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Published on: July 1, 2018
[Study on periodically prevalent feature for epidemic cerebrospinal meningitis in China]
X Hu1
1Institute of Epidemiology and Microbiology, Chinese Academy of Preventive Medicine, Beijing.
Abstract:
A study on periodically prevalent feature for epidemic cerebrospinal meningitis (ECM) in China was carried out by means of cluster analysis of multilocus enzyme electrophoresis, as well as chromosomal DNA fingerprinting and subserotyping of outer membrane protein class 1 of Neisseria meningitidis group A. Two hundred strains tested were isolated from the patients for ECM and carriers during the 1960s to 1980s in 17 provinces and municipalities. Overall analysis on the bacterial types of the strains above mentioned and data of morbidity of this disease for recent 40 years was undertaken. The research results indicated that ECM really possessed the feature of cyclic prevalence in China, the cyclic epidemics were caused by the different predominant types of Neisseria meningitidis group A and the strains of predominant types could be periodically spread. Every epidemic was basically spread from the north to the south of China. However, the patterns of cyclic epidemic of this disease were not uniform in the country. The above study has established the preliminary base to reveal the prevalent mechanism for ECM by use of molecular biological methods in China.
Insights
Epidemic cerebrospinal meningitis (ECM) in China shows cyclic prevalence. Predominant Neisseria meningitidis group A types drive these epidemics, spreading periodically from north to south.
Area of Science:
- Microbiology
- Epidemiology
- Molecular Biology
Background:
- Epidemic cerebrospinal meningitis (ECM) is a significant public health concern in China.
- Understanding the cyclical patterns of ECM is crucial for effective prevention and control.
Purpose of the Study:
- To investigate the periodically prevalent features of epidemic cerebrospinal meningitis (ECM) in China.
- To identify the bacterial types responsible for cyclic epidemics and their spread patterns.
Main Methods:
- Cluster analysis of multilocus enzyme electrophoresis.
- Chromosomal DNA fingerprinting and outer membrane protein class 1 subserotyping of Neisseria meningitidis group A.
- Analysis of bacterial strains from 1960s-1980s and 40 years of morbidity data.
Main Results:
- ECM exhibits distinct cyclic prevalence in China.
- Different predominant types of Neisseria meningitidis group A cause these cyclic epidemics.
- Epidemics predominantly spread from north to south, though patterns vary regionally.
Conclusions:
- Neisseria meningitidis group A strains are responsible for the cyclic epidemics of ECM in China.
- Molecular methods provide a basis for understanding ECM prevalence mechanisms.
- Regional variations in epidemic patterns warrant further investigation.
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