6.1. On 1988 CSM Meningitis
The response to the epidemic depended essentially on the persons
present there. There is not any established structure for epidemic control. The
detection of the epidemic was rapid because all the cases came to only one
The decentralisation of treatment facilities was, as mentioned
earlier, a failure. In the Central Hospital more than 30 medical doctors were
working and no one was attending the additional centres. Moreover, these centres
were open only during day-time. Despite this attempt to decentralise, in reality
all the activities were centralised in the Central Hospital.
The first vaccination campaign, targetted on high risk groups
all over the city had been chosen acording to cost criteria. Again, an early
mass campaign in the sectors where cases occurred would probably have been more
effective in containing the outbreak.
The coordination of the international assistance requests and of
the response of international agencies was very effective. Some of the requests
did not seem adequate such as the request for chlorine for treatment of waste