Preventing the preventable through effective surveillance
The case of diphtheria in a rural district of Maharashtra, India
Bibliographic Data
| ID | 15380931 |
|---|---|
| Authors | Revati Phalkey (0000-0001-5106-7879, Heidelberg University, corresponding author), Revati K Phalkey, Rajesh V Bhosale (Ministry of Health and Family Welfare), Abhijeet P Joshi (Joshi Hospital), Sushil S Wakchoure (Ministry of Health and Family Welfare), Muralidhar Tambe (Shri Bhausaheb Hire Government Medical College & Hospital), Muralidhar P Tambe, Pradip Awate (Ministry of Health and Family Welfare), Michael Marx (0000-0001-9757-7057, Heidelberg University) |
| Year | 2013 |
| Volume | 13 |
| Issue | 1 |
| Pages | 317-317 |
| Publication date | 2013-04-08 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | BMC Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1471-2458 • E-ISSN: 1471-2458 |
| Publisher | BioMed Central (PUBLISHER • GB) |
| DOI | 10.1186/1471-2458-13-317 |
| PMID | 23566309 |
| PMCID | PMC3648462 |
| OpenAlex | W1979753687 |
| Language | EN |
| Citations received | 1 |
| References cited | 29 |
The outbreak raises several concerns regarding the epidemiology of diphtheria in Dhule. The reason for shift in the median age despite consistently poor immunization coverage (below 50%) remains unclear. Concomitant efforts should now focus on improving and monitoring primary immunization and booster coverages across all age groups. Gradually introducing adult immunization at ten year intervals may become necessary to prevent future vulnerabilities. Laboratory networks for genotyping and toxigenicity testing are urgently mandated at district level given the endemicity of the disease in the surrounding region and its recent introduction in remote Dhule. Contingency funds with pre- agreements to obtain ADS and DT/Td vaccines at short notice and developing standard case management protocols at district level are necessary. Monitoring the disease, emerging strains and mutations, alongside drug resistance through robust and effective surveillance is a pragmatic way forward
Biostatistics · Diphtheria · Disease · Disease surveillance · Environmental health · Outbreak · Pathology · Public health · Vaccination · Clostridium difficile and Clostridium perfringens research · Diphtheria, Corynebacterium, and Tetanus · Medicine · Veterinary medicine and infectious diseases · Epidemiology · Immunology · Internal Medicine · Pediatrics · Virology
| Citations per year | 0.17 |
|---|---|
| Citation span | 2020 - 2020 (1) |
| Highly cited | No |