All N. meningitidis carriage isolates were characterized with whole-genome sequencing (WGS). Genomic DNA was prepared for sequencing using the 5Prime ArchivePure DNA Purification kit (5Prime, Gaithersburg, MD) or Gentra Puregene yeast/bacteria DNA extraction kit (Qiagen, Germantown, MD) as previously described (34 (link)) for sequencing on Pacific Biosystems (PacBio, Menlo Park, CA, USA) and/or Illumina (HiSeq2500 or MiSeq; Illumina, San Diego, CA, USA) platforms; genomic DNA was further prepared for Illumina sequencing with the dual-index NEBNext Ultra DNA library preparation kits (New England BioLabs Inc., Ipswich, MA). Genomes generated using the PacBio platform were processed as previously described (35 (link)). The Illumina reads were trimmed with Cutadapt (36 (link)), and de novo short read assembly was carried out using SPAdes 3.7.0 (37 (link)) with the “careful” option. Assemblies were compared with BLAST (38 (link)) against the PubMLST Neisseria allele collection (39 (link)) to identify MLST alleles. The MLST genes were compared against the PubMLST MLST scheme collection to identify the N. meningitidis ST and CC.