; Meningitis Outbreak in China
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Meningitis Outbreak in China

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									                  Advice on Meningitis Outbreak in China

In response to the Outbreak of Meningitis in China, I would like to remind all members of the
University of the following precautionary measures:


1. Visit the Center for Health Protection
   http://www.chp.gov.hk/
   Department of Health
   http://www.info.gov.hk/trhealth/e_HKTHS.htm
   WHO
   http://www.who.int/en/
   web site for the most updated information concerning the disease.
2. Try to avoid crowded places as much as possible.
3. Wear masks when you visit crowded areas or when you are in likely contact with possible
   infected persons.
4. Wash hands or wipe with alcohol wipe after contact with public installations or possible
   infected persons.
5. Use serving spoons and chopsticks.
6. If you develop fever within 14 days after coming back, please consult a doctor as soon as
   possible, and inform your doctor your travel history.
7. Post-Exposure Prophylaxis is recommended for Close Contacts* of Meningococcal
   Meningitis, the recommended measure is:
    For adults (over 18 years old): single dose of Ciproxin* 500mg.
    For children (12 to 18 years old): Rifampicin* 600mg every 12 hours for 4 doses.
    For children under 12 years old, please consult doctor for specific dosage of
        Rifampicin. Rifampicin is not recommended for children less than 2 years old.
   Travellers to China may bring along the prophylactic medicine and take it after close
   contact with an infected person.
   (There is not enough meningitis vaccine in Hong Kong for every traveler to affected areas.
   Vaccination takes 10 days to be effective. It is only recommended for those who reside in
   the affected area for more than 3 weeks or those with prolonged close contact with the
   infected person.)


   Those who would like to obtain prophylactic medication, please complete the form
   (http://www.hku.hk/uhs/meningitis), fax to UHS and collect the medicine after 1 working
   day.
8. For suspected case of meningitis, i.e. if one has been admitted into hospital with the
   following:      Fever > 38 degree Celsius
                   History of traveling to affected area
                   Symptoms of meningitis (a rash that does not fade when pressed with a
                   glass OR severe worsening headache OR severe neck stiffness) AND/OR
                   diagnosed by doctor as suspected meningitis
    Please report to UHS immediately.
     For daytime case reporting, please call 28591999.
    Students residing in residential halls MUST report to your warden if there is a suspected
    case of meningitis in the hall.


*Definition of ‘Close Contact’:
    All household or household like contacts.
    Anyone who has had intimate (kissing) contact with the index case and may have
         been exposed within and including 14 days of the onset of symptoms of the case.
       Anyone who has been exposed to the index case’s respiratory or oral secretions (i.e.
        sharing a drink by drinking from the same cup or water bottle, sharing a bite of food
        or sharing a cigarette.)


Side effects of Ciproxin: most are mild and abated soon after discontinuation.
     They are: nausea (5%), diarrhoea (2%), vomiting (2%), abdominal pain (1.7%),
     headache (1%), restlessness (1%) and rash (1%).
    Contraindicated in persons with history of hypersensitivity to Ciproxin or
    Quinolone type of antibiotics.

Side effects of Rifampicin:
      Do not wear soft contact lens while taking it.   It will discolour the lens.
        If will cause orange discolouration of tears and urine.
        If you are on oral contraceptive pills, you have to use additional contraceptive
         measure for 4 weeks after taking Rifampicin.
        May have rash, anorexia, nausea, vomiting, diarrhoea, headache, drowsiness.
    Contraindicated in persons with: history of hypersensitivity to Rifampicin or
    Isoniazid (antiTB drugs).



Dr. Kitty Chan
Director
University Health Service

								
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