Shekhar Saxena, director for mental health insurance and drug abuse at WHO, stated in a press release. They often times lack quality health care and are less covered by functional family or community systems. According the report, only 66 countries have nationwide leadership that’s developed policies to address pervasive alcohol abuse in their county. Such plans include taxes on alcoholic beverages, enforcing age restrictions and implementing regulations to control the marketing of alcohol consumption. However, 140 states have started some type of public health advertising campaign to bring greater consciousness to alcohol abuse.Discussion This case report describes the clinical presentation of neutrophilic meningitis in an immunocompetent man that didn’t improve despite broad-spectrum antibiotic therapy. Bacteria, streptococcus pneumoniae and Neisseria meningitidis particularly, account for the vast majority of cases of severe neutrophilic meningitis.2 Persistent neutrophilic meningitis is a syndrome defined by clinical meningitis, cerebrospinal fluid pleocytosis with an increase of than 50 percent polymorphonuclear cells, elevated protein amounts, and low sugar levels for more than seven days despite appropriate empirical antimicrobial therapy.3 The differential diagnosis of persistent neutrophilic meningitis is broad and includes both infectious and noninfectious causes.