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