{"id":10027,"date":"2023-03-03T11:00:27","date_gmt":"2023-03-03T16:00:27","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/surveillance-and-investigation\/?page_id=10027"},"modified":"2025-08-06T10:01:40","modified_gmt":"2025-08-06T14:01:40","slug":"meningococcal-disease-outbreak-response","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/surveillance-and-investigation\/meningococcal-disease-outbreak-response\/","title":{"rendered":"Meningococcal Disease Outbreak Response"},"content":{"rendered":"<div id=\"pl-10027\"  class=\"panel-layout\" ><div id=\"pg-10027-0\"  class=\"panel-grid panel-has-style\" ><div class=\"panel-row-style panel-row-style-for-10027-0\" ><div id=\"pgc-10027-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-10027-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"0\" ><div class=\"info-link-box panel-widget-style panel-widget-style-for-10027-0-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>Outbreaks occur when the observed numbers of cases are above what is expected for a particular disease. As of February 2025, reported cases of meningococcal disease in Virginia have remained below baseline (expected) levels for at least six months. As such, this outbreak has concluded. The strain associated with this outbreak continues to circulate in Virginia and <a href=\"https:\/\/emergency.cdc.gov\/han\/2024\/han00505.asp\">the United States<\/a>. Keeping up to date with <a href=\"https:\/\/www.cdc.gov\/meningococcal\/vaccines\/index.html\">recommended vaccines<\/a> is the best protection against meningococcal disease.<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><div id=\"pg-10027-1\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-10027-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-10027-1-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t><h3 class=\"widget-title\">Summary<\/h3>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p><strong><span class=\"TextRun SCXW241980027 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW241980027 BCX0\">From June 2022 to <\/span><span class=\"NormalTextRun SCXW241980027 BCX0\">February 2025, t<\/span><span class=\"NormalTextRun SCXW241980027 BCX0\">he Virginia Department of Health <\/span><span class=\"NormalTextRun SCXW241980027 BCX0\">respond<\/span><span class=\"NormalTextRun SCXW241980027 BCX0\">ed<\/span><span class=\"NormalTextRun SCXW241980027 BCX0\"> to a<\/span><span class=\"NormalTextRun SCXW241980027 BCX0\"> statewide <\/span><span class=\"NormalTextRun SCXW241980027 BCX0\">outbreak of meningococcal disease <\/span><span class=\"NormalTextRun SCXW241980027 BCX0\">caused by the bacterium <\/span><\/span><em><span class=\"TextRun SCXW241980027 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW241980027 BCX0\">Neisseria meningitidis<\/span><\/span><\/em><span class=\"TextRun SCXW241980027 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW241980027 BCX0\"> serogroup Y<\/span><span class=\"NormalTextRun SCXW241980027 BCX0\">.<\/span><\/span><\/strong> The first case was detected in Virginia's Eastern <a href=\"https:\/\/www.vdh.virginia.gov\/data\/vdh-geography-locator-tool\/\">health region,<\/a> and a regional outbreak was declared in <a href=\"https:\/\/www.vdh.virginia.gov\/clinicians\/meningococcal-outbreak-in-eastern-region\/\">September 2022<\/a>. <span class=\"TextRun SCXW186590676 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW186590676 BCX0\">The same strain <\/span><span class=\"NormalTextRun SCXW186590676 BCX0\">was<\/span> <span class=\"NormalTextRun SCXW186590676 BCX0\">identified<\/span><span class=\"NormalTextRun SCXW186590676 BCX0\"> causing infections at a <\/span><span class=\"NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW186590676 BCX0\">higher than expected<\/span><span class=\"NormalTextRun SCXW186590676 BCX0\"> rate statewide, leading to a<\/span><span class=\"NormalTextRun SCXW186590676 BCX0\"> s<\/span><span class=\"NormalTextRun SCXW186590676 BCX0\">tatewide outbreak declaration in <a href=\"https:\/\/www.vdh.virginia.gov\/news\/virginia-department-of-health-announces-statewide-outbreak-of-meningococcal-disease\/\">August 2023<\/a>.<\/span><\/span><span class=\"TextRun SCXW186590676 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW186590676 BCX0\">\u00a0<\/span><\/span><\/p>\n<p><span class=\"TextRun SCXW187545004 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW187545004 BCX0\">On March 28, 2<\/span><span class=\"NormalTextRun SCXW187545004 BCX0\">024, CDC <\/span><span class=\"NormalTextRun SCXW187545004 BCX0\">issued a <\/span><span class=\"NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW187545004 BCX0\">Health Alert Network (HAN) <\/span><a href=\"https:\/\/emergency.cdc.gov\/han\/2024\/han00505.asp\"><span class=\"NormalTextRun CommentStart ContextualSpellingAndGrammarErrorV2Themed CommentHighlightPipeRestV2 CommentHighlightRest SCXW187545004 BCX0\">Health Advisory<\/span><\/a><span class=\"NormalTextRun ContextualSpellingAndGrammarErrorV2Themed CommentHighlightPipeRestV2 SCXW187545004 BCX0\"> alerting healthcare providers of an increase<\/span><span class=\"NormalTextRun SCXW187545004 BCX0\"> in meningococcal disease, <\/span><span class=\"NormalTextRun SCXW187545004 BCX0\">mainly due<\/span><span class=\"NormalTextRun SCXW187545004 BCX0\"> to<\/span> <\/span><em><span class=\"TextRun SCXW187545004 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW187545004 BCX0\">Neisseria meningitidis<\/span><\/span><\/em><span class=\"TextRun SCXW187545004 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW187545004 BCX0\"> serogroup Y, sequence type (ST) 1466, the same strain associated with Virginia's outbreak<\/span><span class=\"NormalTextRun SCXW187545004 BCX0\">.<\/span><\/span><\/p>\n<p>On February 25, 2025, VDH concluded the statewide outbreak of meningococcal disease following a return to pre-outbreak levels. The strain associated with this outbreak continues to circulate in Virginia and nationally. Keeping up to date with <a href=\"https:\/\/www.cdc.gov\/meningococcal\/vaccine-info.html\">recommended vaccines<\/a> is the best protection against meningococcal disease.<\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-10027-1-0-1\" class=\"so-panel widget widget_sow-editor panel-last-child\" data-index=\"2\" ><div class=\"panel-widget-style panel-widget-style-for-10027-1-0-1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t><h3 class=\"widget-title\">Outbreak Cases by Region<\/h3>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p><strong>41 confirmed cases of meningococcal disease<\/strong> were identified in association with this outbreak, including <strong>8\u00a0deaths<\/strong>.\u2020 A common risk factor was not determined; however, genetic sequencing of available specimens confirmed the cases were highly genetically related.<\/p>\n<table class=\"outbreak-table\">\n<tbody>\n<tr>\n<th>Region*<\/th>\n<th>Cases\u2020<\/th>\n<\/tr>\n<tr>\n<td>Central<\/td>\n<td>3<\/td>\n<\/tr>\n<tr>\n<td>Eastern<\/td>\n<td>29<\/td>\n<\/tr>\n<tr>\n<td>Northern<\/td>\n<td>3<\/td>\n<\/tr>\n<tr>\n<td>Northwest<\/td>\n<td>0<\/td>\n<\/tr>\n<tr>\n<td>Southwest<\/td>\n<td>6<\/td>\n<\/tr>\n<tr>\n<td><strong>Total<\/strong><\/td>\n<td><strong>41<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>* The following <a href=\"https:\/\/www.vdh.virginia.gov\/data\/vdh-geography-locator-tool\/\">local health districts<\/a> reported at least one outbreak-associated case of meningococcal disease: Alleghany, Central Virginia, Fairfax, Hampton, Henrico, Norfolk, Peninsula, Pittsylvania\/Danville, Portsmouth, Prince William, Roanoke, Southside, Virginia Beach, and Western Tidewater.<\/p>\n<p>\u2020 As of: 2\/25\/25, Cases are defined using the national <a href=\"https:\/\/ndc.services.cdc.gov\/case-definitions\/meningococcal-disease-2015\/\">meningococcal disease case definition<\/a>.<\/p>\n<p>For more information, please visit VDH's <a href=\"https:\/\/www.vdh.virginia.gov\/surveillance-and-investigation\/meningococcal-disease\/\">Meningococcal Disease webpage<\/a>.<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><div id=\"pg-10027-2\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-10027-2-0\"  class=\"panel-grid-cell\" ><div class=\"info-link-box panel-cell-style panel-cell-style-for-10027-2-0\" ><div id=\"panel-10027-2-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"3\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t><h3 class=\"widget-title\">General Information<\/h3>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/surveillance-and-investigation\/meningococcal-disease\/\">VDH Meningococcal Disease<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/epidemiology\/epidemiology-fact-sheets\/meningococcal-disease\/\">VDH Meningococcal Disease Fact Sheet<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/13\/2023\/08\/Infographics_Meningococcal.pdf\">VDH Meningococcal Vaccines for Preteens and Teens<\/a>\n<ul>\n<li>Other languages:\u00a0<a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/6\/2025\/07\/Infographics_Meningococcal_Amharic.pdf\">Amharic<\/a>, <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/6\/2025\/07\/Infographics_Meningococcal_Arabic.pdf\">Arabic<\/a>, <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/6\/2025\/07\/Infographics_Meningococcal_Chinese.pdf\">Chinese,<\/a> <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/6\/2025\/07\/Infographics_Meningococcal_Dari.pdf\">Dari<\/a>, <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/6\/2025\/07\/Infographics_Meningococcal_HaitianCreole.pdf\">Haitian Creole<\/a>, <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/6\/2025\/07\/Infographics_Meningococcal_Korean.pdf\">Korean<\/a>, <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/6\/2025\/07\/Infographics_Meningococcal_Spanish.pdf\">Spanish<\/a>, <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/6\/2025\/07\/Infographics_Meningococcal_Tagalog.pdf\">Tagalog<\/a>, <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/6\/2025\/07\/Infographics_Meningococcal_Vietnamese.pdf\">Vietnamese<\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/meningococcal\/index.html\">CDC Meningococcal Disease<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/vaccines\/vpd\/mening\/public\/index.html\">CDC Meningococcal Vaccination<\/a><\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pgc-10027-2-1\"  class=\"panel-grid-cell\" ><div class=\"info-link-box panel-cell-style panel-cell-style-for-10027-2-1\" ><div id=\"panel-10027-2-1-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"4\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t><h3 class=\"widget-title\">Outbreak Resources<\/h3>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<ul>\n<li>Meningococcal Disease Outbreak Flyer<br \/>\n(<a title=\"VA DoH Fact Sheet_English\" href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/3\/2025\/05\/VDH-MenACWY-Flyer-English.pdf\" target=\"_blank\" rel=\"noopener\">English<\/a> | <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/3\/2025\/05\/VDH-MenACWY-Flyer-Spanish.pdf\" target=\"_blank\" rel=\"noopener\">Spanish<\/a>)<\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/73\/wr\/mm7343a3.htm?s_cid=mm7343a3_w\">MMWR Outbreak Report - October 2024<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/clinicians\/increase-in-meningococcal-disease-ongoing-statewide-outbreak-and-local-detections-of-a-separate-antibiotic-resistant-strain\/\">VDH Clinician Letter - April 2024<\/a><\/li>\n<li><a href=\"https:\/\/emergency.cdc.gov\/han\/2024\/han00505.asp\">CDC Health Advisory \u2013 March 2024<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/news\/virginia-department-of-health-announces-statewide-outbreak-of-meningococcal-disease\/\">VDH Press Release \u2013 August 2023<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/clinicians\/virginia-department-of-health-declares-statewide-outbreak-of-meningococcal-disease\/\">VDH Clinician Letter \u2013 August 2023<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/news\/2023-news-releases\/virginia-department-of-health-monitoring-community-outbreak-of-meningococcal-disease-in-eastern-virginia\/\">VDH Press Release \u2013 March 2023<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/clinicians\/meningococcal-disease-outbreak-update-invasive-group-a-strep-infections\/\">VDH Clinician Letter \u2013 March 2023<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/clinicians\/meningococcal-outbreak-in-eastern-region\/\">VDH Clinician Letter \u2013 September 2022<\/a><\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Outbreaks occur when the observed numbers of cases are above what is expected for a particular disease. As of February 2025, reported cases of meningococcal disease in Virginia have remained below baseline (expected) levels for at least six months. As such, this outbreak has concluded. The strain associated with this outbreak continues to circulate in [&hellip;]<\/p>\n","protected":false},"author":385,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":""},"tags":[],"class_list":["post-10027","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Meningococcal Disease Outbreak Response - Surveillance and Investigation<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/surveillance-and-investigation\/meningococcal-disease-outbreak-response\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Meningococcal Disease Outbreak Response - Surveillance and Investigation\" \/>\n<meta property=\"og:description\" content=\"Outbreaks occur when the observed numbers of cases are above what is expected for a particular disease. As of February 2025, reported cases of meningococcal disease in Virginia have remained below baseline (expected) levels for at least six months. As such, this outbreak has concluded. The strain associated with this outbreak continues to circulate in [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.vdh.virginia.gov\/surveillance-and-investigation\/meningococcal-disease-outbreak-response\/\" \/>\n<meta property=\"og:site_name\" content=\"Surveillance and Investigation\" \/>\n<meta property=\"article:modified_time\" content=\"2025-08-06T14:01:40+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/surveillance-and-investigation\\\/meningococcal-disease-outbreak-response\\\/\",\"url\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/surveillance-and-investigation\\\/meningococcal-disease-outbreak-response\\\/\",\"name\":\"Meningococcal Disease Outbreak Response - Surveillance and Investigation\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/surveillance-and-investigation\\\/#website\"},\"datePublished\":\"2023-03-03T16:00:27+00:00\",\"dateModified\":\"2025-08-06T14:01:40+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/surveillance-and-investigation\\\/meningococcal-disease-outbreak-response\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.vdh.virginia.gov\\\/surveillance-and-investigation\\\/meningococcal-disease-outbreak-response\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/surveillance-and-investigation\\\/meningococcal-disease-outbreak-response\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/surveillance-and-investigation\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Meningococcal Disease Outbreak Response\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/surveillance-and-investigation\\\/#website\",\"url\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/surveillance-and-investigation\\\/\",\"name\":\"Surveillance and Investigation\",\"description\":\"To promote and protect the health of all Virginians\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/surveillance-and-investigation\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Meningococcal Disease Outbreak Response - Surveillance and Investigation","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.vdh.virginia.gov\/surveillance-and-investigation\/meningococcal-disease-outbreak-response\/","og_locale":"en_US","og_type":"article","og_title":"Meningococcal Disease Outbreak Response - Surveillance and Investigation","og_description":"Outbreaks occur when the observed numbers of cases are above what is expected for a particular disease. As of February 2025, reported cases of meningococcal disease in Virginia have remained below baseline (expected) levels for at least six months. As such, this outbreak has concluded. 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