Tag: Meningitis

On Monday, the seventh student with bacterial meningitis at Princeton University in New Jersey was reported by the CDC.

Princeton University has been hit with its seventh case of meningitis since an outbreak that began last spring, a university spokesman said Monday.

The latest case was reported over the weekend, when a male student became acutely ill and underwent treatment at the campus health center, spokesman Martin A. Mbugua said.

The student was later taken to a local hospital, where meningitis was diagnosed early Sunday, Mbugua said. The student remained in the hospital Monday.

Health officials are conducting tests to determine whether the student has type B meningococcal bacteria, the type contracted by six other Princeton students this year.

Students living in dormitories are required to receive the meningitis vaccine, which protects against most strains of meningitis but not type B. The CDC has now decided to import a vaccine that has yet to be approved in the US to halt the breakout. The vaccine, Bexsero (pdf), is available in Europe and Australia.

“This is a bad disease and we know how devastating it is,” Dr. Thomas Clark, acting head of the Centers for Disease Control’s meningitis and vaccine preventable diseases branch, told NBC News. “A lot of us had a gut feeling that there would be more cases and we should get the ball rolling.”

The unprecedented move could aim to inoculate the nearly 8,000 undergraduate and graduate students at the Ivy League school in hopes of stopping the spread of an illness that kills 10 percent or more of teens and young adults who get it.

“If you’re a student at Princeton University right now, your risk is quite high,” Clark said.

Officials at the New Jersey university were mum on the arrangement, providing no details about how or when a vaccination effort would be launched.

The Princeton cases were all caused by the B strain of the bacterium Neisseria meningitidis which is uncommon in the US.

What you need to know about meningitis from the Center for Disease Control

Transmission

The germs that cause bacterial meningitis can be contagious. Some bacteria can spread through the exchange of respiratory and throat secretions (e.g., kissing). Fortunately, most of the bacteria that cause meningitis are not as contagious as diseases like the common cold or the flu. Also, the bacteria are not spread by casual contact or by simply breathing the air where a person with meningitis has been. Other meningitis-causing bacteria are not spread person-to-person, but can cause disease because the person has certain risk factors (such as a weak immune system or head trauma). Unlike other bacterial causes of meningitis, you can get Listeria monocytogenes by eating contaminated food.

Sometimes the bacteria that cause meningitis spread to other people. This usually happens when there is close or long contact with a sick person in the same household or daycare center, or if they had direct contact with a patient’s oral secretions (such as a boyfriend or girlfriend). People who qualify as close contacts of a person with meningococcal or Haemophilus influenzae type b (Hib) meningitis are at higher risk of getting disease and may need antibiotics (see Prevention). Close contacts of a person with meningitis caused by other bacteria, such as Streptococcus pneumoniae, do not need antibiotics. Tell your doctor if you think you have been exposed to someone with meningitis.

Healthy people can carry the bacteria in their nose or throat without getting sick. Rarely, these bacteria can invade the body and cause disease. Most people who ‘carry’ the bacteria never become sick.

Signs & Symptoms

Meningitis infection may show up in a person by a sudden onset of fever, headache, and stiff neck. It will often have other symptoms, such as

   Nausea

   Vomiting

   Increased sensitivity to light (photophobia)

   Altered mental status (confusion)

The symptoms of bacterial meningitis can appear quickly or over several days. Typically they develop within 3-7 days after exposure.

Babies younger than one month old are at a higher risk for severe infections, like meningitis, than older children. In newborns and infants, the classic symptoms of fever, headache, and neck stiffness may be absent or difficult to notice. The infant may appear to be slow or inactive (lack of alertness), irritable, vomiting or feeding poorly. In young infants, doctors may look for a bulging fontanelle (soft spot on infant’s head) or abnormal reflexes, which can also be signs of meningitis. If you think your infant has any of these symptoms, call the doctor or clinic right away.

Later symptoms of bacterial meningitis can be very severe (e.g., seizures, coma). For this reason, anyone who thinks they may have meningitis should see a doctor as soon as possible.

While the Bexsero vaccine will only be made available to the Princeton community, it is important that all students, whether they live on or off campus, even at home, receive the meningitis vaccine.  

A health alert has been issued by the New York City Health Department warning of an outbreak of deadly new strain of bacterial meningitis among gay men. They are recommending all gay men, regardless of HIV status get a vaccination.

Health Department Issues New Vaccination Recommendations for Men at Greatest Risk for Contracting Meningitis

Four new cases of meningitis among men who have sex with men have been reported in 2013. Three of the last five cases have been fatal.

March 6, 2013 – The Health Department issued new recommendations today for vaccinating against invasive meningococcal disease – commonly known as meningitis – after an increase in cases. Vaccinations are now advised for men, regardless of HIV status, who regularly have intimate contact with other men met through a website, digital application (“App”), or at a bar or party.

Four new cases of meningitis among men who have sex with men have been reported since the beginning of January, bringing the total to 17 cases since 2012. There have been 22 reported cases – including seven fatal cases – since 2010.

“Meningitis symptoms usually come on quickly, and the disease can be fatal if not treated right away,” said Health Commissioner Dr. Thomas Farley. “Vaccination is the best defense. I urge all men who meet these criteria – regardless of whether they identify as gay – to get vaccinated now and protect themselves from this disease before it is too late.” [..]

Vaccination prevents, but does not treat, current infection. Common symptoms of meningitis are: high fever, headache, stiff neck, and rash that develop rapidly upon onset. Symptoms may occur two to 10 days after exposure, but usually within five days. Meningitis can be fatal if not treated promptly. People who experience these symptoms should seek medical care immediately.

People should first ask their health care providers if they have the vaccine. For those who cannot obtain the vaccine from their health care providers, Health Department clinics can administer the vaccine. Locations are listed at the Health Department’s Site Locator.

The recent meningitis cases have affected men throughout the five boroughs. Elected officials throughout the City are encouraging people to get vaccinated.

This strain of bacterial meningitis is very different. The symptoms of this variant go from a headache and fever to a rash and death within hours of onset. So fast that many of its victims never make to a doctor or a hospital. It has killed one third of all its victims. Four new cases of meningitis among men who have sex with men have been reported in 2013. Three of the last five cases have been fatal.

The meningitis vaccine is available at many health clinics, hospitals and private doctors’ offices, and is effective against the new strain. To find out where you can be vaccinated in NYC call 311.