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Diphtheria in Ireland

DISEASE NAME:

Diphtheria in Ireland

CATEGORY:

Vaccine Preventable

Diphtheria in Ireland

Diphtheria in Ireland

Diphtheria is an acute bacterial disease usually affecting the tonsils, pharynx, larynx and occasionally the skin. Diphtheria is a vaccine preventable disease.

This notifiable disease is attributable to three organisms, each of which is toxin-producing: Corynebacterium diphtheriae, C. ulcerans, C. pseudotuberculosis.

In 1948, 521 cases of diphtheria were reported. The introduction of the combination diphtheria/tetanus/pertussis (DTP) vaccine in Ireland in 1952/1953 led to a decline in the number of diphtheria cases when until 1968 no cases were reported for the first time. After a period of 47 years, however, one case was notified in 2015 and another in 2016. No cases have been reported since then.

Diphtheria graph 2018

Diphtheria, 2022

0The number of diphtheria notifications in 2022
0.0The national notification rate per 100,000 population in 2022

Last updated: 14 August 2023

Case definition

Clinical criteria
Any person with at least one of the following clinical forms:

Classic respiratory diphtheria:
An upper respiratory tract illness with laryngitis or nasopharyngitis or tonsillitis
AND an adherent membrane/pseudomembrane

Mild respiratory diphtheria:
An upper respiratory tract illness with laryngitis or nasopharyngitis or tonsillitis
WITHOUT an adherent membrane/pseudomembrane.

Cutaneous diphtheria: skin lesion

Diphtheria of other sites: lesion of conjunctiva or mucous membranes

Laboratory criteria
Isolation of toxin producing C. diphtheriae, C. ulcerans or C. pseudotuberculosis from a clinical specimen

Epidemiological criteria
An epidemiological link to a confirmed case (human or animal)

Case classification
A. Possible case
Any person meeting the clinical criteria for classical respiratory diphtheria
B. Probable case
Any person meeting the clinical criteria for diphtheria (classic respiratory diphtheria, mild respiratory diphtheria, cutaneous diphtheria, diphtheria of other sites) with an epidemiological link to a confirmed case (human or animal)
C. Confirmed case
Any person meeting the laboratory criteria and at least one of the clinical forms

Note:
Non toxigenic C. diphtheriae, C. ulcerans or C. pseudotuberculosis should not be notified

Current as of: 24 January 2019