Meningitis outbreak in UK

Meningitis outbreak in UK

Two young deaths in Kent

Four of 15 cases are Meningitis B

Caused by meningococcal bacteria, not viral

Meningococcal disease can progress rapidly

Check friends who are off sick

Officials fear the outbreak has already spread beyond Kent

UKHSA admitted it knew a cluster of cases a full day before telling the public on Sunday night.

https://www.gov.uk/government/news/cases-of-invasive-meningococcal-disease-confirmed-in-kent

Meningococcal meningitis and septicaemia

Classic triad

Pyrexia, headache, meningism

Meningism

Headache, photophobia, neck stiffness, lower back signs

A rash that does not fade when pressed with a glass

Sudden onset of high fever

Severe and worsening headache

Vomiting and diarrhoea

Joint and muscle pain

Very cold hands and feet

Seizures

Confusion/delirium

Extreme sleepiness/difficulty waking

Incubation period is from two to seven days

Onset of disease varies from mild prodromal symptoms to fulminant illness with death occurring within 24 hours of the first symptoms.

The infection is fatal in 5% to 10% of cases

Do not rely on spotting the rash, which is linked to sepsis

Rash can occur alongside meningitis but does not happen in every case.

Many people with meningitis never develop a rash at all.

Survivors may develop severe long-term complications including hearing loss, severe visual impairment, communication problems, limb amputation(s), seizures, and brain damage.

Useful points

Paracetamol will lower temperature

Good nutrition and vitamin D

Transmission

https://assets.publishing.service.gov.uk/media/6849adb83a2aa5ba84d1df71/Meningococcal-green_book_chapter-22-10-6-25.pdf

Aerosol, droplets, or direct contact with respiratory secretions of
someone carrying the organism.

Close / prolonged contact is necessary

There is a marked seasonal variation in meningococcal disease, with peak
levels in the winter months declining to low levels by late summer.

This outbreak

Antibiotics being given to people who attended Club Chemistry on March 5,6,7th

Highly effective at preventing the disease and transmission

Routine childhood immunisations, those aged over 10 have not received it

Vaccination soon, Canterbury Campus Halls of Residence at the University of Kent

Current vaccines are NOT live and NOT mRNA based

Young people going on to university or college for the first time,

particularly at risk of meningitis,

mix with other students, some of whom are unknowingly carrying the bacteria at the back of their nose and throat.


MENINGOCOCCAL MENINGITIS AND SEPTICAEMIA

https://assets.publishing.service.gov.uk/media/6849adb83a2aa5ba84d1df71/Meningococcal-green_book_chapter-22-10-6-25.pdf

https://www.nhs.uk/conditions/meningitis/vaccination/

Meningeal layers, Dura mater, arachnoid mater, pia mater

Meningococci are Gram-negative diplococci,

Divided into antigenically distinct, polysaccharide capsule groups.

A, B, C, E, H, I, K, L, W, X, Y, and Z, groups B, C, W and Y are the most common causes of invasive disease in the UK.

Meningococci colonise the nasopharynx of humans, especially adolescents and young adults, and are frequently harmless commensals.

It is not fully understood why disease develops in some individuals but not in others.

Age, season, smoking, preceding viral infection and living in ‘closed’ or ‘semi-closed’ communities, such as university halls of residence or military barracks Receive SMS online on sms24.me

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