Addressing Reemergence of Diphtheria among Adolescents through Program Integration in India

We report a diphtheria outbreak mostly among children (median 12 years; range 4-26 years) of a religious minority in urban India. Case-fatality rate (15%, 19/124) was higher among unimmunized patients (relative risk 4.1, 95% CI 1.5-11.7). We recommend mandating and integrating immunization into scho...

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Bibliographic Details
Published in:Emerging infectious diseases 2021-03, Vol.27 (3), p.953-956
Main Authors: Maramraj, Kiran Kumar, Latha, M L Kavitha, Reddy, Rukma, Sodha, Samir V, Kaur, Suneet, Dikid, Tanzin, Reddy, Sukrutha, Jain, S K, Singh, Sujeet Kumar
Format: Article
Language:English
Subjects:
Addressing Reemergence of Diphtheria among Adolescents through Program Integration in India
Adolescent
adolescents
Age
bacteria
Child
children
Corynebacterium diphtheriae
Demographic aspects
Diphtheria
Diphtheria - epidemiology
Disease control
Disease Outbreaks
Dispatch
Drug dosages
Epidemics
Epidemiology
Fatalities
Forecasts and trends
Health aspects
Humans
Immunization
India
Laboratories
Mortality
Pediatric research
Population
Public health
Risk factors
Teenagers
Tetanus
Trends
Vaccination
Vaccines
Youth
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Summary:We report a diphtheria outbreak mostly among children (median 12 years; range 4-26 years) of a religious minority in urban India. Case-fatality rate (15%, 19/124) was higher among unimmunized patients (relative risk 4.1, 95% CI 1.5-11.7). We recommend mandating and integrating immunization into school health programs to prevent reemergence.
ISSN:1080-6040
1080-6059
DOI:10.3201/eid2703.203205