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Case Reports

Diphtheria outbreak in Norway: Lessons learned

, , , &
Pages 986-989 | Received 23 May 2011, Accepted 22 Jun 2011, Published online: 26 Aug 2011
 

Abstract

We describe an outbreak of diphtheria in Norway that occurred in 2008 and affected 3 unvaccinated family members. The epidemic caught the public health system off-guard on most levels; the diagnosis was distrusted due to its rarity, no diphtheria anti-toxin was available, and notification procedures were not rigorously followed.

Acknowledgements

We thank A. Efstratiou, Health Protection Agency, Colindale, London, UK for confirming the bacterial diagnosis, toxigenicity, and for ribotyping; Ø. Løvoll and F. L. Nilsen for their contribution to containing the outbreak; A. R. Alme and G. Rødahl for skilful technical work; and several other colleagues are thanked for their public health work in containing the outbreak.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

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