@article{fdi:010018757, title = {{P}reventive immunisation could reduce the risk of meningococcal epidemics in the {A}frican meningitis belt}, author = {{C}hippaux, {J}ean-{P}hilippe and {C}ampagne, {G}. and {D}jibo, {S}. and {C}iss{\'e}, {L}. and {H}assane, {A}. and {K}anta, {I}.}, editor = {}, language = {{ENG}}, abstract = {{C}ontrol of meningitis epidemics is based on early case detection followed by mass campaigns of immunisation. {H}owever, this strategy showed severe inadequacies during recent outbreaks in {A}frica. {I}n {N}iamey, {N}iger, meningococcal vaccinations began in 1978 and detailed bacteriological and epidemilogical surveillance of meningitis started in 1981. when vaccine coverage rates were higher than 50%, the prevalences of #{N}eisseria meningitidis$ {A} meningitis were low in {N}iamey in 1994-1995 followed a 6-year period during which the mean rate of vaccine coverage remained less than 25%. {T}he data indicate that, in the meningitis belt, preventive immunisation should avoid a great number of deaths and be less expensive than mass immunisation campaigns performed after epidemics have begun. ({R}{\'e}sum{\'e} d'auteur)}, keywords = {{EPIDEMIOLOGIE} ; {PREVENTION} {SANITAIRE} ; {EPIDEMIE} ; {VACCINATION} ; {MENNINGITE} ; {NIGER} ; {NIAMEY}}, booktitle = {}, journal = {{A}nnals of {T}ropical {M}edicine and {P}arasitology}, volume = {93}, numero = {5}, pages = {505--510}, ISSN = {0003-4983}, year = {1999}, DOI = {10.1080/00034989958249}, URL = {https://www.documentation.ird.fr/hor/fdi:010018757}, }