PMID- 21085089 OWN - NLM STAT- MEDLINE DCOM- 20101202 LR - 20220408 IS - 1545-861X (Electronic) IS - 0149-2195 (Linking) VI - 59 IP - 45 DP - 2010 Nov 19 TI - Occupational transmission of Neisseria meningitidis --- California, 2009. PG - 1480-3 AB - Neisseria meningitidis is a leading cause of bacterial meningitis and sepsis . The case-fatality rate for meningococcal disease is 10%--14%; survivors can experience brain damage, hearing loss, limb loss, and learning disabilities . On December 11, 2009, the California Department of Public Health (CDPH) initiated an investigation of two secondary cases of meningococcal disease in a police officer and a respiratory therapist following occupational contact with an unconscious adult. This report describes the events surrounding occupational transmission of N. meningitidis and recommends measures to control and prevent secondary transmission of N. meningitidis. Breaches in infection control, notification delays, and lack of worker exposure assessment and postexposure chemoprophylaxis (PEP) likely contributed to secondary cases. Employers should provide adequate infection-control training to staff members, PEP to exposed workers, and report notifiable diseases promptly. CN - Centers for Disease Control and Prevention (CDC) LA - eng PT - Case Reports PT - Journal Article PL - United States TA - MMWR Morb Mortal Wkly Rep JT - MMWR. Morbidity and mortality weekly report JID - 7802429 SB - IM MH - Adult MH - Allied Health Personnel MH - California MH - *Contact Tracing MH - Disease Notification MH - Humans MH - *Infection Control MH - Male MH - Meningitis, Meningococcal/drug therapy/prevention & control/*transmission MH - Middle Aged MH - Neisseria meningitidis/*isolation & purification MH - *Occupational Exposure MH - Personnel, Hospital MH - Police MH - Post-Exposure Prophylaxis MH - Respiratory Therapy MH - Unconsciousness EDAT- 2010/11/19 06:00 MHDA- 2010/12/14 06:00 CRDT- 2010/11/19 06:00 PHST- 2010/11/19 06:00 [entrez] PHST- 2010/11/19 06:00 [pubmed] PHST- 2010/12/14 06:00 [medline] AID - mm5945a2 [pii] PST - ppublish SO - MMWR Morb Mortal Wkly Rep. 2010 Nov 19;59(45):1480-3.