The age distribution of reported tetanus cases shifted to a younger age group in 1995-1997, due primarily to the contribution cases in California. Many of these cases were young Hispanic men who developed tetanus as a result of injection drug use, particularly heroin.
1995-1997 is the most recent summary of tetanus cases reported in the U.S.
Recommendation from the 1991 DTP ACIP statement
Tetanus and Tetanus Toxoid
Epidemiology and Prevention of Vaccine-Preventable Diseases National Immunization Program Centers for Disease Control and Prevention Revised December 2004
Note to presenters: Images of vaccine-preventable diseases are available from the Immunization Action Coalition website at http://www.vaccineinformation.org/photos/index.asp
Tetanus Wound Management * Yes, if >10 years since last dose ** Yes, if >5 years since last dose Vaccination History Unknown or <3 doses 3+ doses Td TIG Yes No No* No Td TIG Yes Yes No** No Clean, minor wounds All other wounds
Tetanus—United States, 1980-2002 Age Distribution
Age Distribution of Reported Tetanus Cases, 1991-1995 and 1996-2000
Tetanus—1998-2000 Injuries and Conditions Data available for 129 of 130 reported cases. Source: MMWR 2003;52(SS-3):1-12
DTaP, DT, and Td DTaP, DT Td (adult) Diphtheria 7-8 Lf units 2 Lf units Tetanus 5-12.5 Lf units 5 Lf units Pertussis vaccine and pediatric DT used through age 6 years. Adult Td for children 7 years of age and older.