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International Journal of Epidemiology 2001;30:1447-1448
© International Epidemiological Association 2001

Infectious diseases

Commentary: Opportunities to decrease mortality and long-term sequellae associated with meningococcal disease in Africa

Nancy Rosenstein

London School of Hygiene and Tropical Medicine, Department of Public Health and Policy, Health Services Research Unit, Keppel Street, London WC1E 7HT, UK. E-mail: Jan.vanderMeulen@lshtm.ac.uk

Epidemics of meningitis primarily due to Neisseria meningitidis serogroup A have posed a recurring public health challenge in countries in the Sub-Saharan African ‘meningitis belt’ for at least 100 years.1,2 In this region, sporadic infections occur in annual cycles with large-scale epidemics superimposed periodically. These epidemics frequently result in attack rates of 250 to 500 cases per 100 000 population, but rates can exceed 1000 cases . . . [Full Text of this Article]

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