August 5, 2025
What Is Diphtheria? Symptoms, Risks & When You Might Need a Booster

Diphtheria may sound like a disease from the past—but it still poses a real risk today, especially when travelling to parts of the world where routine vaccinations aren’t widely available.
At Ready Health Clinic, we offer diphtheria boosters and travel health consultations to help protect you when abroad. Here's everything you need to know about this potentially serious illness, including symptoms, prevention, and when to consider a booster vaccine.
🧫 What Is Diphtheria?
Diphtheria is a highly contagious bacterial infection caused by Corynebacterium diphtheriae. It mainly affects the nose, throat and airways, but can also affect the skin (cutaneous diphtheria). In severe cases, the bacteria produce a toxin that can damage the heart, nerves, or kidneys.
It’s transmitted from person to person through:
Respiratory droplets (coughing, sneezing)
Close physical contact
Touching contaminated surfaces or objects
🧠 Did you know? Around 50% of UK adults over 30 may no longer be fully protected against diphtheria, especially if they haven’t had a recent booster.
🤒 Diphtheria Symptoms
Symptoms usually appear 2 to 5 days after exposure and can range from mild to life-threatening.
Respiratory Diphtheria:
Sore throat and difficulty swallowing
Mild fever
Loss of appetite
Hoarseness or voice changes (if the larynx is affected)
Swollen neck (sometimes called a “bull neck”)
Greyish-white membrane in the throat or nose
If untreated, diphtheria can lead to:
Breathing difficulties
Paralysis
Irregular heartbeat or heart failure
Coma or death
Cutaneous (Skin) Diphtheria:
Painful skin ulcers, especially on legs or arms
Covered with a grey membrane
⚠️ Diphtheria can be fatal, especially in those who are unvaccinated or immunocompromised.
🌍 Where Is Diphtheria Still a Risk?
While diphtheria is rare in the UK thanks to the NHS childhood vaccination programme, it’s still found in parts of:
Africa
Asia (particularly India, Nepal, Indonesia)
The Middle East
Eastern Europe
South America
Travellers heading to these regions—especially for extended stays, humanitarian work, or visiting family—may need a diphtheria booster.
💉 Diphtheria Vaccines in the UK
Routine UK Vaccination Schedule:
Vaccine | Given at | Contents |
---|---|---|
Infanrix®-Hexa / Vaxelis® | 2, 3 and 4 months | 6-in-1 protection (includes diphtheria, tetanus, polio, hepatitis B, Hib, whooping cough) |
Boostrix®-IPV, Repevax® | Age 3 years 4 months (pre-school booster) | Diphtheria, tetanus, polio, whooping cough |
Revaxis® | Age 13–18 (teenage booster) | Diphtheria, tetanus, polio |
📌 If you're unsure of your vaccination history, a booster is usually safe and may be recommended before travel.
✈️ Diphtheria Vaccines for Travellers
If you're heading to a country where diphtheria is still circulating, the Revaxis® vaccine is often used as a booster. It offers protection against tetanus, diphtheria, and polio in a single injection.
💡 When is a booster needed?
If your last dose was over 10 years ago
If you’re travelling to diphtheria-endemic regions
If you're unsure of your vaccination history
We offer travel vaccines, including Revaxis®, here at Ready Health Clinic in Standish.
🛡️ How Else Can You Protect Yourself?
Maintain good personal hygiene, especially handwashing
Avoid contact with people showing respiratory or skin symptoms in high-risk areas
Make sure children are fully vaccinated
Check your own vaccine status before travelling
📋 Summary Table
Key Facts | Details |
---|---|
Disease | Diphtheria (bacterial infection) |
Spread by | Coughs, sneezes, close contact |
Symptoms | Sore throat, fever, grey membrane, skin ulcers |
Risk regions | Asia, Africa, Middle East, South America |
Incubation | 2–5 days |
Vaccine available | Yes – Revaxis® booster for adults |
Who should get booster | Travellers, healthcare workers, those unsure of their status |
Book Your Diphtheria Booster at Ready Health Clinic
Not sure if you’re up to date with your vaccines? Planning a trip abroad? Our clinicians can advise you on diphtheria boosters and other travel vaccines to keep you safe and protected.
📞 Call us today or book online
📍 Based in Standish, we welcome patients from Wigan, Chorley, Bolton and Horwich

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