San Diego County schools are being urged to watch out for signs of meningitis following an outbreak in nearby Tijuana, Mexico that's killed six people.
U-T San Diego says county health officials are urging 42 school districts to educate staff and parents about the warning signs and an available vaccine. They've also been directed to discourage students from sharing food or lip balm that can transmit the disease.
Authorities say many local families have relatives in Mexico and may be planning spring break visits.
Tijuana has reported at least 17 cases of meningococcal disease since January.
San Diego County has had one reported death from meningitis, a 36-year-old man who died last week.
Meningitis symptoms can include fever, headache, fatigue, a rash and a stiff neck.