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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Epidemiology and risk factors for serogroup x meningococcal meningitis during an outbreak in western kenya, 2005-2006
American Journal of Tropical Medicine and Hygiene, Volume 80, No. 4, Year 2009
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Description
The epidemiology of serogroup X meningococcal meningitis in Africa is unknown. During a serogroup X meningococcus outbreak in Kenya, case finding involved record review at health facilities and interviews with health workers and community leaders in West Pokot district. An age- and location-matched case-control study for risk factors was done. From December 2005 to April 2006,82 suspect cases of meningitis were reported; the epidemic threshold was surpassed within two administrative divisions. Most (58%) cases were 5-24 years old; the case-fatality ratio was 21%. Serogroup X meningococcus was the most common serogroup - 5 (63%) of eight isolates serogrouped. Living in the same compound as another case, preceding upper respiratory tract infection and cooking outside the house were significant risk factors for disease. Serogroup X meningococcus caused an outbreak with similar epidemiology and risk factors as other serogroups. Serogroup-specific laboratory-based surveillance for meningococcus in Africa to detect serogroup X disease should be enhanced. Copyright © 2009 by The American Society of Tropical Medicine and Hygiene.
Authors & Co-Authors
Mutonga, David M.
Kenya, Kisumu
Centers for Disease Control and Prevention, Kenya
Pimentel, Guillermo
United States
U.s. Naval Research Program 3
Muindi, Judith
Kenya, Kisumu
Centers for Disease Control and Prevention, Kenya
Nzioka, Charles
Kenya, Nairobi
Kenya Ministry of Public Health and Sanitation
Mutiso, J.
Kenya, Nairobi
Kenya Ministry of Public Health and Sanitation
Klena, John David
United States
U.s. Naval Research Program 3
Kenya, Nairobi
Amref Health Africa
Morcos, Myriam
United States
U.s. Naval Research Program 3
Ogaro, Thomas
Kenya, Nairobi
Kenya Ministry of Public Health and Sanitation
Materu, Sadiki F.
Kenya, Nairobi
Amref Health Africa
Tetteh, Christopher
Kenya, Kisumu
Centers for Disease Control and Prevention, Kenya
Messonnier, Nancy E.
Kenya, Nairobi
Kenya Ministry of Public Health and Sanitation
United States, Atlanta
Centers for Disease Control and Prevention
Breiman, Robert F.
Kenya, Nairobi
Amref Health Africa
Kenya, Kisumu
Centers for Disease Control and Prevention, Kenya
Feikin, Daniel R.
Kenya, Kisumu
Centers for Disease Control and Prevention, Kenya
United States
Apo
Statistics
Citations: 50
Authors: 13
Affiliations: 6
Identifiers
Doi:
10.4269/ajtmh.2009.80.619
ISSN:
00029637
Research Areas
Health System And Policy
Study Design
Case-Control Study
Study Locations
Kenya