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NSW Health

NSW DEPARTMENT OF HEALTH


23 December 2009

Holiday warning on meningococcal disease

NSW Health Communicable Diseases Director, Dr Jeremy McAnulty, today reminded the public to be alert to the symptoms of meningococcal disease over the holiday period, following a number of recent infections in the community.

Eight cases of meningococcal disease were reported in the last month, Dr McAnulty said.

Three of these were associated with a high-school end of year formal in Sydney. The remaining cases were unrelated.

Although this nasty infection is most common during winter and spring, in some years we see an increase in cases around the Christmas - New Year party season, presumably because of the increase in close mixing of young people.

Dr McAnulty said most people who contract the disease make a full recovery, however meningococcal disease can strike quickly and be fatal.

To date, 89 cases of meningococcal disease have been reported this year, including four deaths. This compares with 80 cases for 2008. In 2005, cases in December jumped to 17 from only 5 in November.

If anyone develops meningococcal symptoms, it is vital they seek medical treatment immediately and start appropriate antibiotic treatment if the doctor diagnoses possible meningococcal disease, he said.

The first symptoms of meningococcal disease may include pain in the legs, cold hands and feet and abnormal skin colour. Later symptoms may include:

  • high fever
  • headache
  • neck stiffness
  • dislike of bright lights
  • nausea and vomiting
  • a blotchy purple-red rash
  • drowsiness

Dr McAnulty said many people associate meningococcal disease with a rash but not all people with meningococcal disease develop a rash or the rash can happen very late in the course of the disease.

Meningococcal disease is a bacterial infection that causes either meningitis (inflammation of the lining of the brain and spinal cord) or septicaemia (blood poisoning). Most cases occur in infants, teenagers and young adults but people of any age group can develop the disease.

The two main strains of meningococcal disease in Australia are types B and C.

A vaccine is effective against the less common meningococcal C strain, but there is currently no vaccine for the B strain of the disease.

Dr McAnulty said people who have had the meningococcal C vaccine should still be on the look out for symptoms because the vaccine doesn’t protect against the more common type B infection.

The meningococcal C vaccine is recommended for all babies at 12 months of age and provided free via the National Immunisation Program. In NSW it is also made available free for people up to 25 years of age who have not yet had the vaccine as part of the school-based vaccination program.

Since the introduction of the meningococcal C vaccine into the routine childhood vaccination schedule and NSW schools program, fewer people have had meningococcal C disease.

For more information on meningocococal disease, go to NSW hleath's web page: http://www.health.nsw.gov.au/publichealth/Infectious/a-z.asp

For a range of health information, go online to www.health.nsw.gov.au

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