Gärtner H, Sonntag H G
Zentralbl Bakteriol Orig B. 1977 Dec;165(5-6):548-56.
The outbreak of meningitis during the period from the end of August to the beginning of October 1974 in Kiel affected 45 children, particularly those in the age group between 4 and 9 years. An potential causative agents ECHO viri were identified in 15/45 cases and Coxsackie B viri in 2/45 cases. The patients presented the typical meningitic symptoms (fever, headache, stiffness of the neck). In all cases the disease ran a benign course. - Epidemiologically, it was possible to trace 32/45 cases back to three locally demarcated groups with demonstrable possibilities of contact for the diseased children (family, playground, kindergarden and school). The remaining 13/45 cases occurred isolated over the urban area without any visible connection. - This outbreak of meningitis must be regarded as an accumulation of illnesses resulting from contact infections by enteroviri and lacking or deficient disinfection. Besides the rather limited measures adopted to prevent the spread of such an infection, the correct psychological management of the population especially by the health authorities is of great importance in such epidemics.
1974年8月底至10月初基尔爆发的脑膜炎疫情影响了45名儿童，尤其是4至9岁年龄组的儿童。在45例病例中的15例中鉴定出潜在病原体埃可病毒，在45例病例中的2例中鉴定出柯萨奇B病毒。患者表现出典型的脑膜炎症状（发热、头痛、颈部僵硬）。所有病例病情均呈良性发展。——从流行病学角度看，45例病例中的32例可追溯到三个局部划定的群体，患病儿童有明显的接触可能性（家庭、操场、幼儿园和学校）。其余13/45例病例在市区散在发生，没有任何明显联系。——此次脑膜炎疫情必须被视为由肠道病毒接触感染以及缺乏或消毒不充分导致的疾病聚集。除了为防止此类感染传播而采取的相当有限的措施外，在这类疫情中，尤其是卫生当局对民众进行正确的心理疏导非常重要。
