Meningitis outbreak investigation in Nkoranza South Municipality in Brong Ahafo Region, Ghana, February, 2016
Ernest Konadu Asiedu, Kofi Mensah Nyarko, Ernest Kenu, Edwin Andrew Afari, Joseph Asamoah Frimpong, Meeyoung Mattie Park, Scott JN McNabb, Florence Nzilanye Iddrisah
The Pan African Medical Journal. 2018;30 (Supp 1):4. doi:10.11604/pamj.supp.2018.30.1.15261

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PAMJ Conf Proceedings Supplement 2
"Better health through knowledge sharing and information dissemination "

Supplement article

Case study

Meningitis outbreak investigation in Nkoranza South Municipality in Brong Ahafo Region, Ghana, February, 2016

Cite this: The Pan African Medical Journal. 2018;30 (Supp 1):4. doi:10.11604/pamj.supp.2018.30.1.15261

Received: 21/02/2018 - Accepted: 27/03/2018 - Published: 16/05/2018

Key words: Meningitis, outbreak investigation, Ghana, data analysis, epidemiology

© Ernest Konadu Asiedu et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/series/30/1/4/full

Corresponding author: Ernest Konadu Asiedu, Ghana Field Epidemiology and Laboratory Training Program, School of Public Health, University of Ghana, National Catholic Health Service, Accra, Ghana (ernestkasiedu@yahoo.com)

This article is published as part of the supplement “African Case Studies for Public Health Volume 2” sponsored by African Field Epidemiology Network, (Case Study Design and Development, Rollins School of Public Health, Emory University

Guest editors: Scott JN McNabb, Ghada N Farhat, Casey Daniel Hall, Joseph Asamoah Frimpong, Richard Dicker


Meningitis outbreak investigation in Nkoranza South Municipality in Brong Ahafo Region, Ghana, February, 2016

Ernest Konadu Asiedu1,2,3,&, Kofi Mensah Nyarko1,2, Ernest Kenu1,2, Edwin Andrew Afari1,2, Joseph Asamoah Frimpong4, Meeyoung Mattie Park5, Scott JN McNabb5, Florence Nzilanye Iddrisah1,2

 

1Ghana Field Epidemiology and Laboratory Training Program, Ghana, 2School of Public Health, University of Ghana, Ghana, 3National Catholic Health Service, Accra, Ghana, 4African Field Epidemiology Network, Accra, Ghana, 5Rollins School of Public Health Emory University, Atlanta, USA

 

 

&Corresponding author
Ernest Konadu Asiedu, Ghana Field Epidemiology and Laboratory Training Program, School of Public Health, University of Ghana, National Catholic Health Service, Accra, Ghana

 

 

Abstract

The occurrence of communicable diseases highlights the need to have well-trained field epidemiologists at the forefront in the fight against these diseases, especially during an outbreak. Training for outbreak investigation is most effective when participants can develop their competencies in a practical exercise. This is a simulation of the steps in meningitis outbreak investigation conducted in Ghana in February 2016 by Ghana Field Epidemiology Training Programme (FELTP) residents and the public health technical team of the Nkoranza South Municipality as a field epidemiologist. This case study is suited to reinforce principles and skills already covered in a lecture or in background reading by providing a practical training beyond the scope of theoretical learning. It is primarily intended for training novice public health practitioners who should be able to complete the exercises in 3 hours.

 

 

How to use this case study    Down

General instructions: ideally, 1 to 2 instructors facilitate the case study for 13 to 20 students in a classroom or conference room. The instructor should direct participants to read a paragraph out loud, going around the room to give each participant a chance to read. When the participant reads a question, the instructor directs all participants to perform calculations, construct graphs, or engage in discussions. The instructor may split the class to play different roles or take different sides in answering a question. As a result, participants learn from each other, not just from the instructors. Specific instructor’s notes are included with each question in the instructor’s version of this case study.

 

Audience: residents in Ghana Field Epidemiology Training Programs (Ghana-FELTP) and other Field Epidemiology and Laboratory Training Programs (FELTPs) and Field Epidemiology Training Programs (FETPs) who are interested in this topic.

 

Prerequisites: before using this case study, case study participants should have received lectures or other instructions in outbreak investigations, including case definition development, line listing, passive and active case search to populate a line list, construction of an epi-curve and its interpretation, and report writing and information dissemination.

 

Materials needed: laptop with Microsoft Excel, Epi Info™, or graph paper; calculator; flipchart or whiteboard with markers; A4 sheets; pens; pencils; and erasers.

 

Level of training and associated public health activity: Novice - outbreak investigation

 

Time required: 2-3 hours

 

Language: English

 

 

Case study material Up    Down

 

 

Competing interests Up    Down

The authors declare no competing interest.

 

 

Acknowledgments Up    Down

We wish to thank African Field Epidemiology Network and Emory University for organizing a case study development workshop through which this output was achieved. We acknowledge Ghana Field Epidemiology and Laboratory Training Programme faculty, alumni, secretariat and residents for their support in the outbreak investigation. We also wish to acknowledge the management and staff of the National Catholic Health Service and St. Theresa Hospital, Nkoranza for allowing us to get the data for the report and case study. Finally, we would like to acknowledge the Ghana Health Service, Disease Surveillance Department, for the support during the outbreak and giving us permission to go and investigate the meningitis outbreak in Brong Ahafo Region.

 

 

References  Up    Down

  1. Michelle Torok. Focus on field epidemiology Case Finding and Line Listing: A Guide for Investigators. Accessed on 21 February 2018.

  2. Brouwer MC, McIntyre P, Prasad K, van de Beek D. Corticosteroids for acute bacterial meningitis. In Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd. 2015. Google Scholar

  3. CDC. Section 2: Steps of an Outbreak Investigation. In Principles of Epidemiology in Public Health Practice (3rd ed.). Atlanta, GA: CDC. 2012. Google Scholar

  4. Fos PJ, Fine DJ. Managerial Epidemiology for Health Care Organizations. John Wiley & Sons. 2012. Google Scholar

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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