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Meningococcal disease in travelers: update on vaccine options
Jakob P Cramer1, Annelies Wilder-Smith
1Section Infectious Diseases/Tropical Medicine, I. Department of Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. cramer@bni-hamburg.de
Purpose Of Review:
Invasive meningococcal disease is a rare but potentially devastating disease in travelers. In the past 5 years, significant progress in vaccine development has been made. The purpose of this review is to provide up-to-date information on the current status of risk of meningococcal disease in travelers and vaccine recommendations.
Recent Findings:
More evidence on cases of meningococcal disease in travelers is now available. The main areas of highest risk for travelers continue to be the Hajj pilgrimage and travel to the meningitis belt. Two new tetravalent conjugate vaccines against serogroups A, C, W135 and Y have been licensed in North America, Europe and other countries. Significant progress has been made in the development of serogroup B vaccines.
Summary:
The vaccine of choice for travelers at risk of invasive meningococcal disease is a tetravalent conjugate meningococcal vaccine. Data on the need for re-vaccination schedules are still lacking, and so are data on immunogenicity in very young children and the elderly. The first vaccine against serogroup B may become available in early 2013 thus expanding the options of broadening the protection against more serogroups for travelers. Furthermore, the development of pentavalent vaccines will increase the uptake of meningococcal vaccines in the future.
Insights
Travelers at risk of meningococcal disease (a serious illness) should use tetravalent conjugate vaccines. New vaccines for serogroup B are emerging, expanding protection options for international travelers.
Area of Science:
- Epidemiology of infectious diseases
- Vaccinology
- Travel medicine
Background:
- Invasive meningococcal disease (IMD) poses a rare but severe risk to international travelers.
- Recent advancements in vaccine technology have significantly improved prevention strategies.
- Understanding current risks and recommendations is crucial for traveler health.
Purpose of the Study:
- To offer current insights into the risks of IMD for travelers.
- To review updated vaccine recommendations for preventing IMD in this population.
Main Methods:
- Literature review of recent studies on IMD in travelers.
- Analysis of epidemiological data on high-risk travel destinations.
- Evaluation of newly licensed and developing meningococcal vaccines.
Main Results:
- Increased data confirm Hajj pilgrimage and meningitis belt travel as high-risk activities.
- Two new tetravalent conjugate vaccines (targeting serogroups A, C, W135, Y) are now available.
- Progress in developing serogroup B vaccines is notable.
Conclusions:
- Tetravalent conjugate vaccines are recommended for travelers at risk of IMD.
- Further research is needed on re-vaccination schedules and immunogenicity in specific age groups.
- Upcoming serogroup B vaccines and potential pentavalent vaccines will enhance traveler protection.
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