Confirmed isolates of nontoxigenic Corynebacterium diphtheriae in England a
nd Wales increased substantially from 1986 to 1994. Ribotyping of 121 isola
tes confirmed in 1995 showed that 90 were of a single strain isolated exclu
sively from the throat; none had previously been identified in toxigenic st
rains from U.K. or non-U.K. residents. The upward trend in nontoxigenic C.
diphtheriae probably represented increased ascertainment, although dissemin
ation of a particular strain or clone may have been a factor.