Since the germs that cause bacterial meningitis can spread through such activities as coughing or sneezing, unimmunized children in a day care setting or young adults living in college or military dorms are especially vulnerable. Children with underlying health conditions may also be at a higher risk of infection. These conditions include sickle cell disease, abnormal spleen function, HIV infection, some immunodeficiency syndromes and children who are not breastfed.
The great news for parents is that you can greatly reduce your child's risk for meningitis by vaccinating your children. The vaccines are safe and highly effective. Children routinely receive the Haemophilus influenzae type b (Hib) and pneumococcal vaccinations as a part of their well baby exams. These vaccinations are typically given to infants at two, four, six and 12 to 18 months of age. Since the Hib vaccination was introduced in 1988, the incidence of serious infection has decreased by 99 percent. There has also been a dramatic decrease in life-threatening pneumococcal infections since the pneumococcal vaccine was introduced in 2000.
Older children and young adults should receive a vaccination later in life to protect against meningococcal meningitis. This vaccination is usually administered around age 11, although children at high risk of meningococcal infection should be vaccinated at two years of age.
University of Missouri Health Care pediatricians encourage parents to make sure that their children are fully immunized against these serious, life-threatening infections. The Centers for Disease Control and Prevention (CDC) posts its immunization schedules for children, adolescents and adults online.
If your child displays symptoms of meningitis, such as fever and chills, nausea and vomiting, severe headaches or a stiff neck, call your physician immediately. Early treatment is critical to a good outcome.
Fete is medical director of University of Missouri Children's Hospital, chair of the MU Department of Child Health and Children's Miracle Network Professor in Pediatrics at the MU School of Medicine. He has been caring for the health needs of children for more than 30 years.
Children's Hospital is mid-Missouri's largest and most comprehensive pediatric health care facility. Dedicated exclusively to meeting the health care needs of children, the hospital has more than 115 beds.
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