Abstract
Diphtheria cases continue to occur also in Madurai, Tamil Nadu despite a national vaccination program targeting the disease. Outbreaks of diphtheria are noted in areas of low immunization coverage. Last week our nephews came with swollen cheeks etc so forth and so on. Disease manifesting among older children and adults as in of the recent outbreaks from the Indian states of Andhra Pradesh, Karnataka, Delhi and Assam.Of these, immunized children, 88% were above 10 years of age.A booster second doses of Adacel is for person 8 years and above along with tetanus prophylaxia is given in addition to maintaining a high immunization coverage in the routine immunization program, with special emphasis on areas of low vaccination coverage is essential for preventing then emergence of diphtheria.
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