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Published on: November 5, 2019
CC4821 serogroup W meningococcal disease in China
Baohua He1, Zhaoyi Jia1, Haijian Zhou2
1Hebei Province Center for Disease Prevention and Control, No. 97 Huai'an Donglu, Shijiazhuang 050021, Hebei Province, People's Republic of China.
Abstract:
Neisseria meningitidis is a major public health concern worldwide, including China. A few cases of serogroup W meningococcal disease have been reported in southeast China in recent years. Thus far, invasive disease due to W isolates has involved sequence type 11. We report two cases of N. meningitidis infection caused by CC4821 serogroup W strains.
Insights
Two cases of meningococcal disease caused by rare serogroup W strains (CC4821) were identified in China. This finding is significant as it differs from previously identified invasive serogroup W meningococcal disease strains.
Area of Science:
- Microbiology
- Epidemiology
- Public Health
Background:
- Neisseria meningitidis is a significant global pathogen.
- Meningococcal disease poses a public health challenge, particularly in China.
- Serogroup W strains have been infrequently reported in Southeast China.
Observation:
- Two recent cases of invasive meningococcal disease were documented.
- The causative agent was identified as Neisseria meningitidis serogroup W.
- These isolates belonged to the CC4821 sequence type.
Findings:
- The identified Neisseria meningitidis serogroup W strains were associated with the CC4821 sequence type.
- This contrasts with previously reported invasive serogroup W meningococcal disease in the region, which involved sequence type 11.
- This represents a novel finding in the epidemiology of meningococcal disease in China.
Implications:
- The emergence of CC4821 serogroup W strains necessitates enhanced surveillance for meningococcal disease in China.
- Understanding the genetic diversity and epidemiological characteristics of Neisseria meningitidis is crucial for effective disease control.
- These findings may inform future vaccination strategies and public health interventions against meningococcal disease.
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