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Genuine reduction in meningococcal deaths results from teamwork
  1. M Peters1,
  2. A Petros1,
  3. P Baines2,
  4. P Loan3,
  5. P Cullen4,
  6. C Ralston5,
  7. R Yates6,
  8. M Marsh7,
  9. P Weir8
  1. 1Paediatric Intensive Care Unit, Great Ormond St Hospital, Great Ormond Street, London WC1N 3JH, UK
  2. 2Paediatric Intensive Care Unit, Royal Liverpool Childrens' Hospital, UK
  3. 3Paediatric Intensive Care Unit, Royal Belfast Hospital for Sick Children, UK
  4. 4Paediatric Intensive Care Unit, Royal Hospital for Children, Glasgow, UK
  5. 5Paediatric Intensive Care Unit, Birmingham Children's Hospital, UK
  6. 6Paediatric Intensive Care Unit, Manchester Children's Hospital, UK
  7. 7Paediatric Intensive Care Unit, Southampton General Hospital, UK
  8. 8Paediatric Intensive Care Unit, St Michael's Hospital, Bristol, UK
  1. Correspondence to:
    A J Petros, Great Ormond Street Hospital, Great Ormond Street, London, UK; petroa{at}

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As paediatric intensivists in lead centres accredited for paediatric intensive care (PIC) training and responsible for the care of approximately 7000 cases per year, we read with concern the report from St Mary's Hospital which reported improved outcome of meningococcal disease (MD) in 1997 compared with previous years.1

Their reported reduction in mortality must be seen in the context of an overall reduction of childhood mortality and a widespread improvement in the outcome for many conditions requiring PIC such as acute respiratory failure,2 persistent pulmonary hypertension3 and complex congenital heart defects.4 Overall UK PIC mortality rates have …

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