Rapid response to meningococcal disease cluster in Foya district, Lofa County, Liberia January to February 2018

Julius Monday Rude, Lavele Kortimai, Fallah Mosoka, Baller April, Mouhamoud Nuha, Victoria Katawera, Thomas Nagbe, Alpha Tamba, Williams Desmound, Richard Mulbah, Formenty Pierre, Emmanuel Musa Onuche, Joseph Okeibunor Chukwudi, Ambrose Talisuna, Ali Ahmed Yahaya, Soatiana Rajatonirina, Tolbert Nyenswah, Bernice Dahn, Alex Gasasira, Ibrahima Socé Fall

Research output: Contribution to journalArticle

Abstract

Introduction: Early detection of disease outbreaks is paramount to averting associated morbidity and mortality. In January 2018, nine cases including four deaths associated with meningococcal disease were reported in three communities of Foya district, Lofa County, Liberia. Due to the porous borders between Lofa County and communities in neighboring Sierra Leone and Guinea, the possibility of epidemic spread of meningococcal disease could not be underestimated. Methods: The county incidence management system (IMS) was activated that coordinated the response activities. Daily meetings were conducted to review response activities progress and challenges. The district rapid response team (DRRT) was the frontline responders. The case based investigation form; case line list and contacts list were used for data collection. A data base was established and analysed daily for action. Tablets Ciprofloxacin were given for chemoprophylaxis. Results: Sixty-seven percent (67%) of the cases were males and also 67% of the affected age range was 3 to 14 years and attending primary school. The attack rate was 7/1,000 population and case fatality rate was 44.4 % with majority of the deaths occurring within 24-48 hours of symptoms onset. Three of the cases tested positive for Neisseria Meningitidis sero-type W while six cases were Epi-linked. None of the cases had recent meningococcal vaccination and no health-worker infections were registered. Conclusion: This cluster of cases of meningococcal disease during the meningitis season in a country that is not traditionally part of the meningitis belt emphasized the need for strengthening surveillance, preparedness and response capacity to meningitis.

Original languageEnglish (US)
Number of pages1
JournalThe Pan African medical journal
Volume33
DOIs
StatePublished - Jan 1 2019
Externally publishedYes

Fingerprint

Liberia
Meningitis
Sierra Leone
Guinea
Neisseria meningitidis
Mortality
Chemoprevention
Ciprofloxacin
Tablets
Disease Outbreaks
Early Diagnosis
Vaccination
Databases
Morbidity
Incidence
Health
Infection
Population

Keywords

  • Foya
  • Klemabendu
  • Lofa
  • meningitis belt
  • Meningococcal disease
  • rapid response

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Rapid response to meningococcal disease cluster in Foya district, Lofa County, Liberia January to February 2018. / Rude, Julius Monday; Kortimai, Lavele; Mosoka, Fallah; April, Baller; Nuha, Mouhamoud; Katawera, Victoria; Nagbe, Thomas; Tamba, Alpha; Desmound, Williams; Mulbah, Richard; Pierre, Formenty; Onuche, Emmanuel Musa; Chukwudi, Joseph Okeibunor; Talisuna, Ambrose; Yahaya, Ali Ahmed; Rajatonirina, Soatiana; Nyenswah, Tolbert; Dahn, Bernice; Gasasira, Alex; Fall, Ibrahima Socé.

In: The Pan African medical journal, Vol. 33, 01.01.2019.

Research output: Contribution to journalArticle

Rude, JM, Kortimai, L, Mosoka, F, April, B, Nuha, M, Katawera, V, Nagbe, T, Tamba, A, Desmound, W, Mulbah, R, Pierre, F, Onuche, EM, Chukwudi, JO, Talisuna, A, Yahaya, AA, Rajatonirina, S, Nyenswah, T, Dahn, B, Gasasira, A & Fall, IS 2019, 'Rapid response to meningococcal disease cluster in Foya district, Lofa County, Liberia January to February 2018', The Pan African medical journal, vol. 33. https://doi.org/10.11604/pamj.supp.2019.33.2.17095
Rude, Julius Monday ; Kortimai, Lavele ; Mosoka, Fallah ; April, Baller ; Nuha, Mouhamoud ; Katawera, Victoria ; Nagbe, Thomas ; Tamba, Alpha ; Desmound, Williams ; Mulbah, Richard ; Pierre, Formenty ; Onuche, Emmanuel Musa ; Chukwudi, Joseph Okeibunor ; Talisuna, Ambrose ; Yahaya, Ali Ahmed ; Rajatonirina, Soatiana ; Nyenswah, Tolbert ; Dahn, Bernice ; Gasasira, Alex ; Fall, Ibrahima Socé. / Rapid response to meningococcal disease cluster in Foya district, Lofa County, Liberia January to February 2018. In: The Pan African medical journal. 2019 ; Vol. 33.
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abstract = "Introduction: Early detection of disease outbreaks is paramount to averting associated morbidity and mortality. In January 2018, nine cases including four deaths associated with meningococcal disease were reported in three communities of Foya district, Lofa County, Liberia. Due to the porous borders between Lofa County and communities in neighboring Sierra Leone and Guinea, the possibility of epidemic spread of meningococcal disease could not be underestimated. Methods: The county incidence management system (IMS) was activated that coordinated the response activities. Daily meetings were conducted to review response activities progress and challenges. The district rapid response team (DRRT) was the frontline responders. The case based investigation form; case line list and contacts list were used for data collection. A data base was established and analysed daily for action. Tablets Ciprofloxacin were given for chemoprophylaxis. Results: Sixty-seven percent (67{\%}) of the cases were males and also 67{\%} of the affected age range was 3 to 14 years and attending primary school. The attack rate was 7/1,000 population and case fatality rate was 44.4 {\%} with majority of the deaths occurring within 24-48 hours of symptoms onset. Three of the cases tested positive for Neisseria Meningitidis sero-type W while six cases were Epi-linked. None of the cases had recent meningococcal vaccination and no health-worker infections were registered. Conclusion: This cluster of cases of meningococcal disease during the meningitis season in a country that is not traditionally part of the meningitis belt emphasized the need for strengthening surveillance, preparedness and response capacity to meningitis.",
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T1 - Rapid response to meningococcal disease cluster in Foya district, Lofa County, Liberia January to February 2018

AU - Rude, Julius Monday

AU - Kortimai, Lavele

AU - Mosoka, Fallah

AU - April, Baller

AU - Nuha, Mouhamoud

AU - Katawera, Victoria

AU - Nagbe, Thomas

AU - Tamba, Alpha

AU - Desmound, Williams

AU - Mulbah, Richard

AU - Pierre, Formenty

AU - Onuche, Emmanuel Musa

AU - Chukwudi, Joseph Okeibunor

AU - Talisuna, Ambrose

AU - Yahaya, Ali Ahmed

AU - Rajatonirina, Soatiana

AU - Nyenswah, Tolbert

AU - Dahn, Bernice

AU - Gasasira, Alex

AU - Fall, Ibrahima Socé

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Introduction: Early detection of disease outbreaks is paramount to averting associated morbidity and mortality. In January 2018, nine cases including four deaths associated with meningococcal disease were reported in three communities of Foya district, Lofa County, Liberia. Due to the porous borders between Lofa County and communities in neighboring Sierra Leone and Guinea, the possibility of epidemic spread of meningococcal disease could not be underestimated. Methods: The county incidence management system (IMS) was activated that coordinated the response activities. Daily meetings were conducted to review response activities progress and challenges. The district rapid response team (DRRT) was the frontline responders. The case based investigation form; case line list and contacts list were used for data collection. A data base was established and analysed daily for action. Tablets Ciprofloxacin were given for chemoprophylaxis. Results: Sixty-seven percent (67%) of the cases were males and also 67% of the affected age range was 3 to 14 years and attending primary school. The attack rate was 7/1,000 population and case fatality rate was 44.4 % with majority of the deaths occurring within 24-48 hours of symptoms onset. Three of the cases tested positive for Neisseria Meningitidis sero-type W while six cases were Epi-linked. None of the cases had recent meningococcal vaccination and no health-worker infections were registered. Conclusion: This cluster of cases of meningococcal disease during the meningitis season in a country that is not traditionally part of the meningitis belt emphasized the need for strengthening surveillance, preparedness and response capacity to meningitis.

AB - Introduction: Early detection of disease outbreaks is paramount to averting associated morbidity and mortality. In January 2018, nine cases including four deaths associated with meningococcal disease were reported in three communities of Foya district, Lofa County, Liberia. Due to the porous borders between Lofa County and communities in neighboring Sierra Leone and Guinea, the possibility of epidemic spread of meningococcal disease could not be underestimated. Methods: The county incidence management system (IMS) was activated that coordinated the response activities. Daily meetings were conducted to review response activities progress and challenges. The district rapid response team (DRRT) was the frontline responders. The case based investigation form; case line list and contacts list were used for data collection. A data base was established and analysed daily for action. Tablets Ciprofloxacin were given for chemoprophylaxis. Results: Sixty-seven percent (67%) of the cases were males and also 67% of the affected age range was 3 to 14 years and attending primary school. The attack rate was 7/1,000 population and case fatality rate was 44.4 % with majority of the deaths occurring within 24-48 hours of symptoms onset. Three of the cases tested positive for Neisseria Meningitidis sero-type W while six cases were Epi-linked. None of the cases had recent meningococcal vaccination and no health-worker infections were registered. Conclusion: This cluster of cases of meningococcal disease during the meningitis season in a country that is not traditionally part of the meningitis belt emphasized the need for strengthening surveillance, preparedness and response capacity to meningitis.

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KW - Klemabendu

KW - Lofa

KW - meningitis belt

KW - Meningococcal disease

KW - rapid response

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