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Rapid response to a college outbreak of meningococcal serogroup B disease: Nation's first widespread use of bivalent rLP2086 vaccine
Authors:Theresa M Fiorito  Suzanne Bornschein  Alysia Mihalakos  Catherine M Kelleher  Nicole Alexander-Scott  Koren V Kanadanian
Institution:1. Department of Pediatric Infectious Diseases, Hasbro Children's Hospital, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA;2. Student Health Center, Providence College, Providence, Rhode Island, USA;3. Rhode Island Department of Health, Center for Emergency Preparedness and Response, Providence, Rhode Island, USA;4. Rhode Island Department of Health, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA;5. Emergency Management, Providence College, Providence, Rhode Island, USA
Abstract:Objective: To outline the reasoning behind use of bivalent rLP2086 in a Rhode Island college meningococcal B disease outbreak, highlighting the timeline from outbreak declaration to vaccination clinic, emphasizing that these two time points are <3 days apart. Participants: Staff, faculty, and students at College X eligible for vaccination. Methods: An outbreak response was initiated, advantages/disadvantages of available MenB vaccines were discussed, and a vaccination clinic was coordinated. Results: Bivalent rLP2086 was chosen as the vaccination intervention. We achieved a 94% coverage rate for the first dose. To date, this intervention has prevented further cases of Neisseria meningitidis serogroup B disease at College X. Conclusions: The close, efficient collaboration of public health stakeholders and College X led 94% of the eligible population to be safely vaccinated with at least one dose of bivalent rLP2086. This outbreak marked the first time bivalent rLP2086 was effectively used as an intervention response.
Keywords:Bivalent rLP2086  meningococcal B disease  Neisseria meningitidis  vaccination
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