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Abstract

In 1994, the World Health Organization (WHO) declared the goal of eliminating diphtheria within the WHO European Region by the year 2000. However, in 1990 an epidemic emerged within the Russian Federation and spread to other countries, including Latvia, by 1994. We describe national surveillance and immunisation coverage data in Latvia from 1994 to 2014 and present historical data from 1946. We defined a laboratory-confirmed case as a clinical case in which toxin-producing , or was isolated. From 1994 to 2014, 1,515 cases were reported, giving an average annual incidence of 3.2 cases per 100,000 inhabitants (range 0.1–14.8), with the highest incidence in age groups 5–19 and 40–49 years (4.4 and 4.3/100,000, respectively); 111 deaths were reported, 83.8% cases were laboratory-confirmed. Most cases occurred in unvaccinated adults. To improve disease control a supplementary immunisation campaign for adults was initiated in 1995, and by the end of 1998 national coverage among adults reached 70%, and reached 77% in 2003, but declined to 59% by 2014. Diphtheria remains a problem in Latvia with continued circulation of toxin-producing strains of . We recommend to strengthen immunisation to cover adults, as well as the education of health professionals and a serological survey.

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/content/10.2807/1560-7917.ES.2016.21.48.30414
2016-12-01
2024-04-20
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2016.21.48.30414
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References

  1. European Centre for Disease Prevention and Control (ECDC). A fatal case of diphtheria in Belgium, 24 March 2016. Stockholm: ECDC. Available from: http://ecdc.europa.eu/en/publications/Publications/RRA-Diphtheria-Belgium.pdf
  2. Diphtheria surveillance network (DIPNET). General Info – Diphtheria. [homepage on the Internet] London: DIPNET. [Accessed 11 May 2015]. Available from: http://www.dipnet.org/general.public.php
  3. World Health Organization Regional Office for Europe (WHO/Europe). Centralized Information System for Infectious Diseases (CISID). Copenhagen: WHO/Europe. [Accessed 10 Jun 2015]. Available from: http://data.euro.who.int/CISID/
  4. World Health Organization (WHO). WHO vaccine-preventable diseases: monitoring system 2015 global summary. Diphtheria reported cases. Geneva: WHO. [Accessed 10 Jun 2015]. Available from: http://apps.who.int/immunization_monitoring/globalsummary/timeseries/tsincidencediphtheria.html
  5. Galazka A. The changing epidemiology of diphtheria in the vaccine era. J Infect Dis. 2000;181(s1) Suppl 1;S2-9.  https://doi.org/10.1086/315533  PMID: 10657184 
  6. Begg N. Manual for the management and control of diphtheria in the European region. Copenhagen: World Health Organization Regional Office for Europe; 1994. Available from: http://apps.who.int/iris/bitstream/10665/108107/1/ICP_EPI_038_%28B%29.pdf
  7. Popovic T, Kombarova SY, Reeves MW, Nakao H, Mazurova IK, Wharton M, et al. Molecular epidemiology of diphtheria in Russia, 1985-1994. J Infect Dis. 1996;174(5):1064-72.  https://doi.org/10.1093/infdis/174.5.1064  PMID: 8896510 
  8. Dittmann S, Wharton M, Vitek C, Ciotti M, Galazka A, Guichard S, et al. Successful control of epidemic diphtheria in the states of the Former Union of Soviet Socialist Republics: lessons learned. J Infect Dis. 2000;181(s1) Suppl 1;S10-22.  https://doi.org/10.1086/315534  PMID: 10657185 
  9. Wagner KS, White JM, Lucenko I, Mercer D, Crowcroft NS, Neal S, et al. Diphtheria Surveillance Network. Diphtheria in the postepidemic period, Europe, 2000-2009. Emerg Infect Dis. 2012;18(2):217-25.  https://doi.org/10.3201/eid1802.110987  PMID: 22304732 
  10. European Centre for Disease Prevention and Control (ECDC). Rapid risk assessment – A case of diphtheria in Spain, 15 June 2015. Stockholm: ECDC. [Accessed 6 Aug 2015]. Available from: http://ecdc.europa.eu/en/publications/Publications/diphtheria-spain-rapid-risk-assessment-june-2015.pdf
  11. European Centre for Disease Prevention and Control (ECDC). Rapid risk assessment – Cutaneous diphtheria among recently arrived refugees and asylum seekers in the EU, 30 July 2015. Stockholm: ECDC. [Accessed 26 Oct 2015]. Available from: http://ecdc.europa.eu/en/publications/Publications/Diphtheria-cutaneous-EU-July-2015.pdf
  12. Rønne T, Valentelis R, Tarum S, Griskevica A, Wachmann CH, Aggerbeck H, et al. Immune response to diphtheria booster vaccine in the Baltic states. J Infect Dis. 2000;181(s1) Suppl 1;S213-9.  https://doi.org/10.1086/315560  PMID: 10657217 
  13. Griskevica A, Ching P, Russo G, Kreysler J. Diphtheria in Latvia, 1986-1996. J Infect Dis. 2000;181(s1) Suppl 1;S60-4.  https://doi.org/10.1086/315540  PMID: 10657192 
  14. European Commission. Commission implementing decision of 8 August 2012 amending Decision 2002/253/EC laying down case definitions for reporting communicable diseases to the Community network under Decision No 2119/98/EC of the European Parliament and of the Council. Official Journal of the European Union. Luxembourg: Publications Office of the European Union. 27.9.2012:L 262. Available from: http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:L:2012:262:0001:0057:EN:PDF
  15. Ministru kabineta noteikumi Nr. 7. Rīgā 1999.gada 5.janvārī (prot. Nr.1 13.§). Infekcijas slimību reģistrācijas kārtība. [Republic of Latvia Cabinet Regulation No. 7 Adopted 5 January 1999 Procedures for Registration of Infectious Diseases.] Riga: Republic of Latvia Cabinet; 5 Jan 1999. [Accessed 7 Nov 2016]. Latvian. Available from: http://likumi.lv/doc.php?id=20667
  16. Ministru kabineta noteikumi Nr. 774. Rīgā 2006.gada 19.septembrī (prot. Nr.48 20.§). Kontaktpersonu noteikšanas, primārās medicīniskās pārbaudes, laboratoriskās pārbaudes un medicīniskās novērošanas kārtība. [Republic of Latvia Cabinet Regulation No. 774 Adopted 19 September 2006 Procedures for the Determination of Exposed Persons, Initial Medical Examination, Laboratory Examination and Medical Observation.] Riga: Republic of Latvia Cabinet; 19 Sep 2006. [Accessed 7 Nov 2016]. Latvian. Available from: http://likumi.lv/doc.php?id=144279
  17. Ministru kabineta noteikumi Nr. 265. Rīgā 2006.gada 4.aprīlī (prot. Nr.19 37.§). Medicīnisko dokumentu lietvedības kārtība. 24. pielikums [Republic of Latvia Cabinet Regulation No. 265 Adopted 4 April 2006 On the record-keeping procedures for medical documents. Annex No. 24]. Riga: Republic of Latvia Cabinet; 4 Apr 2006. [Accessed 7 Nov 2016]. Latvian. Available from: http://likumi.lv/doc.php?id=132359
  18. Ministru kabineta noteikumi Nr. 330. Rīgā 2000.gada 26.septembrī (prot. Nr.46 36.§). Vakcinācijas noteikumi. [Republic of Latvia Cabinet Regulation No. 330 Adopted 26 September 2000. Vaccination Regulations.] Riga: Republic of Latvia Cabinet; 26 Sep 2000. [Accessed 12 Aug 2015]. Latvian. Available from: http://likumi.lv/doc.php?id=11215
  19. Nacionālais vides un sabiedrības veselības centrs. Infekcijas slimību specifiskā imūnprofilakse bērniem. [National Environmental and Public Health Centre. Specific immunoprophylaxis of infectious diseases for children]. Riga: National Environmental and Public Health Centre; 1994. Latvian.
  20. Centrālā statistikas pārvalde (Statistical Bureau of Latvia). Statistics Database. [Accessed 29 Jun 2015]. Available from: http://www.csb.gov.lv/en/dati/statistics-database-30501.html
  21. Ohuabunwo C, Perevoscikovs J, Griskevica A, Gargiullo P, Brilla A, Viksna L, et al. Respiratory diphtheria among highly vaccinated military trainees in Latvia: improved protection from DT compared with Td booster vaccination. Scand J Infect Dis. 2005;37(11-12):813-20.  https://doi.org/10.1080/00365540500262658  PMID: 16308214 
  22. Zakikhany K, Efstratiou A. Diphtheria in Europe: current problems and new challenges. Future Microbiol. 2012;7(5):595-607.  https://doi.org/10.2217/fmb.12.24  PMID: 22568715 
  23. Meggitt C. Baby and Child Health. Oxford: Heinemann; 2001.
  24. di Giovine P, Kafatos G, Nardone A, Andrews N, Ölander RM, Alfarone G, et al. Comparative seroepidemiology of diphtheria in six European countries and Israel. Epidemiol Infect. 2013;141(1):132-42.  https://doi.org/10.1017/S0950268812000210  PMID: 22361223 
  25. Republic of Latvia Ministry of Health. Public health strategy for 2011-2017 in Latvia. [Accessed 14 Aug 2015]. Latvian. Available from: http://www.vm.gov.lv/lv/nozare/attistibas_planosanas_dokumenti1/
More than 20 years after re-emerging in the 1990s, diphtheria remains a public health problem in Latvia
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Ieva+Kantsone&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Kantsone Ieva</a>, <a href="/search?value1=Irina+Lucenko&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Lucenko Irina</a>, <a href="/search?value1=Jurijs+Perevoscikovs&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Perevoscikovs Jurijs</a></span>. More than 20 years after re-emerging in the 1990s, diphtheria remains a public health problem in Latvia. <a href="/content/ecdc">Euro Surveill.</a> 2016;21(48):pii=30414. <a href="https://doi.org/10.2807/1560-7917.ES.2016.21.48.30414" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2016.21.48.30414</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 30 Oct 2015;&nbsp;&nbsp; <span class="generated">Accepted</span>: 20 May 2016 </span> </p>
/content/10.2807/1560-7917.ES.2016.21.48.30414
/content/10.2807/1560-7917.ES.2016.21.48.30414
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