Rapid response to a college outbreak of meningococcal serogroup B disease: Nation's first widespread use of bivalent rLP2086 vaccine

J Am Coll Health. 2017 May-Jun;65(4):294-296. doi: 10.1080/07448481.2017.1285772. Epub 2017 Jan 25.

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; Neisseria meningitidis; meningococcal B disease; vaccination.

MeSH terms

  • Antigens, Bacterial / pharmacology
  • Antigens, Bacterial / therapeutic use
  • Bacterial Proteins / pharmacology
  • Bacterial Proteins / therapeutic use
  • Civil Defense / methods
  • Civil Defense / organization & administration*
  • Disease Outbreaks*
  • Faculty / statistics & numerical data
  • Humans
  • Meningococcal Infections / drug therapy
  • Meningococcal Infections / epidemiology
  • Meningococcal Infections / immunology
  • Meningococcal Vaccines / pharmacology
  • Meningococcal Vaccines / therapeutic use*
  • Neisseria meningitidis, Serogroup B / pathogenicity
  • Public Health / methods
  • Public Health / trends
  • Rhode Island / epidemiology
  • Students / statistics & numerical data
  • Universities / statistics & numerical data
  • Universities / trends*

Substances

  • Antigens, Bacterial
  • Bacterial Proteins
  • Meningococcal Vaccines
  • factor H-binding protein, Neisseria meningitidis