Diphtheria Antitoxin Levels in the Netherlands: a Population-Based Study

In a population-based study in the Netherlands, diphtheria antitoxin antibodies were measured with a toxin-binding inhibition assay in 9,134 sera from the general population and religious communities refusing vaccination. The Dutch immunization program appears to induce long-term protection against diphtheria. However, a substantial number of adults born before the program was introduced had no protective diphtheria antibody levels. Although herd immunity seems adequate, long-term population protection cannot be assured. As more than 60% of orthodox reformed persons have antibody levels lower... Mehr ...

Verfasser: Hester E. de Melker
G.A.M. Berbers
N.J.D. Nagelkerke
M.A.E. Conyn-van Spaendonck
Dokumenttyp: Artikel
Erscheinungsdatum: 1999
Reihe/Periodikum: Emerging Infectious Diseases, Vol 5, Iss 5, Pp 694-700 (1999)
Verlag/Hrsg.: Centers for Disease Control and Prevention
Schlagwörter: the Netherlands / Medicine / R / Infectious and parasitic diseases / RC109-216
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27582054
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://doi.org/10.3201/eid0505.990511

In a population-based study in the Netherlands, diphtheria antitoxin antibodies were measured with a toxin-binding inhibition assay in 9,134 sera from the general population and religious communities refusing vaccination. The Dutch immunization program appears to induce long-term protection against diphtheria. However, a substantial number of adults born before the program was introduced had no protective diphtheria antibody levels. Although herd immunity seems adequate, long-term population protection cannot be assured. As more than 60% of orthodox reformed persons have antibody levels lower than 0.01 IU/ml, introduction of diphtheria into religious communities refusing vaccination may constitute a danger of spread of the bacterium.