Volunteers
from the Burkina Faso Red Cross Society on their way to a public awareness
session.
(p6419).
To date the Burkina-Faso Red Cross has helped vaccinate approximately
20,000 people. However, their efforts at administering vaccines have
been limited due to a global deficit in meningitis vaccine stocks.
(p6418).

Red Cross
volunteers from Koupéla, Burkina Faso, providing meningitis
awareness to residence of neighboring Pouytenga.
(p6420).
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Meningitis sweeps sub-Saharan Africa
25 April 2001
At least 3,500 people have
died in the worst outbreak of meningoccal meningitis to sweep sub-Saharan
Africa in the last decade. The meningitis belt which stretches across
the continent from the Red Sea to the Atlantic Ocean has seen more
than 38,000 cases reported so far this year, although many more are
likely to have gone undocumented.
"There is definitely a crisis. New outbreaks are being regularly
reported and in some places it seems to be spreading like wildfire.
Burkina Faso is a particular case and we are anxious to mobilise as
many Red Cross volunteers as possible to ensure a high rate of vaccination.
Once the rains arrive in a few months time that should reduce the
spread of the bacteria which causes meningitis," said Dr. Hakan
Sandbladh, International Federation emergency health co-ordinator.
Meningococcal meningitis (Neisseria meningitidis) is a contagious
bacterial disease that is both endemic and epidemic. It surfaces annually
during the dry season, with cyclical outbreaks of epidemic proportions
every seven to eight years. N. meningitidis is a common bacteria usually
found in the mucosal membranes of the nose and throat. About 5-10%
of people are asymptomatic carriers who inadvertently spread the disease.
It is spread person to person via respiratory droplets from those
infected. A small minority of those infected will develop an acute
inflammation of the meninges, the membranes which cover the brain
and spinal cord.
Even if the disease is diagnosed early and adequate medical intervention
administered, the mortality rate is still between 5-10%. In the absence
of treatment this figure may exceed 50%. 15-20% of those who survive
suffer from persistent neurological defects, particularly deafness.
Other consequences of this illness are loss of limbs, mental retardation
and paralysis. The most affected tend to be young children, teenagers
and young adults.
"Many of the children that survive are marked for life by deafness,
blindness and other neurological problems, therefore they need to
be vaccinated in time." says Dr. Sandbladh.
The International Federation launched an appeal on 25 April for 480,000
Swiss francs to cover seven of the worst-affected countries, Burkina
Faso, Benin, Niger, Chad, Central African Republic, Ghana and Côte
d'Ivoire where much of the effort will be concentrated on ensuring
that Red Cross volunteers get high-risk groups to vaccination centres
as quickly as possible. Information and awareness materials will be
produced to enable teams of Red Cross volunteers to mobilize the population
and disseminate essential messages concerning prevention and detection
of the first symptoms of meningitis.
The International Federation is procuring an additional 400,000 doses
of vaccine for Burkina Faso where 1,525 deaths have been officially
reported since the beginning of the year from a caseload of 10,897.
This follows on the mobilisation by the Red Cross last month of one
million vaccines, needles and syringes for Ethiopia where they have
been dispatched to 500 trained Ethiopian Red Cross volunteers active
in the field.
Dr. Sandbladh said: "The magnitude of the outbreak has caused
a serious shortage of vaccine worldwide but together with the World
Health Organisation, Unicef, MSF we are screening requests for vaccine
and ensuring proper targetting while vaccine production is stepped
up."
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