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. 2019 Aug 31;69(Suppl 2):S49–S57. doi: 10.1093/cid/ciz472

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© The Author(s) 2019. Published by Oxford University Press for the Infectious Diseases Society of America.

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

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Figure 4. — Annual number of confirmed Streptococcus pneumoniae meningitis cases by vaccine-associated serotype and African subregion. A, Number of confirmed cases reported by country in South-East Africa: Ethiopia (n = 42), Madagascar (n = 81), Kingdom of Eswatini (formerly Swaziland, n = 6), United Republic of Tanzania (n = 6), Uganda (n = 134), Zambia (n = 94), Zimbabwe (n = 31). Confirmed cases from the following countries were excluded: data unavailable for all surveillance years (Malawi, Mozambique); pneumococcal conjugate vaccine (PCV) not introduced during the surveillance period (Rwanda); at least 2 years of data not available following vaccine introduction (Lesotho); did not report any S. pneumoniae serotyping data (Malawi). B, Number of confirmed cases reported by country in West-Central Africa: Benin (n = 67), Cameroon (n = 57), Ghana (n = 19), Senegal (n = 47), Togo (n = 35). Confirmed cases from the following countries were excluded: data unavailable for all surveillance years (Angola, Central African Republic, Cote d’Ivoire, Sierra Leone); ≤65% PCV coverage for at least 2 consecutive years (Niger, Nigeria); PCV not introduced during the surveillance period (Gambia); did not report any S. pneumoniae serotyping data (Angola, Burkina Faso, Burundi, Central African Republic, Democratic Republic of Congo). Thirteen-valent PCV unique serotypes include 3, 6A, and 19A. Abbreviations: PCV10, 10-valent pneumococcal conjugate vaccine; PCV13, 13-valent pneumococcal conjugate vaccine.