Abstract
In the sub-Saharan African meningitis belt there is a region of hyperendemic and epidemic meningitis stretching from Senegal to Ethiopia. The public health approaches to meningitis epidemics, including those related to vaccine use, have assumed that Neisseria meningitidis serogroup A will cause the most disease. During 2001 and 2002, the first large-scale epidemics of serogroup W135 meningitis in sub-Saharan Africa were reported from Burkina Faso. The occurrence of N. meningitidis W135 epidemics has led to a host of new issues, including the need for improved laboratory diagnostics for identifying serogroups during epidemics, an affordable supply of serogroup W135-containing polysaccharide vaccine for epidemic control where needed, and re-evaluating the long-term strategy of developing a monovalent A conjugate vaccine for the region. This review summarizes the existing data on N. meningitidis W135 epidemiology, immunology and vaccines as they relate to meningitis in sub-Saharan Africa.
- adolescent,
- adult,
- africa
- as
- carrier
- child,
- clinical
- communicable
- disease
- diseases,
- emerging,
- humans,
- infant,
- meningitidis,
- meningitis,
- meningococcal
- meningococcal,
- neisseria
- of
- outbreaks,
- preschool,
- sahara,
- seroepidemiologic
- serogroup
- serotyping,
- south
- state,
- studies,
- the
- topic,
- trials
- vaccination
- vaccines,
- w-135,
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