Meningococcal meningitis in India: An expert consensus on use of MCVs.
Ashok Kumar Dutta, Rashna Dass Hazarika, K L Ravikumar et al.
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In 30 seconds
This consensus statement addresses invasive meningococcal disease (IMD) in India, highlighting its public health impact and vaccination strategies. Developed by 14 experts, the document reviews outbreaks from 1966 to 2022-2023, noting a case fatality ratio of 20.9% in Delhi. The consensus recommends MenACWY vaccination at 9-12 months with a booster at 10-11 years.
Key findings
- IMD shows a bimodal age distribution, with 61.8% of cases in children under 5 years.
- Serogroup A is predominant, with emerging serogroups C, W, and Y.
- MenACWY conjugate vaccines provide 95.7-99.5% seroprotection across serogroups.
- Systematic review indicates a 12.1% prevalence of IMD in epidemics.
Why it matters
Understanding the epidemiology and vaccination strategies for IMD is crucial for clinicians to improve patient outcomes and reduce mortality. Enhanced awareness and vaccination can help mitigate the public health burden of this disease.