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April 12, 2004
HONOLULU - The Hawaii State Department of Health (DOH) has received
diagnostic laboratory results of tests at the Centers for Disease
Control and Prevention from the 22 year-old Hawaii student who died
suddenly on March 25, 2004. Results indicated that the student died of
a severe infection, called meningococcemia. All close contacts of the
deceased were identified and previously provided with antibiotic
prophylaxis by the DOH. Thus far, there is no evidence of further
spread of illness.
Based on information available prior to test results, the DOH
postulated that the victim’s illness was likely to be
meningococcemia and initiated antibiotic treatment of close contacts.
Dr. Paul Effler, State Epidemiologist stated, "This was a real tragic
episode for the friends and family. While spread to close contacts is
relatively rare, I am thankful that thorough work on the part of the
coroner and emergency personnel enabled us to make the right call on
this case and provide antibiotic prophylaxis in a timely manner to
reduce the risk of further disease spread."
Meningococcemia is a serious and sometimes fatal disease. Early
symptoms include sudden onset of fever, headache, malaise, nausea,
vomiting, neck stiffness, and skin rash. Prompt medical attention
including specific antibiotic therapy is necessary to help prevent
complications such as bleeding, shock, and death. Neisseria
meningitides infections are relatively rare; the number of N.
menigitides infections reported in Hawaii each year has ranged from
1 to 14 since 1990.
Health care professionals should report any suspected case of
meningococcal infections to the Department of Health, Disease
Investigation Branch or to the local District Health Office.
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For more information,
contact:
Darcie Yukimura
Department of Health
Phone: (808) 586-4442
Janice Okubo
Department of Health
Phone: (808) 586-4442
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