Document Detail


Risk factors for carriage of meningococcus in the Los Angeles County men's jail system.
MedLine Citation:
PMID:  2000846     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ten cases of meningococcal meningitis in the Los Angeles County men's jail system in 1986 were the first known reported cases in this population. New cases have continued into 1990. Nineteen of 21 symptomatic cases identified by serogroup from the men's jail occurring through 1988 had serogroup C. The prevalence of meningococcal carriage and potential risk factors were studied in 1988 among 150 men booked to enter the jail, 350 inmates being released, and 100 jail staff. The prevalence of meningococcal carriage among releases, bookings, and staff were 25.4%, 18.7%, and 5.0%, respectively. Among releases, imprisonment longer than a threshold of 28 days increased carriage of serogroup C 10.0 times (95% confidence interval (CI) 4.6-21.6). Among bookings, household crowding increased serogroup C carriage 8.2 times (95% CI 1.5-45.3). Direct and passive smoking at home increased carriage of any serogroup 5.2 (95% CI 1.2-47.5) and 2.5 (95% CI 1.1-5.8) times, respectively. Feasible potential interventions include banning smoking in the jail and immunization with quadrivalent meningococcal vaccine of booked men sentenced for one month or more.
Authors:
J C Thomas; N S Bendana; S H Waterman; M Rathbun; G Arakere; C E Frasch; J D Wenger; V Magsombol; J H Clark
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  American journal of epidemiology     Volume:  133     ISSN:  0002-9262     ISO Abbreviation:  Am. J. Epidemiol.     Publication Date:  1991 Feb 
Date Detail:
Created Date:  1991-04-08     Completed Date:  1991-04-08     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7910653     Medline TA:  Am J Epidemiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  286-95     Citation Subset:  IM    
Affiliation:
Department of Epidemiology, School of Public Health, University of North Carolina, Chapel Hill 27599-7400.
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MeSH Terms
Descriptor/Qualifier:
Carrier State / blood,  epidemiology*
Humans
Los Angeles / epidemiology
Male
Meningitis, Meningococcal / blood,  epidemiology*,  transmission
Prisoners* / statistics & numerical data
Questionnaires
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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