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Respiratory syncytial virus infection and meningococcal disease

Published online by Cambridge University Press:  15 May 2009

J. M. Stuart
Affiliation:
PHLS Communicable Disease Surveillance Centre, 61 Colindale Avenue, London NW9 5EQ
K. Cartwright
Affiliation:
Public Health Laboratory, Gloucestershire Royal Hospital, Great Western Road, Gloucester GL1 3NN
N. J. Andrews
Affiliation:
PHLS Statistics Unit, 61 Colindale Avenue, London NW9 5EQ
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Summary

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Although viral respiratory tract infections may predispose to meningococcal disease, strong evidence that they do so exists only for influenza. Data on laboratory reported cases of respiratory syncytial virus (RSV) infections and meningococcal disease in England and Wales from mid-1989 to mid-1994 were analysed. Although the rise in RSV cases preceded the rise in meningococcal disease cases each winter, the interval between the rise and fall of the two diseases was inconsistent, no association was found between time series after removal of the seasonal component, and there was no evidence that more cases of meningococcal disease occurred in winters with more RSV disease. RSV may have less effect on the two most likely mechanisms whereby influenza predisposes to meningococcal disease, namely lowered immunity and impaired pharyngeal defences.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1996

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