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• W2116778364 abstract "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." @default.
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• W2116778364 date "1999-10-01" @default.
• W2116778364 modified "2023-10-16" @default.
• W2116778364 title "Diphtheria Antitoxin Levels in the Netherlands: a Population-Based Study" @default.
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• W2116778364 doi "https://doi.org/10.3201/eid0505.990511" @default.
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