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dc.contributor.authorBesa, N C
dc.contributor.authorColdiron, M E
dc.contributor.authorBakri, A
dc.contributor.authorRaji, A
dc.contributor.authorNsuami, M J
dc.contributor.authorRousseau, C
dc.contributor.authorHurtado, N
dc.contributor.authorPorten, K
dc.date.accessioned2013-10-21T00:57:28Z
dc.date.available2013-10-21T00:57:28Z
dc.date.issued2013-07-18
dc.identifier.citationDiphtheria outbreak with high mortality in northeastern Nigeria. 2013:1-6 Epidemiol. Infect.en_GB
dc.identifier.issn1469-4409
dc.identifier.pmid23866913
dc.identifier.doi10.1017/S0950268813001696
dc.identifier.urihttp://hdl.handle.net/10144/303703
dc.description.abstractSUMMARY A diphtheria outbreak occurred from February to November 2011 in the village of Kimba and its surrounding settlements, in Borno State, northeastern Nigeria. We conducted a retrospective outbreak investigation in Kimba village and the surrounding settlements to better describe the extent and clinical characteristics of this outbreak. Ninety-eight cases met the criteria of the case definition of diphtheria, 63 (64·3%) of whom were children aged <10 years; 98% of cases had never been immunized against diphtheria. None of the 98 cases received diphtheria antitoxin, penicillin, or erythromycin during their illness. The overall case-fatality ratio was 21·4%, and was highest in children aged 0-4 years (42·9%). Low rates of immunization, delayed clinical recognition of diphtheria and absence of treatment with antitoxin and appropriate antibiotics contributed to this epidemic and its severity.
dc.languageENG
dc.language.isoenen
dc.publisherCambridge University Pressen_GB
dc.rightsArchived with thanks to Epidemiology and Infection and Cambridge University Press' open access policyen_GB
dc.subjectInfections, Otheren_GB
dc.subjectOutbreaksen_GB
dc.titleDiphtheria outbreak with high mortality in northeastern Nigeriaen
dc.contributor.departmentEpicentre, Paris, France.en_GB
dc.identifier.journalEpidemiology and Infectionen_GB
refterms.dateFOA2019-03-04T10:50:40Z
html.description.abstractSUMMARY A diphtheria outbreak occurred from February to November 2011 in the village of Kimba and its surrounding settlements, in Borno State, northeastern Nigeria. We conducted a retrospective outbreak investigation in Kimba village and the surrounding settlements to better describe the extent and clinical characteristics of this outbreak. Ninety-eight cases met the criteria of the case definition of diphtheria, 63 (64·3%) of whom were children aged <10 years; 98% of cases had never been immunized against diphtheria. None of the 98 cases received diphtheria antitoxin, penicillin, or erythromycin during their illness. The overall case-fatality ratio was 21·4%, and was highest in children aged 0-4 years (42·9%). Low rates of immunization, delayed clinical recognition of diphtheria and absence of treatment with antitoxin and appropriate antibiotics contributed to this epidemic and its severity.


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