1. Idsurv data on Diphtheria Pneumonia

2. Diphtheria An illness characterised by laryngitis or pharyngitis or tonsillitis, and an adherent membrane of the tonsils, pharynx and/or nose and Isolation of Corynebacterium diphtheriae from a clinical specimen

3. Microbiologic Diagnosis Established No Yes – Culture Isolation of Corynebacterium diphtheriae from a clinical specimen – Antigen detection – Antibody detectoon 4 fold or greater rise in serum antibodies – other Gram stained smear

4. Previous relevant vaccination DPT vaccine (DTP) Not immunized (NI) Not received any dose of DTP Partially immunized (PI) Received less than the age appropriate doses Fully immunized (FI) Received all the age appropriate doses Ineligible for Immunization (II) Age less than 6 weeks

5. Age wise break up of cases

6. Sex and Immunization details

7. Severity and Outcome

8. Diagnosis

9. Pneumonia Clinical Pneumonia (PNUC) – High fever (> 38 Degree C) and – Tachypnea > 60 breaths / min if aged 50 breaths / min if aged 2-­‐11 > 40 breaths / min if aged 12m to <60 months (Reasonably ruled out reactive airway disease) Radiological Pneumonia (PNUR) Abnormal chest radiograph sugges*ve of Pneumonia

10. Microbiologic Diagnosis established No Yes – Culture isolation of a bacterial pathogen from pleural fluid or blood – Antigen detection identification of a bacterial antigen in pleural fluid by latex agglutination – Antibody detection – Other Gram stained smear of pleural fluid

11. Previous relevant vaccination Not immunized (NI) : Not received any dose of Pertussis, Hib and Measles containing vaccine or conjugate pneumococcal vaccine Partially immunized (PI) : Received either not all Pertussis, Hib and Measles containing vaccine and conjugate pneumococcal vaccine or not all age appropriate doses Fully immunized (FI): Received all age appropriate doses of Pertussis, Hib and Measles containing vaccines and conjugate pneumococcal vaccine Ineligible for Immunization (II): less than 6 weeks of age

12. Radiological Pneumonia Age wise break up

13. Sex distribution, Immunization status Severity, and Outcome

14. Diagnosis

15. Clinical Pneumonia Age wise break up

16. Sex distribution, Immunization status Severity, and Outcome

17. Diagnosis

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