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open archive Keywords Australia Canada Case crossover Epidemiology France Meningitis Neisseria meningitidis Seasonality United States Introduction Invasive meningococcal disease (IMD) due to Neisseria meningitidis, which includes meningococcal meningitis and meningococcal sepsis, is an important cause of illness, long-term disability and death worldwide [1,2]. Approximately 1.2 million cases of IMD occur globally each year [2,3].
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