Abstract
In 2012, an outbreak of Neisseria meningitidis serogroup W135 occurred in The Gambia. The attack rate was highest among young children. The associated risk factors were male sex, contact with meningitis patients, and difficult breathing. Enhanced surveillance facilitates early epidemic detection, and multiserogroup conjugate vaccine could reduce meningococcal epidemics in The Gambia.
Highlights
In 2012, an outbreak of Neisseria meningitidis serogroup W135 occurred in The Gambia
The Study The Gambian Ministry of Health and the Medical Research Council Unit, The Gambia, investigated a serogroup W135 epidemic that occurred during February–June 2012 in the Central River Region (CRR) and Upper River Region (URR)
These cases were part of a larger epidemic in the meningitis belt with a comparable predominance of serogroup W135 followed by S. pneumoniae [1]
Summary
Most (67%) suspected case-patients were
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