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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 folderC. Republic of Chad
close this folder6. Comments
View the document6.1. On 1988 CSM Meningitis
View the document6.2. On Emergency Epidemics Control Plan

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 hospital.

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 water.