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Published on: November 5, 2019
Meningococcal disease--probable transmission during an international flight
Bridget A O'Connor1, Kerry G Chant, Enzo Binotto
1Communicable Disease Control Branch, Department of Health, Adelaide, South Australia. bridget.oconnor@health.sa.gov.au
Abstract:
Two cases of meningococcal disease were identified in passengers who travelled on the same international flight. Both cases were serogroup B with the same allelic profile. The public health action involved chemoprophylaxis for persons seated adjacent to, and in the rows in front and behind, each case. The most likely scenario is that transmission of N. meningitidis occurred on board a long distance flight, either from one case to the other or from an asymptomatic carrier to both cases. This scenario and the absence of reports of similar cases in the literature, indicate the risk to other passengers in this setting is low. This investigation reinforces the need for, and the distribution of, good national and international surveillance information to better inform public health decision making.
Insights
Two passengers on an international flight contracted meningococcal disease (serogroup B). Transmission likely occurred on the flight, but the risk to other passengers is considered low, highlighting the need for surveillance.
Area of Science:
- Epidemiology
- Public Health
- Infectious Diseases
Background:
- Meningococcal disease poses a public health risk.
- International travel can facilitate disease transmission.
- Surveillance is crucial for managing outbreaks.
Purpose of the Study:
- To investigate two cases of meningococcal disease on an international flight.
- To assess the transmission risk in this specific travel setting.
- To inform public health response and surveillance strategies.
Main Methods:
- Case identification and epidemiological investigation.
- Molecular typing (allelic profile) of Neisseria meningitidis isolates.
- Contact tracing and public health interventions (chemoprophylaxis).
Main Results:
- Two passengers on the same international flight were diagnosed with serogroup B meningococcal disease.
- Isolates from both cases shared the same allelic profile, suggesting a common source or transmission.
- Public health measures included chemoprophylaxis for close contacts on the flight.
Conclusions:
- In-flight transmission of Neisseria meningitidis is a plausible scenario.
- The risk of transmission to other passengers on this long-distance flight was assessed as low.
- Effective national and international surveillance systems are vital for informed public health decision-making.
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