Cover Image
close this bookCerebrospinal Meningitis Epidemics and Surveillance Systems in the Sudan, Ethiopia and Chad (Centre for Research on the Epidemiology of Disasters, 1990, 40 p.)
close this folderII. COUNTRY REPORTS
close this folderB. People's Democratic Republic of Ethiopia
View the document1. Background
Open this folder and view contents2. Referral and Surveillance Systems
View the document3. Meningitis Epidemic Control Plan
View the document4. 1987-1988 Meningococcal Meningitis Epidemic in Addis Ababa
Open this folder and view contents5. Comments
View the document6. Data Collected

4. 1987-1988 Meningococcal Meningitis Epidemic in Addis Ababa

The first cases of meningococcal meningitis from Addis Ababa were reported in November 1987. In December, 17 cases were reported and an alarming message was sent from the Ethio Swedish Paediatric Hospital to the surveillance division. The number of cases increased, reaching a peak in February (194), and in August 1988, 44 cases were still reported.

No specific measures were undertaken before the end of January 1988.

At that time, the total number of cases reported in AA was 77.

Active case detection in the Kebeles where cases had been reported began at that time.

Vaccination was not recommended. The only measure recommended then was the RMP chemoprophylaxis treatment of cases who were household close contacts.

In February, 194 cases were reported and then realising the lack of effectiveness of these measures, the Epidemiology department took over the management of the epidemic.

An emergency committee formed in the department and drafted the first plan.

This plan for outbreak control consisted of the following measures:

- identification of high risk groups based on information collected from hospital records and start of immunization of these groups.

- conduct active case detection with the cooperation of the community organizations and community health workers

- RMP chemoprophylaxis to the close contacts of cases

- Health education of the community through health units and media

The high risk groups identified for the immunization campaign were all the persons less than 20 years old in schools, prisons, military camps and the health workers having a direct contact with the patients.

The vaccination campaign conducted by 5 teams took three weeks and by mid April, 684834 people had been vaccinated.

The figure below, shows the organigramme of the operational plan for the epidemic control in Addis Ababa.


1987-1988 CSM EPIDEMIC OPERATIONAL ORGANIGRAMME IN ADDIS ABEBA

- Stocks in the Central Medical Store Decembre 1987

- Rifampicine 300 mg.(100 caps.)

141 boxes

- Rifampicine 150 mg. syrup

67 bott.

- Crystalline Penicilline

96 vials

- Chloramphenicol I.V. 1 gm.

1000 vials

- Meningococcal vaccines

36500 doses

- International Assistance

- Requests sent through WHO:

On February 13, the MOH sent telexes of request for 200000 vaccines to the Government of Kenya and Tanzania. On February 15 the same request was sent to Nigeria and to WHO in Brazzaville and Geneva.

TABLE III: Requested and Received Assistance

DATE

DESTINATION

DATE ANSWER

ANSWER

13/2

KENYA

15/2

NO

13/2

TANZANIA

15/2

NO

15/2

WHO GENEVA



15/2

LAGOS

16/2

NO

15/2

WHO BRAZZAVILLE

16/2

MORE INFO



24/2

5000 DOSES



3/3

50000 DOSES



22/4

MORE INFO

20/12

WHO BRAZZAVILLE

20/12

MORE INFO


UNICEF

FEBR.

20000 DOSES