AJTMH Transactions of the Royal Society of Tropical Medicine and Hygiene
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Am. J. Trop. Med. Hyg., 26(4), 1977, pp. 748-755
Copyright © 1977 by The American Society of Tropical Medicine and Hygiene

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Meningococcal Meningitis in Northern Ghana: Epidemiology and Control Measures

D. W. Belcher*, A. C. Sherriff, K. P. Nimo, G. L. N. Chew, A. Voros, W. D. Richardson AND H. A. Feldman
Department of Community Health, Ghana Medical School, Accra, Ghana, School of Medicine, University of California, Davis, California 95616, Ministry of Health, Ghana, Bawku Presbyterian Hospital, Bawku, Upper Region, Ghana, Nalgerigu Baptist Medical Center, Nalgerigu, Northern Region, Ghana, and Department of Preventive Medicine, Upstate Medical Center, State University of New York, Syracuse, New York 13210

Hospitalized meningococcal meningitis patients in northeastern Ghana during 1972–1973 were studied to provide baseline information about case clustering and age-specific attack rates to guide meningitis control programs. In 1973, group A meningococci were prevalent and 7% of isolates were sulfadiazine-resistant. In contrast to the age distribution of meningococcal meningitis in North and South America, peak attack rates occurred in 10- to 14-year-old Ghanaians. A mass immunization campaign using group A polysaccharide vaccine in heavily populated areas of the Bawku and Nalgerigu districts is recommended.

Accepted for publication December 4, 1976.


* Present address: Department of Medicine, School of Medicine, University of Washington, Seattle, Washington 98198.






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Copyright © 1977 by the American Society of Tropical Medicine and Hygiene.