Meningococcal vaccination: a discussion with all adolescents, whether college-bound or not.

Abstract:

:Introduction: Adolescents and young adults are the primary reservoirs and transmitters of meningococci. In the US, meningococcal serogroup B (MenB) disease predominates over A, C, W, and Y; ACIP-recommended MenACWY and MenB vaccines are available. We investigated invasive meningococcal disease (IMD) burden and vaccination among non-college adolescents.Methods: IMD incidence by college attendance status and vaccination rates were analyzed using publicly available surveillance data.Results: 64/158 IMD cases occurred in non-college 18-24-year-olds during 2015-2017. Among non-college cases, the MenACWY vaccination rates were 38%-57% vs 90%-100% among college cases when vaccination status was known; MenB vaccination was 0% vs 0%-7%, respectively. In 2018, 17.2% of all 17-year-olds received ≥1 dose of multidose MenB vaccines; ≤50% completed the series.Conclusion: Meningococcal vaccination is emphasized for college-bound adolescents, but non-college adolescents bear much of the disease burden. Low vaccine receipt preserves their risk, underscoring the need to protect all adolescents through vaccination.

journal_name

Postgrad Med

journal_title

Postgraduate medicine

authors

Alderfer JT,Moran MM,Srivastava A,Isturiz RE

doi

10.1080/00325481.2019.1671667

subject

Has Abstract

pub_date

2019-11-01 00:00:00

pages

551-554

issue

8

eissn

0032-5481

issn

1941-9260

journal_volume

131

pub_type

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