Despite the success of the Men C programme the youngest members of society continue to bear a disproportionate burden in terms of incidence of, and mortality from, IMD. The recorded case fatality rate (CFR) for meningococcal disease varies between each year (see table accompanying Figure 1), similar to the observed in England and Wales. 2 A number of factors including increased awareness, public health measures, early resuscitation, improved resuscitation techniques, advances in critical care, surgical interventions and investment in rehabilitation may have contributed to improvements in outcome. 3 There is, however, a persistent mortality, particularly in the early hours of.
