Continued occurrence of serotype 1 pneumococcal meningitis in two regions located in the meningitis belt in Ghana five years after introduction of 13-valent pneumococcal conjugate vaccine.
Catherine H BozioAbass Abdul-KarimJohn AbenyeriBraimah AbubakariWinfred OfosuJustina ZoyaMahamoudou OuattaraVelusamy SrinivasanJeni T VuongDavid OpareFranklin A BekoeFernanda C LessaPublished in: PloS one (2018)
High pneumococcal meningitis incidence with a large proportion of serotype 1 disease in older children and adults suggests infant PCV13 vaccination has not induced herd protection with this schedule in this high-transmission setting.