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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 14 2008 I. SITUATION EPIDEMIOLOGIQUE DE LA SEMAINE 14 (31 mars au 06 avril 2008) 2008 EPIDEMIOLOGICAL SITUATION OF WEEK 14 (31st March to 6 April 2008) 2008 Tableau/ Table 1 : Situation épidémiologique de la semaine 14 (31 mars au 06 avril 2008)/ Epidemiological Situation week 14 (31st March to 6 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 5 0 0.0 0 0 100.0 0 0 0 1 0 Burkina Faso 590 64 10.8 14 5 100.0 - - - - - Cameroun - - - - - - - - - - - Centrafrique - - - - - - - - - - - Cote d'Ivoire 20 3 15.0 0 0 20.0 0 0 0 0 0 Ethiopia - - - - - - - - - - - Ghana - - - - - - - - - - - Guinée - - - - - - - - - - - Mali 91 7 7.7 1 0 88.1 - - - - Niger 228 9 3.9 1 1 100.0 39 0 0 2 0 Nigeria 832 57 6.9 13 14 63.4 - - - - RD Congo** - - - - - - - - - - - Tchad - - - - - - - - - - - Togo 9 2 22.2 0 0 97.1 - - - - - Total 1 775 142 8.0 29 20 63.4 39 0 0 3 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 : 5 districts en épidémie : Barsalgho, Gourcy, Burkina Faso : 5 districts in epidemic phase : Barsalgho, Houndé, Sig-Noghin et Titao. Gourcy, Houndé, Sig-Noghin et Titao. 14 districts en alerte : Boulsa, Bousse, Bogande, Boromo, 14 districts in alert phase : Boulsa, Bousse, Bogande, Dafra, Do, Diebougou, Karangasso Vigue, Koudougou, Boromo, Dafra, Do, Diebougou, Karangasso Vigue, Kaya, Nanoro, Ouahigouya, Yako et Réo. Koudougou, Kaya, Nanoro, Ouahigouya, Yako et Réo. Mali : Le district Commune 2 de Bamako en alerte. Mali: Commune 2 of Bamako in alert phase. Nigeria : 14 LGAs en épidémie : L’Etat de Kebbi (Augie, Nigeria: 14 LGAs have crossed the epidemic threshold: Bagudo, Koko Besse et Zuru ), l’Etat du Niger (Rijau), l’Etat de Kebbi state (Augie, Bagudo, Koko Besse and Zuru), Niger state Sokoto (Gwadabawa, Rabah, Sabon Birni, Sokoto North, Sokoto (Rijau), Sokoto state (Gwadabawa, Rabah, Sabon Birni, Sokoto South et Wamako) et l’Etat de Zamfara (Bakura, Bukkuyum North, Sokoto South and Wamako) and Zamfara state (Bakura, and Maradun). Bukkuyum and Maradun). 13 LGA en alerte : Zaki (Bauchi), Nafada (Gombe), Rimi 13 LGA in alert phase: Zaki (Bauchi), Nafada (Gombe), Rimi (Katsina), Birmi Kebbi (Kebbi), Kebbe (Sokoto), Damaturu, (Katsina), Birmi Kebbi(Kebbi), Kebbe (Sokoto), Damaturu, Fika, Gujba, Nangere, Potiskum, Tarmuwa (Yobe), Gummi, Fika, Gujba, Nangere, Potiskum, Tarmuwa (Yobe), Gummi , Talata mafara (Zamfara) Talata mafara (Zamfara) 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 l'OMS E.mail: [email protected] / Site web/Web site: www.who.int/csr 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 – 14) SYNTHESIS OF THE EPIDEMIOLOGICAL SITUATION 2008 (REPORTED WEEKS 1 – 14) 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 205 27 13.2 1 0 01-13 100.0 99.9 Burkina Faso 7 184 714 9.9 21 17 01-14 100.0 100.0 Cameroun - - - - - - - - Centrafrique 202 57 28.2 0 1 01-10 47.1 99.6 Côte d'Ivoire 792 128 16.2 0 2 01-14 95.4 60.1 Ethiopia 206 9 4.4 - - 01-13 - - 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 904 52 5.8 3 2 01-14 88.1 100.0 Niger 858 49 5.7 1 1 01-14 100.0 99.7 Nigeria 2 711 243 9.0 22 28 01-14 63.4 99.9 RD Congo** 123 17 13.8 1 3 01-04 - 100.0 Tchad 321 39 12.1 3 0 01-10 56.0 91.2 Togo 268 46 17.2 1 0 01-14 100.0 95.3 Total 14 160 1 464 10.3 53 55 01-14 71.8 96.6 ** 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 Les pays les plus touchés (données cumulées) : ¾ The most hit countries (cumulative data): Burkina Faso Burkina Faso avec 7184 cas suspects et 17 districts with 7184 suspected cases and 17 districts in epidemic en épidémie; le Nigeria avec 2711 cas suspects et 28 phase; Nigeria with 2711 suspected cases and 28 districts en épidémie. districts in epidemic phase. ¾ Les pays devant faire d’effort pour mettre à jour leurs ¾ Data from Central Africa, Ghana Chad and DRC need to données : Centrafrique, Ghana Tchad et RDC be updated. ¾ Pays silencieux : Cameroun ¾ Cameroon remains a silent country. 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 44 0 12 7 0 0 17 2 6 Burkina Faso 94 0 26 54 0 0 11 0 3 Cameroun - - - - - - - - - Centrafrique 18 0 3 14 0 0 1 0 0 Cote d'Ivoire 43 0 4 19 0 3 3 1 13 Ethiopia - - - - - - - - - Ghana - - - - - - - - - Mali 99 3 59 16 0 0 7 6 8 Niger 497 0 278 162 0 5 39 13 0 Nigeria - - - - - - - - - RD Congo - - - - - - - - - Tchad - - - - - - - - - Togo 74 0 49 3 4 0 11 6 1 Total 869 3 431 275 4 8 89 28 31 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 à la semaine 01 - 14 2008 Map of meningitis attack rates by district by country at week 1 - 14 2008 3 Figure 2 : Cartographie récapitulative des taux d’attaque cumulés de la Méningite, Semaine 1 – 14, 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 - 14, 2008 (Mapping based on weekly highest attack rates by district during the year) 4 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) 5 6 7 8 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 9.
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