Abstract

In November 2014, French public health authorities renewed the recommendation to target for vaccination against invasive meningococcal disease men who have sex with men (MSM) and all individuals ≥25 years attending social venues associated with the gay community. This policy was extended beyond the Paris region as a reaction to the continuing spread of serogroup C isolates belonging to a new lineage within clonal complex cc11 since the recommendation was first issued in July 2013.

Highlights

  • In November 2014, French public health authorities renewed the recommendation to target for vaccination against invasive meningococcal disease men who have sex with men (MSM) and all individuals ≥25 years attending social venues associated with the gay community

  • We describe, based on combined epidemiological surveillance data and genetic typing of serogroup C meningococcal isolates, the spread of a specific invasive strain of meningococcus C (MenC) in the Paris region that had started as an outbreak among men who have sex with men (MSM) in June 2013

  • Between October 2012 and May 2013, five serogroup C invasive meningococcal disease (IMD) cases in MSM were reported in Germany [1], caused by isolates sharing the same characteristics as the ones in France

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Summary

Rapid communications

Serogroup C invasive meningococcal disease among men who have sex with men and in gay-oriented social venues in the Paris region: July 2013 to December 2014. In November 2014, French public health authorities renewed the recommendation to target for vaccination against invasive meningococcal disease men who have sex with men (MSM) and all individuals ≥25 years attending social venues associated with the gay community. This policy was extended beyond the Paris region as a reaction to the continuing spread of serogroup C isolates belonging to a new lineage within clonal complex cc since the recommendation was first issued in July 2013. These 10 cases were directly or indirectly linked to the MSM community (four cases aged 25–59 years who self-identified as MSM and six who did not identify as MSM but attended social venues associated with the gay community in the Paris region)

Incidence rates and risk evaluation
April May June July August September October November December
Public health response and discussion
Total Incidencea
Upper CI
Findings
Conflict of interest
Full Text
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