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Aseptic meningitis outbreak associated with echovirus 9 among recreational vehicle campers--Connecticut, 2003
Abstract:
Aseptic meningitis is an inflammation of the tissues covering the brain and spinal cord and caused by a virus, most frequently an enterovirus. In August 2003, the Connecticut Department of Public Health (CDPH) received a report of three viral meningitis cases among recreational vehicle (RV) campers staying at a campground in northeastern Connecticut. CDPH, assisted by CDC, conducted an investigation, which 1) identified a total of 12 cases of aseptic meningitis and 24 cases of enterovirus-like illness among 201 campers interviewed, 2) demonstrated how transmission of enterovirus from persons with mild illness contributed to the aseptic meningitis outbreak, and 3) determined that crowded conditions inside RVs and in the campground swimming pool likely facilitated spread of enterovirus. Pool operators should check chlorine and pH levels frequently, particularly during peak pool occupancy; adults should take precautions against passing enterovirus to children, who are at greater risk for severe illness.
Insights
An enterovirus outbreak caused aseptic meningitis among campers. Mild illnesses and crowded conditions, like swimming pools, facilitated its spread, highlighting the need for hygiene and pool maintenance.
Area of Science:
- Public Health
- Infectious Disease Epidemiology
- Virology
Background:
- Aseptic meningitis is an inflammation of the meninges, often caused by enteroviruses.
- Recreational vehicle (RV) campers are a population susceptible to infectious disease outbreaks.
- Enterovirus infections can range from mild to severe, particularly in children.
Purpose of the Study:
- To investigate an outbreak of aseptic meningitis and enterovirus-like illness at a campground.
- To identify the contributing factors and transmission routes of the outbreak.
- To provide recommendations for preventing future outbreaks.
Main Methods:
- Case identification through interviews with campers.
- Epidemiological investigation by public health departments (CDPH) and CDC.
- Analysis of illness patterns and potential exposure sources.
Main Results:
- 12 cases of aseptic meningitis and 24 cases of enterovirus-like illness were identified among 201 campers.
- Transmission of enterovirus from individuals with mild illness was a key factor.
- Crowded conditions in RVs and the campground swimming pool likely amplified spread.
Conclusions:
- Enterovirus transmission occurred within the campground setting, leading to an aseptic meningitis outbreak.
- Hygiene practices and environmental controls, such as pool water quality, are critical for prevention.
- Public health interventions should focus on educating campers and ensuring safe recreational environments.
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