Profile of serogroup Y meningococcal infections in Canada: Implications for vaccine selection

Canada is a leader in establishing routine infant immunization programs against meningococcal C disease. Currently, all provinces have routine programs to provide meningococcal C conjugate vaccines to infants and children. The result of the existing programs has been a decrease in serogroup C incide...

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Bibliographic Details
Main Authors: Le Saux, Nicole, Bettinger, Julie A, Wootton, Susan, Halperin, Scott A, Vaudry, Wendy, Scheifele, David W, Tsang, Raymond
Format: Text
Language:English
Published: Pulsus Group Inc 2009
Subjects:
Online Access:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2807258
http://www.ncbi.nlm.nih.gov/pubmed/21119789
Description
Summary:Canada is a leader in establishing routine infant immunization programs against meningococcal C disease. Currently, all provinces have routine programs to provide meningococcal C conjugate vaccines to infants and children. The result of the existing programs has been a decrease in serogroup C incidence. The second most common vaccine-preventable serogroup in Canada is serogroup Y, the incidence of which has been stable. The availability of a quadrivalent conjugate vaccine against serogroups A, C, Y and W135 focuses attention on serogroup Y disease as it becomes relatively more prominent as a cause of vaccine-preventable invasive meningococcal disease. This vaccine was licensed in November 2006 but is not routinely used except in Nunavut, New Brunswick and Prince Edward Island. To allow a better understanding of the ‘value added’ by a serogroup Y-containing vaccine, it is necessary to have a contemporary profile of Y disease in Canada. In the present paper, recent surveillance data on invasive meningococcal disease across Canada are summarized.