Volume 25, Number 3—March 2019
University-Based Outbreaks of Meningococcal Disease Caused by Serogroup B, United States, 2013–2018
|State of university
||No. cases (deaths)
||Approximate no. undergraduates
||Clonal complex of outbreak strain
||Sequence type of outbreak strain
|New Jersey||2013 Mar–2014 Mar||9 (1)*||5,000||41/44||409||(15,16)|
|Rhode Island||2015 Jan–Feb||2||3,700||Unassigned||9069||(18–21)|
|Oregon||2015 Jan–May||7 (1)‡||20,000||32||32||(22,23)|
|New Jersey||2016 Mar–Apr||2||35,000||11||11||(25)|
|Oregon||2016 Nov–2017 Nov||5||25,000||32||32||(28)|
|Massachusetts¶||2017 Oct–2018 Feb||3||26,000||41/44||41||(29)|
*Two of the cases occurred in close contacts of undergraduate students at the outbreak-affected university: 1 in a high school student who stayed in an undergraduate dormitory and 1 in a student at a different university.
†One additional associated case that occurred in March 2013 was identified after retrospective case review. An additional case occurred 2 years later in a close contact of an undergraduate student who may have been connected to this outbreak.
‡One case occurred in a close contact of undergraduate students at the outbreak-affected university.
§One additional suspected case with inconclusive lab results occurred in February 2016 in a student previously vaccinated with 2 doses of MenB vaccine and who received antimicrobial chemoprophylaxis the day before symptom onset.
¶Cases occurred at 2 universities in a college consortium in the same geographic area. The first 2 cases occurred at University 1 and the third case occurred at University 2.
#Cases were close contacts and members of the same athletic team.
**An isolate was available for only 1 of the 2 cases, so typing results refer to the single case isolate.
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1Members of the group are listed at the end of this article.