As with so many of these vaccination issues, there is a strong whiff of political correctness. Diphtheria is endemic in the Baltic states, and there
have been large numbers of visitors arriving from there. I suspect that the decision was made to change it for everyone. It's a bit like MMR; the
people most at risk of serious attacks or complications of these childhood exanthema are the Afro-Caribbean and Asian immigrant population.
Best wishes,
Rowley Cottingham
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