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Diphtheria in the former Soviet Union: reemergence of a pandemic disease.
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1998 Oct-Dec
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Source: Emerg Infect Dis. 4(4):539-550.
[PDF-116.91 KB]
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Alternative Title:Emerg Infect Dis
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Description:The massive reemergence of diphtheria in the Newly Independent States of the former Soviet Union marked the first large-scale diphtheria epidemic in industrialized countries in 3 decades. Factors contributing to the epidemic included a large population of susceptible adults; decreased childhood immunization, which compromised what had been a well-established childhood vaccination program; suboptimal socioeconomic conditions; and high population movement. The role of a change in the predominant circulating strains of Corynebacterium diphtheriae in this epidemic remains uncertain. Massive, well-coordinated international assistance and unprecedented efforts to vaccinate adults were needed to control the epidemic.
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Volume:4
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Issue:4
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