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Published on: November 5, 2019
Meningococcal disease in children in Merseyside, England: a 31 year descriptive study.
Michelle C Stanton1, David Taylor-Robinson, David Harris
1Lancaster Medical School, Faculty of Health and Medicine, Lancaster University, Lancaster, United Kingdom. m.stanton@lancaster.ac.uk
Meningococcal disease (MCD) in UK children shows increased risk of death with septicaemia (MS) and links to social deprivation. The meningococcal C conjugate (MCC) vaccine significantly reduced serogroup C cases.
Area of Science:
- Pediatric Infectious Diseases
- Epidemiology
- Public Health
Background:
- Meningococcal disease (MCD) is a leading cause of infectious death in UK children.
- MCD commonly manifests as meningitis (MM), septicaemia (MS), or both (MM/MS).
- Understanding MCD epidemiology and risk factors is crucial for public health interventions.
Purpose of the Study:
- To analyze the changing epidemiology and clinical presentation of MCD in children.
- To investigate associations between MCD, socioeconomic status, and mortality.
- To evaluate the impact of the meningococcal C conjugate (MCC) vaccine.
Main Methods:
- A 30-year hospital-based study (1977-2007) of 1157 children with MCD at Alder Hey Children's Foundation Trust.
- Data collection included demographics, clinical presentations, microbiological confirmation, and socioeconomic deprivation measures.
- Statistical analysis explored risk factors for mortality and associations with deprivation.
Main Results:
- The majority of MCD cases occurred in children aged 1-4 years.
- A significant decline in serogroup C cases followed MCC vaccine introduction.
- Meningococcal septicaemia (MS) presentation and serogroup C disease were independent risk factors for mortality.
- MCD cases originated from a more deprived population compared to the general reference population.
Conclusions:
- Meningococcal septicaemia (MS) is a confirmed risk factor for MCD-related mortality.
- Social deprivation is associated with an increased risk of MCD.
- The MCC vaccine has been effective in reducing serogroup C meningococcal disease.
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