Bacteria and viruses are the two main causes of meningitis. The bacterium Neisseria meningitidis, also called meningococcus, causes meningococcal meningitis. In children and teens, meningococcus is the most common cause of bacterial meningitis. In adults, it is the second most common cause.
A 14-passenger matatu cost 70 shillings to ride; in a 15-hour day it could make six to seven round trips, taking in 6,000 to 7,000 shillings, about $100. Riding a 51-passenger matatu cost 40 shillings for a vehicle that moved more slowly; it only managed five to six round trips in a day.
Contrasting with this, a patient purchasing a box of 3 Lantus Solostar pens, each of which contains 3 mL of insulin glargine, can use 1 pen every 28 days. Although the cost of the box of Lantus Solostar pens is approximately $400, no medication is wasted, and the cost to insurers is similar to the cost of the vial. 7-10 Despite the fact that insulin pens incur no greater cost than vials for patients using fewer than 18 units of insulin daily, many state Medicaid programs will not cover the cost of insulin pens under any circumstances.