Enhanced surveillance for meningococcal disease in Queensland in 1999

Ward, J., Hanna, J.N., Bates, J.R. and Selvey, L.A. (2000) Enhanced surveillance for meningococcal disease in Queensland in 1999. Communicable Diseases Intelligence Quarterly Report, 24 11: 332-335.

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Author Ward, J.
Hanna, J.N.
Bates, J.R.
Selvey, L.A.
Title Enhanced surveillance for meningococcal disease in Queensland in 1999
Journal name Communicable Diseases Intelligence Quarterly Report   Check publisher's open access policy
ISSN 0725-3141
1445-4866
Publication date 2000-12-15
Sub-type Article (original research)
Open Access Status File (Publisher version)
Volume 24
Issue 11
Start page 332
End page 335
Total pages 4
Place of publication Canberra, ACT, Australia
Publisher Australian Government. Department of Health and Ageing. Office of Health Protection, Surveillance Branch
Formatted abstract
Enhanced surveillance of invasive meningococcal disease commenced in Queensland in 1999. There were 93 cases, an incidence of 2.8/100,000 population. Most (87%) cases were laboratory confirmed, but 12 per cent were probable cases without laboratory confirmation. The highest age-specific attack rates were in the under 1, 1 to 4 and 15 to 24 year age groups. Most of the serologically characterised isolates were group B (70%), followed by group C (24%). There were 12 deaths, resulting in a case fatality rate of 13 per cent. Those who died were more likely to have group C than group B disease (OR 5.04, CI 1.05-25.14). Only 14 per cent of cases that saw a general practitioner (GP) prior to hospitalisation received parenteral antibiotics, 23 per cent of the 35 cases referred to hospital by a GP received pre-hospital parenteral antibiotics and 33 per cent of cases were notified to health authorities within 24 hours of hospital admission. Thirty per cent were notified two or more days after hospitalisation, delaying the start of public health action. Enhanced surveillance has demonstrated a need to promote the use of pre-hospital parenteral antibiotics by GPs and a need to encourage more timely reporting of cases to health authorities.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ
Additional Notes http://www.health.gov.au/internet/main/publishing.nsf/Content/cda-pubs-cdi-2000-cdi2411-cdi2411c.htm

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Public Health Publications
 
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Created: Fri, 03 Feb 2017, 16:46:11 EST by Ms Kate Rowe on behalf of Learning and Research Services (UQ Library)