{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T10:43:22Z","timestamp":1786185802882,"version":"build-2736575974"},"reference-count":51,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Pediatrics"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Quantify neonatal meningitis incidence and years of life lost (YLLs) in Eastern Sub-Saharan Africa (ESSA) from 1990 to 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Secondary analysis of GBD data analyzed temporal trends by location, year and sex. Bayesian meta-regression estimated incidence, cause of death ensemble modeling calculated YLLs, and spatiotemporal Gaussian process regression smoothed trends. Estimates include 95% uncertainty intervals (UIs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In 2023, ESSA\u2019s neonatal meningitis incidence rate was 2,542 per 100,000 (95% UI: 2,043\u20133,065), heavily concentrated in early neonates (5,415) versus late neonates (1,574). The regional YLL rate was 24,855 per 100,000, driven by early neonates (66,882). Somalia and South Sudan exceeded regional averages. Globally, YLL rates declined from 1990 to 2023 (Annual Rate of Change: -0.70%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>ESSA faces a severe neonatal meningitis burden skewed toward early neonates. Urgent strategies must scale up maternal screening, intrapartum antibiotics, and rapid diagnostics for fast-tracked treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/30502225261476890","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T20:55:34Z","timestamp":1785963334000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Incidence of Neonatal Meningitis and the Premature Mortality in Eastern Sub-saharan Africa, From 1990 to 2023: A Global Burden of Diseases Study"],"prefix":"10.1177","volume":"13","author":[{"given":"Sebsibe","family":"Tadesse","sequence":"first","affiliation":[{"name":"Bule Hora University"},{"name":"Ethiopian Public Health Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tibeso","family":"Gemechu","sequence":"additional","affiliation":[{"name":"Bule Hora University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kebebew","family":"Lemma","sequence":"additional","affiliation":[{"name":"Bule Hora University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Embay Amare","family":"Alemseged","sequence":"additional","affiliation":[{"name":"Adigrat University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abraham","family":"Lomboro Dimore","sequence":"additional","affiliation":[{"name":"Jimma University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9116-274X","authenticated-orcid":false,"given":"Hiwot Hailu","family":"Amare","sequence":"additional","affiliation":[{"name":"Dilla University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jemal","family":"Bedewi","sequence":"additional","affiliation":[{"name":"Wolkite University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zufan","family":"Tessema","sequence":"additional","affiliation":[{"name":"Wolkite University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4366-4128","authenticated-orcid":false,"given":"Abera","family":"Mersha","sequence":"additional","affiliation":[{"name":"Arba Minch University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9146-5940","authenticated-orcid":false,"given":"Yemane Berhane","family":"Tesfau","sequence":"additional","affiliation":[{"name":"Adigrat University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1591-1600","authenticated-orcid":false,"given":"Embaba Tekelaye","family":"Welesemayat","sequence":"additional","affiliation":[{"name":"Aksum University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3160-4347","authenticated-orcid":false,"given":"Boko Loka","family":"Safayi","sequence":"additional","affiliation":[{"name":"Bule Hora University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7301-5332","authenticated-orcid":false,"given":"Alqeer","family":"Aliyo","sequence":"additional","affiliation":[{"name":"Bule Hora University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Belda","family":"Negesa Beyene","sequence":"additional","affiliation":[{"name":"Bule Hora University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Girma","family":"Ashenafi","sequence":"additional","affiliation":[{"name":"Bule Hora University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1919-874X","authenticated-orcid":false,"given":"Geleta Nenko","family":"Dube","sequence":"additional","affiliation":[{"name":"Bule Hora University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8348-6636","authenticated-orcid":false,"given":"Beka Yambo","family":"Jofa","sequence":"additional","affiliation":[{"name":"Bule Hora University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9809-3326","authenticated-orcid":false,"given":"Anteneh","family":"Fikrie","sequence":"additional","affiliation":[{"name":"Bule Hora University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,5]]},"reference":[{"key":"e_1_3_9_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.paed.2021.10.004"},{"key":"e_1_3_9_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/trstmh\/trab133"},{"key":"e_1_3_9_4_2","doi-asserted-by":"publisher","DOI":"10.3390\/microorganisms9020377"},{"key":"e_1_3_9_5_2","unstructured":"Organization WH. 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