5.7-Measles, Cholera and Meningitis 224. Looking at the Charts below, it can be seen that recurrent annual epidemics such as cholera and meningitis take a heavy toll on human lives, with the fatality rate still high between 2010 and 2014. Meningitis is the highest mortal and fatal illness, recording 94 deaths in 2010 as against 14 in 2014 followed by cholera. On the other hand, for measles which is a very morbid disease, no death was recorded over the period. Chart No.10 : Situation of Deaths between 2010 and 2014 100 50 0 2010 2011 2012 2013 2014 Rougéeole décès Choléra décès Méningites SP décès 8-Diarrheal Diseases 225. The prevalence of diarrheal diseases is 15% and accounts for almost 14% of the causes of child mortality. The causes are: infection, malnutrition, poor access to drinking water, poor hygienic practices and elimination of waste. 226. Regarding the provision of services, they include unsuitable structures and mechanisms for addressing epidemic situations. In order to tackle this problem, the Togolese government has created a Committee for the Management of epidemics and a Centre to provide more adapted services in case of epidemic diseases. 5.9-Neglected Tropical Diseases (NTDs). 227. They are prevalent in all Togolese communities, basically among the most deprived population. On the whole, 1,733 new cases of NTDs were identified and taken care of, including 1423 cases of lymphedema, 150 hydrocele cases, 67 Buruli ulcer and 93 cases of leprosy. 1.962 old cases of NTDs were monitored in 2014. 69

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