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Volume 19, Number 9—September 2013


Detection of Diphtheritic Polyneuropathy by Acute Flaccid Paralysis Surveillance, India

Farrah J. Mateen1Comments to Author , Sunil Bahl, Ajay Khera, and Roland W. Sutter
Author affiliations: Johns Hopkins University, Baltimore, Maryland, USA (F.J. Mateen); World Health Organization, Geneva, Switzerland (F.J. Mateen, R.W. Sutter); World Health Organization National Polio Surveillance Project, New Delhi, India (S. Bahl); Ministry of Health and Family Welfare, New Delhi (A. Khera)

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Table 2

Countries reporting >100 cases of diphtheria, 2007–2011*

Rank in no. reported cases Country World Bank gross national income per capita level (2010) World Health Organization region No. reported cases
1 India Low Southeast Asian 17,926
2 Indonesia Lower middle Western Pacific 1829
3 Nepal Low Southeast Asian 710
4 Iran Upper middle Eastern Mediterranean 380
5 The Philippines Lower middle Western Pacific 329
6 Sudan Low African 243
7 Bangladesh Low Southeast Asian 190
8 Russia Upper middle European 169
9 Ukraine Upper middle European 167
10 Haiti Low Americas 151
11 Pakistan Low Eastern Mediterranean 136
12 Brazil Upper middle Americas 127
13 Thailand Lower middle Southeast Asian 105
14 Afghanistan Low Southeast Asian 104

*Source: World Health Organization Immunization Assessment, Surveillance, and Monitoring: Diphtheria (

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1Current affiliation: Massachusetts General Hospital, Boston, Massachusetts, USA.