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abstractpubmed· Abstract 2021· item PMID:33622492

Addressing Reemergence of Diphtheria among Adolescents through Program Integration in India. We report a diphtheria outbreak mostly among children (median 12 years; range 4-26 years) of a religious minority in urban India. Case-fatality rate (15%, 19/124) was higher among unimmunized patients (relative risk 4.1, 95% CI 1.5-11.7). We recommend mandating and integrating immunization into school health programs to prevent reemergence.