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Zamfara State in North-western Nigeria recently was at the epicentre of the largest NmC outbreak in the 21\n                    <jats:sup>st<\/jats:sup>\n                    Century with 7,140 suspected meningitis cases and 553 deaths reported between December 2016 and May 2017. The overall attack rate was 155 per 100,000 population and children 5\u201314 years accounted for 47% (3,369\/7,140) of suspected cases. The case fatality rate (CFR) among children 5\u20139 years was 10%, double that reported among adults\u2009\u2265\u200930 years (5%). NmC and pneumococcus accounted for 94% (172\/184) and 5% (9\/184) of the laboratory-confirmed cases, respectively. The sequenced NmC belonged to the ST-10217 clonal complex (CC). All serotyped pneumococci were PCV10 serotypes. The emergence of NmC ST-10217 CC outbreaks threatens the public health gains made by MenAfriVac, which calls for an urgent strategic action against meningitis outbreaks.\n                  <\/jats:p>","DOI":"10.1038\/s41598-018-32475-2","type":"journal-article","created":{"date-parts":[[2018,9,17]],"date-time":"2018-09-17T07:03:05Z","timestamp":1537167785000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Meningococcus serogroup C clonal complex ST-10217 outbreak in Zamfara State, Northern Nigeria"],"prefix":"10.1038","volume":"8","author":[{"given":"Brenda A.","family":"Kwambana-Adams","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahab 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