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Meninigitis immunisation: challenges, successes and new developments
1Florence Nightingale School of Nursing and Midwifery, King's College, London, UK.
Abstract:
Meningitis, defined as the inflammation of the lining surrounding the spine and the brain, can be caused by bacteria, viruses and fungi. Bacterial meningitis is the most serious form of the disease, causing around 170000 deaths worldwide each year. Most cases of bacterial meningitis are caused by three bacteria-Streptococcus pneumoniae, Neisseria meningitidis and Haemophilus influenzae type B. In the UK, vaccines are available to combat most of these, yet, according to the Meningitis Research Foundation, around 3400 cases of bacterial meningitis and septicaemia occur every year in the UK and the Republic of Ireland. This article reviews the history of vaccination against meningitis, explores the challenges facing nurses who are at the interface of immunisation policy and public expectations, outlines the current schedule and discusses advances in vaccine technology that offer the potential of a new immunisation against N meningitidis B, the leading cause of meningitis in the UK.
Insights
Bacterial meningitis remains a serious threat despite available vaccines, causing thousands of cases annually in the UK. Advances in vaccine technology offer hope for new immunisations against Neisseria meningitidis B, a leading cause of the disease.
Area of Science:
- Medical Microbiology
- Immunology
- Public Health
Background:
- Meningitis, inflammation of the brain and spine lining, is caused by bacteria, viruses, and fungi.
- Bacterial meningitis is a severe form, responsible for approximately 170,000 global deaths annually.
- Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae type B are the primary bacterial culprits.
Purpose of the Study:
- To review the historical development of meningitis vaccination.
- To examine challenges faced by nurses in implementing immunisation policies.
- To discuss advancements in vaccine technology for Neisseria meningitidis B.
Main Methods:
- Literature review of vaccination history and policy.
- Analysis of current immunisation schedules.
- Exploration of emerging vaccine technologies.
Main Results:
- Despite existing vaccines, over 3400 cases of bacterial meningitis and septicaemia occur yearly in the UK and Ireland.
- Neisseria meningitidis B is identified as the leading cause of meningitis in the UK.
- Vaccine technology is advancing, with potential for new immunisations.
Conclusions:
- Bacterial meningitis continues to pose a significant public health challenge.
- Nurses play a crucial role at the intersection of immunisation policy and public perception.
- Ongoing research and technological advancements are vital for developing improved meningitis vaccines.
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