/ Epidemiological Situation week 18 (28 April to 4 May 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 6 0 0.0 0 0 100.0 0 0 0 5 0 Burkina Faso 278 28 10.1 3 2 100.0 - - - - - Cameroun - - - - - Centrafrique 6 1 16.7 0 0 47.1 - - - - - Cote d'Ivoire - - - - - - - - - - - Ethiopia - - - - - - - - - - - Ghana - - - - - - - - - - - Guinée - - - - - - - - - - - Mali 48 0 0.0 0 1 88.1 - - - - - Niger 362 17 4.7 5 2 100.0 184 0 15 0 0 Nigeria 384 17 4.4 3 7 70.4 - - - - - RD Congo** - - - - - - - - - - - Tchad - - - - - - - - - - - Togo - - - - - - - - - - - Total 1 084 63 5.8 11 12 64.0 184 0 15 5 0 * 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 : 2 districts en épidémie : Barsalgho et Burkina Faso : 2 districts in epidemic phase : Barsalgho Gourcy. and Gourcy. 3 districts en alerte :Sig-Nonghin, Ouahigouya et Titao. 3 districts in alert: Sig-Nonghin, Ouahigouya and Titao. Mali : Le district Kolokani est toujours en épidémie Mali: District of Kolokani is still in epidemic phase Nigeria : 7 LGAs en épidémie : Etat de Katsina (Kurfi), Etat Nigeria: 7 LGAs in epidemic phase: Katsina state (Kurfi), de Kebbi (Birnin Kebbi et Maiyama) et Etat de Sokoto Kebbi state (Birnin Kebbi and Maiyama) and Sokoto state (Sokoto South, Tangaza , Wurno et Yabo ). (Sokoto South, Tangaza, Wurno and Yabo ). 3 LGAs en alerte : Etat de Katsina (Funtua); Etat de Sokoto 3 LGAs in alert phase: Katsina state (Funtua); Sokoto State (Sokoto North et Wamako). (Sokoto North and Wamako ). Niger : 2 districts en épidémie : Illela et Madaoua Niger: 2 districts in epidemic phase : Illela and Madaoua 5 en alerte : Dogon-Douchi, Filingue, Matameye, Birnin 5 districts in alert phase: Dogon-Douchi, Filingue, N’Konni et Keita. Matameye, Birnin N’Konni and Keita. 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 – 18) SYNTHESIS OF THE EPIDEMIOLOGICAL SITUATION 2008 (REPORTED WEEKS 1 – 18) 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 249 28 11.2 1 0 01-18 100.0 99.9 Burkina Faso 9 160 890 9.7 21 20 01-18 100.0 100.0 Cameroun - - - - - - - - Centrafrique 266 76 28.6 2 0 01-18 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 1 267 68 5.4 3 3 01-18 88.1 100.0 Niger 2 444 133 5.4 8 4 01-18 100.0 99.9 Nigeria 5 785 433 7.5 26 49 01-18 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 21 766 2 008 9.2 67 84 01-18 76.1 97.0 ** 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 9 160 cas suspects avec 890 with 9,160 suspected cases with 890 deaths and 20 décès et 20 districts en épidémie; districts in epidemic 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 74 0 17 7 1 0 33 3 13 Burkina Faso 223 0 44 156 0 0 38 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 1 161 0 599 481 0 20 43 18 0 Nigeria - - - - - - - - - RD Congo - - - - - - - - - Tchad - - - - - - - - - Togo 74 0 49 3 4 0 11 6 1 Total 1 722 4 809 701 8 20 138 35 25 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 où 20 Nm indéterminé on été tested. 20 undetermined Nm are noted in Niger. notés. 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 18, 2008 Map of meningitis attack rates by district by country at week 18, 2008 3 Figure 2 : Cartographie récapitulative des taux d’attaque cumulés de la Méningite, Semaine 1 – 18, 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 - 18, 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 – 18, 2008 Cumulative Meningitis attack rates of Burkina Faso at week 1 - 18, 2008 Figure 4. Taux d’attaque cumulés de la Méningite du Nigeria, Semaine 1 – 18, 2008 Cumulative Meningitis attack rates of Nigeria at week 1 - 18, 2008 5 Figure 5. Taux d’attaque cumulés de la Méningite du Niger, Semaine 1 – 18, 2008 Cumulative Meningitis attack rates of Niger at week 1 - 18, 2008 Figure 6. Taux d’attaque cumulés de la Méningite du Mali, Semaine 1 – 18, 2008 Cumulative Meningitis attack rates of Mali at week 1 - 18, 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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