Community-Based Outbreak of Neisseria meningitidis Serogroup C Infection in Men who Have Sex with Men, New York City, New York, USA, 2010-2013
Community-Based Outbreak of Neisseria meningitidis Serogroup C Infection in Men who Have Sex with Men, New York City, New York, USA, 2010-2013
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DOI：
10.3201/eid2108.141837
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发表时间：
2015-08-01
影响因子：
11.8
通讯作者：
Varma, Jay K.
中科院分区：
文献类型：
--
作者：
Kratz, Molly M.;Weiss, Don;Varma, Jay K.
2012年9月，纽约市卫生和心理卫生部在男男性行为者（MSM）中发现了脑膜炎奈瑟菌血清群C侵袭性脑膜炎球菌病的爆发。2010年8月至2013年2月期间，确定了22例患者和7例死亡。在此期间，7例非MSM被诊断。疫情进展缓慢与网站和移动的手机应用程序的使用有关，这些应用程序将男性与男性性伴侣联系起来，使流行病学调查和预防工作变得复杂。我们描述了疫情，以及为阻断传播所采取的步骤，包括一项创新和广泛的宣传活动，涉及直接，基于互联网和基于媒体的通信;免费疫苗接种活动;以及社区和政府合作伙伴的参与。最后，我们讨论的挑战，管理疫情影响离散的MSM社区和使用社交网络技术，以达到这一风险人群的好处。
In September 2012, the New York City Department of Health and Mental Hygiene identified an outbreak of Neisseria meningitidis serogroup C invasive meningococcal disease among men who have sex with men (MSM). Twenty-two case-patients and 7 deaths were identified during August 2010-February 2013. During this period, 7 cases in non-MSM were diagnosed. The slow-moving outbreak was linked to the use of websites and mobile phone applications that connect men with male sexual partners, which complicated the epidemiologic investigation and prevention efforts. We describe the outbreak and, steps taken to interrupt transmission, including an innovative and wide-ranging outreach campaign that involved direct, internet-based, and media-based communications; free vaccination events; and engagement of community and government partners. We conclude by discussing the challenges of managing an outbreak affecting a discrete community of MSM and the benefits of using social networking technology to reach this at-risk population.