{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T22:08:09Z","timestamp":1767650889138},"reference-count":0,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[1999,2,1]],"date-time":"1999-02-01T00:00:00Z","timestamp":917827200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[1999,2]]},"abstract":"<jats:p>A surveillance system to assess the impact and changing epidemiology\n of invasive \nmeningococcal disease in Europe was set up in 1987. Since about 1991, contributors\n from \nnational reference laboratories, national communicable disease surveillance\n centres and \ninstitutes of public health in 35 European countries provided information\n on all reported cases \nof meningococcal disease in their country. We describe some trends observed\n over the period \n1993\u20136. The main findings were: the overall incidence of meningococcal\n disease was 1\u00b71 per \n100000 population but there was some evidence of a slow increase over time\n and with northern \nEuropean countries tending to have a higher incidence (Kendall correlation\n 0\u00b75772, <jats:italic>P<\/jats:italic>&lt;0\u00b7001), \nan increasing predominance of serogroup C, and a shift in the age distribution\n towards \nteenagers and away from younger children (\u03c7<jats:sup>2<\/jats:sup> test \nfor trend 44\u00b756, <jats:italic>P<\/jats:italic>&lt;0\u00b70001), although \nabout half of the cases were under 5 years of age. The overall case fatality\n rate was 8\u00b73% and \nthe most common serosubtypes were B[ratio   ]15[ratio   ]P1.7,16 and C[ratio   ]2a[ratio   ]P1.2,5.<\/jats:p>","DOI":"10.1017\/s0950268898001848","type":"journal-article","created":{"date-parts":[[2002,7,27]],"date-time":"2002-07-27T09:23:42Z","timestamp":1027761822000},"page":"41-49","source":"Crossref","is-referenced-by-count":96,"title":["Is group C meningococcal disease increasing in Europe? A \nreport of surveillance of meningococcal infection in Europe \n1993\u20136"],"prefix":"10.1017","volume":"122","author":[{"given":"M.","family":"CONNOLLY","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"NOAH","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[1999,2,1]]},"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268898001848","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,7]],"date-time":"2019-04-07T16:17:55Z","timestamp":1554653875000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268898001848\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1999,2]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1999,2]]}},"alternative-id":["S0950268898001848"],"URL":"https:\/\/doi.org\/10.1017\/s0950268898001848","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[1999,2]]}}}