Virginia declares outbreak of rare and serious disease.
Statewide Outbreak of Meningococcal Disease in Virginia
The Virginia Department of Health (VDH) has announced a statewide outbreak of Meningococcal disease, with recorded infection numbers triple the normal level.
Meningococcal disease is caused by the bacteria “Neisseria meningitidis type Y” and can result in infections of the brain lining, spinal cord, and bloodstream. The disease can be severe and even result in death. Twenty-seven cases of the “rare but serious” meningococcal disease have been reported in eastern, central, and southwest Virginia since June 2022, the VDH said in an Aug. 30 blog post.
“This development is three times the expected number of cases during this time period. Most cases are residents of eastern Virginia, where a regional outbreak was first announced in September 2022.”
“Five patients have died from complications associated with this disease. The strain associated with this outbreak is known to be circulating more widely in the United States. Risk to Virginia’s population is low.”
Even though VDH has not identified a common risk factor for the current spread, testing has confirmed that incidents are “highly genetically related.” Most of the patients were black adults in the age group of 30 to 60 years.
Out of the 27 cases of meningococcal disease identified by VDH, 26 were found among people who were not vaccinated against Neisseria meningitidis type Y.
During a 2023 Immunization Coalition Meningococcal Webinar, Professor Robert Booy, an infectious diseases expert at the University of Sydney, Australia, suggested that COVID-19 restriction measures could be responsible for the rising number of meningococcal cases.
Mr. Booy pointed out that measures like social distancing, masks, and handwashing prevented infections like meningococcal. And because of less contact, “we incurred an immune debt; we weren’t exposed to all sorts of infections.”
According to the VDH, most of the cases of meningococcal disease were recorded in the eastern United States, where 20 out of the 27 infections were identified. The Southwest recorded five cases and the central United States recorded two. No infections have been reported from the northern or northwest United States.
“People spread meningococcal bacteria to other people by sharing respiratory and throat secretions (saliva or spit). Generally, it takes close (for example, coughing or kissing) or lengthy contact to spread these bacteria,” the CDC stated.
“Fortunately, they are not as contagious as germs that cause the common cold or the flu. People do not catch the bacteria through casual contact or by breathing air where someone with meningococcal disease has been.”
The agency points out that people who are in constant contact with an infected individual, like those living in the same household and roommates, are at “increased risk” of getting sick.
Most of meningitis infections are caused by six types of Neisseria meningitidis—A, B, C, W, X, and Y. In the United States, it is the B, C, and Y types that are responsible for most of the illnesses.
The Illness
The bacteria that causes meningococcal disease is present in around 1 in 10 people in the back of their nose and throat.
The highest rate of meningococcal disease in America is among infants younger than a year old, teens and young adults between the ages of 16 and 23, and adults aged 65 and above.
Certain medical conditions can weaken the immune system, thus putting some individuals at higher risk of contracting meningococcal disease. This includes HIV, functional and anatomic asplenia, and persistent c
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