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Published on: November 5, 2019
Meningococcal disease--outbreak in Delhi
Anupam Sachdeva1, Shyam Kukreja, Vinita Jain
1Department of Pediatrics, Center for Child Health, Sir Ganga Ram Hospital, New Delhi 110060. anupamace@yahoo.co.in
Abstract:
Meningococcal disease occurs both endemically and epidemically across the world. In India also meningococcal disease occurs sporadically with epidemics occurring at regular intervals. Epidemics of meningococcal disease have occurred in Delhi in the year 1935, then in the year 1966 which lasted for a year and again in 1985-86. The last epidemic took a great toll with case fatality rate nearly 13%. This year also there has been an outbreak of meningococcal disease with nearly 400 cases and case fatality rates of about 10% majority are males between the age group of 21-30 years and from the inner crowded areas of the city.
Insights
Meningococcal disease outbreaks in India, particularly Delhi, show a recurring pattern. Recent epidemics highlight high case fatality rates, predominantly affecting young adult males in crowded urban areas.
Area of Science:
- Epidemiology
- Infectious Diseases
- Public Health
Background:
- Meningococcal disease presents endemic and epidemic patterns globally.
- India experiences sporadic cases and regular epidemics of meningococcal disease.
- Historical epidemics in Delhi (1935, 1966, 1985-86) demonstrate significant impact, with the last recording a 13% case fatality rate.
Purpose of the Study:
- To analyze the current outbreak of meningococcal disease in Delhi.
- To identify demographic and geographic risk factors associated with the disease.
Main Methods:
- Retrospective analysis of outbreak data.
- Case investigation and demographic profiling.
Main Results:
- The current outbreak involves approximately 400 cases.
- The case fatality rate is around 10%.
- Affected individuals are predominantly males aged 21-30, residing in densely populated inner city areas.
Conclusions:
- Meningococcal disease continues to pose a significant public health threat in Delhi.
- The current outbreak underscores the need for targeted interventions in high-risk populations and areas.
- Understanding transmission dynamics in crowded urban settings is crucial for future control strategies.
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