Diphtheria is a re-emerging disease caused by the Corynebacterium diphtheria bacteria
and causes death. The death from diphtheria in the world has CFR of 5-10% while in
Indonesia has CFR is 2% that make it becomes one of public health concerns. This study
aims to determine the factors associated with diphtheria deaths in Indonesia in 2018 using
surveillance data on routine reports of diphtheria cases in Indonesia in 2018. The study
design used was cross-sectional with a unit of analysis of individuals suffering from
diphtheria in Indonesia in 2018. In this study there were 817 cases with 2.8% of patients
dying and mostly of them living in West Java province (211 patients). Sex factors,
primary diphtheria immunization status, and Serum Anti Diphtheria (ADS) status were
not statistically related to diphtheria deaths. Factors statistically associated with
diphtheria deaths were age <15 years (OR = 7.863; 95% CI = 1,831 - 33,77) and diagnosis
of diphtheria patients from laboratory confirmation (OR = 2,774; 95% CI = 1,000 -
7,693).
Key words: Diphtheria, Death, Factors, Indonesia, 2018