Several different bacteria can cause meningitis but Neisseria meningitidis -- which is to blame for this outbreak -- is one of the most significant because of its potential to cause epidemics.
The risk to the families of pilgrims was highlighted by a study in Malaysia, published in 2002: among people sharing a house with a returning pilgrim, about 8% were carrying traces of the bacteria associated with meningitis.
Meningitis is an aggressive disease when bacteria invade the protective membranes of the central nervous system and cause adverse inflammatory responses.