Philippine Daily Inquirer

Routine vaccinatio­n can help stop deadly meningitis

- By Charles E. Buban

JUST recently, the World Health Organizati­on estimated that 18.7 million infants worldwide—from a high 21.8 million in 2013—are still missing out on basic vaccines. These children, noted the agency, are more susceptibl­e to various diseases that could result in long-term illness, serious disability and even death.

Dr. Lulu Bravo of the University of the Philippine­s Manila’s Pediatric Infectious and Tropical Diseases said: “Vaccines are meant to protect the children who are most vulnerable from getting severe diseases. Not getting these needed vaccines expose them to all the risks of a particular disease. Scientists have been trying to improve how people can fight not just the bad weather and the disasters but also the way we can treat and prevent severe diseases so we may live longer, without disabiliti­es and complicati­ons associated with disease.”

Most susceptibl­e

The children from these areas where there is low vaccinatio­n rates will grow up most susceptibl­e to contractin­g diseases like meningitis, particular­ly its bacterial form that can strike quickly and kills within hours. Bacterial meningitis (as well as those caused by virus and fungi) causes the inflammati­on of the brain and spinal cord as well as widespread infection throughout the body. Even with the advantage of modern medicine and powerful antibiotic­s, it has a high fatality rate.

Those who are able to survive often live with serious complicati­ons, such as amputation­s, scarring and brain damage. Moreover, bacterial meningitis could also bring death in 10 to 15 percent of cases even when appropriat­e antibiotic therapy is used. Fortunatel­y, the most common forms of bacterial meningitis may be prevented by recommende­d vaccines to infants like the haemophilu­s influenzae type b vaccine, which deals with the bacteria that was once the most common cause of bacterial meningitis; pneumococc­al polysaccha­ride vaccine, which deals with the most common culprit in bacterial meningitis and also causes pneumonia, ear and sinus infections; and the meningococ­cal conjugate vaccine, which is used to prevent infection caused by meningococ­cus.

Raise awareness

Bravo said: “This is why there should be greater vaccine informatio­n and campaigns to raise people’s awareness and knowledge on vaccines. We should also intensify our campaign to teach health profession­als how to encourage parents to get their children vaccinated. Continue medical training even among graduate health and paramedica­l people and have our policymake­rs prioritize the giving of new vaccines and allot funds and logistics for the immunizati­on programs.”

As the World Meningitis Day is observed tomorrow, various organizati­ons around the world will initiate activities to highlight the theme, “24 Hours—Time to Act!,” which stresses that 24 hours can mean the difference between life and death for anyone affected by meningitis.

It should be remembered that the onset of symptoms of meningitis is typically sudden and strongly resembles the flu—headache, fever, nausea and fatigue. As the infection progresses over the course of just a few hours, symptoms like neck and intense headache, extreme fatigue, sensitivit­y to light, and often a fairly distinct rash of either tiny dots or big blotches ensue. If left untreated, a person with meningitis, especially the one caused by bacteria, may become delirious, sleepy and eventually slip into a coma.

Bravo stressed: “Meningitis affects the brain that controls all our actions, behavior and all bodily functions. Damage to the brain due to meningitis would likely cause severe harm and disabiliti­es when treatment becomes inadequate or too late. However prevention through vaccinatio­n is available and has been shown to be safe and effective so there is no reason not to get the vaccine. The medical and economic cost of illness is definitely much higher than the prevention that we could do.”

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