Meningitis – Frequently asked Questions What is meningitis? Meningitis is a potentially fatal bacterial infection that causes inflammation of the membranes surrounding the brain and spinal cord. It is caused by the bacterium Neisseria meningitides, also known as meningococcal infection. Many people (1015% of the population) carry meningococcal bacteria at the back of the throat or nose without any ill effects. In rare instances, meningococcal overcome the body's natural defenses and cause serious diseases, including meningitis (infection of the lining of the brain) and septicemia (infection of the blood stream). What are the signs and symptoms? The common signs and symptoms of meningococcal infection include one or more of the following: Drowsiness Lethargy Vomiting Aching joints Severe headache Dislike of bright lights Rash of red/purple spots similar to bruising under the skin High temperature Stiff neck Not all of these signs and symptoms will necessarily occur together. If you have sudden onset of the signs and symptoms or observe them in someone else, you should seek immediate medical help. How should I respond if I only have one or two of the symptoms? Be aware that not all symptoms may present themselves - be particularly alert to unusually severe headache and/or high fever. When seeking medical advice, tell the doctor that cases of meningitis have recently occurred at the University. How is it spread? The infection can be spread from one person to another through a transfer of secretions from the throat or nose during close contact. The following can spread the disease: coughing, sneezing, kissing, sharing food or drink, sharing eating or drinking utensils, sharing cigarettes and sharing lipstick. The infection is not acquired simply by being in the same room as an infected person. Is there an incubation period? Yes. The small number of people who get meningitis or septicemia normally develop symptoms within two to seven days of being exposed to the bacteria. Who decides what to do if there is a suspected case of meningitis or septicemia in the University? Decisions about what needs to be done and the provision of advice are undertaken by The Greater Manchester Health Protection Agency in liaison with the University. Someone I know may have meningitis. Should I be given antibiotics? In fact why aren't you giving them to the whole University community? Antibiotic tablets are usually only given to people living in close proximity to the patient with meningitis or septicemia, or the patient's boy/girlfriend. The antibiotics kill any bacteria they may be carrying. Even if you are given this medicine it is important to watch out for the signs and symptoms. Antibiotics may be given to particular groups. These strong antibiotics kill the bacteria that cause meningococcal infection, but also destroy bacteria that help the body to fight off infections. That is why these antibiotics are given only when absolutely necessary. What should I do if I have been in close contact with a suspected case? If you are concerned that you may have been a close contact, but have not been identified as such, you should immediately contact your GP. Should I avoid contact with people who have been in contact with a suspected case? Do not avoid people just because they have been in contact with someone who has suspected meningitis or septicemia. As about one in ten people carry the bacteria, you are in contact with it every day. Should I cancel any visits to or from friends or relatives outside the University? Do not avoid people just because you think you may have been in contact with someone who has suspected meningitis or septicemia. However, you should help to raise awareness of the symptoms of meningitis, and of what to do if a case is suspected, among all those with who you are in close contact. What precautions can I take against meningococcal infection? Vaccines are offered within existing immunisation programme but they cannot protect against all strains. Knowing the signs and symptoms of meningococcal infection is one of the best forms of defense. Meningococcal infection can be treated with powerful antibiotics and careful management. This works best if it is given as soon as possible. That's why it is important to know what to look out for and to get medical help immediately if you are concerned about someone who is ill. What should I do even if I haven’t been in close contact with a suspected case? You should: Be aware of the signs and symptoms in both yourself, and others. Seek advice immediately if at all concerned. Look after your health by maintaining a balanced diet with adequate sleep and exercise. Avoid excessive alcohol and smoking. Do not alter your daily routine – life should continue as normal. Will sports activities at the University be affected? The risk of transmission and subsequent infection from meningitis bacteria between people participating in sporting activities together is extremely low. However, during the period of four weeks from the appearance of the last case, it would be sensible for teams that spend a prolonged period in close contact during sport to desist from sharing water bottles or drinking vessels. Otherwise, normal sporting life should continue including fixtures with outside teams. Where can I obtain further information? Meningitis Research Foundation 24-hour free phone helpline tel: 080 8800 3344 www.meningitis.org The Meningitis Trust 24-hour helpline tel: 0845 6000 800 Email: support@meningitis-trust.org.uk www.meningitis-trust.org.uk