A 90% increase in meningitis cases puts ES on alert

Meningococcal C conjugate vaccine. Credit: Disclosure/SESA

A progressive decline in vaccination charges is accompanied by an increase in meningitis in Espirito Santo. From January to September of this yr, 158 cases of the illness have been registered in the state, and 41 of them died from viral, bacterial and fungal infections.

The variety of cases is 90% greater than in 2021, when 83 cases of meningitis have been reported in the state. And the variety of deaths from the illness has doubled in comparison with final yr, 19 folks have died – an increase of 115% since then. Espirito Santo’s meningitis file in 2020 was additionally decrease than this yr’s. At that point, 63 cases have been registered and 23 folks died.

Experts observe that the increase in deaths from meningitis will be defined by the lower in vaccinations towards meningitis recorded throughout the identical interval. In 2019, in response to the State Department of Health (Sesa), vaccination protection in Espirito Santo reached 90.46% of the audience. In the next years, in the midst of the Covid-19 pandemic, the figures dropped: 84.34% in 2020; and 78.63% in 2021.

Sesa explains that in order to match cases of meningitis in an space, a management chart is created, bearing in mind the info obtainable over the previous ten years to point out the increase or lower in cases.

Secretary of State for Health (SESA)

in an official observe

“However, this yr in 2022, now we have seen extra reported cases, significantly of bacterial meningitis, which may happen and trigger loss of life.”


In order to increase vaccination protection to 80% with the objective set by the Ministry of Health, Sesa proposed in July of this yr to briefly prolong vaccination towards meningococcal meningitis to adolescents aged 13 to 19 years till September 30. unvaccinated years – as a rule, an immunizing agent is included in the National Immunization Calendar for kids beneath 12 years of age.

According to the folder, that is the primary age group answerable for sustaining the circulation of the illness. Health employees also needs to be vaccinated for the impact.


What is meningitis?

Meningitis is an irritation of the membrane surrounding the mind and spinal twine.

What causes?

According to the Ministry of Health, the illness will be attributable to micro organism, viruses, fungi and parasites. Viral and bacterial meningitis are of the best public well being significance, given their scale of incidence and their potential to trigger epidemics. Folder additionally defined that though normally attributable to microorganisms, meningitis can be attributable to inflammatory processes resembling most cancers (metastases to the meninges), lupus erythematosus, reactions to sure medication, head trauma, and mind surgical procedure.

What does the illness seem like in Brazil?

Meningitis is taken into account an endemic illness in Brazil. Cases of the illness are anticipated all year long, with occasional outbreaks and outbreaks. Bacterial meningitis is extra widespread in autumn and winter, and viral meningitis is extra widespread in spring and summer season. Men are sometimes affected by the illness.

How is it transmitted?

In normal, it’s transmitted from individual to individual, via the respiratory tract, via droplets and secretions from the nostril and throat. Fecal-oral transmission additionally happens via ingestion of contaminated water and meals and call with feces.

How is bacterial meningitis transmitted?

Usually, the micro organism that trigger bacterial meningitis are unfold from individual to individual via the respiratory tract, droplets, and secretions from the nostril and throat. Other micro organism will be unfold via meals, resembling Listeria monocytogenes and Escherichia coli. It is necessary to know that some folks can carry these micro organism with out getting sick. These individuals are known as “carriers”. Most of those folks don’t get sick, however can nonetheless infect different folks.

How is viral meningitis transmitted?

Viral meningitis will be transmitted in other ways, relying on the virus that causes the illness. In case of enteroviruses, contamination is fecal-oral, and viruses will be transmitted by shut contact (touching or holding arms) with a sick particular person; touching objects or surfaces that comprise the virus after which touching your eyes, nostril, or mouth earlier than washing your arms, altering an contaminated particular person’s diaper, consuming water, or consuming uncooked meals that comprise the virus. Arboviruses are transmitted via the chunk of an contaminated mosquito.

How are meningitis fungi transmitted?

Fungal meningitis is just not transmitted from individual to individual. Fungi are normally acquired by inhaling spores (small fungal components) that enter the lungs and attain the cerebral cortex. Some fungi are discovered in soil or environments contaminated with hen or bat droppings. Another fungus known as Candida, which may additionally trigger meningitis, normally happens in the hospital.

How are measles unfold?

The parasites that trigger meningitis are usually not transmitted from individual to individual and normally infect animals, not people. Humans turn into contaminated by consuming contaminated meals or meals containing the infective kind or stage of the parasite.

What are the signs?

Viral meningitis is normally milder, with signs just like these of the flu and the flu. The illness is principally characterised by fever, headache, neck stiffness, lack of urge for food and irritability in kids. Bacterial infections are extra critical, and signs seem in a short while: excessive fever, weak spot, vomiting, extreme headache and neck ache, issue in inserting the chin on the chest, and generally crimson spots unfold over the physique. This is an indication that the an infection is spreading quickly via the bloodstream, and the danger of normal an infection is vastly elevated. Babies may discover: a young or raised smooth spot; moaning when touched; restlessness with loud crying; Decreased physique stiffness or “smooth” physique with involuntary actions.

What is the remedy?

Suspected cases of meningitis are all the time admitted to hospitals as a result of severity of scientific manifestations. Therefore, when a case is suspected, a hospital emergency division must be contacted for medical analysis.

How is bacterial meningitis handled?

In the remedy of bacterial meningitis, antibiotic remedy is used in hospital settings, chosen medication and therapeutic doses are prescribed by attending physicians. Supportive remedy, resembling fluid alternative and cautious help, can also be advisable.

What about viral meningitis?

Viral meningitis is normally not handled with antiviral medication. In normal, individuals are hospitalized and monitored for extra extreme signs and recuperate on their very own. However, some viruses, resembling herpesvirus, could cause meningitis, which requires the usage of particular antiviral brokers. Appropriate conduct is all the time decided by the medical staff accompanying the case.

What in regards to the remedy of fungal meningitis?

Fungal meningitis remedy is long-term, with excessive and lengthy doses of antifungal medication chosen in response to the fungus recognized in the affected person’s physique. Response to remedy additionally relies upon on an individual’s immunity, and sufferers with HIV/AIDS, diabetes, most cancers, and different immunosuppressive ailments are handled with excessive care and warning by medical personnel.

How to deal with parasitic meningitis?

In parasitic meningitis, each anti-infective medication and medicines to alleviate signs are given to the inpatient by the medical staff. In these cases, signs resembling headache and fever will be extreme, so medicines to alleviate signs are as necessary as anti-parasitic therapies.

What is one of the best ways to forestall illness?

Meningitis is a syndrome attributable to numerous infectious brokers. For a few of them, there are primary preventive measures resembling vaccines and chemoprophylaxis. Vaccines can be found to forestall the primary causes of bacterial meningitis.

What vaccines are included in the kid vaccination schedule of the National Immunization Program?

Meningococcal C (conjugate) vaccine protects towards meningococcal illness attributable to serogroup C. Another vaccine is the 10-valent pneumococcal (conjugate) vaccine, which protects towards invasive ailments attributable to Streptococcus pneumoniae, together with meningitis. It can also be pentavalent, which protects towards invasive ailments attributable to Haemophilus influenzae serotype B, resembling meningitis, in addition to diphtheria, tetanus, pertussis, and hepatitis B.

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