OBJECTIVE: To assess the sensitivity. specificity and predictive value positive of the WHO threshold strategy for detecting meningococcal disease epidemics in sub-Saharan Africa and to estimate the impact of the strategy on an epidemic at district level. METHODS: Data on meningitis cases at the district level were collected weekly from health ministries. WHO country and regional offices. https://www.markbroyard.com/best-save-happy-way-ashy-bines-whey-protein-powder-choc-caramel-500g-online-sale-big-deal/