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Ivory Coast: Meningitis outbreak kills 11 during first three days of February

There have been 40 cases of meningitis reported in four departments across the Côte d'Ivoire (Ivory Coast) during the first three days of February 2012, including 11 fatalities.

The outbreak reported Friday has caused people to seek out vaccinations for their families.

According to an Integrated Regional Information Networks report:

The ministry of health has declared the outbreaks in the Kouto and Tengrela regions as epidemics, and are providing free vaccinations in both locations through mobile health teams. 

They are achieving this with the help of the World Health Organization and UNICEF.

The report also notes that the cost for the meningitis vaccine costs $5 USD for and $3 for groups in the cities of Saminkro and Kani. The costs are too much for many families, which has caused them to lobby for cheaper vaccines.

However, as Jeremie Ipo, director of the district health centre in the village of Poungbè in Korhogo region notes that the cost is based on economics, “We can only reduce the price of the vaccine as soon as there are enough people demanding it.”

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IRIN reports the Côte d'Ivoire government recently abandoned the provision of free health care for all because of extremely high costs. 

More on the meningococcal vaccine

The World Health Organization lists the Ivory Coast as part the African meningitis belt that includes Benin, Burkina Faso, Cameroon, the Central African Republic, Chad, the Democratic Republic of the Congo, Ethiopia, Ghana, Mali, Niger, Nigeria and Togo.

Meningococcal meningitis is caused by the bacterium,Neisseria meningitidis, which causes the most severe form of bacterial meningitis. Meningitis is an infection of the membranes covering the brain and spinal cord. It can also be found in the bloodstream. This particular type of meningitis is very severe and can result in death if not treated promptly. Even in cases where treatment has been given, the fatality rate is around 15%.

The symptoms of bacterial meningitis are sudden, with fever, stiff neck, body aches and headaches. As the disease progresses other symptoms may include nausea, vomiting, photophobia and seizures. A petechial rash seen on the trunk and lower extremities, bleeding complications, multi-organ failures and shock are usually final signs. This disease has the ability to kill within hours of getting it.

Up to 10-20% of older children and young adults carry this organism in the mouth and nose, though the carriage rate will vary with age and closeness of population. The majority of people that carry this bacterium have no clinical disease. The organism is spread person to person through respiratory secretions from the nose and mouth (coughing, sneezing and kissing). Experts are unsure why some people advance to meningitis disease while many do not.

Crowded living conditions facilitate the spread of the organisms and places like military barracks and college dormitories are well documented areas of concern with this disease.

What is meningitis, how do you get infected and how can you prevent it?

, Infectious Disease Examiner

With over 20 years of experience and education in microbiology and infectious diseases, Robert Herriman, MPH, M (ASCP) will educate and inform about infectious diseases rare and common, those publicized in the media and those found in your own backyard.

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