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The Austin, Texas, Diphtheria OutbreakClinical and Epidemiological Aspects
Victor M. Zalma, MD;
J. Justin Older, MD;
Geo. F. Brooks, MD
JAMA. 1970;211(13):2125-2129.
Abstract
During a 19-month period, October 1967 through April 1969, an outbreak of 88 cases of diphtheria occurred in Austin, Tex. Most of the cases were considered mild, and the severe illness, including three deaths, affected only poorly immunized persons. In spite of a mass immunization campaign at the height of the epidemic, cases continued to occur. The outbreak probably began from endemic foci; incomplete immunizations, lack of immunizations, crowding, and poor environmental and personal hygiene probably contributed to the spread of the disease. The evidence suggests that a level of immunization above 90% for all age groups could prevent community-wide diphtheria.
Author Affiliations
From the National Communicable Disease Center, Atlanta and the Texas State Department of Health, Austin. Dr. Zalma is now with the State University—Kings County Medical Center, Brooklyn, NY.
Footnotes
Reprint requests to Room B-511, National Communicable Disease Center, Atlanta 30333 (Dr. Brooks).
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