Evidence map›Paper›PMID 29622828›Full record

ArticleGhana medical journal2017

Uncommon mixed outbreak of pneumococcal and meningococcal meningitis in Jirapa District, Upper West Region, Ghana, 2016.

Nuoh R Domo, Culbert Nuolabong, Kofi M Nyarko, Ernest Kenu, Phoebe Balagumyetime, Godfrey Konnyebal, Charles L Noora, Kofi D Ameme, Fred Wurapa, Edwin Afari

Abstract read
PubMed Full text at PMC
In one paragraph

Article in Ghana medical journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Review
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Nuoh R DomoDepartment of Epidemiology and Disease Control, University of Ghana School of Public Health, Legon, Accra, Ghana.
Culbert NuolabongDepartment of Epidemiology and Disease Control, University of Ghana School of Public Health, Legon, Accra, Ghana.
Kofi M NyarkoDepartment of Epidemiology and Disease Control, University of Ghana School of Public Health, Legon, Accra, Ghana.
Ernest KenuDepartment of Epidemiology and Disease Control, University of Ghana School of Public Health, Legon, Accra, Ghana.
Phoebe BalagumyetimeDepartment of Epidemiology and Disease Control, University of Ghana School of Public Health, Legon, Accra, Ghana.
Godfrey KonnyebalDepartment of Epidemiology and Disease Control, University of Ghana School of Public Health, Legon, Accra, Ghana.
Charles L NooraDepartment of Epidemiology and Disease Control, University of Ghana School of Public Health, Legon, Accra, Ghana.
Kofi D AmemeDepartment of Epidemiology and Disease Control, University of Ghana School of Public Health, Legon, Accra, Ghana.
Fred WurapaDepartment of Health Policy and Management, School of Public Health, Legon, Accra, Ghana.
Edwin AfariDepartment of Epidemiology and Disease Control, University of Ghana School of Public Health, Legon, Accra, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe Jirapa District in Ghana falls within the African meningitis belt where over 500 million people are at risk of epidemic meningitis. The district suffered an outbreak of Neisseria meningitides, W (NMW) in 2012 and a mixed outbreak of Streptococcus pneumonia and NMW in early 2016. We investigated the outbreak to identify the source, causative agents, and magnitude and assess health facility preparedness and propose control measures. DESIGN AND

settingWe conducted a descriptive study in all sub-districts of Jirapa, between 28

resultsA total 233 meningitis cases were reported with mean age of 22.4years and standard deviation 21.6. Males were (57%), females (43%) and 60.8% were less than 19 years. Attack rate of meningitis was 214/100,000 with case fatality rate (CFR) of 12.4% (29/233). Causative agents were NMW (69.5%) and streptococcus pneumonia (27.1%), mainly serotype STN1 and H. influenza (3.4%). The index case had travel history to dollar power, close to Tain District which is the epicentre for the 2016 meningitis outbreak in Ghana.

conclusionThe Jirapa district experienced a mixed outbreak of streptococcal and meningococcal meningitis in early 2016, facilitated by migration. Active surveillance and mass vaccination with multivalent vaccines is required to protect the population.

fundingGhana Field Epidemiology and Laboratory Training Programme (GFELTP).

Indexed as

Disease OutbreaksAdolescentAdultAgedAged, 80 and overAge DistributionCerebrospinal FluidChildChild, PreschoolFemaleGhanaHumansIncidenceInfantInfant, NewbornMaleMeningococcal VaccinesCSFJirapaMeningitisoutbreaksurveillance

Identifiers

PMID29622828
PMCPMC5870784

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.