0
ARTICLE |

'The Wheel Within a Wheel': Meningococcal Trends

George W. Counts, MD; Robert G. Petersdorf, MD
JAMA. 1980;244(19):2200-2201. doi:10.1001/jama.1980.03310190052026.
Text Size: A A A
Published online

The meningococcus has occupied a special position among bacteria causing disease in humans. Epidemiologic data in this country, available since 1920 and reported by the Center for Disease Control (CDC), show that three major epidemics have occurred, with peaks in 1929, 1936, and 1943. At those times the case rate per 100,000 population was 8.6, 5.7, and 13.6, respectively.1 The most recent sizable epidemic occurred in the early 1950s, with a peak incidence of 3.2 cases per 100,000 population in 1953. In the ten-year period beginning in 1968, disease rates compiled by the CDC have ranged from a low of 0.64 per 100,000 population (1,323 cases in 1972) to 1.46 cases per 100,000 (2,951 cases in 1969). Both the reported total number of cases and rate have increased slightly since 1974.2

Like the revolving of an outer wheel, epidemics of meningococcal disease have come in waves or cycles.

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();