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Published on: November 5, 2019
Surveillance for invasive meningococcal disease in children, US-Mexico border, 2005-2008
Enrique Chacon-Cruz1, David E Sugerman, Michele M Ginsberg
1General Hospital of Tijuana, Tijauna, Mexico. echacon88@hotmail.com
Abstract:
We reviewed confirmed cases of pediatric invasive meningococcal disease in Tijuana, Mexico, and San Diego County, California, USA, during 2005-2008. The overall incidence and fatality rate observed in Tijuana were similar to those found in the US, and serogroup distribution suggests that most cases in Tijuana are vaccine preventable.
Insights
Pediatric invasive meningococcal disease in Tijuana and San Diego showed similar incidence and fatality rates. Most Tijuana cases were preventable with vaccines, highlighting a public health opportunity.
Area of Science:
- Epidemiology
- Infectious Diseases
- Public Health
Background:
- Invasive meningococcal disease (IMD) poses a significant global health threat, particularly in pediatric populations.
- Understanding regional variations in IMD epidemiology is crucial for targeted prevention strategies.
- Cross-border surveillance can reveal disease transmission patterns and inform public health interventions.
Purpose of the Study:
- To compare the epidemiology of pediatric invasive meningococcal disease between Tijuana, Mexico, and San Diego County, California, USA.
- To assess the potential impact of vaccination on reducing IMD cases in Tijuana.
- To inform cross-border public health strategies for meningococcal disease prevention.
Main Methods:
- Retrospective review of confirmed pediatric invasive meningococcal disease cases.
- Data collection from Tijuana, Mexico, and San Diego County, California, USA.
- Analysis of incidence rates, fatality rates, and serogroup distribution.
Main Results:
- Incidence and fatality rates of pediatric IMD were comparable between Tijuana and San Diego from 2005-2008.
- Serogroup distribution analysis indicated that a majority of IMD cases in Tijuana were potentially preventable by existing vaccines.
- The findings suggest similar disease burden and vaccine-preventable potential across the border.
Conclusions:
- Pediatric invasive meningococcal disease surveillance and outcomes are similar in Tijuana and San Diego.
- Vaccine-preventable serogroups are prevalent in Tijuana, indicating a significant opportunity for public health intervention.
- Cross-border collaboration is essential for effective control of meningococcal disease in adjacent regions.
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