Abstract

Meningococcal disease (MD) in Western Australia prior to 1987 was caused by endemic, predominantly serogroup B Neisseria meningitidis strains. In 1987/S3 an epidemic of serogroup A MD occurred in remote outback Aboriginal communities in Western Australia. Comparable epidemiologic features of this epidemic with overseas epidemics suggested spread of a single clone of serogroup A Neisseria meningitidis . DNA analysis of serogroup A strains isolated from MD cases admitted to Princess Margaret Hospital for Children in 1987/88 was undertaken. Chromosomal DNA extraction and restriction endonuclease profiles obtained with EcoRI and Hind III demonstrate that these serogroup A strains are clonal. This indicates that the molecular epidemiology of epidemic serogroup A MD in Western Australia is similar to recent experience in Saudi Arabia, Sudan, Chad and Ethiopia, where spread of single closely related clones has been iesponsible for pandemic waves of MD in the past decade.

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