Epidemiological, clinical, and public health response characteristics of a large outbreak of diphtheria among the Rohingya population in Cox’s Bazar, Bangladesh, 2017 to 2019: A retrospective study
Few, if any, previous studies have documented the epidemiological, clinical, and public health response characteristics of large outbreaks of diphtheria among vulnerable populations. PLOS Medicine
- Three rounds of mass vaccinations targeting children were associated with only modest reductions in transmission, and additional public health measures were necessary to end the outbreak.
- Diphtheria outbreaks in refugee settings may have a long-lasting tail and may require additional public health measures, such as expanded target age groups for vaccination, to bring to an end. Ensuring laboratory capacity for differential diagnosis in remote field sites is an important challenge.