Evidence map›Paper›PMID 33536666›Full record

ArticleGhana medical journal2020

Geospatial clustering of meningitis: an early warning system (hotspot) for potential meningitis outbreak in upper east region of Ghana.

Ernest Akyereko, Donne Ameme, Kofi M Nyarko, Franklin Asiedu-Bekoe, Samuel Sackey, Kofi Issah, Baba Wuni, Ernest Kenu

Abstract read
In one paragraph

Article in Ghana medical journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. 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

8 authors.

Ernest AkyerekoGhana Field Epidemiology and Laboratory Training Program, School of Public Health, University of Ghana, Accra.
Donne AmemeGhana Field Epidemiology and Laboratory Training Program, School of Public Health, University of Ghana, Accra.
Kofi M NyarkoGhana Field Epidemiology and Laboratory Training Program, School of Public Health, University of Ghana, Accra.
Franklin Asiedu-BekoeDisease Surveillance Department, Ghana Health Service, Accra, Ghana.
Samuel SackeyGhana Field Epidemiology and Laboratory Training Program, School of Public Health, University of Ghana, Accra.
Kofi IssahBrong Ahafo Regional Health Directorate, Ghana Health Service, Sunyani, Ghana.
Baba WuniUpper East Regional Health Directorate, Ghana Health Service, Bolgatanga, Ghana.
Ernest KenuGhana Field Epidemiology and Laboratory Training Program, School of Public Health, University of Ghana, Accra.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe mapped and generated hot spots for potential meningitis outbreak from existing data in Upper East region, Ghana.

designThis was a cross-sectional study conducted in 2017. DATA SOURCE: Meningitis data in the Upper East Region from January 2007, to December 2016.

main outcome measureWe used spatial tools in Quantum Geographic Information System (QGIS) and Geoda to draw choropleth map of meningitis incidence, case fatality and hotspot for potential meningitis outbreak.

resultsA total of 2312 meningitis cases (suspected and confirmed) were recorded from 2016-2017 with median incidence of 15.0cases/100,000 population (min 6.3, max 47.8). Median age of cases was 15 years (IQR: 6-31 years). Most (44.2%) of those affected were 10 years and below. Females (51.2%) constituted the highest proportion. Median incidence from 2007-2011 was 20cases/100,000 population (Min 11.3, Max 39.9) whilst from 2012-2016 was 11.1cases/100,000 populations (Min 6.3, Max 47.8). A total of 28 significant hotspot sub-districts clusters (p=0.024) were identified with 7 High-high risk areas as potential meningitis outbreak spots.

conclusionThe occurrence of meningitis is not random, spatial cluster with high -high-risk exist in some sub-districts. Overall meningitis incidence and fatality rate have declined in the region with district variations. Districts with high meningitis incidence and fatality rates should be targeted for intervention.

fundingAuthor EA was supported by the West Africa Health Organization (Ref.: Prog/A17IEpidemSurveillN°57212014/mcrt).

Indexed as

Disease HotspotDisease OutbreaksAdolescentAdultChildCluster AnalysisCross-Sectional StudiesFemaleGhanaHumansIncidenceMeningitisSpatial AnalysisYoung Adultgeospatial clusteringGhanameningitis incidencemeningitis outbreakUpper East Region

Identifiers

PMID33536666
PMCPMC7837342

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