{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T01:45:34Z","timestamp":1790300734931,"version":"4.1.0"},"reference-count":0,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[1998,6,1]],"date-time":"1998-06-01T00:00:00Z","timestamp":896659200000},"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":[[1998,6]]},"abstract":"<jats:p>Fourteen cases of meningococcal disease (MD) occurred in \nAugust\u2013September 1996 in western \nSydney, Australia. Seven of the 10 young adults affected had a direct or\n indirect link with a \nlocal nightclub. Ten of 11 systemic meningococcal isolates had the phenotype\n \nC[ratio   ]2a[ratio   ]P1.5 and \nshowed close genetic relationship by pulsed-fleld gel electrophoresis (PFGE).\n Organisms of this \nphenotype have not previously caused outbreaks in Australia, but have been\n associated with \noutbreaks and hyperendemic serogroup C MD in Europe, Canada, and the United\n States.<\/jats:p><jats:p>This is the largest cluster of serogroup C MD reported in urban Australia,\n and the first \ninvolving a nightclub. The strain differentiation results were available\n rapidly enough to \naugment epidemiological investigations on a daily basis. Public \nhealth staff could thus establish \nlinks between cases quickly, follow the spread of new cases in the community,\n give accurate \ninformation to health officials and the press, and utilize existing knowledge\n about the \ncharacteristics of this phenotype to predict likely developments during\n the outbreak and \nafterwards. The strain differentiation data was also very helpful when\n the role of vaccination \nwas considered, and existing guidelines on the management of outbreaks\n of MD could be used \neffectively for the first time in western Sydney.<\/jats:p>","DOI":"10.1017\/s0950268898008681","type":"journal-article","created":{"date-parts":[[2002,7,27]],"date-time":"2002-07-27T09:23:42Z","timestamp":1027761822000},"page":"263-270","source":"Crossref","is-referenced-by-count":25,"title":["A cluster of meningococcal disease in western Sydney, \nAustralia initially associated with a nightclub"],"prefix":"10.1017","volume":"120","author":[{"given":"J.","family":"JELFS","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"JALALUDIN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"MUNRO","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"PATEL","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"KERR","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"DALEY","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"NEVILLE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"CAPON","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[1998,6,1]]},"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268898008681","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,2]],"date-time":"2019-04-02T17:05:00Z","timestamp":1554224700000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268898008681\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1998,6]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1998,6]]}},"alternative-id":["S0950268898008681"],"URL":"https:\/\/doi.org\/10.1017\/s0950268898008681","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[1998,6]]}}}