In April 2017, the World Health Organization reported that over 489 people had died from a meningitis outbreak in Nigeria, with over 4,600 suspected cases in the country. Earlier this year, the International Coordinating Group and WHO have sent 341,000 doses of the meningitis vaccine to the area.
However, since April, the disease is still spreading and the death toll has now risen to over 1,100.
Alexander The Great remains one of the most infamous and talked about figures in history. We know so much about his conquers around the world, but so little about what caused his death. There are many theories out there as to what brought this man to his downfall, but no one knows for sure. The most realistic theories of his death involve disease and viruses.
Both of these diseases were common and rampant throughout Ancient Babylon, which would have made Alexander easily susceptible.
Transferred by mosquitoes, the symptoms of both malaria and typhoid are consistent with Alexander’s symptoms right before his death.
Although malaria has been eradicated in the United States, it still is very much alive in U.S. hospitals and in hospitals around the world.
Although no cases of malaria have originated in America since the 1950s, malaria still exists in the country due to travelers that come back to the states with the disease.
A study done by The American Journal of Tropical Medicine and Hygiene was released earlier in April that indicated that there are still over 1,500 cases of malaria in U.S. hospitals each year. In this study, researchers looked at statistics in hospitals over a fourteen year span, from 2000-2014.
Cholera is considered a disease that tends to fall by the wayside. It seems to only get attention during times of a terrifying outbreak.
Thanks to a cholera epidemic in Haiti, the disease has been getting plenty of attention since 2010.
But, should all travelers be worried about cholera? Should you even prepare for the disease if you aren’t heading to Haiti?
Meningitis is an often-deadly disease that can affect individuals of any age or demographic. Vaccinations have provided protection for some time. But, this was not always the case.
Before 2014, there was no protection against meningitis B, one of the more common strains of the bacterial infection. This left millions of individuals, especially teens, vulnerable to infection. Including Kimberly Coffey.
At the start of June 2012, Kim was a bright and happy 17-year-old girl in the last two weeks of her senior year of high school. But, within a few weeks she would be gone.
On June 5, Kim went to school feeling well, just like any other day. After returning home from school the next day she had body aches and a high temperature. Kim’s mother, Patti Wukovits, was concerned and called the pediatrician. He said it sounded like the flu and asked Patti to bring Kim in the next morning.
When they got up the next day, Patti asked Kim if she still felt any pains. “Mom, from my eyelashes down to my toes.” Kim said, “I feel like my ankles are bleeding.”
Patti took a look and saw purplish dots on her ankles. She later learned Kim was spot on. The capillaries in her ankles were bleeding beneath her skin.
They immediately went to the pediatrician’s office, knowing he was across the street from the hospital, if that was necessary.
During the exam, Kim complained about more pain in her back. “Right before my eyes, a dark purplish rash appeared going straight up her back,” Patti said. Kim was rushed to the emergency room.
As the hospital staff examined Kim further, they diagnosed her with bacterial meningitis.
“I told [them] that it couldn’t be possible because Kim had been vaccinated for meningitis,” Patti said. As a mother and a nurse, I was vigilant in having both of my children fully vaccinated. I learned later that there was a type of meningococcal disease, MenB (serogroup B) which the meningococcal vaccine did not protect her against.”
Meningitis B accounts for around 50 percent of meningitis cases in the United States among 17- to 22-year-olds. Symptoms most often include: sudden high fever, stiff neck, severe headache, nausea or vomiting, confusion, seizures, sensitivity to light and skin rash. The infection can often go misdiagnosed as flu or migraine until symptoms become more severe.
Today, there is a meningitis vaccine that provides serogroup B protection. But, in 2012 it was still a few years away from availability in the United States.
Kim was taken to the intensive care unit. Within hours her heart and lungs were failing and she had purple rashes across her body. She was beginning to lose blood flow to her extremities.
Doctors determined Kim’s infection progressed to meningococcemia, where the meningitis infection has entered the bloodstream.
Patti worried she may not have been fast enough in getting her daughter to the hospital.
“I asked the doctor if I should have taken Kim to the emergency room the night before,” Patti said. “She assured me that if I had taken her the night before, [Kim] would have been sent home because she would have presented as only having flu-like symptoms. She didn’t have a rash the night before – just body aches and a fever.”
Throughout the next few days, Kim’s extremities continued to get darker from lack of circulation. Her fingers and toes were almost completely black.
On June 10, Kim had her first dialysis treatment to help her failing kidneys. During the procedure, she went into cardiac arrest. She was resuscitated but put on a ventilator and was left in a coma.
“We would never be able to talk to Kim again or hear her sweet voice,” Patti said.
For the next few days scans showed Kim continued to have significant brain activity. But, she remained in her coma. Family and friends continued to pray for her recovery. On June 14, doctors performed a CT scan of her brain which showed impending brain herniation. Doctors prepared the family for the worst.
“My son Christopher was in Oklahoma in his last week of Basic Training with the U.S. Army and wasn’t allowed to come home,” Patti said. “I had spoken with him every single day since Kim went into the hospital through the American Red Cross to update him. But on this day, I had to tell my son it was time to come home to say good bye to his little sister.”
On June 15, a final scan confirmed no brain activity. After Christopher arrived from Oklahoma, the family said goodbye to Kim and her life support was stopped.
“We were all with her,” Patti said. “And I knew Kim was at peace.”
Kimberly Ann Coffey was 17-years-old.
Patti and her husband, John, established the Kimberly Coffey Foundation to help raise meningitis B awareness. The organization has played a key role in helping groups recognize the importance of meningitis B vaccination. The foundation, and Kim’s story, played a significant role in the passage of the New York State Meningococcal Immunization Bill, which added meningitis to the list of required vaccines for students entering the 7th and 12th grades. It’s important to know that the requirement in New York State does not include meningitis B vaccination. It’s critically important parents ask specifically for an additional meningitis B vaccine.
June 12 to 16, 2017 has been declared Meningitis B Awareness Week in New York state in honor of Kimberly and in recognition of the Kimberly Coffey Foundation.
To find out more about meningitis, see our meningitis page.
To find out more about Kim’s story and the Kimberly Coffey Foundation see their website.
