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Votre famille et vous devriez-vous vous faire vacciner contre la méningite ?

Méningite is a serious condition, but it is not caused by one bug - bacteria, viruses and even fungi can lead to infection. Thankfully, there are meningitis vaccinations available.

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"We are more likely to encounter different strains of these germs at different times in our life, which is why specific vaccinations are recommended depending on your age or situation," says Claire Wright, evidence and policy manager at the Fondation de Recherche sur la Méningite.

Our generational guide explains who would benefit from having the meningitis vaccination.

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Meningitis in babies and young children

"Around half of the 3,200 cases of meningitis that occur each year affect babies or children under five because their immune system is not fully developed," says Claire Donovan, head of information and research at Meningitis Now.

There are numerous vaccinations given to babies to protect against bacteria that can cause meningitis. Infants will have a jab against Hib (as part of a combined vaccine) at eight, 12 and 16 weeks. A jab against pneumococcal infection is given at eight weeks, 16 weeks and one year. They are vaccinated against MenB at eight weeks, with boosters at 16 weeks and one year. They will also have a jab against MenC at one year.

There is some controversy surrounding the MenB jab. Research into the vaccine's efficacy in September 2016 found it had halved the average number of MenB cases in vaccine-eligible age groups compared with four years previously.

As a result, some experts and parents think the vaccine, called Bexsero®, should be given on the NHS to all children under five, not just those born after the vaccine was introduced in September 2015 - one petition even proposed vaccinating children up to the age of 11.

However, the cost to the NHS would be huge; one estimate puts the total cost for immunising all under-fives in England and Wales against MenB at £189 million. If this were to include all under-11s, the equivalent cost would be £441 million.

You can decide to vaccinate your child privately, but the number of cases of MenB is in decline and immunising children over the age of five may not be effective. According to figures from Public Health England, 24% of cases of MenB between 2014/15 were in babies aged one and 33% were in children aged one to five, but only 12% of cases were in children aged five to 14.

Teens and young adults are the group with the second highest risk of contracting meningitis. As such, it's strongly recommended they receive the meningitis ACWY vaccination that protects against four main strains of the disease they are at risk of.

Right now, only 33% of eligible young people are vaccinated which does concern experts. Because teens are also the group most likely to carry meningococcal bacteria responsible for many cases of meningitis - thanks to typical teenage activities such as kissing and sharing drinks - vaccinating your teen may also help protect other members of the family.

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Most adults over the age of 25 don't need additional protection against meningitis. "The main exception is if you are travelling to an area where vaccination is recommended, such as sub-Saharan Africa. It's compulsory for pilgrims attending Hajj or Umrah. Without proof of vaccination you will not be allowed into Saudi Arabia," says Donovan. Meningitis vaccination is not available on the NHS, but other forms of travel vaccination are available.

The main issue in this group is exposure to pneumococcal bacteria, which can cause meningitis as well as other life-threatening conditions. "The over-55s are at higher risk of infection with meningitis, as the immune system starts to deteriorate. Meningitis vaccination is available on the NHS for the over-65s," says Donovan. The PPV vaccine protects against 23 strains of pneumococcal bacteria. It's particularly recommended for those with chronic respiratory diseases and heart disease.

While it may not be as exciting as a trip to a theme park, arranging a day out to get your whole family vaccinated could help put everyone's mind at ease.

Patient picks for Méningite et septicémie

Vaccination privée contre le MenB : qui peut la envisager et comment elle fonctionne

Infections

Vaccination privée contre le MenB : qui peut la envisager et comment elle fonctionne

La vaccination a révolutionné la prévention de la méningite au Royaume-Uni. Cependant, toutes les formes de la maladie méningococcique ne sont pas couvertes par les programmes de vaccination de routine pour tous les groupes d'âge. L'une des souches les plus importantes encore présente au Royaume-Uni est le méningocoque du groupe B (MenB). Alors que les bébés sont systématiquement vaccinés contre MenB, de nombreux adolescents et adultes ne le sont pas. En conséquence, certaines personnes choisissent d'accéder au vaccin MenB de manière privée, en particulier si elles estiment être à risque accru. Comprendre ce qu'est MenB, qui peut bénéficier de la vaccination et comment fonctionne la vaccination privée peut vous aider à décider si cela vous convient.

par Thomas Andrew Porteus, MBCS

What to do if you think you’ve been exposed to meningitis

Infections

What to do if you think you’ve been exposed to meningitis

Hearing about a case of meningitis in your community, workplace, or university can be worrying. However, it is important to remember that most people who hear about a case have not been exposed in a way that puts them at risk. Meningococcal disease, the bacterial infection that can cause meningitis and septicaemia, spreads through close and prolonged contact with respiratory secretions. This means that risk is usually limited to people who have had very close contact with the affected person. Understanding what counts as exposure, and what steps to take, can help you respond calmly and appropriately.

par Thomas Andrew Porteus, MBCS

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Les informations sur cette page sont examinées par des cliniciens qualifiés.

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