Diphtheria in the Postepidemic Period, Europe, 2000–2009
Diphtheria incidence has decreased in Europe since its resurgence in the 1990s, but circulation continues in some countries in eastern Europe, and sporadic cases have been reported elsewhere. Surveillance data from Diphtheria Surveillance Network countries and the World Health Organization European...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Centers for Disease Control and Prevention
2012-02-01
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| Series: | Emerging Infectious Diseases |
| Subjects: | |
| Online Access: | https://wwwnc.cdc.gov/eid/article/18/2/11-0987_article |
| _version_ | 1818133620622098432 |
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| author | Karen S. Wagner Joanne M. White Irina Lucenko David Mercer Natasha S. Crowcroft Shona Neal Androulla Efstratiou |
| author_facet | Karen S. Wagner Joanne M. White Irina Lucenko David Mercer Natasha S. Crowcroft Shona Neal Androulla Efstratiou |
| author_sort | Karen S. Wagner |
| collection | DOAJ |
| description | Diphtheria incidence has decreased in Europe since its resurgence in the 1990s, but circulation continues in some countries in eastern Europe, and sporadic cases have been reported elsewhere. Surveillance data from Diphtheria Surveillance Network countries and the World Health Organization European Region for 2000–2009 were analyzed. Latvia reported the highest annual incidence in Europe each year, but the Russian Federation and Ukraine accounted for 83% of all cases. Over the past 10 years, diphtheria incidence has decreased by >95% across the region. Although most deaths occurred in disease-endemic countries, case-fatality rates were highest in countries to which diphtheria is not endemic, where unfamiliarity can lead to delays in diagnosis and treatment. In western Europe, toxigenic Corynebacterium ulcerans has increasingly been identified as the etiologic agent. Reduction in diphtheria incidence over the past 10 years is encouraging, but maintaining high vaccination coverage is essential to prevent indigenous C. ulcerans and reemergence of C. diphtheriae infections. |
| first_indexed | 2024-12-11T08:55:37Z |
| format | Article |
| id | doaj.art-f828547f97654b44967406074ed1f390 |
| institution | Directory Open Access Journal |
| issn | 1080-6040 1080-6059 |
| language | English |
| last_indexed | 2024-12-11T08:55:37Z |
| publishDate | 2012-02-01 |
| publisher | Centers for Disease Control and Prevention |
| record_format | Article |
| series | Emerging Infectious Diseases |
| spelling | doaj.art-f828547f97654b44967406074ed1f3902022-12-22T01:13:54ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592012-02-0118221722510.3201/eid1802.110987Diphtheria in the Postepidemic Period, Europe, 2000–2009Karen S. WagnerJoanne M. WhiteIrina LucenkoDavid MercerNatasha S. CrowcroftShona NealAndroulla EfstratiouDiphtheria incidence has decreased in Europe since its resurgence in the 1990s, but circulation continues in some countries in eastern Europe, and sporadic cases have been reported elsewhere. Surveillance data from Diphtheria Surveillance Network countries and the World Health Organization European Region for 2000–2009 were analyzed. Latvia reported the highest annual incidence in Europe each year, but the Russian Federation and Ukraine accounted for 83% of all cases. Over the past 10 years, diphtheria incidence has decreased by >95% across the region. Although most deaths occurred in disease-endemic countries, case-fatality rates were highest in countries to which diphtheria is not endemic, where unfamiliarity can lead to delays in diagnosis and treatment. In western Europe, toxigenic Corynebacterium ulcerans has increasingly been identified as the etiologic agent. Reduction in diphtheria incidence over the past 10 years is encouraging, but maintaining high vaccination coverage is essential to prevent indigenous C. ulcerans and reemergence of C. diphtheriae infections.https://wwwnc.cdc.gov/eid/article/18/2/11-0987_articlediphtheriaCorynebacterium diphtheriaeCorynebacterium ulceransbacteriatoxinsurveillance |
| spellingShingle | Karen S. Wagner Joanne M. White Irina Lucenko David Mercer Natasha S. Crowcroft Shona Neal Androulla Efstratiou Diphtheria in the Postepidemic Period, Europe, 2000–2009 Emerging Infectious Diseases diphtheria Corynebacterium diphtheriae Corynebacterium ulcerans bacteria toxin surveillance |
| title | Diphtheria in the Postepidemic Period, Europe, 2000–2009 |
| title_full | Diphtheria in the Postepidemic Period, Europe, 2000–2009 |
| title_fullStr | Diphtheria in the Postepidemic Period, Europe, 2000–2009 |
| title_full_unstemmed | Diphtheria in the Postepidemic Period, Europe, 2000–2009 |
| title_short | Diphtheria in the Postepidemic Period, Europe, 2000–2009 |
| title_sort | diphtheria in the postepidemic period europe 2000 2009 |
| topic | diphtheria Corynebacterium diphtheriae Corynebacterium ulcerans bacteria toxin surveillance |
| url | https://wwwnc.cdc.gov/eid/article/18/2/11-0987_article |
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