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Diphtheria antitoxin levels in the Netherlands: a population-based study.
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1999 Sep-Oct
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Source: Emerg Infect Dis. 5(5):694-700.
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Alternative Title:Emerg Infect Dis
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Description: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.
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Volume:5
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Issue:5
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