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Concerns rise over diphtheria booster uptake among Western Cape children
Cape Times
|January 28, 2026
WHILE the Western Cape accounts for the majority of toxigenic respiratory diphtheria, a concern has arisen over the declining uptake of Tdap (tetanus, diphtheria, and whooping cough) booster doses among older children.
This came to light after the latest situational report from the National Institute for Communicable Diseases (NICD) revealed that nationally, 91 laboratory-confirmed cases of toxigenic respiratory diphtheria were recorded between January 2024 and January 18, 2026. The Western Cape accounted for most cases, reporting 67.
The NICD said that a public health response was initiated for every case, which involves swabbing, isolating, providing prophylaxis, and vaccinating close contacts. These actions apply to contacts in all settings, including households, workplaces, healthcare facilities, and emergency medical services.
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