One would hope. It does frustrate when you see stories about exposure and contraction of this at
birthday sex orgies, though.
Having multiple sex partners may be the reason AIDS spread initially within the male gay community. Then it spread to their female partners and people with hemophilia and older men in Century Village who frequented prostitutes in a nearby trailer park, thanks to SS checks and viagra. My PCP recommends that all her older patients get tested periodically for STDs if they have even one sex partner, because you never know.
Some epidemiologists in South Florida are more worried about the
meningococcal outbreak, also mostly confined to the gay community now, but it could easily spread in places like college dorms. It's more deadly than Monkeypox, a 25% fatality rate for the 48 cases thus far in 2022. I guess these increases in such diseases in 2022 is related in part to post-COVID partying.
>>In a discussion with reporters, Dr. Ulyee Choe, statewide medical director for the Florida Department of Health, compared the adverse effects of monkeypox with meningococcal disease that can lead to fatal meningitis. He didn’t like what he was seeing in the Sunshine State.
“Meningococcal disease, to some degree, concerns me more given the severity of the disease,” Choe said.
Here’s why you, too, may be concerned, and may have questions about meningococcal disease.
Florida has had 48 cases of meningococcal disease from Jan. 1 through July 22, 2022, according to the state’s health department.
With 14 reported cases so far, most of these meningitis cases have been found in Central Florida in Orange County, the seat of the Orlando area and home to Walt Disney World and Universal Studios.
By comparison, Florida had 27 cases of meningococcal disease in 2021, 17 cases in 2020 and 23 in 2019 — compared with the 48 cases recorded just halfway through 2022.
Of these 48, one quarter — or 12 people — have died in Florida after contracting meningitis so far this year, according to the U.S. Centers for Disease Control and Prevention.
This figure represents a 25% death rate.
Meningococcal disease is caused by a bacteria called Neisseria meningitidis, also known as meningococcus.
These illnesses are often severe and include infections and swelling of the lining of the brain and spinal cord (meningitis) and bloodstream infections (bacteremia or septicemia), according to the CDC.
Three layers of membranes known as meninges protect the brain and spinal cord, the Mayo Clinic explains. That’s why when this disease progresses and infects the brain and spinal cord, it’s known as “meningitis.”
Meningococcal disease is not as contagious as the germs that lead to the common cold or flu or COVID-19, which can be contracted by breathing in respiratory droplets in the air from someone infected and close by.
Rather, meningitis typically requires close contact to transmit it from one person to another, according to Florida’s health department. Think kissing or sharing your food or drink where you might pass along respiratory and throat secretions like spit. Living in close quarters with someone infected can also help the disease spread.
SYMPTOMS OF MENINGOCOCCAL DISEASE
Early symptoms of the disease include:
▪ Fever, headache, stiff neck
Nausea, vomiting, light sensitivity
▪ Confusion and rash, usually red and purple in color.
SYMPTOMS AMONG INFANTS
Symptoms in infants can differ and can include slowness or inactivity, irritability, vomiting, poor feeding or a bulging soft spot on the baby’s head.
"Even with antibiotic treatment, 10 to 15 in 100 people with meningococcal disease will die,” according to the CDC. Up to one in five survivors will have long-term disabilities, such as:
▪ Loss of limbs
▪ Deafness, Nervous system problems
▪ Brain damage
HOW IS MENINGOCOCCAL DISEASE TREATED?
Rapid diagnosis and treatment is critical.
Doctors can prescribe antibiotics to treat meningococcal disease.
“People with meningococcal disease are no longer able to spread it to others after taking an appropriate antibiotic for 24 hours,” according to Florida’s health department citing the CDC.
But some people may also need advanced medical care, which could mean treatment in an intensive care unit.
HOW TO PROTECT YOURSELF
The CDC and Florida’s health department recommend vaccinations against meningococcal disease. Also, “maintaining healthy habits, like getting plenty of rest and not coming into close contact with people who are sick, can also help.”
WHO SHOULD GET VACCINATED?
The outbreak that we are experiencing in Florida among gay and bisexual men is due to serogroup C of the Neisseria meningitidis bacteria,” Trepka said.
She points to the two types of meningococcal vaccines that are also noted by the CDC:
▪ Meningococcal conjugate or MenACWY vaccines.
▪ Serogroup B meningococcal or MenB vaccines.
The MenACWY protects against serogroups A, C, W. And while the MenB protects against serogroup B, MenACWY is the one being recommended in this [Florida] outbreak,” Trepka said.
“The MenACWY vaccine is routinely offered to all 11-12-year-olds with a booster dose at 16 years. This is because adolescents and young adults are at high risk,” she said.
All at-risk groups — including the immunocompromised — and those at higher risk of exposure such as new college students who will live in dorms, and during this Florida outbreak, should consider getting the MenACWY vaccine.
“And there is no harm in anybody else getting the vaccine,” Trepka said. “It is a very safe vaccine but it is most important that these high-risk groups get vaccinated."<<