Migrants at the Manston Airport detention centre are to be vaccinated against diphtheria after dozens of cases were confirmed. Diphtheria is contagious, infecting the nose, throat and sometimes the skin ,and can be fatal. The UK Health Security Agency (UKHSA) is working closely with the Home Office at the reception centre, where there are cases of diphtheria and other infections, including one unaccompanied child who had scabies. The UKHSA said accommodation settings should be considered ‘high-risk for infectious diseases with a high prevalence of toxigenic diphtheria infection’ and endorsed mass antibiotic prophylaxis and mass vaccination. Antibiotics and diphtheria vaccination are being offered to everyone at the centre and all who have moved on to hostels recently’. A national briefing was also sent to NHS staff to highlight ‘the importance of early diagnoses.