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  • Meningitis Epidemic in Africa, Jan 2008 +

    Meningitis confirmed in Arua district

    Wednesday, 16th January, 2008

    By Frank Mugabi
    and Irene Nabusoba

    THE Ministry of Health has confirmed 121 cases of meningitis in Arua and Nebbi districts, up from 43 when the outbreak was first suspected. Of these, three deaths have been reported.

    ?We have confirmed that it is meningitis and the outbreak is two weeks old. It is a new epidemic in Arua district and a few sub-counties in Nebbi, bordering Arua,? Dr. Sam Okware, the commissioner for community health, told The New Vision on Tuesday.

    ?Cases are doubling every week and that creates a worrying scenario that calls for an emergency response.?

    He said laboratory tests confirmed that it was the type A strain, adding that seven of the affected sub-counties qualified to be called emergency areas.

    According to the World Health Organisation, there must be five confirmed cases of every 100,000 people for a disease to be called an epidemic.

    In Arua, the most affected sub-counties are Ajia, Arivu, Logiri, Vurra, Okollo, Offaka, Rigbo and Rhino camp.
    The Arua district director of health services, Dr. Patrick Anguzu, said 371 cases of meningitis had been registered since July last year, with at least 41 deaths.

    He said health centres in the affected areas neither have oily chloramphenical nor expen, the drugs used in the treatment of meningococcal meningitis.
    Anguzu added that the health units lacked intravenous fluids needed to stabilise meningitis patients.

    However, Okware revealed that the ministry has 25,600 doses of drugs to treat meningitis and already 12,000 have been sent to the affected areas.
    ?We have got enough stock of drugs to handle over 2,000 patients, as we continue to source for more,? he said.

    On the vaccination, Okware said there were 226,000 doses meant for people aged below 30, clarifying that those above that age should have developed adequate immunity against the disease.

    Kuluva Hospital, Okware said, was the main treatment centre but two others would be opened at Bondo and Ajai health centres in Arua.

    He urged the public to avoid overcrowding, observe hygiene, desist from moving unnecessarily and report suspected cases early.

    The confirmation of meningitis in the area comes after a recent warning by the World Health Organisation (WHO) that Uganda was among 13 countries lying under Africa?s meningitis belt that stretches from Ethiopia to Senegal.
    The world agency warned that the belt could suffer one of the worst meningitis epidemics early this year.


    Districts being watched are Kotido, Moroto, Kitgum, Pader, Gulu Adjumani, Yumbe, Arua, and Nebbi, all characterised with semi-arid conditions.
    Masindi district is also being monitored.

    "Addressing chronic disease is an issue of human rights that must be our call to arms"
    Richard Horton, Editor-in-Chief The Lancet

    ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

  • #2
    Re: Meningitis outbreak in Uganda, Jan 2008

    Meningitis Kills 40 in Arua District


    The Citizen (Dar es Salaam)

    17 January 2008


    By Tabu Butagira
    Kampala

    Shortly after four epidemics broke out in Uganda, the Ministry of Health said on Tuesday that three of them - bubonic plague, cholera and hepatitis-E - had been contained.

    However, the meningococcal meningitis that hit West Nile since last July had by Tuesday killed at least 40 people in the northwestern district of Arua, the District Health Officer, Dr Patrick Anguzu said.


    We are seeing more and more (meningitis) cases coming in from Ajia and Arivu sub-counties in Vurra County. Since July 2007, a total of 433 people have been infected, Dr Anguzu said.

    Dr Sam Zaramba, the Director General of Health Services, announced yesterday that mass vaccination against meningitis would begin in Arua later this week.

    We are dispatching the vaccines tomorrow (today) and we hope that by the end of this week, immunisation would be in full gear since the epidemic has reached the threshold of 10 infections per 100, 000 people, he said.

    By midday yesterday, a total of 30 meningitis patients were reportedly struggling for their lives at Arua and Kuluva mission hospitals. Two new isolation treatment units had been created at Bondo and Ajia health centres respectively to handle the influx of meningitis patients.

    We are working with the World Health Organisation and other stakeholders to strengthen the case management. We are also considering mass vaccination, Dr Anguzu said.

    Dr Zaramba said in a statement issued on Monday that with the on set of the dry season, meningitis prevalence is expected to soar, especially in northern Uganda.

    Meanwhile, the government began a count down on Ebola on December 27, the day when the last Ebola patient admitted on Christmas Eve passed away.

    If nothing happens, we should be able to declare Uganda Ebola-free by February 8, Dr Zaramba said.

    "Addressing chronic disease is an issue of human rights that must be our call to arms"
    Richard Horton, Editor-in-Chief The Lancet

    ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

    Comment


    • #3
      Re: Meningitis outbreak in Uganda, Jan 2008

      Meningitis Vaccination Begins

      New Vision (Kampala)

      5 February 2008


      By Anne Mugisa

      Kampala

      THE Government is carrying out vaccinations for meningitis A and C, which recently hit Arua and Nebbi districts in northern Uganda. The commissioner for communicable diseases, Dr. Sam Okware, said of the 294 cases recorded since the disease hit its threshold on December 11, 2007, a total of 11 deaths had occurred.

      The threshold is reached when there is an occurrence of 10 new cases of meningitis per 100,000 people per week for two consecutive weeks.


      Okware said the affected areas were Agira, Arivu, Logiri, Vura, Offaka, Rigbo, Rhino Camp, Pajullu, Ulleti and Ogooko. Five vaccination centres were set up in sub-counties in the two districts, according to Okware.

      At least 3,600 vials of the vaccines and rapid test kits were sent to the areas.

      The Ministry of Health, is trying to buy 15,000 more doses through the World Health Organisation.

      Meningitis can either be viral or bacterial, but Okware said the one in Arua and Nebbi is the meningococcal meningitis, which is bacterial.

      The disease, which has a one week incubation period, manifests itself with a severe headache, stiff neck and if not treated quickly, leads to unconsciousness and death.

      With quick intervention, patients recover within 24 hours of treatment.

      Okware cautioned the people in the epidemic-prone areas to avoid overcrowding and unhygienic conditions since the disease is airborne. Patients, he added, should be quickly taken to health facilities.

      THE Government is carrying out vaccinations for meningitis A and C, which recently hit Arua and Nebbi districts in northern Uganda. The commissioner for communicable diseases, Dr. Sam Okware, said of the 294 cases recorded since the disease hit its threshold on December 11, 2007, a total of 11 deaths had occurred.
      "Addressing chronic disease is an issue of human rights that must be our call to arms"
      Richard Horton, Editor-in-Chief The Lancet

      ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

      Comment


      • #4
        Re: Meningitis outbreak in Uganda, Jan 2008



        Meningitis kills six in Hoima


        BY AMlan Tumusiime

        Six people have died and many others hospitalised following a meningitis outbreak in Hoima district over the past two weeks.

        An official from Hoima Hospital, Dr. Michael Mulowoza, said the disease was confirmed in Kisukuma and Bwikya parishes in Kigorobya sub-county.

        Mulowoza urged the locals to avoid public gatherings and to report any suspected case to a near by health centre.

        In addition, cholera has broken out in Bugambe sub-county killing three people. John Bahemuka, the Bugambe sub-county chairman, said two of the dead were from the same family.

        Comment


        • #5
          Re: Meningitis outbreak in Uganda, Jan 2008

          Toll in Burkina meningitis epidemic passes 300: govt


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          by Romaric Ollo Hien
          OUAGADOUGOU, Feb 29, 2008 (AFP) - A meningitis epidemic has killed 308 people out of more than 2,500 cases reported in Burkina Faso since the start of January, the health ministry said Friday.
          The outbreak is centred along the border with Ivory Coast, where 44 deaths had been reported by February 20, a day before the two countries announced a joint health programme to tackle the epidemic.
          "We have registered 2,513 cases in all, including 308 deaths by February 27, mortality rate of 12.28 percent" Dr Ousmane Badolo, the ministry official in charge of epidemic disease surveillance told AFP.
          Badolo said that of 16 affected districts in Burkina Faso, the outbreak had reached epidemic levels in seven of them.
          Over the border in Ivory Coast the authorities said an epidemic in the Zanzans border region had a mortality rate of 15.4 percent.
          Meningitis is very contagious and initial symptoms include a quickly rising temperature, violent headaches, vomiting and neck stiffness. It is declared an epidemic when there are at least 10 cases per 100,000 people.

          snip



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          • #6
            Re: Meningitis Epidemic in Africa, Jan 2008 +



            Meningitis kills hundreds in Burkina Faso

            17 hours ago

            OUGADOUGOU (AFP) ? A meningitis outbreak in Burkina Faso has infected thousands of people, killing hundreds, in the past two months, the health ministry told the AFP Thursday.

            "We have identified 3,181 suspected cases of meningitis from January 1 until March 2, 2008, of whom 366 have died," said Doctor Ousmane Badolo, head of epidemiology surveillance at the ministry of health.

            Fourteen districts are affected, of which five have declared a state of epidemic. Two have been downgraded following vaccination campaigns.

            Badolo said Burkina Faso had enough vaccines to cover all infected districts although needs could change if the outbreak worsens.

            Meningitis is very contagious, causing fever, dizziness, vomiting and a stiff neck. It becomes an epidemic when 10 out of 100,000 inhabitants have contracted it.

            Health Minister Alain Bedouma announced Wednesday that Burkina Faso managed to raise over 4,5 million euros from numerous international donor countries and organisations for a plan to fight the disease that was set up in 2007.

            In 2007 an epidemic killed more than 2,000 people in nine west African countries, 75 percent of them in Burkina Faso, according to United Nations agencies.

            Comment


            • #7
              Re: Meningitis Epidemic in Africa, Jan 2008 +

              20/03/2008


              OUAGADOUGOU, March 20 (AFP)

              Toll in Burkina meningitis epidemic exceeds 500

              A meningitis epidemic has killed 519 people out of 5,046 cases reported in Burkina Faso since the start of January, new health ministry figures said Thursday.

              Ousmane Badolo, a ministry epidemiologist told AFP "we've gone over the 500- dead mark".

              Dr Badolo said that of 16 affected districts in Burkina Faso, the outbreak had reached epidemic levels in eight. The last official figures issued on March 9 reported 441 deaths out of 4,061 cases.

              The outbreak is centred along the border with Ivory Coast, where 44 deaths had been reported by February 20, a day before the two countries announced a joint health programme to tackle the epidemic.

              Both countries are on a sub-Saharan "meningitis belt" that stretches from Senegal on the Atlantic coast to Ethiopia in the east. Burkina Faso has been worst affected, as it was last year.

              Health officials from both countries decided to work together to provide free health care to people from both sides of the border, they said in a joint statement.

              New vaccination campaigns were scheduled for affected districts in coming days, Badolo said.

              "Surveillance is ongoing, and if there's a need, we can deal with it since we currently have a stock of 168,000 doses of vaccine and are waiting for 900,000 more doses in the coming week," he added.

              Sylvestre Kiendrebeogo of Burkina Faso's health ministry said Ivorian and Burkinabe authorities agreed to "formalise our exchanges and develop a joint strategy," at a meeting in February in the northeast Ivory Coast town of Bouna. Meningitis is very contagious and initial symptoms include a quickly rising temperature, violent headaches, vomiting and neck stiffness. It is declared an epidemic when there are at least 10 cases per 100,000 people.

              In 2007, the United Nations said three-quarters of the more than 2,000 deaths from meningitis in nine countries were in Burkina Faso.

              "Addressing chronic disease is an issue of human rights that must be our call to arms"
              Richard Horton, Editor-in-Chief The Lancet

              ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

              Comment

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