Tetanus Booster - A missed opportunity
Journal Title: Indian Journal of Community Health (IJCH) - Year 2014, Vol 26, Issue 2
Abstract
Tetanus a known childhood killer is an entirely preventable disease with tetanus toxoid (TT). Most of the research today is on neonatal tetanus owing to its high case fatality rate. Though the reported mortality with tetanus is lower in older age groups, the management of tetanus is still a challenge in resource constraint settings of developing countries like India. On this background the present study was designed to know the status of tetanus immunization among school going age group children. This was an OPD based survey targeting school going children (age of 5 to 18 years) attending Pediatric out-patient department (OPD) of a tertiary care teaching hospital. It was observed that out of 636, 299 (47%) children were vaccinated for diphtheria, pertusis and tetanus (DPT) booster at 5 years of age. Out of 374 children eligible for TT (10 to 16 years) only 37 (9.8 %) were immunized with TT at age 10 years. Out of 44 children at age of 16 years only 6 (13.6%) were immunized. Though there are strategies to immunize school going children under routine immunization programme, official records documented that the immunization coverage for TT was 68% in school going age group. Majority of (80%) the cases of tetanus were in non-neonatal age group (mainly school going group) in Madhya Pradesh, India. Based on these observations it can be concluded that the tetanus immunization coverage among children of school going age was poor in the given setting.
Authors and Affiliations
Rajesh Gupta, Jagdish Mandliya, Yogesh Sabde
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