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Published in: Infectious Diseases and Therapy 2/2018

Open Access 01-06-2018 | Review

A Review of Meningococcal Disease and Vaccination Recommendations for Travelers

Authors: Lidia C. Serra, Laura J. York, Amgad Gamil, Paul Balmer, Chris Webber

Published in: Infectious Diseases and Therapy | Issue 2/2018

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Abstract

Abstract

International travel has been steadily increasing since the middle of the twentieth century, including travel to regions with high levels of endemic meningococcal disease and areas with sporadic or sustained meningococcal outbreaks. Although invasive meningococcal disease (IMD) is relatively rare in travelers since the advent of quadrivalent meningococcal vaccines, it remains a serious concern because of its rapid progression, poor prognosis and outcomes, associated treatment delays, and the potential to precipitate outbreaks. Moreover, fatality occurs in up to 22% of those infected. This review will focus on IMD in travelers, with an emphasis on IMD epidemiology and the geographic regions of potential concern for international travelers. As vaccination is the best approach for preventing IMD among travelers, currently available meningococcal vaccines and corresponding country-specific national meningococcal vaccination recommendations, where available, will be summarized by age and type of vaccine recommended. The use of the quadrivalent meningococcal vaccines, specifically the tetanus toxoid conjugate vaccine (including MenACWY-TT; Nimenrix®), as a protective measure against IMD in travelers will be emphasized.

Funding

Pfizer Inc.
Literature
2.
go back to reference Wilder-Smith A. Meningococcal disease in travelers: a rare but devastating disease. J Travel Med. 2010;17(suppl):1–2.CrossRefPubMed Wilder-Smith A. Meningococcal disease in travelers: a rare but devastating disease. J Travel Med. 2010;17(suppl):1–2.CrossRefPubMed
3.
go back to reference Pelton SI. The global evolution of meningococcal epidemiology following the introduction of meningococcal vaccines. J Adolesc Health. 2016;59(suppl):S3–11.CrossRefPubMed Pelton SI. The global evolution of meningococcal epidemiology following the introduction of meningococcal vaccines. J Adolesc Health. 2016;59(suppl):S3–11.CrossRefPubMed
4.
go back to reference von Gottberg A, du Plessis M, Cohen C, et al. Emergence of endemic serogroup W135 meningococcal disease associated with a high mortality rate in South Africa. Clin Infect Dis. 2008;46:377–86.CrossRef von Gottberg A, du Plessis M, Cohen C, et al. Emergence of endemic serogroup W135 meningococcal disease associated with a high mortality rate in South Africa. Clin Infect Dis. 2008;46:377–86.CrossRef
6.
7.
go back to reference Pace D, Pollard AJ. Meningococcal disease: clinical presentation and sequelae. Vaccine. 2012;30(suppl 2):B3–9.CrossRefPubMed Pace D, Pollard AJ. Meningococcal disease: clinical presentation and sequelae. Vaccine. 2012;30(suppl 2):B3–9.CrossRefPubMed
8.
go back to reference Jafri RZ, Ali A, Messonnier NE, et al. Global epidemiology of invasive meningococcal disease. Popul Health Metr. 2013;11:11–7.CrossRef Jafri RZ, Ali A, Messonnier NE, et al. Global epidemiology of invasive meningococcal disease. Popul Health Metr. 2013;11:11–7.CrossRef
9.
go back to reference Cohn AC, MacNeil JR, Clark TA, et al. Prevention and control of meningococcal disease: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2013;62:1–28.PubMed Cohn AC, MacNeil JR, Clark TA, et al. Prevention and control of meningococcal disease: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2013;62:1–28.PubMed
11.
go back to reference Safadi MA, O’Ryan M, Valenzuela Bravo MT, et al. The current situation of meningococcal disease in Latin America and updated Global Meningococcal Initiative (GMI) recommendations. Vaccine. 2015;33:6529–36.CrossRefPubMed Safadi MA, O’Ryan M, Valenzuela Bravo MT, et al. The current situation of meningococcal disease in Latin America and updated Global Meningococcal Initiative (GMI) recommendations. Vaccine. 2015;33:6529–36.CrossRefPubMed
12.
go back to reference World Health Organization. Meningococcal disease in countries of the African meningitis belt, 2012-emerging needs and future perspectives. Wkly Epidemiol Rec. 2013;88:129–36. World Health Organization. Meningococcal disease in countries of the African meningitis belt, 2012-emerging needs and future perspectives. Wkly Epidemiol Rec. 2013;88:129–36.
14.
go back to reference LaForce FM, Okwo-Bele J-M. Eliminating epidemic group A meningococcal meningitis in Africa through a new vaccine. Health Aff (Millwood). 2011;30:1049–57.CrossRef LaForce FM, Okwo-Bele J-M. Eliminating epidemic group A meningococcal meningitis in Africa through a new vaccine. Health Aff (Millwood). 2011;30:1049–57.CrossRef
15.
go back to reference MenAfriVac (meningococcal A conjugate vaccine). Full prescribing information, Serum Institute of India, Pune, India, 2015. MenAfriVac (meningococcal A conjugate vaccine). Full prescribing information, Serum Institute of India, Pune, India, 2015.
16.
go back to reference Djingarey MH, Barry R, Bonkoungou M, et al. Effectively introducing a new meningococcal A conjugate vaccine in Africa: the Burkina Faso experience. Vaccine. 2012;30(suppl 2):B40–5.CrossRefPubMed Djingarey MH, Barry R, Bonkoungou M, et al. Effectively introducing a new meningococcal A conjugate vaccine in Africa: the Burkina Faso experience. Vaccine. 2012;30(suppl 2):B40–5.CrossRefPubMed
18.
go back to reference Lingani C, Bergeron-Caron C, Stuart JM, et al. Meningococcal meningitis surveillance in the African meningitis belt, 2004-2013. Clin Infect Dis. 2015;61(suppl 5):S410–5.CrossRefPubMedPubMedCentral Lingani C, Bergeron-Caron C, Stuart JM, et al. Meningococcal meningitis surveillance in the African meningitis belt, 2004-2013. Clin Infect Dis. 2015;61(suppl 5):S410–5.CrossRefPubMedPubMedCentral
19.
go back to reference Nnadi C, Oladejo J, Yennan S, et al. Large outbreak of Neisseria meningitidis Serogroup C—Nigeria, December 2016–June 2017. Morb Mortal Wkly Rep. 2017;66:1352–6.CrossRef Nnadi C, Oladejo J, Yennan S, et al. Large outbreak of Neisseria meningitidis Serogroup C—Nigeria, December 2016–June 2017. Morb Mortal Wkly Rep. 2017;66:1352–6.CrossRef
20.
go back to reference Memish ZA, Yezli S, Almasri M, et al. Meningococcal serogroup A, C, W, and Y serum bactericidal antibody profiles in Hajj pilgrims. Int J Infect Dis. 2014;28:171–5.CrossRefPubMed Memish ZA, Yezli S, Almasri M, et al. Meningococcal serogroup A, C, W, and Y serum bactericidal antibody profiles in Hajj pilgrims. Int J Infect Dis. 2014;28:171–5.CrossRefPubMed
21.
go back to reference Yezli S, Bin Saeed AA, Assiri AM, et al. Prevention of meningococcal disease during the Hajj and Umrah mass gatherings: past and current measures and future prospects. Int J Infect Dis. 2016;47:71–8.CrossRefPubMed Yezli S, Bin Saeed AA, Assiri AM, et al. Prevention of meningococcal disease during the Hajj and Umrah mass gatherings: past and current measures and future prospects. Int J Infect Dis. 2016;47:71–8.CrossRefPubMed
22.
go back to reference Parker S. The Hajj: a constant travel destination amidst changing times. S Afr J Epidemiol Infect. 2010;25:14–8. Parker S. The Hajj: a constant travel destination amidst changing times. S Afr J Epidemiol Infect. 2010;25:14–8.
23.
24.
go back to reference Al-Mazrou YY, Al-Jeffri MH, Abdalla MN, Elgizouli SA, Mishskas AA. Changes in epidemiological pattern of meningococcal disease in Saudi Arabia. Does it constitute a new challenge for prevention and control? Saudi Med J. 2004;25:1410–3.PubMed Al-Mazrou YY, Al-Jeffri MH, Abdalla MN, Elgizouli SA, Mishskas AA. Changes in epidemiological pattern of meningococcal disease in Saudi Arabia. Does it constitute a new challenge for prevention and control? Saudi Med J. 2004;25:1410–3.PubMed
25.
go back to reference Ceyhan M, Anis S, Htun-Myint L, et al. Meningococcal disease in the Middle East and North Africa: an important public health consideration that requires further attention. Int J Infect Dis. 2012;16:e574–82.CrossRefPubMed Ceyhan M, Anis S, Htun-Myint L, et al. Meningococcal disease in the Middle East and North Africa: an important public health consideration that requires further attention. Int J Infect Dis. 2012;16:e574–82.CrossRefPubMed
27.
go back to reference Ladhani SN, Beebeejaun K, Lucidarme J, et al. Increase in endemic Neisseria meningitidis capsular group W sequence type 11 complex associated with severe invasive disease in England and Wales. Clin Infect Dis. 2015;60:578–85.CrossRefPubMed Ladhani SN, Beebeejaun K, Lucidarme J, et al. Increase in endemic Neisseria meningitidis capsular group W sequence type 11 complex associated with severe invasive disease in England and Wales. Clin Infect Dis. 2015;60:578–85.CrossRefPubMed
29.
go back to reference Abad R, Lopez EL, Debbag R, Vazquez JA. Serogroup W meningococcal disease: global spread and current affect on the Southern Cone in Latin America. Epidemiol Infect. 2014;142:2461–70.CrossRefPubMed Abad R, Lopez EL, Debbag R, Vazquez JA. Serogroup W meningococcal disease: global spread and current affect on the Southern Cone in Latin America. Epidemiol Infect. 2014;142:2461–70.CrossRefPubMed
30.
go back to reference Husain EH, Barakat M, Al-Saleh M. Trends and variations in the epidemiology of meningococcal disease in Kuwait 1987-2013. J Infect Public Health. 2015;8:441–7.CrossRefPubMed Husain EH, Barakat M, Al-Saleh M. Trends and variations in the epidemiology of meningococcal disease in Kuwait 1987-2013. J Infect Public Health. 2015;8:441–7.CrossRefPubMed
32.
go back to reference Australian Government Department of Health. Australian meningococcal surveillance programme annual report, 2015, vol. 40. Australia: Canberra ACT; 2016. Australian Government Department of Health. Australian meningococcal surveillance programme annual report, 2015, vol. 40. Australia: Canberra ACT; 2016.
35.
go back to reference Zhao J, Nelson TJ, Vu Q, Truong T, Stains CI. Self-Assembling NanoLuc luciferase fragments as probes for protein aggregation in living cells. ACS Chem Biol. 2016;11:132–8.CrossRefPubMed Zhao J, Nelson TJ, Vu Q, Truong T, Stains CI. Self-Assembling NanoLuc luciferase fragments as probes for protein aggregation in living cells. ACS Chem Biol. 2016;11:132–8.CrossRefPubMed
36.
go back to reference Centers for Disease Control and Prevention. Enhanced meningococcal disease surveillance report. Atlanta: GA; 2016. Centers for Disease Control and Prevention. Enhanced meningococcal disease surveillance report. Atlanta: GA; 2016.
38.
go back to reference da Silva L, deTora L, Malerczyk C, Memish Z. Emergence of Neisseria meningitidis W-135 in the context of other rare serogroups. Clin Invest. 2012;2:177–88.CrossRef da Silva L, deTora L, Malerczyk C, Memish Z. Emergence of Neisseria meningitidis W-135 in the context of other rare serogroups. Clin Invest. 2012;2:177–88.CrossRef
40.
go back to reference Campbell H, Parikh SR, Borrow R, et al. Presentation with gastrointestinal symptoms and high case fatality associated with group W meningococcal disease (MenW) in teenagers, England, July 2015 to January 2016. Euro Surveill. 2016;21:30175.CrossRef Campbell H, Parikh SR, Borrow R, et al. Presentation with gastrointestinal symptoms and high case fatality associated with group W meningococcal disease (MenW) in teenagers, England, July 2015 to January 2016. Euro Surveill. 2016;21:30175.CrossRef
41.
go back to reference Lucidarme J, Hill DM, Bratcher HB, et al. Genomic resolution of an aggressive, widespread, diverse and expanding meningococcal serogroup B, C and W lineage. J Infect. 2015;71:544–52.CrossRefPubMedPubMedCentral Lucidarme J, Hill DM, Bratcher HB, et al. Genomic resolution of an aggressive, widespread, diverse and expanding meningococcal serogroup B, C and W lineage. J Infect. 2015;71:544–52.CrossRefPubMedPubMedCentral
42.
go back to reference Mueller JE, Gessner BD. A hypothetical explanatory model for meningococcal meningitis in the African meningitis belt. Int J Infect Dis. 2010;14:e553–9.CrossRefPubMed Mueller JE, Gessner BD. A hypothetical explanatory model for meningococcal meningitis in the African meningitis belt. Int J Infect Dis. 2010;14:e553–9.CrossRefPubMed
44.
go back to reference Carville KS, Stevens K, Sohail A, et al. Increase in meningococcal serogroup W disease, Victoria, Australia, 2013–2015. Emerg Infect Dis. 2016;22:1785–7.CrossRefPubMedPubMedCentral Carville KS, Stevens K, Sohail A, et al. Increase in meningococcal serogroup W disease, Victoria, Australia, 2013–2015. Emerg Infect Dis. 2016;22:1785–7.CrossRefPubMedPubMedCentral
47.
go back to reference Doyle TJ, Mejia-Echeverry A, Fiorella P, et al. Cluster of serogroup W135 meningococci, southeastern Florida, 2008–2009. Emerg Infect Dis. 2010;16:113–5.CrossRefPubMedPubMedCentral Doyle TJ, Mejia-Echeverry A, Fiorella P, et al. Cluster of serogroup W135 meningococci, southeastern Florida, 2008–2009. Emerg Infect Dis. 2010;16:113–5.CrossRefPubMedPubMedCentral
48.
go back to reference Cohn AC, MacNeil JR, Clark TA, et al. Prevention and control of meningococcal disease: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2013;62:1–28.PubMed Cohn AC, MacNeil JR, Clark TA, et al. Prevention and control of meningococcal disease: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2013;62:1–28.PubMed
49.
go back to reference Ali A, Jafri RZ, Messonnier N, et al. Global practices of meningococcal vaccine use and impact on invasive disease. Pathog Glob Health. 2014;108:11–20.CrossRefPubMedPubMedCentral Ali A, Jafri RZ, Messonnier N, et al. Global practices of meningococcal vaccine use and impact on invasive disease. Pathog Glob Health. 2014;108:11–20.CrossRefPubMedPubMedCentral
51.
go back to reference Finne J, Leinonen M, Makela PH. Antigenic similarities between brain components and bacteria causing meningitis. Implications for vaccine development and pathogenesis. Lancet. 1983;2:355–7.CrossRefPubMed Finne J, Leinonen M, Makela PH. Antigenic similarities between brain components and bacteria causing meningitis. Implications for vaccine development and pathogenesis. Lancet. 1983;2:355–7.CrossRefPubMed
52.
go back to reference Trumenba® (meningococcal group B vaccine). Full Prescribing Information, Wyeth Pharmaceuticals Inc., a subsidiary of Pfizer Inc, Philadelphia, PA, 2016. Trumenba® (meningococcal group B vaccine). Full Prescribing Information, Wyeth Pharmaceuticals Inc., a subsidiary of Pfizer Inc, Philadelphia, PA, 2016.
53.
go back to reference Folaranmi T, Rubin L, Martin SW, Patel M, MacNeil JR. Use of serogroup B meningococcal vaccines in persons aged ≥ 10 years at increased risk for serogroup B meningococcal disease: recommendations of the advisory committee on immunization practices, 2015. Morb Mortal Wkly Rep. 2015;64:608–12. Folaranmi T, Rubin L, Martin SW, Patel M, MacNeil JR. Use of serogroup B meningococcal vaccines in persons aged ≥ 10 years at increased risk for serogroup B meningococcal disease: recommendations of the advisory committee on immunization practices, 2015. Morb Mortal Wkly Rep. 2015;64:608–12.
57.
go back to reference Bexsero® (meningococcal group B vaccine). Full prescribing information, Novartis, Cambridge, 2016. Bexsero® (meningococcal group B vaccine). Full prescribing information, Novartis, Cambridge, 2016.
58.
go back to reference Bexsero®. Summary of product characteristics. Siena, Italy: Novartis; 2013. Bexsero®. Summary of product characteristics. Siena, Italy: Novartis; 2013.
61.
go back to reference Australian Government Department of Health. The Australian immunisation handbook. 10th ed. Canberra: Australian Technical Advisory Group on Immunisation; 2015. Australian Government Department of Health. The Australian immunisation handbook. 10th ed. Canberra: Australian Technical Advisory Group on Immunisation; 2015.
65.
go back to reference Public Health England. Meningococcal. The green book. London: Public Health England; 2015. Public Health England. Meningococcal. The green book. London: Public Health England; 2015.
66.
go back to reference MacNeil J, Meyer S. Meningococcal disease. Centers for Disease Control and Prevention. CDC health information for international travel 2016. New York: Oxford University Press; 2016. MacNeil J, Meyer S. Meningococcal disease. Centers for Disease Control and Prevention. CDC health information for international travel 2016. New York: Oxford University Press; 2016.
71.
go back to reference NIMENRIX (meningococcal polysaccharide serogroups A, C, W-135 and Y conjugate vaccine). Summary of product characteristics, Pfizer Ltd, Sandwich, Kent, 2017. NIMENRIX (meningococcal polysaccharide serogroups A, C, W-135 and Y conjugate vaccine). Summary of product characteristics, Pfizer Ltd, Sandwich, Kent, 2017.
73.
go back to reference NIMENRIX (Meningococcal polysaccharide serogroups A, C, W-135 and Y conjugate vaccine). Full prescribing information, Pfizer Australia Pty Ltd, West Ryde NSW, Australia, 2016. NIMENRIX (Meningococcal polysaccharide serogroups A, C, W-135 and Y conjugate vaccine). Full prescribing information, Pfizer Australia Pty Ltd, West Ryde NSW, Australia, 2016.
75.
go back to reference Vesikari T, Forsten A, Boutriau D, et al. Randomized trial to assess the immunogenicity, safety and antibody persistence up to 3 years after a single dose of a tetravalent meningococcal serogroups A, C, W-135 and Y tetanus toxoid conjugate vaccine in toddlers. Hum Vaccin Immunother. 2012;8:1892–903.CrossRefPubMedPubMedCentral Vesikari T, Forsten A, Boutriau D, et al. Randomized trial to assess the immunogenicity, safety and antibody persistence up to 3 years after a single dose of a tetravalent meningococcal serogroups A, C, W-135 and Y tetanus toxoid conjugate vaccine in toddlers. Hum Vaccin Immunother. 2012;8:1892–903.CrossRefPubMedPubMedCentral
76.
go back to reference Klein NP, Baine Y, Bianco V, et al. One or two doses of quadrivalent meningococcal serogroups A, C, W-135 and Y tetanus toxoid conjugate vaccine is immunogenic in 9- to 12-month-old children. Pediatr Infect Dis J. 2013;32:760–7.CrossRefPubMed Klein NP, Baine Y, Bianco V, et al. One or two doses of quadrivalent meningococcal serogroups A, C, W-135 and Y tetanus toxoid conjugate vaccine is immunogenic in 9- to 12-month-old children. Pediatr Infect Dis J. 2013;32:760–7.CrossRefPubMed
77.
go back to reference Nimenrix®, Summary of Product Characteristics (Meningococcal group A, C, W-135 and Y conjugate vaccine). Full prescribing information, Pfizer Ltd, Sandwich, Kent, 2018. Nimenrix®, Summary of Product Characteristics (Meningococcal group A, C, W-135 and Y conjugate vaccine). Full prescribing information, Pfizer Ltd, Sandwich, Kent, 2018.
78.
go back to reference Nimenrix®, Product information (Meningococcal polysaccharide serogroups A, C, W-135 and Y conjugate vaccine). Full prescribing information, Pfizer Australia Pty Ltd, West Ryde NSW, 2016. Nimenrix®, Product information (Meningococcal polysaccharide serogroups A, C, W-135 and Y conjugate vaccine). Full prescribing information, Pfizer Australia Pty Ltd, West Ryde NSW, 2016.
79.
go back to reference Nimenrix Product Monograph (Meningococcal polysaccharide groups A, C, W-135 and Y conjugate vaccine). Full Prescribing information, Pfizer Canada Inc, Kirkland, 2016. Nimenrix Product Monograph (Meningococcal polysaccharide groups A, C, W-135 and Y conjugate vaccine). Full Prescribing information, Pfizer Canada Inc, Kirkland, 2016.
80.
go back to reference Menveo® Summary of Product Characteristics (Meningococcal (groups A, C, Y and W-135) oligosaccharide diphtheria CRM197 conjugate vaccine). Full Prescribing Information, GSK Vaccines, Srl, Via Fiorentia, Italy, 2017. Menveo® Summary of Product Characteristics (Meningococcal (groups A, C, Y and W-135) oligosaccharide diphtheria CRM197 conjugate vaccine). Full Prescribing Information, GSK Vaccines, Srl, Via Fiorentia, Italy, 2017.
81.
go back to reference Menveo® (Meningococcal (Groups A, C, Y and W-135) Oligosaccharide Diphtheria CRM197 Conjugate Vaccine). Full Prescribing Information, Novartis Vaccines and Diagnostics, Inc., Cambridge, MA, USA, 2013. Menveo® (Meningococcal (Groups A, C, Y and W-135) Oligosaccharide Diphtheria CRM197 Conjugate Vaccine). Full Prescribing Information, Novartis Vaccines and Diagnostics, Inc., Cambridge, MA, USA, 2013.
82.
go back to reference Menveo® Product Information (Meningococcal (Groups A, C, W-135 and Y) Oligosaccharide CRM197 Conjugate Vaccine). Full prescribing information, GlaxoSmithKline Australia Pty Ltd, Abbotsford, Victoria, 2017. Menveo® Product Information (Meningococcal (Groups A, C, W-135 and Y) Oligosaccharide CRM197 Conjugate Vaccine). Full prescribing information, GlaxoSmithKline Australia Pty Ltd, Abbotsford, Victoria, 2017.
83.
go back to reference Menveo® Product Monograph (Meningococcal (Groups A, C, W-135 and Y) Oligosaccharide CRM197 Conjugate Vaccine). Full prescribing information, GlaxoSmithKline Inc., Mississauga, Ontario, 2017. Menveo® Product Monograph (Meningococcal (Groups A, C, W-135 and Y) Oligosaccharide CRM197 Conjugate Vaccine). Full prescribing information, GlaxoSmithKline Inc., Mississauga, Ontario, 2017.
84.
go back to reference Menactra® (MCV4). Full prescribing information, Sanofi Pasteur, 2011. Menactra® (MCV4). Full prescribing information, Sanofi Pasteur, 2011.
85.
go back to reference Menactra® Australian Product Information (Meningococcal (Groups A, C, Y and W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine). Full prescribing information, Sanofi-Aventis Australia Pty Ltd, Macquarie Park, NSW, 2014. Menactra® Australian Product Information (Meningococcal (Groups A, C, Y and W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine). Full prescribing information, Sanofi-Aventis Australia Pty Ltd, Macquarie Park, NSW, 2014.
Metadata
Title
A Review of Meningococcal Disease and Vaccination Recommendations for Travelers
Authors
Lidia C. Serra
Laura J. York
Amgad Gamil
Paul Balmer
Chris Webber
Publication date
01-06-2018
Publisher
Springer Healthcare
Published in
Infectious Diseases and Therapy / Issue 2/2018
Print ISSN: 2193-8229
Electronic ISSN: 2193-6382
DOI
https://doi.org/10.1007/s40121-018-0196-z

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