Consider the following statements: I. Meningococcal Meningitis is transmitted from person to person by mosquito bites. II. Vomitting and neck pain are two of the symptoms of Meningococcal Meningitis. Which of the statements given above is/are correct?

Statement I is incorrect. Meningococcal disease (caused by Neisseria meningitidis) is spread between people through respiratory droplets or direct contact with respiratory/nasopharyngeal secretions, not via mosquitoes or other insect vectors [1]. Statement II is correct: meningococcal meningitis commonly presents with sudden fever, headache and stiff neck (often experienced as neck pain), and may include nausea and vomiting among other features such as photophobia and altered mental status [2]. Therefore the only correct statement is II. The distinction between droplet/direct-contact transmission and insect-borne transmission underlies infection control measures and contact prophylaxis for close contacts.

Sources

1. [1] https://www.vdh.virginia.gov/content/uploads/sites/13/2018/03/Meningococcal_Disease2016.pdf
2. [2] https://dchealth.dc.gov/sites/default/files/dc/sites/doh/publication/attachments/Meningococcal%20Disease_2025.pdf