We put your questions to Dr. Suneeta Soni, a Consultant in Sexual Health and HIV Medicine at SHAC.
What is the vaccine and how does it work?
The ‘4CMenB’ vaccine (commonly known by the brand name ‘Bexsero’) was developed to protect against meningitis B. It is part of the routine childhood vaccination programme and has been around, and in use for many years. Because the meningitis bug comes from the same family as gonorrhoea, the vaccine also provides some protection against gonorrhoea. You may see it referred to as ‘4CMenB’, ‘Men B’, ‘Meningococcal B’ or ‘Bexsero’, but they are all the same vaccine.
How good is the vaccination at stopping gonorrhoea?
Studies have shown that it’s about 30-40% effective at protecting against gonorrhoea, as remember, it wasn’t developed specifically for this infection. But with less gonorrhoea circulating among people who are vaccinated, there will be a lower risk overall of getting the infection.
Does the vaccine protect against any other sexually transmitted infections?
No, it won’t prevent chlamydia or other STIs, but it has excellent protection against meningitis.
Why is it being offered now?
A vaccination programme has been approved because rates of gonorrhoea are increasing nationally. In Brighton gonorrhoea rates are twice as high as the national average. It is hoped that the vaccination programme will help reduce the number of new infections of gonorrhoea.
Is it free and can anyone get the vaccination?
It’s free, but the Joint Committee for Vaccination and Immunisation (JCVI) has been specific about who should be offered the vaccine. This is because it will be most effective in groups where rates of gonorrhoea infections are high. In Brighton we will be offering the vaccination to those most at risk of gonorrhoea such as some gay, bisexual, and other men who have sex with men.
How many shots of the vaccine do you need?
It will be 2 shots with a gap in between of at least 4 weeks. If you’re also having other vaccinations we will try to do these for you in as few appointments as possible. Otherwise, we’ll do your second dose of Bexsero at your next routine appointment.
When does protection start?
It takes at least 2 weeks from your second dose for your body to produce enough antibodies to give you a good level of protection.
Are there any side effects and is it safe?
The commonest side effects are similar to what you’d expect for other vaccinations such as pain at the injection site, not feeling well, and a headache. But don’t worry you can’t get meningitis from this vaccine.
Will the vaccine be available in Brighton?
Yes, SHAC are now offering Bexsero vaccination. You won’t need a separate appointment for this, you’ll be offered it at your routine sexual health or PrEP appointment if you’re at increased risk of gonorrhoea.
The UK Health Security Agency (UKHSA) are inviting people who are eligible for the vaccination to take part in research about this programme. Their aim is to help future health promotion programmes for gay, bisexual and other men who have sex with men, and they want to hear from people whether they decide to have the vaccine or not. They want to understand what people think about the vaccine and how the well vaccine works.
Where can I find out more about the MenB vaccine?
There are a number of helpful resources online that you can read to find out more:
- UKHSA have produced a guide about the vaccine for patients
- The JCVI have published advice on the use of meningococcal b vaccination for the prevention of gonorrhoea