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Volume 27, Number 3—March 2021
Dispatch

Addressing Reemergence of Diphtheria among Adolescents through Program Integration in India

Kiran Kumar MaramrajComments to Author , M.L. Kavitha Latha, Rukma Reddy, Samir V. Sodha, Suneet Kaur, Tanzin Dikid, Sukrutha Reddy, S.K. Jain, and Sujeet Kumar Singh
Author affiliations: National Centre for Disease Control, New Delhi, India (K.K. Maramraj, S. Kaur, T. Dikid, S.K. Jain, S.K. Singh); Ronald Ross Institute of Tropical and Communicable Diseases, Hyderabad, India (M.L.K. Latha); State Health Department, Telangana, India (R. Reddy, S. Reddy); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (S.V. Sodha)

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Table 2

Risk factors for mortality for 99 study patients with confirmed diphtheria cases, Telangana, India, 2017

Risk factor Died, no. (%), n = 19 Survived, no. (%), n = 80 CFR, %
RR (95% CI) p value
Among exposed Among nonexposed
Not fully immunized with DTP3 15 (79) 32 (40) 32 8 4.1 (1.5–11.7) 0.002
Delayed hospital admission 13 (68) 30 (38) 30 11 2.8 (1.2–6.8) 0.01
<10 y of age 12 (63) 32 (37) 27 13 2.1 (0.9–4.9) 0.06
Muslim 14 (74) 48 (60) 23 14 1.7 (0.7–4.3) 0.27
Female 12 (63) 40 (50) 23 15 1.5 (0.7–3.6) 0.30
Rural residence 10 (53) 38 (47) 21 18 1.2 (0.5–2.6) 0.68

*Bold indicates statistical significance. CFR, case-fatality rate; DTP, diphtheria-tetanus-pertussis vaccine; RR, relative risk.

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Page created: December 22, 2020
Page updated: February 21, 2021
Page reviewed: February 21, 2021
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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