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Table 2 Incidence of meningococcal disease

From: Systematic review of invasive meningococcal disease epidemiology in the Eastern Mediterranean and North Africa region

References

Study design

Setting (region)

Population

Total number of cases

Incidence (/100,000)

Year

Age category (age range)

Serogroup

EM region

 Bahrain [49]

Surveillance study

National surveillance system of communicable diseases (Whole country)

General population

N = NR

1990: 0.83

Children and adults (0–100 y): 0.83

All: 0.83

 Iran [50]

Cross-sectional study

Data bank at the Center for Disease Control Iran (Whole country)

General population

N = 1370

2000: 0.67

Children and adults (0–100 y): 0.67–1.22

All: 0.67–1.22

2001: 1.22

2002: 1.01

2003: 0.73

2004: 0.86

 Kuwait [51]

Surveillance study

All six general hospitals and other subspecialty hospitals (Whole country)

General population

N = 293

1987–2013: 0.5

Children and adults (0–100 y): 0.13–0.74

All: 0.13–0.74

1987–1997: 0.74

1998–2008: 0.5

2009–2013: 0.13

 Qatar [52]

Cross-sectional study

Hamad Medical Corporation (Doha)

General population

N = 2

1998–2000: 0.12

Children and adults (0–100 y): 0.12

All: 0.12

 Saudi Arabia [53]

Surveillance study

Hospitals with paediatrics services from 5 cities (Al-Jouf, Buraidah, Gateef, Al-Baha, Medina)

General population

N = 37

1999–2001: 0.0–19.7

Children (0–5 y): 0.0–19.7

All: 0.0–19.7

 Saudi Arabia [55]

Surveillance study

Laboratories reports from all 20 health regions (Whole country)

General population

N = 1103

1995–2011: 0.2

Children and adults (0–100 y): 0.2

All: 0.2

 Saudi Arabia [56]

Cross-sectional study

Saudi Aramco Medical Services Organization (Whole country)

General population

N = 10

1993–1999: 1.9

Children and adults (0–100 y): 1.9–2.0

All: 1.9–2.0

2000–2005: 2.0

 Turkey [58]

Surveillance study

12 paediatric hospitals and clinics (7 regions in Turkey: Central Anatolia, Marmara, South East Anatolia, Aegean, East Anatolia, Mediterranean, Black Sea)

General population

N = 85

2013: 0.3

Children (0–17 y): 0.3–0.9

All: 0.3–0.9

2014: 0.9

 Turkey [57]

Surveillance study

12 paediatric hospitals and clinics (7 regions in Turkey: Central Anatolia, Marmara, South East Anatolia, Aegean, East Anatolia, Mediterranean, Black Sea)

General population

N = 333

2005–2006: 1.9

Children (0–17 y): 0.5–1.9

All: 0.5–1.9

2007–2008: 1.5

2009–2010: 0.5

2011–2012: 0.6

 Turkey [59]

Surveillance study

27 hospitals located in seven regions of Turkey and represented 45 of the population

General population

N = 89

2015–2016: 0.3

Children (0–18 y): 0.3–0.4

All: 0.3–0.4

2017–2018: 0.4

 Yemen [60]

Cross-sectional study

Al-Salam hospital (Sana’a)

General population

N = 81

2000: 8.8–20.5

Children (0–15 y): 8.8–20.5

All: 8.8–20.5

 Saudi Arabia [54]

Surveillance study

Records (Ministry of Health and regional health directorates), clinical laboratory records and inpatient charts (hospitals) (Mecca, Medina, Jeddah)

Pilgrims

N = 253

Hajj study, outbreak study

January–June 2000: 5.8–8.9

Children and adults (0–80 y): 5.8–8.9

A: 5.8

W135: 8.9

NA region

 Egypt [61]

Surveillance study

MOHP (Whole country)

General population

N = NR

1967–1992: 0.7–2.0

1992–2003: 0.1

Children and adults (0–100 y): 0.1–2.0

All: 0.1–2.0

 Egypt [62]

Cross-sectional study

Communicable Disease Hospital (Alexandria)

General population

N = 314

1997–2006: 1.06

Children and adults (0–100 y): 1.06

All: 1.06

 Morocco [63]

Surveillance study

Epidemiology of the Health Systems Networks Service (Kenitra delegation)

General population

N = 29

2014–2018: 2.96

Children and adults (0–100 y): 2.11–3.75

All: 2.11–3.75

2014: 3.59

2015: 2.79

2016: 2.11

2017: 2.53

2018: 3.75

 Tunisia [64]

Cross-sectional study

Bechir Hamza Children’s Hospital (Tunis)

General population

N = 73

2014: 1.5

Children (0–18 y): 1.5

All: 1.5