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Tetanus Immunity and Epidemiology in Australia, 1993-2010

机译:Tetanus Immunity and Epidemiology in Australia, 1993-2010

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摘要

Background: This study evaluates trends in tetanus immunity and epidemiology overthe last two decades in Australia, drawing on two national serological surveys and national tetanusmorbidity data, to justify current Australian adult tetanus booster recommendations.Methods: We compare tetanus immunity level between two national serosurveys, and examineincidence trends using the most accurate estimation of the true number of cases by correcting forunder-ascertainment.Results: Tetanus immunity in people aged <60 years is high, but the elderly, particularly the femaleelderly, may not be adequately protected. Over the past twenty years older people have regularlyaccounted for the highest number of tetanus cases, with an increasing proportion of cases.Conclusion: Despite a positive decrease in tetanus incidence, there remains a significant burdenin the elderly population of an entirely preventable disease. Supplying a funded booster dose ofdTpa at 65 years would be, potentially, an effective strategy to prevent tetanus cases in Australia.

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