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Bacterial Meningitis Requirement

What You Need To Know About Bacterial Meningitis



New legislation approved by the Texas Legislature now requires new and transfer students, under the age of 22,  entering a college or university to provide proof of vaccination against bacterial meningitis in the previous five years. Other than noted below, students enrolled in non-credit continuing education classes, are not required to provide proof of bacterial meningitis immunization.

Exception: Students enrolled in a continuing education course or program that is more than 360 contact hours will be required to provide a certificate signed by a health practitioner or an official immunization record evidencing that the student has received a bacterial meningitis vaccination dose or booster during the five-year period preceding enrollment in said program. This documentation must be provided 10 days prior to the start of class.

 Students may claim an exemption from the vaccination requirements by providing a completed and notarized waiver:  "Exemption from Immunizations for Reasons of Conscience Affidavit Form".  Students should also consult their health care practitioner regarding any questions about this immunization.

This information is being provided to all new college students in the state of Texas. Bacterial meningitis is a serious, potentially deadly disease that can progress extremely fast —so take utmost caution. It is an inflammation of the membranes that surround the brain and spinal cord. The bacteria that causes meningitis can also infect the blood. This disease strikes about 3,000 Americans each year, including 100-125 on college campuses, leading to 5-15 deaths among college students every year. There is a treatment, but those who survive may develop severe health problems or disabilities.

  • What are the symptoms?
  • High fever
  • Severe headache
  • Rash or purple patches on skin
  • Vomiting
  • Light sensitivity
  • Stiff neck
  • Confusion and sleepiness
  • Nausea
  • Lethargy
  • Seizures

There may be a rash of tiny, red-purple spots caused by bleeding under the skin. These can occur anywhere on the body. The more symptoms, the higher the risk, so when these symptoms appear seek immediate medical attention.


How is bacterial meningitis diagnosed?

  • Diagnosis is made by a medical provider and is usually based on a combination of clinical symptoms and laboratory results from spinal fluid and blood tests.
  • Early diagnosis and treatment can greatly improve the likelihood of recovery.

How is the disease transmitted? 

The disease is transmitted when people exchange saliva (such as by kissing, or sharing drinking containers, utensils, cigarettes, toothbrushes, etc.) or come in contact with respiratory or throat secretions.

How do you increase your risk of getting bacterial meningitis?

  • Exposure to saliva by sharing cigarettes, water bottles, eating utensils, food, kissing, etc.
  • Living in close conditions (such as sharing a room/suite in a dorm or group home).

What are the possible consequences of the disease?

  • Death (in 8 to 24 hours from perfectly well to dead)
  • Permanent brain damage
  • Kidney failure
  • Learning disability
  • Hearing loss, blindness
  • Limb damage (fingers, toes, arms, legs) that requires amputation
  • Gangrene
  • Coma
  • Convulsions

Can the disease be treated?

  • Antibiotic treatment, if received early, can save lives and chances of recovery are increased. However, permanent disability or death can still occur.
  • Vaccinations are available and should be considered for:
    • Those living in close quarters
    • College students 25 years old or younger
  • Vaccinations are effective against 4 of the 5 most common bacterial types that cause 70% of the disease in the U.S. (but does not protect against all types of meningitis).
  • Vaccinations take 7-10 days to become effective, with protection lasting
  • 3-5 years.
  • The cost of vaccine varies, so check with your health care provider.
  • Vaccination is very safe—most common side effects are redness and minor pain at injection site for up to two days.
  • Vaccination is available at your own health care provider.

How can I find out more information?

  • Contact your own health care provider.
  • Contact your regional Texas Department of Health office at 903-595-3585.
Posted Date:
6/14/2023 11:39:20 AM