Skip to main content
Epidemiology and Infection logoLink to Epidemiology and Infection
. 1993 Apr;110(2):307–316. doi: 10.1017/s0950268800068242

Different seroprevalences of antibodies against Neisseria meningitidis serogroup A and Haemophilus influenzae type b in Sudanese and Swedish children.

M A Salih 1, H Fredlund 1, S Hugosson 1, L Bodin 1, P Olcén 1
PMCID: PMC2272249  PMID: 8472774

Abstract

Sampling of sera from 202 Sudanese and 124 Swedish children 1-14 years of age was conducted at the end of the 1980s presenting an opportunity to compare the seroprevalence of anti-Neisseria meningitidis (MC) serogroup A antibodies in an area immediately before outbreak of an epidemic (Sudan 1988) with a low endemic area (Sweden). An ELISA antibody assay was developed for detection of antibodies against capsular polysaccharide of MC serogroup A and Haemophilus influenzae type b (Hib). Serum antibody against MC serogroup A was found significantly more frequently in Sudanese than in Swedish children. This indicates that factors other than herd immunity, as measured by serum antibodies against MC serogroup A polysaccharide, are important for avoidance of an MC serogroup A epidemic. The seroprevalence of Hib antibodies was, in contrast, significantly higher in Swedish than in Sudanese children, especially for 5-9-year-old children. A possible explanation may be the different systems of day-care of children in the two countries.

Full text

PDF
307

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Broome C. V., Rugh M. A., Yada A. A., Giat L., Giat H., Zeltner J. M., Sanborn W. R., Fraser D. W. Epidemic group C meningococcal meningitis in Upper Volta, 1979. Bull World Health Organ. 1983;61(2):325–330. [PMC free article] [PubMed] [Google Scholar]
  2. Erwa H. H., Haseeb M. A., Idris A. A., Lapeyssonnie L., Sanborn W. R., Sippel J. E. A serogroup A meningococcal polysaccharide vaccine: studies in the Sudan to combat cerebrospinal meningitis caused by Neisseria meningitidis group A. Bull World Health Organ. 1973;49(3):301–305. [PMC free article] [PubMed] [Google Scholar]
  3. Fredlund H., Selldén H., Danielsson D., Olcén P. Early development in healthy children of serum opsonins against nonpathogenic Neisseria meningitidis. APMIS. 1992 May;100(5):449–454. doi: 10.1111/j.1699-0463.1992.tb00896.x. [DOI] [PubMed] [Google Scholar]
  4. Gilbert G. L., Clements D. A., Broughton S. J. Haemophilus influenzae type b infections in Victoria, Australia, 1985 to 1987. Pediatr Infect Dis J. 1990 Apr;9(4):252–257. doi: 10.1097/00006454-199004000-00006. [DOI] [PubMed] [Google Scholar]
  5. Granoff D. M., Basden M. Haemophilus influenzae infections in Fresno County, California: a prospective study of the effects of age, race, and contact with a case on incidence of disease. J Infect Dis. 1980 Jan;141(1):40–46. doi: 10.1093/infdis/141.1.40. [DOI] [PubMed] [Google Scholar]
  6. Greenwood B. M., Blakebrough I. S., Bradley A. K., Wali S., Whittle H. C. Meningococcal disease and season in sub-Saharan Africa. Lancet. 1984 Jun 16;1(8390):1339–1342. doi: 10.1016/s0140-6736(84)91830-0. [DOI] [PubMed] [Google Scholar]
  7. Griffiss J. M. Bactericidal activity of meningococcal antisera. Blocking by IgA of lytic antibody in human convalescent sera. J Immunol. 1975 Jun;114(6):1779–1784. [PubMed] [Google Scholar]
  8. Peltola H. Group A meningococcal polysaccharide vaccine and course of the group A meningococcal epidemic in Finland. Scand J Infect Dis. 1978;10(1):41–44. doi: 10.3109/inf.1978.10.issue-1.09. [DOI] [PubMed] [Google Scholar]
  9. Peltola H. Meningococcal disease: still with us. Rev Infect Dis. 1983 Jan-Feb;5(1):71–91. doi: 10.1093/clinids/5.1.71. [DOI] [PubMed] [Google Scholar]
  10. Salih M. A., Ahmed H. S., Karrar Z. A., Kamil I., Osman K. A., Palmgren H., Hofvander Y., Olcén P. Features of a large epidemic of group A meningococcal meningitis in Khartoum, Sudan in 1988. Scand J Infect Dis. 1990;22(2):161–170. doi: 10.3109/00365549009037897. [DOI] [PubMed] [Google Scholar]
  11. Salih M. A., Danielsson D., Bäckman A., Caugant D. A., Achtman M., Olcén P. Characterization of epidemic and nonepidemic Neisseria meningitidis serogroup A strains from Sudan and Sweden. J Clin Microbiol. 1990 Aug;28(8):1711–1719. doi: 10.1128/jcm.28.8.1711-1719.1990. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Salih M. A., el Hag A. I., Sid Ahmed H., Bushara M., Yasin I., Omer M. I., Hofvander Y., Olcen P. Endemic bacterial meningitis in Sudanese children: aetiology, clinical findings, treatment and short-term outcome. Ann Trop Paediatr. 1990;10(2):203–210. doi: 10.1080/02724936.1990.11747431. [DOI] [PubMed] [Google Scholar]
  13. Salwén K. M., Vikerfors T., Olcén P. Increased incidence of childhood bacterial meningitis. A 25-year study in a defined population in Sweden. Scand J Infect Dis. 1987;19(1):1–11. doi: 10.3109/00365548709032371. [DOI] [PubMed] [Google Scholar]
  14. Sell S. H. Haemophilus influenzae type b meningitis: manifestations and long term sequelae. Pediatr Infect Dis J. 1987 Aug;6(8):775–778. doi: 10.1097/00006454-198708000-00035. [DOI] [PubMed] [Google Scholar]
  15. Smith A. L. Neurologic sequelae of meningitis. N Engl J Med. 1988 Oct 13;319(15):1012–1014. doi: 10.1056/NEJM198810133191510. [DOI] [PubMed] [Google Scholar]
  16. Takala A. K., Eskola J., Peltola H., Mäkelä P. H. Epidemiology of invasive Haemophilus influenzae type b disease among children in Finland before vaccination with Haemophilus influenzae type b conjugate vaccine. Pediatr Infect Dis J. 1989 May;8(5):297–302. [PubMed] [Google Scholar]
  17. Trollfors B., Claesson B. A., Strangert K., Taranger J. Haemophilus influenzae meningitis in Sweden 1981-1983. Arch Dis Child. 1987 Dec;62(12):1220–1223. doi: 10.1136/adc.62.12.1220. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Trollfors B., Nylén O., Strangert K. Acute epiglottitis in children and adults in Sweden 1981-3. Arch Dis Child. 1990 May;65(5):491–494. doi: 10.1136/adc.65.5.491. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Wildenhoff K. E., Ipsen J., Esmann V., Ingemann-Jensen J., Poulsen J. H. Treatment of herpes zoster with idoxuridine ointment, including a multivariate analysis of symptoms and signs. Scand J Infect Dis. 1979;11(1):1–9. doi: 10.3109/inf.1979.11.issue-1.01. [DOI] [PubMed] [Google Scholar]
  20. van Alphen L., Bijlmer H. A. Molecular epidemiology of Haemophilus influenzae type b. Pediatrics. 1990 Apr;85(4 Pt 2):636–642. [PubMed] [Google Scholar]

Articles from Epidemiology and Infection are provided here courtesy of Cambridge University Press

RESOURCES