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[Diphtheria, an imported disease]
Deutsche Medizinische Wochenschrift (1946)
|April 3, 1987
Summary
Diphtheria in Germany is primarily caused by imported strains from developing countries. However, systematic revaccination, even for adults, can prevent severe cases and fatalities.
Area of Science:
- Epidemiology
- Infectious Diseases
- Public Health
Background:
- Diphtheria remains a concern, particularly due to imported cases.
- Understanding the origin of diphtheria strains is crucial for public health interventions.
Purpose of the Study:
- To analyze the origins of diphtheria cases in the Federal Republic of Germany (FRG).
- To assess the effectiveness of vaccination strategies in preventing severe diphtheria outcomes.
Main Methods:
- Comparative analysis of 4256 residents and 4751 asylum applicants in the FRG.
- Review of diphtheria case data from 1975 onwards.
Main Results:
- Diphtheria in the FRG is predominantly caused by imported toxinogenic strains, mainly from developing countries.
- Between 1975 and the study period, 109 cases were recorded, with 22 deaths.
- Severe outcomes were observed in the studied population.
Conclusions:
- Imported diphtheria strains pose a significant public health risk in the FRG.
- Systematic revaccination programs, including for adults, are effective in preventing severe diphtheria and mortality.