
Devriez-vous vous faire vacciner contre la méningite, vous et votre famille ?
Révision par les pairs : Dr Sarah Jarvis MBE, FRCGPDernière mise à jour par Danny ChadburnDernière mise à jour le 28 septembre 2017
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Meningitis 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 Meningitis Research Foundation.
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.
De nombreux vaccins sont administrés aux bébés pour les protéger contre les bactéries susceptibles de provoquer une méningite. Les nourrissons recevront un vaccin contre Hib (dans le cadre d'un vaccin combiné) à huit, douze et seize semaines. Un vaccin contre l'infection pneumococcique est administré à huit semaines, à 16 semaines et à un an. Ils sont vaccinés contre le MenB à huit semaines, avec des rappels à 16 semaines et à un an. Ils seront également vaccinés contre le MenC à un an.
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.
Vous pouvez décider de vacciner votre enfant à titre privé, mais le nombre de cas de MenB est en baisse et la vaccination des enfants de plus de cinq ans peut s'avérer inefficace. Selon les chiffres de Public Health England, 24 % des cas de MenB entre 2014/15 concernaient des bébés âgés d'un an et 33 % des enfants âgés d'un à cinq ans, mais seulement 12 % des cas concernaient des enfants âgés de cinq à 14 ans.
Meningitis in teenagers
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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Meningitis in adults
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.
Meningitis in the elderly
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.
Historique de l'article
Les informations contenues dans cette page ont été évaluées par des cliniciens qualifiés.
28 Sept 2017 | Dernière version

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