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Where is the Meningitis Belt? Defining an area at risk of epidemic meningitis in Africa

Molesworth, Anna M., Thomson, Madeleine C., Connor, Stephen J., Cresswell, Mark P., Morse, A. P., Shears, P., Hart, C. Anthony and Cuevas, Luis ORCID: https://orcid.org/0000-0002-6581-0587 (2002) 'Where is the Meningitis Belt? Defining an area at risk of epidemic meningitis in Africa'. Transactions of the Royal Society of Tropical Medicine and Hygiene, Vol 96, Issue 3, pp. 242-249.

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Abstract

Mapping an area at risk of epidemics of meningococcal meningitis in Africa has significant implications for their prevention and case treatment, through the targeted development of improved surveillance systems and control policies. Such an area was described using information obtained from published and unpublished reports of meningitis epidemics between 1980 and 1999 and cases of meningococcal disease reported by surveillance systems to WHO. The Sahel bore the greatest epidemic burden, with over two-thirds of documented outbreaks and high attack rates, In addition to those already in the Meningitis Belt, countries affected included Guinea-Bissau, Guinea, Cote d'Ivoire, Togo, the Central African Republic and Eritrea. Elsewhere epidemics were reported from a band of countries around the Rift Valley and Great Lakes regions extending as far south as Mozambique and from here west to Angola and Namibia in southern Africa. The cumulative pan-continental analysis provided evidence of an epidemic-susceptible area which extends beyond the region accepted as the Meningitis Belt and which, moreover, may be partially determined by the physical environment, as shown by a striking correspondence to the 3001 1100-mm mean annual rainfall isohyets.

Item Type: Article
Subjects: WA Public Health > WA 105 Epidemiology
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WB Practice of Medicine > Medical Climatology > WB 710 Diseases of geographic areas
WC Communicable Diseases > Infection. Bacterial Infections > Bacterial Infections > WC 245 Meningococcal infections
Faculty: Department: Groups (2002 - 2012) > Child & Reproductive Health Group
Groups (2002 - 2012) > Clinical Group
Digital Object Identifer (DOI): https://doi.org/10.1016/s0035-9203(02)90089-1
Depositing User: Lynn Roberts-Maloney
Date Deposited: 31 May 2013 09:05
Last Modified: 06 Feb 2018 13:05
URI: https://archive.lstmed.ac.uk/id/eprint/2963

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