DIPHTHERIA OUTBREAK IN ROHINGYA REFUGEE CAMPS IN BANGLADESH 2017/18
Author(s):
David McMaster
Affiliations:
University of Nottingham
ESPID Education. McMaster P. May 30, 2018; 218749; ESP18-0084
Paddy McMaster
Paddy McMaster

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1. The UK EMT demonstrated the capacity of a WHO coordinated response to a country's appeal for assistance with up to date, currently employed health professionals to come at short notice
2. The pseudomembrane of diphtheria is unmistakable but 'early' diphtheria pharyngitis and 'gross' lymphadenopathy or 'Bull neck' are clinically difficult to define
3. Laboratory back up is essential to confirm cases so that resources could be allocated to those areas still seeing confirmed cases with intensive contact tracing, antibiotic prophylaxis and immunisation
1. Operational protocol for clinical management of Diphtheria Bangladesh, Cox’s Bazar (Version 10th Dec 2017) WHO http://www.who.int/health-cluster/resources/publications/WHO-operational-protocols-diphtheria.pdf

2. Expanded Access Investigational New Drug (IND) Application Protocol: Use of Diphtheria Antitoxin (DAT) for Suspected Diphtheria Cases. Centers for Disease Control and Prevention (CDC) Sept 2016
https://www.cdc.gov/diphtheria/downloads/protocol.pdf
https://www.cdc.gov/vaccines/pubs/pinkbook/downloads/dip.pdf
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