Epidemiology of invasive meningococcal disease in North Queensland, 1995 to 1999

Authors

  • Dave Harley 69 Ardoyne, Corinda, Queensland, 4075
  • Jeffrey N Hanna 69 Ardoyne, Corinda, Queensland, 4075
  • Susan L Hills Tropical Public Health Unit, Locked bag 16, Aitkenvale, Qld, 4814
  • John R Bates Centre for Public Health Sciences, Coopers Plains, Qld, 4108
  • Helen V Smith Centre for Public Health Sciences, Coopers Plains, Qld, 4108

DOI:

https://doi.org/10.33321/cdi.2002.26.9

Keywords:

invasive meningococcal disease, Neisseria meningitidis, indigenous people

Abstract

This study describes all episodes of invasive meningococcal disease (n=120) acquired in north Queensland over the 5 year period 1995 to 1999. Indigenous people had a 3-fold greater risk than others of acquiring invasive meningococcal disease. There were 7 deaths, six in non-indigenous people. The majority (72.4%) of identified isolates were serogroup B. We found no evidence of significant resistance to the antibiotics recommended for treatment or chemoprophylaxis. Two outbreaks of disease were identified, one serogroup B and one serogroup C. Compared to the previous 5 years (1990 to 1994) there were far fewer cases of serogroup C disease and a lower incidence and risk of invasive meningococcal disease among indigenous people. Commun Dis Intell 2002;26:44-50.

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References

Hanna J, McCall B, Murphy D. Invasive meningococcal disease in north Queensland, 1990-1994. Commun Dis Intell 1996;20:320-324.

Tropical Public Health Unit Network. North Queensland District Health Services selected demography ABS census 1996. Cairns: Tropical Public Health Unit Network.

Australian Gonococcal Surveillance Programme, 1984. Penicillin sensitivity of gonococci in Australia: development of an Australian Gonococcal Surveillance Programme. British Journal of Venereology 60:226-230.

Rothman KJ. Modern Epidemiology. Boston/Toronto: Little, Brown and Company 1986.

Martin DR, Walker SJ, Baker MG, Lennon DR. New Zealand epidemic of meningococcal disease identified by a strain with phenotype B:4:P1.4. J Infect Dis 1998;177:497-500.

Whalen AM, Hockin JC, Ryan A, Ashton F. The changing epidemiology of invasive meningococcal disease in Canada, 1985 through 1992. JAMA 1995;273:2390-2394.

Brookes D, Richards A, Smith H. Tracking a meningococcal disease cluster: carriage on a train. Communicable Diseases Control Conference 2001. Canberra.

Ward J, Hanna JN, Bates JR, Selvey LA. Enhanced surveillance for meningococcal disease in Queensland in 1999. Commun Dis Intell 2000;24:332-336.

Australian Meningococcal Surveillance Programme. Annual report of the Australian Meningococcal Surveillance Programme, 1999. Commun Dis Intell 2000;24:181-189.

McAnulty J, Habib M, Muscatello D. EpiReview: Meningococcal disease in NSW 1991-1999. NSW Public Health Bulletin 2000;11:128-130.

Jelfs J, Munro M, Wedege E, Caugaunt DA. Sequence variation in the porA gene of a clone of Neisseria meningitidis during epidemic spread. Clin Diagn Immunol 2000;7:390-395.

Spicer J, Christiansen K, Currie B, Fairley C, Ferguson J, Glasziou P et al. Therapeutic Guidelines Antibiotic 2000. North Melbourne: Therapeutic Guidelines Limited

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Published

30/03/02

How to Cite

Harley, Dave, Jeffrey N Hanna, Susan L Hills, John R Bates, and Helen V Smith. 2002. “Epidemiology of Invasive Meningococcal Disease in North Queensland, 1995 to 1999”. Communicable Diseases Intelligence 26 (March):44-50. https://doi.org/10.33321/cdi.2002.26.9.

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