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Title: Meningococcal vaccine in travelers
Authors: Wilder-Smith, A. 
Keywords: Conjugate vaccines
Hajj pilgrimage
Meningococcal disease
Meningococcal vaccines
W135 meningococcal disease
Issue Date: Oct-2007
Citation: Wilder-Smith, A. (2007-10). Meningococcal vaccine in travelers. Current Opinion in Infectious Diseases 20 (5) : 454-460. ScholarBank@NUS Repository.
Abstract: PURPOSE OF REVIEW: New vaccines to prevent meningococcal disease have been licensed in recent years. It is therefore timely to discuss current vaccine strategies pertinent to international travelers in relation to the changing epidemiology. RECENT FINDINGS: Serogroup W135 achieved epidemic status in Africa in 2002, and then largely disappeared over a short time period. The year 2006 saw a marked epidemic rise in meningitis attack rates across the meningitis belt in Africa. This rise was mainly due to a new serogroup A strain, indicating that a new meningitis epidemic wave is beginning in Africa. Epidemics are also spreading south of the meningitis belt, including the Greater Lakes Area (Burundi, Rwanda, Republic of Tanzania). The new quadrivalent conjugate meningococcal vaccine is now licensed in North America but not elsewhere. In most other industrialized countries, the serogroup C conjugate vaccine is licensed. Plain polysaccharide quadrivalent vaccines are available almost worldwide. SUMMARY: Quadrivalent meningococcal vaccination is a visa requirement for Hajj and Umrah pilgrims to Saudi Arabia. Travelers to the meningitis belt during the dry season should be advised to receive meningococcal vaccine that covers all four serogroups. This recommendation should be extended to the Greater Lake Area, because of recent epidemics. Vaccine choices depend on availability. © 2007 Lippincott Williams & Wilkins, Inc.
Source Title: Current Opinion in Infectious Diseases
ISSN: 09517375
Appears in Collections:Staff Publications

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