North Central Public Health District says it has been notified of a presumptive case of meningitis in a Dufur School student.  District Director Teri Thalhofer says the district has identified all exposed individuals, and they are receiving appropriate treatment.  School or casual contacts are not considered at risk.  Typical symptoms of Meningococcal Disease include a high fever, headache, stiff neck, and a red rash often involving hands and feet.  Thalhofer notes it is not a highly contagious disease, and is transmitted only through direct contact with respiratory droplets from sneezing or coughing, or through kissing or sharing eating utensils.