Abstract
We reviewed confirmed cases of pediatric invasive meningococcal disease in Tijuana, Mexico, and San Diego County, California, USA, during 2005–2008. The overall incidence and fatality rate observed in Tijuana were similar to those found in the US, and serogroup distribution suggests that most cases in Tijuana are vaccine preventable.
Highlights
Physicians in Mexico at the US–Mexico border areas often encounter patients with symptoms highly compatible with Invasive meningococcal disease (IMD), diagnosis is not routinely culture-confirmed; this likely leads to underreporting
Data on all pediatric IMD reported to the San Diego County (SDC) Health and Human Services Agency through electronic laboratory notification or from infection control practitioners were retrospectively analyzed during the same period
A significant difference in serogroup was observed by site: serogroup C was most commonly identified at Tijuana General Hospital (TGH) (62.5%), whereas serogroup B was most common in SDC (61.5%) (Figure 2) (p = 0.005)
Summary
We reviewed confirmed cases of pediatric invasive meningococcal disease in Tijuana, Mexico, and San Diego County, California, USA, during 2005–2008. The goals of our study were to compare hospital-based estimates of IMD in children and serogroup distribution at Tijuana General Hospital (TGH), Mexico, with a catchment population of nearly 200,000 children
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