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Emergence and disappearance of W135 meningococcal disease

  • A. WILDER-SMITH (a1), A. CHOW (a2) and K.-T. GOH (a3)

Summary

W135 meningococcal disease was imported into Singapore in 2000 via Hajj pilgrims. Previous studies have showed sustained carriage of W135 with the potential for further transmission within communities. We therefore set out to determine whether W135 meningococcal disease would become endemic in Singapore after its introduction in 2000. Cases occurred until 2003, but no further cases have been reported since 2004.

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Copyright

Corresponding author

*Author for correspondence: A/Professor A. Wilder-Smith, Department of Epidemiology and Public Health, National University of Singapore, Singapore 114907. Email: epvws@pacific.net.sg

References

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1.Taha, MK, et al. Serogroup W135 meningococcal disease in Hajj pilgrims. Lancet 2000; 356: 2159.
2.Doganci, L, et al. Neisseria meningitidis W135, Turkey. Emerging Infectious Diseases 2004; 10: 936937.
3.Fonkoua, MC, et al. Recent increase in meningitis Caused by Neisseria meningitidis serogroups A and W135, Yaounde, Cameroon. Emerging Infectious Diseases 2002; 8: 327329.
4.Hahne, SJ, et al. W135 meningococcal disease in England and Wales associated with Hajj 2000 and 2001. Lancet 2002; 359: 582583.
5.Koumare, B, et al. The first large epidemic of meningococcal disease caused by serogroup W135, Burkina Faso, 2002. Vaccine 2007; 25 (Suppl. 1): A37–41.
6.Wilder-Smith, A, et al. Acquisition of W135 meningococcal carriage in Hajj pilgrims and transmission to household contacts: prospective study. British Medical Journal 2002; 325: 365366.
7.Wilder-Smith, A, et al. Persistence of W135 Neisseria meningitidis carriage in returning Hajj pilgrims: risk for early and late transmission to household contacts. Emerging Infectious Diseases 2003; 9: 123126.
8.Wilder-Smith, A, et al. Hajj-associated outbreak strain of Neisseria meningitidis serogroup W135: estimates of the attack rate in a defined population and the risk of invasive disease developing in carriers. Clinical Infectious Diseases 2003; 36: 679683.
9.Wilder-Smith, A, Tai Goh, K. W-135 meningococcal disease in a traveler: a case report. Journal of Travel Medicine 2003; 10: 5960.
10.Jodar, L, et al. Development of vaccines against meningococcal disease. Lancet 2002; 359: 14991508.
11.Ahmed, QA, et al. Health risks at the Hajj. Lancet 2006; 367: 10081015.
12.Wilder-Smith, A, et al. Absence of Neisseria meningitidis W-135 electrophoretic Type 37 during the Hajj, 2002. Emerging Infectious Diseases 2003; 9: 734737.

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Emergence and disappearance of W135 meningococcal disease

  • A. WILDER-SMITH (a1), A. CHOW (a2) and K.-T. GOH (a3)

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