Coulehan J L, Michaels R H, Williams K E, Lemley D K, North C Q, Welty T K, Rogers K D
Public Health Rep. 1976 Sep-Oct;91(5):464-8.
An analysis of 219 confirmed cases of bacterial meningitis among Navajo Indians during a 5-year period, July 1, 1968, through June 30, 1973, revealed that 56 percent were caused by Haemophilus influenzae, 26 percent by Neisseria meningitidis, 6 percent by Mycobacterium tuberculosis, and 6 percent by other organisms. The annual incidence of H. influenzae meningitis (17.7 per 100,000 persons) and that of pneumococcal meningitis (8.0 per 100,000) were much higher than the rates for these diseases reported from other population groups. The annual incidence of meningococcal meningitis (2.0 per 100,000) was similar to that found elsewhere. There was an ususual concentration of cases during the first year of life; 78 percent of H. influenzae, 64 percent of pneumococcal, and 50 percent of meningococcal meningitis occurred during this time. However, bacterial meningitis during the first month of life was not frequent (0.29 per 1,000 live births). Case fatality rates were similar to those reported for other population groups.
对1968年7月1日至1973年6月30日这5年间纳瓦霍印第安人中219例确诊的细菌性脑膜炎病例进行分析后发现，56%的病例由流感嗜血杆菌引起，26%由脑膜炎奈瑟菌引起，6%由结核分枝杆菌引起，6%由其他病原体引起。流感嗜血杆菌脑膜炎的年发病率（每10万人中17.7例）和肺炎球菌脑膜炎的年发病率（每10万人中8.0例）远高于其他人群中报告的这些疾病的发病率。脑膜炎球菌脑膜炎的年发病率（每10万人中2.0例）与其他地方的发病率相似。病例在出生后的第一年出现异常集中的情况；78%的流感嗜血杆菌脑膜炎、64%的肺炎球菌脑膜炎和50%的脑膜炎球菌脑膜炎病例在此期间发生。然而，出生后第一个月内的细菌性脑膜炎并不常见（每1000例活产中0.29例）。病死率与其他人群中报告的病死率相似。
