Analysis of meningitis outbreak data, Techiman Municipality, November 2016
Stephen Nyarko-Ameyaw1,&, George Khumalo Kuma1, Charles Lwanga Noora1
1Ghana Health Service, Brong Ahafo, Ghana
Stephen Nyarko-Ameyaw, Ghana Health Service, Brong Ahafo, Ghana
meningitis outbreak records high case fatality rates (CFRs) of 50% or more
and may leave survivors with disabilities. Between December 2015 and May
2016, Techiman Municipality experienced meningitis outbreak, with 79 cases and
deaths, (CFR: 22.8%). We analyzed the outbreak data to determine the distribution
of cases among weeks, sex, sub municipals and time interval between onset
and time seen at the hospital to provide information for interventions on future
we conducted a descriptive secondary data analysis of meningitis outbreak data in the Techiman Municipality from January to May 2016. We abstracted data from line lists, case base forms and patient folders at health facilities and district levels. Variables collected were sex, sub municipality, date of onset, date seen at facility, and disease outcome. And entered into MS Excel 2010 and analyzed to determine counts, percentages and proportions and presented in tables and charts.
a total of 79 meningitis cases were reported over the five months. The outbreak started from epidemic week one to week 14 with the highest frequency of 13 cases (16.5% of total cases) in week four and the highest weekly case fatality of 66.7% occurring in week one. Majority of the cases (24.1%) came from Techiman North Sub Municipal and Nkwaeso Sub-municipal recorded the highest case fatality of 50.0% Females were more affected forming 60.8% of the total cases but males recorded a higher CFR (32.3%). Those who reported early to hospital, < 24 hours after onset, had less CFRs (17%) than those who reported after 48 hours (50%).
cases and fatalities were higher in early weeks of the outbreak. Occurrence was highest among females, but CFR was highest among males. Sub districts far from the municipal hospital had higher CFRs. Patients who reported early to the health facilities had lower CFRs. We recommended enhanced meningitis education, especially on early reporting to health facilities to reduce CFRs in future outbreaks.
1st Ghana Field Epidemiology and Laboratory Training Programme Scientific conference (Accra)
Dates: 18 Sep 17 - 21 Sep 17
Venue: Swiss Spirit and Suites Alisa Hotels
Organizers: Ghana Field Epidemiology and Laboratory Training Programme
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