Overview
- Hamburg has confirmed 16 invasive Hib infections with three deaths, primarily among drug-using and homeless populations.
- The Robert Koch Institute published an epidemiological bulletin on August 7 advising against sharing smoking, eating and drug-consumption utensils and recommending preventive medication for close contacts.
- To reach unvaccinated adults at highest risk, Hamburg authorities are offering on-site Hib vaccinations in two drug consumption rooms.
- The Standing Vaccination Commission is reviewing potential expansion of adult Hib immunization guidelines to include additional risk groups.
- Routine infant Hib vaccination has driven down pediatric cases since the early 1990s, making this concentrated adult outbreak unusually severe in Germany.