Affiliation
Medical Department, Médecins sans Frontières-Holland, Amsterdam, Netherlands. hans_veeken@amsterdam.msf.orgIssue Date
1998
Metadata
Show full item recordAbstract
From November 1995 to May 1996, a meningitis epidemic occurred in northern Nigeria. More than 75,000 cases and 8440 deaths (case fatality rate (CFR), 11%) were recorded. Médecins sans Frontières, in cooperation with the Nigerian government, carried out an assistance programme (support to case management, surveillance and mass vaccination) in three states (Bauchi, Kano, Katsina) where 75% of cases occurred. Cost analysis of this assistance in Katsina State reveals that case management and mass vaccination were efficient: US$ 35 per case treated and US$ 0.64 per vaccination. There was, however, a remarkable difference in cost-effectiveness between the two strategies. The cost per death averted by improved case treatment was estimated to be US$ 396, while the cost per death averted by vaccination was estimated to be US$ 6000. In large part this difference is attributed to the late start of vaccination: more than 6 weeks after the epidemic threshold had been passed. During meningitis epidemics in countries where surveillance systems are inadequate, such as in most of sub-Saharan Africa, curative programmes should have priority.Publisher
Published by WHOPubMed ID
9648353Additional Links
http://www.who.int/bulletin/enLanguage
enISSN
0042-9686Collections
Related articles
- [An epidemic of meningococcal meningitis in the region of Savanes in Togo in 1997: research and control strategies].
- Authors: Aplogan A, Batchassi E, Yakoua Y, Croisier A, Aleki A, Schlumberger M, Molina S, Sidatt M, Kaninda AV
- Issue date: 1997 Nov-Dec
- [Control of an epidemic of meningococcal meningitis in Central Africa].
- Authors: Merlin M, Martet G, Debonne JM, Nicolas P, Bailly C, Yazipo D, Bougère J, Todesco A, Laroche R
- Issue date: 1996 Mar-Apr
- [Epidemiological and control aspects of meningococcal meningitis epidemics in Africa].
- Authors: Spiegel A, Moren A, Varaine F, Baudon D, Rey M
- Issue date: 1994 May-Jun
- [Microeconomic evaluation of a mass preventive immunisation campaign against meningococcal meningitis and yellow fever in Senegal in 1997].
- Authors: da Silva A, Parent du Châtelet I, Beckr Gaye A, Dompnier JP, Seck I
- Issue date: 2003 Oct-Dec
- Time is (still) of the essence: quantifying the impact of emergency meningitis vaccination response in Katsina State, Nigeria.
- Authors: Ferrari MJ, Fermon F, Nackers F, Llosa A, Magone C, Grais RF
- Issue date: 2014 Dec