Meningococcal disease surveillance in the Asia–Pacific region (2020): The global meningococcal initiative

•Incidence of meningococcal disease is similar across the Asia–Pacific region.•The most prevalent serogroups of N. meningitidis are B, w and Y, with c also emerging.•Except for China and Australia, vaccination is not included in NIPs across the region.•Antibiotic resistance is an ongoing concern, wi...

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Veröffentlicht in:The Journal of infection 2020-11, Vol.81 (5), p.698-711
Hauptverfasser: Aye, Aye Mya Min, Bai, Xilian, Borrow, Ray, Bory, Sotharith, Carlos, Josefina, Caugant, Dominique A., Chiou, Chien-Shun, Dai, Vo Thi Trang, Dinleyici, Ener Cagri, Ghimire, Prakash, Handryastuti, Setyo, Heo, Jung Yeon, Jennison, Amy, Kamiya, Hajime, Tonnii Sia, Loong, Lucidarme, Jay, Marshall, Helen, Putri, Nina Dwi, Saha, Senjuti, Shao, Zhujun, Sim, James Heng Chiak, Smith, Vinny, Taha, Muhamed-Kheir, Van Thanh, Phan, Thisyakorn, Usa, Tshering, Kinley, Vázquez, Julio, Veeraraghavan, Balaji, Yezli, Saber, Zhu, Bingqing
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container_issue 5
container_start_page 698
container_title The Journal of infection
container_volume 81
creator Aye, Aye Mya Min
Bai, Xilian
Borrow, Ray
Bory, Sotharith
Carlos, Josefina
Caugant, Dominique A.
Chiou, Chien-Shun
Dai, Vo Thi Trang
Dinleyici, Ener Cagri
Ghimire, Prakash
Handryastuti, Setyo
Heo, Jung Yeon
Jennison, Amy
Kamiya, Hajime
Tonnii Sia, Loong
Lucidarme, Jay
Marshall, Helen
Putri, Nina Dwi
Saha, Senjuti
Shao, Zhujun
Sim, James Heng Chiak
Smith, Vinny
Taha, Muhamed-Kheir
Van Thanh, Phan
Thisyakorn, Usa
Tshering, Kinley
Vázquez, Julio
Veeraraghavan, Balaji
Yezli, Saber
Zhu, Bingqing
description •Incidence of meningococcal disease is similar across the Asia–Pacific region.•The most prevalent serogroups of N. meningitidis are B, w and Y, with c also emerging.•Except for China and Australia, vaccination is not included in NIPs across the region.•Antibiotic resistance is an ongoing concern, with non-susceptible strains emerging.•A number of countries have adopted whole genome sequencing in surveillance programs. The degree of surveillance data and control strategies for invasive meningococcal disease (IMD) varies across the Asia–Pacific region. IMD cases are often reported throughout the region, but the disease is not notifiable in some countries, including Myanmar, Bangladesh and Malaysia. Although there remains a paucity of data from many countries, specific nations have introduced additional surveillance measures. The incidence of IMD is low and similar across the represented countries (
doi_str_mv 10.1016/j.jinf.2020.07.025
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The degree of surveillance data and control strategies for invasive meningococcal disease (IMD) varies across the Asia–Pacific region. IMD cases are often reported throughout the region, but the disease is not notifiable in some countries, including Myanmar, Bangladesh and Malaysia. Although there remains a paucity of data from many countries, specific nations have introduced additional surveillance measures. The incidence of IMD is low and similar across the represented countries (&lt;0.2 cases per 100,000 persons per year), with the predominant serogroups of Neisseria meningitidis being B, W and Y, although serogroups A and X are present in some areas. Resistance to ciprofloxacin is also of concern, with the close monitoring of antibiotic-resistant clonal complexes (e.g., cc4821) being a priority. Meningococcal vaccination is only included in a few National Immunization Programs, but is recommended for high-risk groups, including travellers (such as pilgrims) and people with complement deficiencies or human immunodeficiency virus (HIV). Both polysaccharide and conjugate vaccines form part of recommendations. 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The degree of surveillance data and control strategies for invasive meningococcal disease (IMD) varies across the Asia–Pacific region. IMD cases are often reported throughout the region, but the disease is not notifiable in some countries, including Myanmar, Bangladesh and Malaysia. Although there remains a paucity of data from many countries, specific nations have introduced additional surveillance measures. The incidence of IMD is low and similar across the represented countries (&lt;0.2 cases per 100,000 persons per year), with the predominant serogroups of Neisseria meningitidis being B, W and Y, although serogroups A and X are present in some areas. Resistance to ciprofloxacin is also of concern, with the close monitoring of antibiotic-resistant clonal complexes (e.g., cc4821) being a priority. Meningococcal vaccination is only included in a few National Immunization Programs, but is recommended for high-risk groups, including travellers (such as pilgrims) and people with complement deficiencies or human immunodeficiency virus (HIV). Both polysaccharide and conjugate vaccines form part of recommendations. 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subjects Antibiotic resistance
Asia - epidemiology
Asia-Pacific
Bacterial meningitis
Bangladesh
Carriage
Conjugate vaccine
Emerging strains
High-risk groups
Humans
Immunization program
Meningococcal disease
Meningococcal Infections - epidemiology
Meningococcal Infections - prevention & control
Meningococcal Vaccines
Myanmar
Neisseria meningitidis
Polysaccharide vaccine
Refugees
Serogroup
Surveillance
Vaccination
title Meningococcal disease surveillance in the Asia–Pacific region (2020): The global meningococcal initiative
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