Global Alert and Response (GAR)

2000 - Meningococcal disease in Singapore, Indonesia, Iran and Morocco

03 May 2000

Disease Outbreak Reported

Neisseria meningitidis serogroup W135 has been identified in the majority of serogrouped confirmed cases associated with international travel and reported previously on 27April; 26 April; 20 April; 11 April.

Laboratory confirmation is underway for new notifications received from the following countries:

Singapore: Four cases;
Indonesia: Fourteen cases, including 6 deaths, with laboratory confirmation of N. meningitidis serogroup B in 1 case;
Iran: Two cases;
Morocco: Three cases, with laboratory confirmation of 1 case of N. meningitidis serogroup W135 and 1 case of serogroup C.

WHO is actively monitoring the situation and requesting countries to send specimens to WHO Collaborating Centres for Meningococcal Infections so that the strains can be fully identified and traced. The Centres are:

Institut de Médecine Tropicale du Service de Santé des Armées
     Parc du Pharo, B.P. 46
     F-13998 Marseille-Armées
     France
     Dr. Pierre Nicolas
     Tel:  +33 4 91 15 01 15
     Fax: +33 4 91 59 44 77
     E-mail: imtssa.meningo@free.fr

WHO Collaborating Centre for Control of Epidemic Meningitis
      Centers for Disease Control and Prevention
      Atlanta, GA 30333
      United States of America
      Dr. Tanja Popovic
      Tel:  +1 404 639 17 30
      Fax: +1 404 639 31 23
      E-mail: txp1@cdc.gov

WHO Collaboration Centre for Reference and Research on Meningococci
      Department of Bacteriology
      National Institute of Public Health
      PO Box 4404
     Torshov
     N-0403 Oslo
     Norway
     Dr. Dominique Caugant
     Tel:  + 47 22 04 23 11
     Fax: + 47 22 04 25 18
     E-mail: dominique.caugant@folkehelsa.no

For further information, please contact outbreak@who.ch

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