Case definition
Sudden onset of fever with signs and symptoms of meningeal involvement.
Specimen
1-2 sets of blood cultures and CSF
For suspected viral etiology send CSF on ice
Laboratory
Hospital Bacteriology Lab or National Public Health Lab
Timeline for investigation
1 week
Source: National Surveillance Manual
How it’s monitored
Notified as it occurs and followed up with an investigation report. The weekly bulletin gives confirmed cases for the year to date, beside last year’s.