Welcome to CDC stacksDiphtheria in the former Soviet Union 2025

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In its early years, the Soviet Union paid great attention to the prevention of disease. Severe epidemics of infectious diseases such as typhus, cholera, smallpox, dysentery and malaria affected millions, with an estimated 6.5 million people contracting typhus in the period 19181920 alone (Glass, 1976).
Diphtheria (Corynebacterium diphtheriae), an acute bacterial infection spread by personal contact, was the most feared of all childhood diseases. Diphtheria may be documented back to ancient Egypt and Greece, but severe recurring outbreaks begin only after 1700.
Diphtheria is extremely rare in the United States and other developed countries thanks to widespread vaccination against the disease. However, many countries with limited health care or vaccination options still experience high rates of diphtheria. Diphtheria can be treated with medications.
People most commonly spread C. diphtheriae by coughing or sneezing, which creates small respiratory droplets that contain the bacteria. Other people can get infected if they breathe in those droplets. People can also get infected from touching open sores or ulcers caused by C.
Despite high levels of vaccination coverage against diphtheria, an ongoing outbreak of diphtheria has affected parts of the Russian Federation since 1990 (1); as of August 31, 1993, 12,865 cases had been reported.
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The massive reemergence of diphtheria in the Newly Independent States of the former Soviet Union marked the first large-scale diphtheria epidemic in industrialized countries in 3 decades.
Increases in the number of susceptible children in the NIS probably resulted from a combination of low vaccination coverage in many areas and inappropriate primary vaccination of substantial numbers of infants with Td, a formulation for adults containing decreased amounts of diphtheria toxoid.

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