Changing patterns of invasive meningococcal disease and future immunization strategies

Invasive meningococcal disease (IMD) is a life-threatening disease caused by Neisseria meningitidis and has high mortality rates. Survivors often exhibit long-term sequelae and reduced life expectancy. Disease incidence is highest in infants and toddlers, with a resurgence of cases in adolescents an...

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Main Authors: Muhamed-Kheir Taha, Rafik Bekkat-Berkani, Véronique Abitbol
Format: Article
Language:English
Published: Taylor & Francis Group 2023-01-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2023.2186111
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author Muhamed-Kheir Taha
Rafik Bekkat-Berkani
Véronique Abitbol
author_facet Muhamed-Kheir Taha
Rafik Bekkat-Berkani
Véronique Abitbol
author_sort Muhamed-Kheir Taha
collection DOAJ
description Invasive meningococcal disease (IMD) is a life-threatening disease caused by Neisseria meningitidis and has high mortality rates. Survivors often exhibit long-term sequelae and reduced life expectancy. Disease incidence is highest in infants and toddlers, with a resurgence of cases in adolescents and older adults (>50 years of age). Substantial heterogeneity exists in the recommendations of meningococcal vaccines included in National Immunization Programs (NIPs) across countries. Recommendations are usually based on infant/toddler immunization, with some countries recommending immunization only for toddlers. While existing recommendations have led to a reduced incidence of IMD in children <5 years of age, there has been an increase in cases among adolescents and older adults. Currently, older adults are not included in the recommendations. The higher healthcare burden and the economic costs associated with IMD in these age groups suggest that it is time to consider including adolescents and older adults in NIPs to protect against IMD caused by the five most prevalent serogroups. Currently, the lack of equity of access to vaccines in the immunization programs is a glaring gap in the betterment of public health, and a broader meningococcal strategy is recommended to provide optimal protection for all age groups.
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spelling doaj.art-508f76067ab740b8b181d5f7404edcb82023-09-26T13:25:48ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2023-01-0119110.1080/21645515.2023.21861112186111Changing patterns of invasive meningococcal disease and future immunization strategiesMuhamed-Kheir Taha0Rafik Bekkat-Berkani1Véronique Abitbol2National Reference Centre for Meningococci and Haemophilus InfluenzaGSKGSKInvasive meningococcal disease (IMD) is a life-threatening disease caused by Neisseria meningitidis and has high mortality rates. Survivors often exhibit long-term sequelae and reduced life expectancy. Disease incidence is highest in infants and toddlers, with a resurgence of cases in adolescents and older adults (>50 years of age). Substantial heterogeneity exists in the recommendations of meningococcal vaccines included in National Immunization Programs (NIPs) across countries. Recommendations are usually based on infant/toddler immunization, with some countries recommending immunization only for toddlers. While existing recommendations have led to a reduced incidence of IMD in children <5 years of age, there has been an increase in cases among adolescents and older adults. Currently, older adults are not included in the recommendations. The higher healthcare burden and the economic costs associated with IMD in these age groups suggest that it is time to consider including adolescents and older adults in NIPs to protect against IMD caused by the five most prevalent serogroups. Currently, the lack of equity of access to vaccines in the immunization programs is a glaring gap in the betterment of public health, and a broader meningococcal strategy is recommended to provide optimal protection for all age groups.http://dx.doi.org/10.1080/21645515.2023.2186111adolescent vaccinationage distributioninvasive meningococcal diseaseneisseria meningitidisolder adultsvaccination strategiesvaccine equity
spellingShingle Muhamed-Kheir Taha
Rafik Bekkat-Berkani
Véronique Abitbol
Changing patterns of invasive meningococcal disease and future immunization strategies
Human Vaccines & Immunotherapeutics
adolescent vaccination
age distribution
invasive meningococcal disease
neisseria meningitidis
older adults
vaccination strategies
vaccine equity
title Changing patterns of invasive meningococcal disease and future immunization strategies
title_full Changing patterns of invasive meningococcal disease and future immunization strategies
title_fullStr Changing patterns of invasive meningococcal disease and future immunization strategies
title_full_unstemmed Changing patterns of invasive meningococcal disease and future immunization strategies
title_short Changing patterns of invasive meningococcal disease and future immunization strategies
title_sort changing patterns of invasive meningococcal disease and future immunization strategies
topic adolescent vaccination
age distribution
invasive meningococcal disease
neisseria meningitidis
older adults
vaccination strategies
vaccine equity
url http://dx.doi.org/10.1080/21645515.2023.2186111
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AT rafikbekkatberkani changingpatternsofinvasivemeningococcaldiseaseandfutureimmunizationstrategies
AT veroniqueabitbol changingpatternsofinvasivemeningococcaldiseaseandfutureimmunizationstrategies