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Issue Number 423            November 5, 2003

CONTENTS OF THIS ISSUE

  1. Tetanus Toolkit: IAC pulls together tetanus immunization resources for health professionals and their patients

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November 5, 2003
TETANUS TOOLKIT: IAC PULLS TOGETHER TETANUS IMMUNIZATION RESOURCES FOR HEALTH PROFESSIONALS AND THEIR PATIENTS

On October 31, "IAC EXPRESS" published "Unprotected People #58-#62: Tetanus, a Virtually Preventable Disease, Still Endangers and Claims Lives," which presented five accounts of people who had suffered or died from tetanus. The point of offering readers several accounts was to give them examples they can use to convince patients from many populations about the need to be vaccinated against tetanus.

In the same manner, the Immunization Action Coalition (IAC) has pulled together this Tetanus Toolkit of resources with the goal of presenting information useful for health professionals in a range of settings and for patients from a variety of backgrounds. To that end, we've assembled tetanus-specific information for professionals and patients, as well as general information about increasing childhood and adult immunization rates. Sources for the information include IAC, the National Foundation for Infectious Diseases, the Centers for Disease Control and Prevention, and professional organizations.

TETANUS-SPECIFIC RESOURCES

FROM THE IMMUNIZATION ACTION COALITION:
Tetanus Disease Q & A
http://www.vaccineinformation.org/tetanus/qandadis.asp

Tetanus Vaccine Q & A
http://www.vaccineinformation.org/tetanus/qandavax.asp

General tetanus information for health professionals (journal articles, recommendations, state laws, case histories, photos, other resources)
http://www.immunize.org/tetanus

General tetanus information for patients and parents (disease and vaccine Q & As, photos, case histories, recommendations, references, links to other sources)
http://www.vaccineinformation.org/tetanus


FROM THE NATIONAL FOUNDATION FOR INFECTIOUS DISEASES:
"Power of 10" patient-education brochure
http://www.nfid.org/powerof10/pdf/brochure2.pdf

"Are You At Risk?" self-quiz
http://www.nfid.org/powerof10/section2/areyouatrisk.html

Tetanus fact sheet for adults
http://www.nfid.org/powerof10/section2/factsheet-tetanus.html

"Are You Protected?" information
http://www.nfid.org/powerof10/section2/areyouprotected.html

Tetanus overview
http://www.nfid.org/powerof10/section2/overview-tetanus.html

Diphtheria/tetanus study (from the "Annals of Internal Medicine," May 2002)
http://www.nfid.org/powerof10/section2/mcquillanstudy.html


FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION:
Tetanus Vaccine Information Statement (in 28 languages)
http://www.immunize.org/vis/#td

Clinical overview of tetanus (from "Epidemiology and Prevention of Vaccine-Preventable Diseases," also known as the "Pink Book")
http://www.cdc.gov/nip/publications/pink/tetanus.pdf

The tetanus chapter of the National Immunization Program's "Parents Guide to Childhood Immunization"
http://www.cdc.gov/nip/publications/Parents-Guide/pg-tetanus.rtf

The tetanus chapter of the National Immunization Program's "VPD Surveillance Manual"
http://www.cdc.gov/nip/publications/surv-manual/chpt13_tetanus.pdf

Tetanus and diphtheria (Td) slides from the National Immunization Program's "Immunization Update 2003" broadcast (requires Microsoft PowerPoint)
http://www.cdc.gov/nip/ed/AdultUpdateScripts/adult-update-03-td.ppt


DATA FOR PROVIDER/PATIENT EDUCATION:
"Adults aged greater than or equal to 60 years continue to be at highest risk for tetanus and for severe disease. . . . For adults 60 years or older, the increased risk for tetanus was nearly sevenfold that for persons aged 5-19 years and twofold that for persons aged 20-59 years. The case-fatality ratio varied from 2.3% for persons aged 20-39 years to 16% for persons aged 40-59 years and to 18% for persons aged greater than or equal to 60 years. . . Waning of immunity to tetanus declines rapidly starting at the age of 40 years and, by the age of 70 years, only 27.8% of persons have protective levels of antibodies to tetanus toxoid."

Source: "Prevention and Control of VPDs in Long-Term Care Facilities" (page 54)
http://www.cdc.gov/nip/publications/Long-term-care.pdf


RESOURCES TO INCREASE CHILDHOOD AND ADULT IMMUNIZATION RATES

FROM THE IMMUNIZATION ACTION COALITION:
"Do I Need Any Vaccinations Today?"
HTML: http://www.immunize.org/catg.d/4036need.htm
PDF: http://www.immunize.org/catg.d/4036need.pdf

"Vaccinations for Adults: You're never to old to get shots!"
English HTML: http://www.immunize.org/nslt.d/n18/p4030new.htm
Englist PDF: http://www.immunize.org/catg.d/p4030a.pdf
Spanish HTML: http://www.immunize.org/catg.d/p4030-01.htm
Spanish PDF: http://www.immunize.org/catg.d/p4030-01.pdf

"Tips To Improve Your Clinic's Immunization Rates"
HTML: http://www.immunize.org/catg.d/p2045.htm
PDF: http://www.immunize.org/catg.d/p2045tip.pdf


FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION:
"Strategies for Increasing Adult Vaccination Rates"
http://www.cdc.gov/nip/publications/adultstrat.htm


FROM PROFESSIONAL ASSOCIATIONS:
"Increasing Adult Vaccination Rates: What Works" (CD-ROM from the Association of Teachers of Preventive Medicine and CDC)
http://www.atpm.org/Immunization/whatworks.html

Information and tools from the Adult Immunization Initiative section of the American College of Physicians-American Society of Internal Medicine website
http://www.acponline.org/aii

 

Immunization Action Coalition1573 Selby AvenueSt. Paul MN 55104
E-mail: admin@immunize.org Web: http://www.immunize.org/
Tel: (651) 647-9009Fax: (651) 647-9131

This page was updated on November 5, 2003