Tetanus Toxoid Immunization in the Nonmilitary Population

Wesley Furste, MD
JAMA. 1963;185(13):1041-1042. doi:10.1001/jama.1963.03060130059020.
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THE NEED FOR NATIONWIDE tetanus toxoid immunization is currently receiving attention across the country. In support of an active campaign for civilian immunization, such as the Defense Department has so effectively accomplished in the US Armed Forces, the Ohio Committee on Trauma, of the American College of Surgeons, presents the following data:

  1. In a recent pilot study of civilians with wounds in Columbus, Ohio,1 4% of males and 8% of females under 18 years of age, and 28% of males and 46% of females 18 years or older were considered not to have had adequate tetanus toxoid immunization.

  1. In the World War II battle for Manila in 1945, there were 473 reported cases of tetanus in approximately 12,000 wounded civilians who, as far as is known, had not had tetanus toxoid inoculations before being injured.2 The incidence of tetanus was almost 40 per 1,000 wounded civilians. The mortality rate in


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