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Previous Volume 333:599-600 August 31, 1995 Number 9 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: The serologic survey by Gergen et al. (March 23 issue)¹ corroborates earlier studies showing that more than half of Americans over the age of 50 lack what are considered protective levels (>0.15 IU per milliliter) of tetanus antitoxin. Although serologic surveys often predict the epidemiologic features of a disease, the incidence of tetanus is far better predicted by a history of inadequate primary immunization with tetanus toxoid. Almost all cases occur in persons who never completed a primary immunization series, did not receive appropriate treatment of a wound, or both.²

There is strong epidemiologic evidence that primary . . . [Full Text of this Article]

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