03/10/2026
Diagnosis threatens fight against Meningitis
By Mabinty M. Kamara
As the World Health Organisation (WHO) targets 2030 for the elimination of Meningitis across the world, Sierra Leone struggles with adequate facilities such as laboratories to ensure early diagnoses.
Meningitis, according to health experts, is a disease that occurs when the meninges—three layers of tissue that protect the brain and spinal cord—become swollen. This swelling increases pressure around the brain and spinal cord and can rapidly become dangerous.
Addressing media practitioners at a brief ceremony in Freetown on September 29 this year, Dr Joseph Sam Kanu-Programme Manager, Surveillance and Applied Epidemiology, National Public Health Agency, said Bacterial meningitis can be transmitted through droplets from the mouth and nose mostly after coughing, sneezing, kissing, sharing cup, utensils and other personal belongings like toothbrush. Although he said there are other types of Meningitis such as group B called streptococcus, which can be transmitted through the gut or va**na, and then spreads from mother to child during child birth, he emphasized that bacterial meningitis is the most common type, especially in the context of Sierra Leone.
He also noted that the signs and symptoms include fever, severe headache, neck stiffness, patient sensitivity to light rays, vomiting, confusion or altered consciousness and rash, which are related to a particular type called meningococcal meningitis.
He said despite government’s intervention through vaccination, surveillance and risk communication, public awareness and the lack of adequate testing facilities remain as key challenges.
“Meningitis mostly affects children, and in most cases, people attribute it to witchcraft delaying treatment and hospital care,” he said. This is where he said the journalists come in as critical drivers in shaping how people respond to critical national issues by creating the necessary awareness.
Emphasizing the dreadful nature of the disease, the medic noted: “High mortality rate: up to 1 in every 10 patients die, and that 1 in every 5 survivor, suffer long term complications (hearing loss, seizure, cognitive impairment).”
He therefore urged for an effective vaccination of children, good hygiene practices, strengthened surveillance, effective detection facilities, early treatment, and rehabilitation of survivors.
Speaking at the event, the focal Surveillance Officer for Bacterial Meningitis at the National Public Health Agency, Samuel Sama Turay said they recorded 303 suspected cases of bacterial meningitis from January to date, and that 13 only among them were tested at a facility at the Ola During Children’s Hospital, but were all proved negative.
“For surveillance, we suspect, but we also need the laboratory for confirmation. And with bacterial meningitis, in collecting the cerebrospinal fluid (CSF) which is the sample we collect and analysis to confirm that this is bacterial meningitis, we have limited laboratory facility to carry out that function,” he said.
In his speech, the Regional representative for the Confederation of Meningitis organisations Mohamed Samuara, commended Sierra Leone’s effort in the fight against meningitis but noted that more was needed if the WHO’s target by 2030, should be achieved. He said public education is still very low about the disease.
Speaking about the World Meningitis Day on October 5, he said Sierra Leone has already developed a national strategic plan that aligns with the WHO’s 2023 road Map and that a health Walk will be organized as part of the commemoration. However, he expressed concerns over limited case investigation capacity from sample collection, due largely to the technicalities required of the relevant laboratory facilities to do the investigations. He therefore called on partners to support and take adequate action to address meningitis. He said the question should not be about when would it come, but how would it be responded to, when it eventually comes.
Photo caption: Dr Joseph Sam Kanu, Programme Manager, Surveillance and Applied Epidemiology, National Public Health Agency-presenting at the event.