title: Investigations and control measures following a non-travel-associated case of toxigenic Cornyebacterium diphtheriae, London, United Kingdom, December 2009-January 2010.
abstract: This article reports the investigation and control measures undertaken following the identification of a toxigenic strain of Cornyebacterium diphtheriae var gravis, designated ribotype Minsk , in a partially vaccinated teenager born in the United Kingdom with no recent history of travel or known contact with a case of diphtheria or a carrier. This case highlights the need for ongoing work to improve vaccine uptake rates to ensure children receive all scheduled vaccinations.
authors.affiliation: North East and North Central London Health Protection Unit, United Kingdom. shona.perkins@hpa.org.uk
authors.forename: S
authors.initials: S
authors.lastname: Perkins
authors.forename: R
authors.initials: R
authors.lastname: Cordery
authors.forename: G
authors.initials: G
authors.lastname: Nixon
authors.forename: A
authors.initials: A
authors.lastname: Abrahams
authors.forename: J
authors.initials: J
authors.lastname: Andrews
authors.forename: J
authors.initials: J
authors.lastname: White
authors.forename: A
authors.initials: A
authors.lastname: Efstratiou
authors.forename: S
authors.initials: S
authors.lastname: Anaraki
mesh_terms: D000293:Adolescent; D002675:Child, Preschool; D017291:Clarithromycin / Q000627:therapeutic use; D016358:Contact Tracing; D003353:Corynebacterium diphtheriae / Q000302:isolation & purification*; D004165:Diphtheria / Q000188:drug therapy / Q000453:epidemiology / Q000382:microbiology* / Q000517:prevention & control; D004168:Diphtheria Toxoid / Q000008:administration & dosage*; D004196:Disease Outbreaks / Q000517:prevention & control; D005260:Female; D006801:Humans; D008131:London / Q000453:epidemiology; D008297:Male; D014195:Travel
chemical_list: D004168:Diphtheria Toxoid; D017291:Clarithromycin