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Technical content reviewed by the Centers for Disease Control and PreventionSaint Paul, Minnesota 651-6 47-9009 Item #P4210 (5/18)What causes meningococcal disease? Meningococcal disease is caused by the bacterium Neisseria meningitidis. This bacterium has at least 13 different subtypes ( serogroups ). Five of these serogroups , A, B, C, Y, and W, cause almost all invasive disease. The relative importance of these five sero-groups depends on geographic location and other factors. In the United States almost all meningococcal disease is caused by serogroups B, C and Y. Each sero-group accounts for about one third of reported does meningococcal disease spread?The disease is spread person-to-person through the exchange of respiratory and throat secretions ( , by coughing, kissing, or sharing eating utensils).

in the United States. One type of vaccine (MenACWY) contains the surface polysaccharides of meningococcal serogroups A, C, W and Y chemically bonded (conju-

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