Abstract
Invasive meningococcal disease (IMD) is a serious infection that has devastating impacts on families. Most cases are children and young adults, and each case has a significant risk of death and permanent disability such as limb amputation. Aotearoa New Zealand (NZ) has experienced high rates of IMD for the last 30 years, but recent international and local experience shows that we may finally have an opportunity to be permanently free of this disease. In this Briefing we consider the desirability and feasibility of eliminating IMD in NZ, and outline the potential next steps for evaluation of this strategic option.