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Health department says meningococcal case detected
By Amanda Newman, Newberg Graphic reporter
E-mail Amanda at anewman@eaglenewspapers.com
   A McMinnville boy was confirmed June 9 to have meningococcal disease, Yamhill County’s second case this year.
The two and a half-year-old boy was given a clinical diagnosis of the disease June 8, which was confirmed by lab results the following day, according to Sarah Bates of the Yamhill County Health and Human Services Department.
The child’s name and current status were not released; however, Bates confirmed that another child in the boy’s family had contracted the disease six years ago.
Meningococcal disease refers to any illness caused by the bacterium Neisseria Meningitidis. The bacterium either causes inflammation of the tissue surrounding the brain and spinal cord (meningococcal meningitis), enters the blood stream (meningococcemia) or infects the lungs (meningococcal pneumonia).
Although 5 to 10 percent of the population are genetic carriers of the bacterium, it rarely causes serious disease, according to the Oregon Public Health Division’s Acute and Communicable Disease Prevention (ACDP).
Symptoms of meningococcal diseases include a sudden onset of high fever, headache and stiff neck or a rapidly developing rash, often on the armpits, groin and ankles, that does not turn white when pressed, according to Yamhill County Public Health.
Meningococcal disease is spread through the exchange of saliva or other respiratory secretions. It is not highly contagious. Symptoms may develop 2 to 10 days following exposure.
According to ACDP, average Oregon meningococcal disease occurrence rates are 2 per 100,000 people each year, twice the national average.
In Yamhill County, there were five cases reported in 2006 and four in 2005, Bates said. According to ACDP, Yamhill County numbers were as high as nine cases per year in 2000 and 2001.
With a yearly disease average of 4.3 cases per 100,000 people, Yamhill County is above the state average and within the five Oregon counties with the highest percentages, according to the ACDP Web site.
Disease is most common in children under 5 years of age, with teens entering high school and college freshmen living in dormitories also notably at risk.
To reduce the possibility of contracting meningococcal disease, individuals should receive influenza vaccines, avoid close contact with people with coughs or colds, receive pneumococcal vaccines when recommended and refrain from smoking or being around people smoking.
“Secondhand smoke exposure has been shown to be ... a cause of meningococcal disease,” Bates said.
For more information on meningococcal diseases, visit www.co.yamhill.or.us/ph or oregon.gov/DHS/ph/acd.

From June 16, 2007, Newberg Graphic
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