Skip to main content

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