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The Complete Guide: Diphtheria, Tetanus and Polio

Three-in-one diphtheria, tetanus, and polio vaccines protect you from infectious toxins. The deadly virus can paralyze you. Vaccinations are the best way to prevent infection. See all NHS Vaccinations.

In countries of high risk, it may be necessary to get the combined booster before travelling. These include countries that have poor sanitation and hygiene standards.

Diphtheria, Tetanus and Polio in the UK

There are very few cases of diphtheria, tetanus, or polio in the UK. As part of routine healthcare, babies and children receive vaccines at a very young age. Early vaccination ensures protection from various diseases.

The NHS recommends specific vaccination times. All babies and children should receive vaccinations on a regular basis. To learn more about the vaccination schedule by the NHS in the UK, See more.

What is Diphtheria?

Besides lung and throat problems, diphtheria can cause heart failure, paralysis, or even death.

As vaccines against diphtheria are available in the UK, the infection is rare. If you travel abroad, it is still possible to catch the infection. In countries with low hygiene standards, the likelihood of catching diphtheria is higher. In countries with low hygiene standards, the likelihood of catching diphtheria is higher.

Diphtheria is treatable, but if it is not treated quickly, especially in children, it can be lethal. Diphtheria vaccination is recommended for infants, children, young adults, and adults by the NHS and Westbury Chemist.

There are two types of diphtheria.

  1. Respiratory Diphtheria – Involves the nose, throat, tonsils
  2. Cutaneous (Skin) Diphtheria – Involves the skin

We will run through each in more detail later in this article.

Microscopic view of Diphtheria

What Causes Diphtheria?

Several strains of bacteria cause diphtheria that produces toxins in the body (poison). Poison can lead to heart failure, paralysis and even death when it affects your body. Toxins (also called Corynebacterium) released by bacteria cause diphtheria.

In general, bacteria alone are not very dangerous, but things become dangerous when a virus invades them. Infecting the bacteria with the virus produces a poisonous toxin. The severity of the disease results from the poison being released.

A grey or blue membrane forms around the tonsils and throat after infection, making it deadly.

Diphtheria Signs and Symptoms

The severity of the symptoms of diphtheria depends on the type of infection. A life-threatening diphtheria infection, but, can result in severe symptoms.

Until Diphtheria symptoms appear, infected people are passive carriers. These people have the disease but are not showing symptoms.

Symptoms of Diphtheria

  1. Thick grey/blue membrane covering the throat and tonsils like the image presented above
  2. A sore throat
  3. Loud and harsh coughs
  4. Swollen neck glands
  5. Difficulty breathing
  6. Tiredness
  7. Fever and Chills
  8. Bluish skin
  9. Drooling
  10. Pale and cold skin
  11. Sweating
diphtheria signs and symptoms

Cutaneous (Skin) Diphtheria

A cutaneous (skin) diphtheria is a type of ulcer. Ulcers can form from a diphtheria infection. The ulcer appears as small blisters and then breaks down to form a bulging ulcer.

There are two types of ulcers, single or clustered, usually affecting the hands, feet, and legs. At first, Cutaneous Diphtheria is painful, then over time, it becomes a brown membrane with a pink-to-purple surrounding.

For the ulcer to heal, it may take up to three months. You may develop scars after the ulcer has healed.

How is Diphtheria Spread?

Diphtheria is also spread by contacting objects that may contain bacteria, such as cups and tissues. Infected people spread this infection when they sneeze, cough, or blow their noses.
Fact: Infected people can spread diphtheria even if they have no symptoms for up to six weeks after becoming infected!

Touching infected ulcers or open sores can spread Cutaneous Diphtheria infections.

Diphtheria Vaccine

Diphtheria, Tetanus, and Polio combined vaccinations, protect people from life-threatening diseases.

Typically, the Diphtheria vaccination is given to children from:

  1. 8, 12, 16 weeks. This is known as the 6-in-1 vaccine which is given in 3 separate doses.
  2. 3 years and 4 months. Whilst your child is at school, they are given the 4-in-1 booster vaccine.
  3. At the age of 14 years, children are given a 3-in-1 booster vaccination.
Vaccinations against Diphtheria, Tetanus, and Polio have been routinely given to children.

Diphtheria Travel Vaccination

It’s recommended that travellers receive a diphtheria vaccination. You may need a booster vaccine if it’s been more than ten years since your last diphtheria vaccination. 

According to WHO (World Health Organisation), in 2018, they reported a rise in cases in the following countries.

IndonesiaBangladeshMyanmarVietnam
VenezuelaHaitiSouth AfricaYemen

See all up to date information from different countries by checking TravelHealthPro

Our chemist in Streatham offers the vaccination for Diphtheria, Tetanus and Polio. Book an appointment at our chemist if you are local to the Streatham, Streatham Common, Streatham Hill area.

Book Vaccine

Consult your local chemist or pharmacy for available vaccinations if you’re not local to us.

See full NHS Vaccination Schedule

Where is Diphtheria Found?

Countries

Diphtheria is rare unless someone with the disease spreads it. Diphtheria is likely to occur in countries with poor hygiene regardless of age group.

There are still risks outside tropical areas, so you should take precautions.

The Body

Diphtheria can infect parts of your body that involve breathing and the skin. Infections can take 2-3 days to develop. You will notice a build-up of grey matter at the back of your throat and/or in your nose.

When the grey membrane forms, it’s difficult to breathe and swallow. Also, we mentioned a type of diphtheria that affects the skin. Brown ulcers cover the body when diphtheria cutaneous occurs. Despite the pain, ulcers are easier to treat than respiratory infections.

where is diphtheria found

Diphtheria Treatments

There are three main types of treatments for overcoming the effects of Diphtheria.

  1. Take antibiotics to kill the diphtheria bacteria in your body
  2. Medication that stops the effects of toxins produced by the bacteria
  3. If infected by Cutaneous Diphtheria, affected areas need to be thoroughly cleaned

The NHS recommend that the treatments usually last 2-3 weeks, and skin ulcers can take 2-3 months to heal with the possibility of leaving scars.

If you have been in close contact with someone who has Diphtheria, you may also take antibiotics or a dose of the Diphtheria vaccine.

What is Tetanus?

A bacteria enters your body and produces poison, causing Lockjaw or tetanus. A Lockjaw sufferer experiences difficulty opening his or her mouth or swallowing.

Tetanus is rare in England because of the UK vaccination programme. Unvaccinated people are more vulnerable to infection. For more information, consult the NHS vaccination schedule.

When do you have a Tetanus Jab?

In the UK, people can receive tetanus vaccinations from an early age. NHS vaccination schedule lets parents know when to have their children vaccinated.

Usually, within 8-16 weeks after your child’s birth, they will have their first three doses of the tetanus vaccine. Also, two booster shots at the age of 3 and 4 months and the last at 14 years of age. See a copy of the NHS tetanus vaccination schedule applicable here in the UK.

DoseVaccineAge
First 3 Doses6-in-1 Vaccine8 Weeks, 12 Weeks, 16 Weeks
Booster4-in-1 Booster Vaccine3 Years and 4 Months
Final Booster3-in-1 Booster Vaccine14 Years

Tetanus vaccination is essential before travelling overseas. When your last Tetanus vaccine was more than ten years ago, you must have a 3-in-1 booster.

You’re protected against Diphtheria, Tetanus, and Polio at once. You should get as many tetanus shots as possible before you travel if you have not had the vaccine. Wait a month between shots. In case of doubt, ask your doctor or pharmacist.

when to take tetanus jab

How do you get Tetanus?

Tetanus infection can penetrate between cuts and wounds, unlike diphtheria. A cut or wound where bacteria have gotten between the skin and the wound is where the bacteria cause muscle contractions, spasms, and more.

Ways the tetanus bacteria can enter the body

  1. Cuts and grazes
  2. Tears and splits in the skin
  3. Burns
  4. Animal Bites
  5. Body piercings, tattoos and
  6. injections
  7. Eye injuries
  8. Injecting contaminated drugs
tetanus disease cell

Treatments for Tetanus

Tetanus can be treated in three different ways, each of which depends on the infection’s severity. Let me explain,

1. Doctors may think there’s a chance you can develop Tetanus. At which point they’d clean any detectable wounds thoroughly and give you an immunisation shot known as tetanus immunoglobulin (for the science lovers).

Tetanus immunoglobulin contains antibodies, and these antibodies stop the toxin (poison) released in your body by the infection from taking effect. It’s effective and works immediately. The antibodies aren’t a replacement for taking the vaccine but a temporary measure to get you up and running again.

How do you beat it long term? Take the vaccine! Book Vaccination

2. Not fully immunised against Tetanus, not having taken your vaccinations or completing the full course leaves you vulnerable and exposed to getting unwell because of Tetanus. As well as the antibiotics, you’ll need the tetanus vaccine.

3. Developed symptoms of tetanus

Tetanus Vaccination Side Effects

With all vaccinations, there are always some side effects to them. Sometimes they’re mild, and sometimes they can be a bit more severe. We’ll break down the side effects of taking the tetanus vaccination for the tetanus vaccination.

Non-vaccination against Tetanus has a far higher risk than vaccination against Tetanus.

Common Side Effects

  1. Swelling on the arm where the injection took place
  2. Soreness
  3. Body aches
  4. Headache
  5. Fever
  6. Irritation in babies
  7. Nausea, vomiting or diarrhoea
  8. Fatigue
  9. Redness

Consult your GP or chemist for more information on the side effects of the tetanus vaccination.

What is Polio (Poliomyelitis) ?

A contagious, severe, and transmittable virus, Polio comes from the Poliovirus. Paralysis and damage to the spinal cord are the results of the poliovirus virus.

Vaccinations have reduced the threat of Poliovirus in the UK. At birth, children receive vaccinations, followed by booster shots. But, there is a risk that Polio could return to the UK.

There is no cure for poliovirus. Once contracted, it is irreversible. Get vaccinated if you are planning to travel to countries with a high risk of the disease.

How do you get Polio?

There are three different ways between people. The common way to get the Poliovirus is by

  1. If you come into contact with the faeces of someone who with the polio infection
  2. Infectious droplets in the air from those who cough and sneeze into the air
  3. Contaminated food and water from the faeces of an infected person. Including, droplets of the infection.

A sneeze or cough or contact with faeces containing the virus can spread the illness.

If you have not had the vaccine against the Poliovirus, you may need extra precautions.

If the virus makes its way into your mouth, it can travel to your throat and bowels, where it starts to reproduce. The virus can enter your bloodstream, compromise your nervous system, and lead to paralysis.

The Poliovirus does not manifest symptoms immediately, and it can take up to a week for any symptoms to occur while being infectious the whole time. But, infected people can still spread Polio to others.

how do you get polio

Polio Vaccination Schedule

The NHS provide a handy schedule for the required vaccinations for children, including newborns.

There are two types of Polio vaccinations, oral polio vaccine (OPV) and injection polio vaccine (IPV). The NHS offer vaccinations in 5 doses by injections.

Here is a copy of the NHS polio vaccination schedule:

DoseVaccineAge
First 3 Doses6-in-1 Vaccine8 Weeks, 12 Weeks, 16 Weeks
Booster4-in-1 Booster Vaccine3 Years and 4 Months
Final Booster3-in-1 Booster Vaccine14 Years
You may have noticed that the polio vaccine schedule looks similar to the Diphtheria and Tetanus vaccinations, and that’s because it is. The vaccination for Diphtheria, Tetanus and Polio is a 3-in-1 booster from 14 years and above.
polio vaccination schedule

Polio Booster Travel Vaccination

If you are not vaccinated, the polio vaccine is still available for those who have not. In the case of someone who has had Polio before but not the vaccination, the NHS still recommends it.

The vaccination protects you against all three types of Poliovirus. If you’ve had the infection before, then you’re only protected from one of these types of Polio. Consult your doctor for more information on this.

polio vaccination

Treating Polio

Treatments exist to keep your motor neurons and body working despite not being curable. Rest in the hospital, take painkillers, take breathing aids, and move regularly.

treating polio

Combined Diphtheria, Tetanus and Polio Vaccination

The 3-in-1 vaccine combination offers protection against diphtheria, Tetanus, and Polio. You can get the vaccination at your local travel clinic. You may need more boosters or first-time vaccinations before you travel.

In Streatham and need to grab your vaccination?
Book with Westbury Chemist

Diphtheria, Tetanus and Polio FAQ

How long does diphtheria tetanus and polio last?

The initial stages of the vaccine start from birth. With the vaccination programme available by the NHS in the UK, all new borns go through the NHS vaccination schedule to ensure they are protected.

The vaccine lasts 10 years. If you have had the vaccine over 10 years ago, then it is recommended that you take the DTP booster vaccination, especially if you are travelling.

When do you get diphtheria tetanus and polio?

A vaccination schedule is provided by the NHS for children, teenagers and adults. Overall, there are 5 doses that a child goes through before the age of 14.

  1. First 3 Doses: 8 Weeks, 12 Weeks and 16 Weeks
  2. Fourth Dose: when your child reaches the age of 3 years and 4 months
  3. Fifth Dose: when your child comes to the age of 14

Thereafter, boosters are available for travel.

Do adults need diphtheria booster?

 The short answer, yes. Adults do need to take the diphtheria booster.

Generally, people who are travelling should protect themselves against diphtheria, tetanus and polio with the 3-in-1 vaccine. The diseases can affect anyone of any age group.

Ensure you have consulted a doctor or your chemist about your travels.

Can you still get diphtheria if vaccinated?

Whilst you may have the vaccine for Diphtheria, this protects you. However, it does not stop your body from contracting diphtheria. Diphtheria is a spreadable disease and can affect those around you who do not have the vaccine.

Luckily and thanks to the NHS programme, the cases for Diphtheria and rare in the UK. We say rare because people who are infected from other countries are carriers of the disease.

Can you survive tetanus?

Without treatment, tetanus can be dangerous and people can die. Death is common in young children who have been left untreated or vaccinated.

According to everydayhealth.com 1 out of 5 people who get tetanus will die.

Best way to prevent it? Take the vaccination as soon as possible.

How long do you have to get a tetanus shot after a cut?

If you have not had the tetanus vaccination and are hurt, cut or bitten, you’ll have 48 hours to take the booster vaccination to protect yourself against it.

What are the symptoms of Diphtheria?
  1. Thick grey/blue membrane covering the throat and tonsils like the image presented above
  2. A sore throat
  3. Loud and harsh coughs
  4. Swollen neck glands
  5. Difficulty breathing
  6. Tiredness
  7. Fever and Chills
  8. Bluish skin
  9. Drooling
  10. Pale and cold skin
  11. Sweating
What are the symptoms of Tetanus?

NHS have documented the following symptoms:

  1. stiffness in your jaw muscles (lockjaw), which can make it difficult to open your mouth
  2. painful muscle spasms, which can make it difficult to breathe and swallow
  3. a high temperature
  4. sweating
  5. a rapid heartbeat

 

What are the symptoms of Polio?

NHS have documented the following symptoms for Polio:

A small number of people will experience a flu-like illness 3 to 21 days after they’re infected.

Symptoms can include:

  • a high temperature (fever) of 38C (100.4F) or above
  • a sore throat
  • a headache
  • abdominal (tummy) pain
  • aching muscles
  • feeling and being sick
Does polio still exist?

In most parts of the world, Polio no longer exists due to the vaccine programmes available. As of 2020, the poliovirus only exists in two countries, Pakistan and Afghanistan

Is there a cure for polio now?

There is still no known cure for the poliovirus to this day. The best treatment and defence against the poliovirus is to ensure that you have had the required vaccine.

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