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Unit Epidemiologi, Jabatan Kesihatan Negeri Sabah, Tingkat 1, Rumah Persekutuan , 88814 Kota Kinabalu, Sabah, MALAYSIA
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(ICD 10: A 36)
Case Definition
Clinical case definition
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An illness of the upper-respiratory tract characterized by laryngitis or pharyngitis or tonsillitis and an adherent membrane of the tonsils, pharynx and/or nose.
Laboratory criteria for diagnosis
- Isolation of Corynebacterium diphtheriae from a clinical specimen
DIPHTHERIA (Difteria)
Case Classification
- Suspected: A clinically compatible case that is not laboratory confirmed and is not epidemiologically linked to a laboratory-confirmed case.
- Confirmed : A clinically compatible case that is either laboratory confirmed or epidemiologically linked to a laboratory-confirmed case.
Types Of Surveillance
Mandatory National Notifcation of Infectious Diseases under the Infectious Disease Prevention and Control Act 1988.
When to notify
- Any suspected diphtheria case should be notified.
How to notify
- A diphtheria case should be notified by phone to the nearest District Health Office within 24 hours of diagnosis. It then followed by submission of the notification form.
Outbreak situations
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Intensive surveillance requires to be maintained during outbreaks in view of high infectivity, greater transmission risk and increased mortality.
Special Aspects
Nil
References Lab
- IMR: Vaccine potency test surveillance and investigation on the specific vaccine's batch – used by the affected individual / community
