[The contribution of biology laboratories to keep immunization recommendations up to date: the example of the Centre Pasteur of Cameroon in the fight against meningococcal meningitis in North-Cameroon]. / Place du laboratoire de biologie médicale dans les recommandations vaccinales: l'exemple du Centre Pasteur du Cameroun dans la lutte contre les méningites a méningocoque au Nord-Cameroun.

The Centre Pasteur of Cameroon, Annex of Garoua, studied since 2007 méningococcus of meningitidis in the North of Cameroon. The serogroup A méningococcus completely seem to have disappeared with the profit from the serogroup W135 méningococcus. Current measurements of answers to an epidemic, based between others on reactive vaccination will have to take into account these new data to remain effective. Trivalent vaccine ACW135, placed at the disposal by WHO, should logically be able to be used in the event of epidemic, under reserve of an identification of the germ by a laboratory. The diffusion of the results of the circulation of serogroup W135 méningococcus supported vaccination by the tetravalent vaccine, but this one remains very expensive and, so held for a negligible minority of the population of North-Cameroon. It is part from now on of the recommendations to the travellers.