Outcome of Epidemiological Surveillance of Bacterial Meningitis in Mali from 1996 to 2016: What Lesson to Learn?

Background: Bacterial meningitis remains a public health problem in Mali. The aim of this work is to describe epidemiological outcome of meningitis surveillance.

Methods: It is a retrospective study of meningitis data from 1996 to 2016 at the National Institute for Public Health Research (INRSP) in Mali.

Results: A total of 12556 cases were diagnosed at the INRSP against 36065 notifications at the National Direction for Health. We had 3306 positive cases and recorded 3158 deaths. Prevalence decreased from 0.078% in 1996 to 0.004% in 2016. The majority was male with 59.90%. Neisseria meningitidis represented 43.77% of the germs, followed by Streptococcus pneumoniae (31.40%) and Haemophilus influenzae (23.44%). The most affected age group was 0-14 years, i.e. 86.63%.

Conclusion: These results show the dynamism of epidemiological monitoring in Mali. A-conjugate vaccine may be an alternative to Mali because NmA has almost disappeared. We believe that the use of vaccines would prevent significant endemic morbidity rate and many deaths due to meningitis.


Souleymane C, Abdelaye K, Ibrehima G, Abdou M, Kadiatou D, Oumou CY, Aly L, Seydou D and Flabou B

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