Italy -Toscana: third death from meningitis in Empoli-Valdelsa - 6 total deaths in three months

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Eurosurveillance, Volume 21, Issue 12, 24 March 2016
Rapid communication

Increased incidence of invasive meningococcal disease of serogroup C / clonal complex 11, Tuscany, Italy, 2015 to 2016


P Stefanelli [SUP]1[/SUP] , A Miglietta [SUP]2[/SUP] , P Pezzotti [SUP]1[/SUP] , C Fazio [SUP]1[/SUP] , A Neri [SUP]1[/SUP] , P Vacca [SUP]1[/SUP] , F Voller [SUP]3[/SUP] , FP D?Ancona [SUP]4[/SUP] [SUP]5[/SUP] , R Guerra [SUP]5[/SUP] , S Iannazzo [SUP]5[/SUP] , MG Pompa [SUP]5[/SUP] , G Rezza [SUP]1[/SUP]
+ Author affiliations
1. Department of Infectious, Parasitic & Immuno-mediated Diseases, Istituto Superiore di Sanit?, Rome, Italy
2. Epidemiology and Preventive Medicine Unit, Central Tuscany Health Authority, Florence, Italy
3. Health Agency of Tuscany, Florence, Italy
4. National Center for Epidemiology, Surveillance and Health Promotion - Istituto Superiore di Sanit?, Rome, Italy
5. Ministry of Health, Directorate-General of health prevention, Rome, Italy


Correspondence: Paola Stefanelli (paola.stefanelli@iss.it)

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Citation style for this article: Stefanelli P, Miglietta A, Pezzotti P, Fazio C, Neri A, Vacca P, Voller F, D?Ancona FP, Guerra R, Iannazzo S, Pompa MG, Rezza G. Increased incidence of invasive meningococcal disease of serogroup C / clonal complex 11, Tuscany, Italy, 2015 to 2016. Euro Surveill. 2016;21(12)ii=30176. DOI: http://dx.doi.org/10.2807/1560-7917.ES.2016.21.12.30176

Received:09 March 2016; Accepted:24 March 2016

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[h=4][/h]
We report an increase of serogroup C Neisseria meningitidis invasive meningococcal disease in Tuscany. From January 2015 to end February 2016, 43 cases were reported, among which 10 were fatal, compared to two cases caused by serogroup C recorded in 2014 and three in 2013. No secondary cases occurred. Thirty?five strains belonged to C1.5?1,10?8:F3?6:ST-11(cc11). Control measures have been adopted and immunisation campaigns implemented. Studies on risk factors and carriage are ongoing.


http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=21423

 

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27-year-old hospitalized for meningitis, prophylaxis for patrons of a restaurant

Is hospitalized since yesterday afternoon, Sunday March 27, prognosis in the intensive care unit of the hospital ' San Giuseppe ' di Empoli, for meningococcal meningitis type C, a young man of 27 years, residing in Lombardy, temporarily residing in Montelupo Fiorentino.La confirms that it is of type C meningococcal meningitis has arrived already yesterday afternoon from the University Hospital Meyer company analysis laboratory in Florence. Human beings are not vaccinated. The functional unit of public hygiene of the Department of prevention of Empoli has immediately activated the procedures for prophylaxis and is undergoing antibiotic cover people who in recent days have had close contacts and close together with the sick person. Epidemiological investigation was carried out promptly from which it appeared that the person has attended the following locations: ' Antica Trattoria del Turbone ' by Montelupo Fiorentino, only on the evening of Tuesday March 22 from 20 at 21;



http://www.gonews.it/2016/03/28/ric...rofilassi-per-gli-avventori-di-un-ristorante/

 

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Another case of meningitis at St. Joseph's: a 58-year-old of Santa Croce sull' Arno - Empoli

It's been confirmed today, Tuesday, March 29, from the laboratory of Immunology at the company hospital Meyer in Florence University the diagnosis of meningococcal meningitis type 'C' in a woman of 58-year-old resident in the municipality of Santa Croce sull'arno. The woman is currently hospitalized in the intensive care unit of the hospital 'St. Joseph' of Empoli. The functional unit of public hygiene of the Department of prevention of Empoli has immediately activated procedures for epidemiological investigation and prophylaxis, which are still ongoing. The woman, according to what we learn, was admitted to the intensive care unit of Saint Joseph: his condition would be severe. Two days ago, always in Empoli, a 27-year-old had been admitted by Montelupo Fiorentino.




http://www.gonews.it/2016/03/29/emp...useppe-e-una-58enne-di-santa-croce-sull-arno/

 

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Meningitis, woman hospitalized for meningococcus B

SIENA. A woman from the Valdelsa, was admitted to Santa Maria alle Scotte Hospital of Siena, because affected by meningococcal meningitis was announced by Group b. the Sienese hospital along with the Asl Tuscany Southeast, explaining that the patient arrived Monday, 11 by ambulance from hospital emergency room of Campostaggia, where she had gone in the early morning for symptoms associated with meningitis. At Sheets ' was immediately subjected to investigations and appropriate antibiotic therapy; the typing of the bacterium was made.

http://iltirreno.gelocal.it/empoli/c...o-b-1.13284999

 

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Pisa: new case in the city, 70 years old in a coma


Since yesterday, hospitalized in intensive care emergency room Cisanello, there is a woman of 70. The analysis confirmed a few hours later: it is C.? meningitis sedated. The doctors immediately proceeded to administer antibiotics but his condition is very critical, the disease has developed as sepsis, an infection therefore invasive. The ASL has immediately proceeded to contact their families and the people who came into contact with the woman to perform prophylaxis. Until a few months ago that meningitis hit a sixty he was considered by experts a rare exception. But this is the only thing that now we understand dell'St11: the clonal complex of meningococcal C since the beginning of 2015 gives no respite to Tuscany updates every time the target, move the viewfinder, is a bacterium but behaves like a viruses, and now it has shot down some limits set by the first scientific literature.

"Although this new case - says Francesco Menichetti, chief of infectious diseases at the hospital in Pisa - confirms that some remarks made about this strain are absolutely sensible: we are faced with a germ that does not respect the seasonality, given that last year not he stopped with the summer, or lose strength in the face to people in old age. " It is no coincidence that the free vaccination campaign in the Region initially was guaranteed up to 45 years but just with the new escalation of the last four months the commissioner Stefania Saccardi and the Higher Institute of Health experts have been convinced to extend it also to the elderly , at least in central Tuscany, the area of ​​greatest concentration.

Resident in Pisa, the lady is the 22nd case of meningitis since the beginning of the year 17th person affected by this kind of strain. In 2015 cases of C were 31. And the trend, for now, seems to coincide with that of last year. In the city not seen a case of C since last September. He ended up in intensive care a university student of 23 years, came out without consequences. Salvo.

http://iltirreno.gelocal.it/pisa/cro...nne-1.13363202

 

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Pisa: New admission to infectious diseases
Pisa, April 28, 2016 - Meningitis, a new case. A woman over fifty years is hospitalized Tuesday with a hospital in Cisanello meningococcemia, a septicemic form. The strain has not yet been typed, perhaps it is the C. High fever, spots on the body, pain. All symptoms of the disease. So, in the afternoon, the ride to the hospital and the decision to transfer the lady - who seems still in fair condition - in Infectious Diseases. This is the 23rd event in our year to date Region.

And the second to Pisa in just a few hours. Saturday night, in fact, was a 69 year-old was taken to the Intensive Care Barbaricina who was taken ill suddenly: severe headache and high fever. The pensioner is stable. Meanwhile it was carried prophylaxis for relatives and friends. But also for the staff of 118 and healthcare who assisted her in the hospital. Then the fear grows. Both the health unit that the region renew the invitation to vaccination. Although this is not always immediate. The wait for such change via the districts is about a month. "No tail - instead had reassured President Joseph Figlini order - from family doctors who have recently received other 4 thousand doses, after many have already given."

http://www.lanazione.it/pisa/meningite-nuovo-caso-pisa-1.2103229

 

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Meningitis C, a new case in Tuscany


MEADOW. A case of meningitis was diagnosed Careggi hospital in Florence. This is a nineteen year of Campi Bisenzio, hospitalized in the intensive care unit and resuscitation. It is a new case of meningitis type C. What girl would then 18 / C meningitis or homes on 23 occurred in Tuscany since the beginning of the year. The condition of the girl, who was not vaccinated, are stable: remains hospitalized in intensive care.

http://iltirreno.gelocal.it/prato/cr...tel-1.13434939

 

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[h=1]Meningitis: new case 'C' in Florence[/h]
FLORENCE, JULY 1 - A 35 year old woman is hospitalized in Florence with a meningococcal infection type C: the confirmation of the Meyer lab. The woman is resident in Florence and is hospitalized in the intensive care unit to the Hospital Santa Maria Nuova. The health have suspected right away that it was to meningococcal sepsis and immediately referred the patient to appropriate therapy. The service of Public Hygiene of Florence Prevention Department has already activated all the procedures for the prophylaxis and is undergoing antibiotic therapy the families and people who have had close and close contact with the patient in recent days. And 'an ongoing epidemiological investigation to reconstruct in detail the places frequented by women.

http://www.ansa.it/toscana/notizie/...nze_0cbbf0f4-3430-4bf0-98ce-9cdefdc744e0.html

 

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[h=1]A new case of meningitis C at hospital in Prato[/h]
A woman is admitted to the hospital with meningitis type C hospital Santo Stefano di Prato. To give the confirmation of a mild form of meningococcal type C was the result of specific activities from the Meyer regional reference immunology laboratory testing infection. The news is given in a press release that the local health authority has announced that the woman, a health worker of Carmignano (but absent from work for at least 3 weeks), is hospitalized since last Saturday in the infectious diseases ward and that his health conditions are of particular concern.

http://iltirreno.gelocal.it/prato/c...-meningite-c-all-ospedale-di-prato-1.13840985

 

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[h=1]Meningitis, dead girl in Vienna had been on holiday in Tuscany[/h]
Before leaving for the World Youth Day, Susanna Rufi, the Roman girl died of meningitis Monday in Vienna had been on holiday in Punta Ala. This was announced by the Tuscany Region, explaining that, for extreme precaution, the Asl invites to undergo prophylactic who was staying at the campsite "Punta Ala" July 21 to 23: the incubation period, it is noted, is calculated on a maximum of ten days. The young man had stayed in the structure 9 to 23 July and the next day had left for Krakow.

http://firenze.repubblica.it/cronaca/2016/08/03/news/meningite_ragazza_punta_ala-145303353/

 

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[h=1]Meningitis, 22 year-old hospitalized in Florence[/h] Florence, August 6, 2016 - A 22-year old Florence was hospitalized since last night, in the infectious disease ward of Florence Santa Maria Annunziata, for meningococcal meningitis B. The ASL invites to undergo prophylactic those who have had contact with young and the passengers of the means used by the 22-year between July 25 and August 4, from Grosseto period when she left for Palermo, passing through Florence and Rome.

http://www.lanazione.it/firenze/cronaca/meningite-1.2409931

 

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[h=1]Meningitis: new case C, child hospitalized[/h]
(ANSA) - FLORENCE, SEPTEMBER 15 - New case of type C meningitis in Tuscany, hit a child of 3 years of Fucecchio (Florence), now admitted to the pediatric Meyer of Florence, as a precaution in intensive care to a note of the Region Tuscany. However, the situation "is stable and reassuring for the moment, because it was vaccinated against meningococcal C in 2014" .Proprio the immunology laboratory of Aou Meyer of Florence confirmed the diagnosis of sepsis meningococcal type C Yesterday, you explains, the child "had accused high fever with convulsions" hospital in Empoli was then transferred to Meyer for "the aggravation of the situation".

http://www.ansa.it/toscana/notizie/...mbo_19cefeca-47b5-48fe-92f4-c951e3de3244.html

 

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[h=1]Carrara, new case of meningitis hit a "grandmother" of 89 years[/h]
89enne is a single of the Apuan hospital hospitalized "for a meningococcal sepsis whose origin is not yet clear." This was communicated by the Asl 1 Massa Carrara in a statement, adding that "the woman's health conditions are good and there are no dangers for citizenship". As a precaution, confirms the Asl, pending more detailed analysis sull'anziana that chiarirannodi what kind of bacteria it is, prophylaxis against people that had contact with the lady has already been carried out in recent weeks. According to local health authorities only family members and health care. The local health authorities took the opportunity to deny "the presence of additional cases of meningitis in the Massa Carrara area", nor among the resident population, much less among migrants guests of reception structures. "

http://firenze.repubblica.it/cronac...ngite_colpita_una_nonna_di_89_anni-150136954/

 

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[h=1]Tuscany: new case of meningitis C in Prato, 20-year-old in intensive care[/h] New case of meningitis C in Tuscany. A young 20 year-old resident in Prato, is hospitalized this morning in the intensive therapy department Santo Stefano with the diagnosis of infection with meningococcal type C Health immediately subjected the patient to proper treatment, the reports' ausl Tuscany Center. It is now also enabled the Public Health Service and nutrition of the Department of Prevention: the epidemiological investigation is underway to reconstruct the places frequented by the guy in the 10 days before onset of symptoms, in order to begin prophylactic procedures antibiotics to people who have had close contact with the patient.

http://www.meteoweb.eu/2016/10/tosc...-a-prato-20-enne-in-terapia-intensiva/769236/

 

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New case of meningitis C in Tuscany: hit a 9 year old girl

Cascina. Another case of meningitis C in Tuscany, this time in the province of Pisa. The disease hit a 9-year-old girl who attends a school in the capital and was hospitalized in Pisa. His condition did not give cause for concern, partly because it had been vaccinated when she was about a anno.L'Asl, informed of the new case of meningitis, it is activated for prophylaxis will be made on both classmates and teachers but also about who he attends a pool in Cascina where the child plays sports. Obviously family members will be given prophylaxis.

At November 10 cases of meningitis recorded by the Tuscany Region in 2016 are 33. Throughout 2015 there were 38. A sign that meningitis, especially the C which in Tuscany is more frequent in recent months, will not slow down.

http://iltirreno.gelocal.it/ponteder...ina-1.14392115

 

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Meningitis, infected a 20 year old student




A student of 20 years resident in Val di Cecina is admitted to hospital in Livorno in the intensive care unit for a meningococcal sepsis type C.Le girl was presented last night at Pronto Soccorso di Cecina from where it was redirected to the department Diseases infectious Livorno. His condition appeared immediately serious recommending the transfer Rianimazione.L'Igiene Post is currently working to rebuild people and places frequented by the girl in the last few days to provide the prophylaxis (antibiotic therapy) deemed necessary.

Leggi questo articolo su: http://www.gonews.it/2016/11/15/meni...-20enne-grave/
Copyright ? gonews.it

 

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[h=1]Meningitis C, the infectious disease specialist: "The Tuscan strain is aggressive and too many people are still not vaccinated"[/h] There are fewer carriers than we would expect in Tuscany, given the contagion: 34 so far this year. And 72 since 2015. It seems that the carriers are 250 instead of a thousand every case of meningitis. But the real mystery is not that. The real unanswered question is "why there is still a 20 year old girl not vaccinated," wonders Professor Francesco Menichetti, director of the department of Infectious Diseases of the company Pisa University Hospital.
It takes more than 5 deaths this year, all for the meningitis C strain and 7 of last year (only 1 for strain B). It takes more than 56 cases of meningitis caused by the strain C. Nor is it enough that in Tuscany the disease is "present in a particularly aggressive form", the ST11 subtype, of which you are unable to locate the source. "We can not convince the population to be vaccinated. Even the boys. Yet meningitis that occurs in Tuscany is the most virulent. The majority of the cases, in fact - stresses Professor Menichetti - are of sepsis by meningocco. Are the form that has survived Bebe Vio, the Paralympic fencing champion, but the amputation of limbs. "

http://iltirreno.gelocal.it/regione...roppi-non-si-sono-ancora-vaccinati-1.14423374

 

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[h=1]Florence, woman dies at 45 years for meningitis C[/h]
A 45 year old woman, a Russian immigrant who worked as a domestic worker, died this morning at the hospital of Santa Maria Nuova after being hit by the type C meningitis had arrived at the hospital in serious condition. Following the death health carried out a series of investigations and hygiene facilities and public health were immediately activated to carry out the epidemiological inquiry in order to identify close contacts from sopporre prophylaxis.

http://firenze.repubblica.it/cronac...r_la_meningite_c_non_era_vaccinata-152469220/

 

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Source: http://www.ansa.it/english/news/gen...e-2_2c443cae-97d7-4901-8a78-5952fcdda8d1.html

Woman dies of meningitis in Florence (2)
Sepsis from meningitis C
21 November 201614:26

(ANSA) - Florence, November 21 - A 45-year-old woman died of meningitis in Florence's Santa Maria Nuova Hospital Monday, medical sources said. An immunology lab confirmed a diagnosis of sepsis from meningitis C, they said.
Public health services are identifying everyone who was in close contact with the deceased - who lived in Florence and had not been vaccinated against meningitis C - in order to give them preventive treatment...

 

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[h=1]Meningitis: child 8 years hospitalized in Florence[/h]
(ANSA) - FLORENCE, 22 November - New case of meningitis in Tuscany: tonight was rushed to the hospital Meyer in Florence an 8 year old child suffering from meningitis type C. The baby is Livorno. Now is the pediatric hospital in critical condition. Having diagnosed the meningitis, doctors Meyer have enabled the necessary treatment.

http://www.lettera43.it/it/ultima-ora/2016/11/22/meningite-bimbo-8-anni-ricoverato-meyer/637/