Country 2010 2011 2012 2013 2014 Cases Rate National data Report type

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Table 1. Reported diphtheria cases: number and rate per 100 000 population, EU/EEA, 2010–2014 Country 2010 2011 2012 2013 2014 Cases Rate National data Report type Reported cases Confirmed cases ASR Austria Y C 2 Belgium 1 Bulgaria Croatia . Cyprus Czech Republic Denmark Estonia Finland France 5 4 6 Germany 8 9 Greece Hungary Iceland Ireland Italy Latvia 0.1 0.3 0.4 14 0.7 13 0.6 10 Liechtenstein Lithuania Luxembourg Malta Netherlands Norway Poland Portugal Romania Slovakia Slovenia Spain Sweden 3 United Kingdom EU/EEA 20 27 32 38 35 Source: Country reports. Legend: Y = yes, N = no, C = case based, · = no report, ASR: age-standardised rate Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report 2015. Diphtheria. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, 2016. Reproduction is authorised, provided the source is acknowledged

Figure 1. Number of reported diphtheria cases, EU/EEA, 2014 Source: Country reports from Austria, Belgium, Bulgaria, Croatia, Cyprus, the Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, the United Kingdom. Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report 2015. Diphtheria. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, 2016. Reproduction is authorised, provided the source is acknowledged

Figure 2. Reported diphtheria cases, by age and gender, EU/EEA, 2014 Source: Country reports from Austria, Belgium, Bulgaria, Croatia, Cyprus, the Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, the United Kingdom. Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report 2015. Diphtheria. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, 2016. Reproduction is authorised, provided the source is acknowledged

Table. Diphtheria, surveillance systems overview, 2014   Surveillance Data reported by Case definition used characteristics Country Data source L P H O Austria AT-Epidemiegesetz Cp Co C Y EU-2008 Belgium BE-FLA_FRA EU-2012 Bulgaria BG-NATIONAL_SURVEILLANCE Croatia HR-CNIPH Cyprus CY-NOTIFIED_DISEASES N Czech Republic CZ-EPIDAT A Denmark DK-MIS Other Estonia EE-NAKIS Finland FI-NIDR Not specified/unknown France FR-MANDATORY_INFECTIOUS_DISEASES Germany DE-SURVNET@RKI-7.1/6 Greece EL-NOTIFIABLE_DISEASES Hungary HU-EFRIR Iceland IS-SUBJECT_TO_REGISTRATION Ireland IE-CIDR Italy IT-NRS Latvia LV-BSN Lithuania LT-COMMUNICABLE_DISEASES Luxembourg LU-SYSTEM1 EU-2002 Malta MT-DISEASE_SURVEILLANCE Netherlands NL-OSIRIS Norway NO-MSIS_A Poland PL-NATIONAL_SURVEILLANCE Portugal PT-DIPHTERIA Romania RO-RNSSy Slovakia SK-EPIS Slovenia SI-SURVIVAL Spain ES-STATUTORY_DISEASES Sweden SE-SMINET United Kingdom UK-DIPHTHERIA Surveillance characteristics: compulsory (Cp), comprehensive (co), voluntary (V), other (O), active (A), passive (P), case-based (C), aggregated (A) Data reported by: laboratories (L), physicians (P), hospitals (H), other (O) Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report 2016. Diphtheria. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, 2016. Reproduction is authorised, provided the source is acknowledged