Diphtheria outbreak triggered by low vaccine coverage and socioeconomic status in 2023: Nigeria

Authors

  • John Kama Department of Public Health, Torrens University, Australia
  • Rahama Sanusi Karama Department of Public Health, Noida International University, UP, India
  • Jalamanchili Prithvi Department of General Medicine, Ivanofrankivsk National Medical University Ivanofrankivsk, Ukraine

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20243673

Keywords:

Outbreak, Nigeria, Vaccine coverage, Socio-economic status

Abstract

Diphtheria is a highly contagious bacterial infection that primarily affects the throat and upper airways. Before the introduction of vaccines, there were many cases and fatalities from diphtheria. During the 1920s, over 150,000 cases of diphtheria with an average of 14,000 deaths reported each year in the United States of America. Ever since the diphtheria toxoid vaccine has been made available in the 1940s, there have been a massive decline in diphtheria morbidities and mortalities in developed countries as compared to developing and underdeveloped countries. The socioeconomic status of Nigeria could have contributed to the recent Outbreak of diphtheria. As a country, Nigeria has struggled to have a functioning Economy system but still no solution despite efforts from the government. For instance, the recent outbreak has been linked to low vaccine coverage especially in rural communities in the country. Poor access to healthcare has also played a role on the basis of insecurity and inadequate functioning health infrastructures. There is little or no awareness, conferences, workshops concerning the importance of vaccination all because of shortage of health workers in the country. Most of these factors above, have leads us to experiencing symptoms of diphtheria such as sore throat, low-grade fever, weakness, and difficulty breathing recently. Diphtheria can be prevented if vaccination is done as scheduled by the WHO (World Health Organization) and NPI (National programme for immunization). To prevent future outbreaks, low vaccine coverage and socioeconomic status must be tackled effectively by the Nigerian Government.

Metrics

Metrics Loading ...

References

World Health Organisation weekly epidemiological record 4 August. 2017;92:417-36.

World Health Organisation country co-operation strategy at a glance- global health observation. 2017. Available at: who.int/data/node.co. Accessed on 21 August 2024.

National immunization coverage survey (NCIS). Available at: www.jhsph.edu/ivac. Accessed on 18 August 2024.

Eze P, Agu UJ, Aniebo CL. Factors associated with incomplete immunization in children aged 12-23 months at subnational level, Nigeria: a cross-sectional study. BMJ Open. 2021;11:47445.

NCDC-Nigeria centre for disease control and prevention-diphtheria health advisory for health care workers amidst outbreak in Nigeria. Available at: www.ncdc.gov.ng/news. Accessed on 28 August 2024.

Diphtheria". Online Etymology Dictionary. Available at: https://en.wikipedia.org/wiki/Diphth. Accessed on 21 August 2024.

Bretonneau, Pierre F dele (1778-1862)-Des Inflammations Speciales Du tissumuqueux et en Particulier-no.5053 Abebooks

Dr.md.Mohsin Shah, Dr Ansan Abdullah, Dr. Rahmani Shahada Parveen et al. Diphtheria and Unani Treatment: A review. JETIR. 2021;8(2):2349-5162.

Atkinson W. Epidemiology and prevention of vaccine-preventable diseases. Department of Health & Human Services, Centers for Disease Control and Prevention; 2006.

Besa NC, Coldiron ME, Bakri A, Raji A, Nsuami MJ, Rousseau C, et al. Diphtheria outbreak with high mortality in northeastern Nigeria. Epidemiology & Infection. 2014;142(4):797-802.

Bampoe VD, Boswell HC, Yu YC, Acosta AM. A review of adverse events from the use of diphtheria antitoxin (DAT) in the United States, 2004–2019. Clinical Infectious Diseases. 2022;74(11):2082-3.

Hogg RA, Wessels J, Hart J, Efstratiou A, De Zoysa A, Mann G, et al. Possible zoonotic transmission of toxigenic Corynebacterium ulcerans from companion animals in a human case of fatal diphtheria. The Veterinary Record. 2009;165(23):691.

Karama RS, Kama J, Nasih O, Prithvi J. Diphtheria Outbreak Triggered by Low Vaccine Coverage and Socioeconomic Status In 2023: Nigeria.

Nashi O, Karama RS, Chizitelu C, Madekwe CC, Gupta S. Short review on monkey pox disease. Neuro Quantol. 2022;20(9):1524-9.

Daniel Todd, M.D Facs, Rhinoplasty sinus allergy, certified in otorhinolaryngology; Midwest sinus and allergy. Avialable at: www.midwestsinus.com. Accessed on 21 August 2024.

Shah M, Abdullah A, Parveen RS. Diphtheria and Unani treatment. JETIR. 2021;8(2):2349-5162.

Kin FS, Azman M, Yi BQ, Jeing YD. Strangling angel of children-diphtheria: A case series of airway management and disease progress in diphtheria. Int J Ped Otorhinolaryngol. 2019;25:100671.

Berger TG, Elston DM. Andrews' diseases of the skin: clinical dermatology. Saunders Elsevier; 2006.

Viacheslav D. Ukrainian National State Medical University, Department of Otorhinolaryngology; Disease of Larynx. Available at: nmuofficial.com/wp-content/uploads. Accessed on 12 August 2024.

Karama RS, Simon NH, Chatterjee A, Aswasthi S, Akinola A, Acharya S, et al. Effectiveness of video-based teaching program to assess the knowledge of young mothers in identifying developmental milestones in Delhi NCR, India. Int J Health Sci. 2022;6(1):12194–204.

Kimberlin D, Brady M, Jackson M. American Academy of Pediatrics. Diphtheria. Red Book: 2018 Report of the Committee on Infectious Diseases. 31st ed. Itasca, IL. American Academy of Pediatrics. 2018:319–23.

National immunization coverage survey (NCIS). Available at: www.jhsph.edu/ivac/wp-content. Accessed on 21 August 2024.

Akinola A, Karama R, Rajput M. Awareness of natural breastfeeding milk among mothers and the importance of colostrum within the first hour of birth in India. Int J Comm Med Public Health. 2022;9(7):2992-7.

Clark DP, Pazdernik NJ. Biological warfare: infectious disease and bioterrorism. Biotechnology. 2015;24:687.

Tiwari T, Wharton M. Diphtheria toxoid. In: Plotkin S, Orenstein W, Offit P, eds. Plotkin’s Vaccines. 7th ed. Elsevier. 2018;261–75.

Kimberlin D, Brady M, Jackson M. American Academy of Pediatrics. Diphtheria. eds. Red Book: 2018 report of the committee on infectious diseases. 31st ed. Itasca, IL: American Academy of Pediatrics. 2018; 319–23.

Downloads

Published

2024-11-29

How to Cite

Kama, J., Sanusi Karama, R., & Prithvi, J. (2024). Diphtheria outbreak triggered by low vaccine coverage and socioeconomic status in 2023: Nigeria. International Journal Of Community Medicine And Public Health, 11(12), 5032–5037. https://doi.org/10.18203/2394-6040.ijcmph20243673

Issue

Section

Review Articles