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Epidemic investigation of diphtheria in the Republic of Armenia, 1990-1996.
J Infect Dis. 2000 Feb; 181 Suppl 1:S69-72.JI

Abstract

While incidence rates of diphtheria steadily declined in Armenia after World War II, reemergence of the disease in 1990 brought about changes in public health practices and identified resource needs. The Armenian Ministry of Health (MOH) routinely collected diphtheria case reports, as a reportable health outcome. Diphtheria incidence rates increased from 0.02/100,000 in 1993 to 1/100,000 (36 cases) in 1994. The distribution of cases showed that the greatest number of illnesses and deaths occurred among persons 5-14 years old, yet incidence rates among persons 1-4 and 5-14 years old were similar (4. 4 cases/ and 4.3 cases/100,000, respectively). During 1990-1996, 9 (75%) of 12 cases who died and 18 (21%) of 84 cases who survived had not been vaccinated. The diphtheria epidemic in Armenia was an important, serious, and signal public health event. The Armenian MOH responded by revising immunization practices (1994), improving epidemic control measures (1995), and soliciting international resources (1992-1996).

Authors+Show Affiliations

Armenian Ministry of Health, Yerevan, Armenia.No affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

10657194

Citation

Balasanian, M, and S J. McNabb. "Epidemic Investigation of Diphtheria in the Republic of Armenia, 1990-1996." The Journal of Infectious Diseases, vol. 181 Suppl 1, 2000, pp. S69-72.
Balasanian M, McNabb SJ. Epidemic investigation of diphtheria in the Republic of Armenia, 1990-1996. J Infect Dis. 2000;181 Suppl 1:S69-72.
Balasanian, M., & McNabb, S. J. (2000). Epidemic investigation of diphtheria in the Republic of Armenia, 1990-1996. The Journal of Infectious Diseases, 181 Suppl 1, S69-72.
Balasanian M, McNabb SJ. Epidemic Investigation of Diphtheria in the Republic of Armenia, 1990-1996. J Infect Dis. 2000;181 Suppl 1:S69-72. PubMed PMID: 10657194.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Epidemic investigation of diphtheria in the Republic of Armenia, 1990-1996. AU - Balasanian,M, AU - McNabb,S J, PY - 2000/2/5/pubmed PY - 2000/4/15/medline PY - 2000/2/5/entrez SP - S69 EP - 72 JF - The Journal of infectious diseases JO - J. Infect. Dis. VL - 181 Suppl 1 N2 - While incidence rates of diphtheria steadily declined in Armenia after World War II, reemergence of the disease in 1990 brought about changes in public health practices and identified resource needs. The Armenian Ministry of Health (MOH) routinely collected diphtheria case reports, as a reportable health outcome. Diphtheria incidence rates increased from 0.02/100,000 in 1993 to 1/100,000 (36 cases) in 1994. The distribution of cases showed that the greatest number of illnesses and deaths occurred among persons 5-14 years old, yet incidence rates among persons 1-4 and 5-14 years old were similar (4. 4 cases/ and 4.3 cases/100,000, respectively). During 1990-1996, 9 (75%) of 12 cases who died and 18 (21%) of 84 cases who survived had not been vaccinated. The diphtheria epidemic in Armenia was an important, serious, and signal public health event. The Armenian MOH responded by revising immunization practices (1994), improving epidemic control measures (1995), and soliciting international resources (1992-1996). SN - 0022-1899 UR - https://www.unboundmedicine.com/medline/citation/10657194/Epidemic_investigation_of_diphtheria_in_the_Republic_of_Armenia_1990_1996_ L2 - https://academic.oup.com/jid/article-lookup/doi/10.1086/315542 DB - PRIME DP - Unbound Medicine ER -