{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:39:06Z","timestamp":1777898346633,"version":"3.51.4"},"reference-count":38,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2009,3,1]],"date-time":"2009-03-01T00:00:00Z","timestamp":1235865600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2009,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives.<\/jats:title>\n                    <jats:p>Meningococcal disease (MD), is a leading cause of meningitis in the U.S. The purpose of this study was to determine the epidemiology of MD in Oklahoma, including trends, high-risk populations, and outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>Cases from the statewide passive reporting system with disease onset between 1988 and 2004 were included; 2002\u20132004 cases were linked to hospital discharge data. We performed a multivariate logistic regression of variables predicting death.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>There were 545 total cases (mean annual incidence rate 1.0\/100,000); 13% died. Rates were highest for children younger than 2 years of age; black males had rates two times higher than the state rate and a different age distribution than other race-gender groups. Mean length of hospital stay was 12 days and mean charges were $37,724. For every 10 years of age, the risk of death increased 13% (adjusted odds ratio 1.13, 95% confidence interval [CI] 1.05, 1.22). People younger than age 40 who developed MD between October and February were 68% more likely to die than those who developed it in other months (rate ratio [RR] 1.68, 95% CI 1.39, 2.05); an increased risk of death during these months was not statistically significant in people aged 40 and older (RR 1.19, 95% CI 0.83, 1.69).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion.<\/jats:title>\n                    <jats:p>Using statewide public health surveillance data to characterize the epidemiology of MD is important to understand local trends and risk factors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/003335490912400216","type":"journal-article","created":{"date-parts":[[2017,7,4]],"date-time":"2017-07-04T01:28:59Z","timestamp":1499131739000},"page":"280-287","source":"Crossref","is-referenced-by-count":5,"title":["State-Based Surveillance to Determine Trends in Meningococcal Disease"],"prefix":"10.1177","volume":"124","author":[{"given":"Carmen","family":"Clarke","sequence":"first","affiliation":[{"name":"Oklahoma State Department of Health, Oklahoma City, OK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sue","family":"Mallonee","sequence":"additional","affiliation":[{"name":"Oklahoma State Department of Health, Oklahoma City, OK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2009,3,1]]},"reference":[{"key":"bibr1-003335490912400216","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200105033441807"},{"issue":"7","key":"bibr2-003335490912400216","first-page":"1","volume":"54","author":"Bilukha OO","year":"2005","journal-title":"MMWR Recomm Rep"},{"key":"bibr3-003335490912400216","volume-title":"Control of communicable diseases manual","author":"Heymann DL","year":"2004","edition":"18"},{"key":"bibr4-003335490912400216","volume-title":"Principles and practice of infectious diseases","author":"Mandell GL","year":"2004","edition":"6"},{"key":"bibr5-003335490912400216","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.304.6819.116"},{"key":"bibr6-003335490912400216","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.4.3.359"},{"key":"bibr7-003335490912400216","doi-asserted-by":"publisher","DOI":"10.1016\/S0264-410X(03)00440-7"},{"key":"bibr8-003335490912400216","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(16)42339-X"},{"key":"bibr9-003335490912400216","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(91)91112-8"},{"key":"bibr10-003335490912400216","volume-title":"Abstracts of the 36th Annual Meeting of the Infectious Diseases Society of America","author":"Fischer M","year":"1998"},{"key":"bibr11-003335490912400216","doi-asserted-by":"publisher","DOI":"10.1097\/00006454-199710000-00015"},{"key":"bibr12-003335490912400216","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1990.03450100061026"},{"key":"bibr13-003335490912400216","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268800057733"},{"key":"bibr14-003335490912400216","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-123-12-199512150-00007"},{"key":"bibr15-003335490912400216","first-page":"139","volume":"10","author":"Stuart JM","year":"1988","journal-title":"Community Med"},{"issue":"2","key":"bibr16-003335490912400216","first-page":"21","volume":"42","author":"Jackson LA","year":"1993","journal-title":"MMWR CDC Surveill Summ"},{"key":"bibr17-003335490912400216","doi-asserted-by":"publisher","DOI":"10.1086\/315158"},{"key":"bibr18-003335490912400216","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp063561"},{"key":"bibr19-003335490912400216","doi-asserted-by":"publisher","DOI":"10.1001\/jama.286.6.688"},{"key":"bibr20-003335490912400216","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268801005301"},{"key":"bibr21-003335490912400216","volume-title":"The changing epidemiology of meningococcal disease in the U.S. with an emphasis on college health issues","author":"Martone WJ","year":"1999"},{"issue":"5","key":"bibr22-003335490912400216","first-page":"13","volume":"46","year":"1997","journal-title":"MMWR Recomm Rep"},{"issue":"7","key":"bibr23-003335490912400216","first-page":"1","volume":"49","author":"Prevention and control of meningococcal disease","year":"2000","journal-title":"MMWR Recomm Rep"},{"key":"bibr24-003335490912400216","doi-asserted-by":"publisher","DOI":"10.1001\/jama.281.16.1493"},{"key":"bibr25-003335490912400216","unstructured":"Immunization Action Coalition. Meningococcal prevention mandates for colleges and universities [cited 2006 Oct 16]. Available from: URL: http:\/\/www.immunize.org\/laws\/menin.htm."},{"key":"bibr26-003335490912400216","doi-asserted-by":"publisher","DOI":"10.1086\/501371"},{"issue":"10","key":"bibr27-003335490912400216","first-page":"1","volume":"46","year":"1997","journal-title":"MMWR Recomm Rep"},{"key":"bibr28-003335490912400216","volume-title":"SAS: Version 9.1","author":"SAS Institute, Inc.","year":"2003"},{"key":"bibr29-003335490912400216","unstructured":"National Center for Health Statistics. U.S. Census populations with bridged race categories [cited 2006 Aug 16]. 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