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Health
29 January 2025

Unvaccinated Child Dies From Diphtheria Shock

A Berlin school mourns the loss of 10-year-old M., raising awareness about vaccination importance.

A tragic incident has unfolded in Berlin, where a 10-year-old boy succumbed to diphtheria after being unvaccinated. This shocking event has brought the spotlight back to the importance of vaccinations, especially as diphtheria, once prevalent, has seen significant declines in cases due to immunizations

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The young boy, referred to as M., was known to be cheerful and well-loved by his classmates at the Waldorf School Havelhöhe. "With deep regret and great sadness, we would like to inform you of our student M.'s passing after severe illness," the principal shared with the school community. The school also announced plans for a memorial gathering to honor the boy's memory.

Reports indicate M. first fell ill with acute tonsillitis around late September 2024, prompting his initial visit to the Pediatric Clinic for treatment. Unfortunately, it was only after his condition worsened and he was transferred to another hospital in Berlin where doctors diagnosed him with respiratory diphtheria.

After extensive treatment, including invasive assistance with breathing, the boy's health continued to decline, leading to his passing this week. Health authorities revealed through contact tracing efforts, another member of M.'s family who had the same contact exposure also tested positive for diphtheria, but, thanks to their vaccination, experienced only mild symptoms.

Diphtheria is caused by toxins from Corynebacterium bacteria, primarily presenting with severe throat infections and can lead to respiratory obstruction—an especially dangerous consequence for children. Symptoms include sore throat, fever, and swelling of lymph nodes, which may escalate to more severe manifestations if left unchecked. Bernhard Kosak, the Head of Pediatric Emergency Medicine at Klinikum Westbrandenburg, warned, "Many think doctors can treat these diseases today, but that's not true for many cases. Diphtheria can be treated only to some extent – the risk for long-term consequences remains high."

Historically, diphtheria was known as the "angel of death" for children, particularly ominous before vaccines became widely available. Prior to the introduction of the vaccine, more than 50,000 young people died each year from the disease during the late 19th century. Thanks to widespread immunization, deaths from diphtheria have become exceedingly rare, with statistics showing only one case reported since 1997 until this incident.

Statistics from the Robert Koch Institute highlight the effectiveness of the vaccine—the number of infections plummeted after mandatory vaccinations were instituted. Jakob Maske, a pediatrician, emphasized, "90% of children are fortunately vaccinated against this severe disease, making outbreaks unlikely." Despite this high rate, the tragic loss of M. serves as a dire reminder of the vulnerability present when immunizations are overlooked.

Unfortunately, the hesitance among the parents to vaccinate their child reflects growing concerns about vaccination uptake among specific groups—especially those living and learning together, like schoolchildren. Indeed, if there exists a susceptible group, such as classrooms with unvaccinated children, incidents could lead to outbreaks. The school addressed this situation, expressing solidarity with M.'s family, stating, "Our thoughts are with his family, friends, and classmates during this difficult time." They underscored the importance of community support during such crises.

Overall, the untimely death of M. serves as both heartwrenching and pivotal, inciting conversations about vaccination strategies, the safety net they provide against preventable diseases, and the social responsibility of protecting the young and vulnerable.

Health officials recommend all children receive full immunizations against diphtheria, starting with doses as early as two months of age, emphasizing the necessity of boosters every ten years for continued protection.