What are the symptoms of meningitis and how is it spread?

by | Oct 18, 2026 | Health

What are the symptoms of meningitis and how is it spread?

Public health officials have announced a targeted vaccination initiative aimed at one million teenagers and young adults in response to rising concerns about meningitis B cases. The programme focuses on individuals considered at highest immediate risk of infection.

Meningitis is an infection affecting the protective membranes surrounding the brain and spinal cord. While it can impact people of any age, it is most prevalent among babies, young children, teenagers, and young adults. The condition can be caused by either bacterial or viral pathogens, with bacterial meningitis being rarer but more severe. Bacterial infections may progress to invasive meningitis, involving bloodstream or brain lining invasion, potentially leading to sepsis. Meningitis B accounts for the majority of severe meningococcal disease cases in the UK, with official data showing 378 cases of invasive meningococcal disease in 2024-2025.

Symptoms include sudden high fever, severe headache, stiff neck, vomiting, diarrhea, joint and muscle pain, light sensitivity, cold extremities, seizures, confusion, and extreme sleepiness. A characteristic non-blanching rash may also appear. Several vaccines offer protection against meningitis causes, including MenACWY for groups A, C, W, and Y bacteria, and MenB for group B bacteria. The MMRV vaccine, which replaced MMR in January 2026, provides protection against measles, mumps, rubella, and chickenpox. Pneumococcal and six-in-one vaccines also offer meningitis protection through preventing related infections.

The specific vaccination programme offers two free doses to Year 13 pupils and individuals under 25 beginning university or residential further education this autumn. Meningococcal bacteria spread through close personal contact via saliva exchange in coughs, sneezes, kissing, or sharing vapes and drinks. Some individuals carry bacteria asymptomatically. Disease incidence typically peaks October to November annually, with outbreaks more likely in congregate settings like university campuses. Immediate medical attention is critical for suspected meningitis or sepsis cases, as early treatment can be lifesaving.

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