FREQUENCY OF TETANUS TOXOID IMMUNIZATION AMONG COLLEGE/UNIVERSITY FEMALE STUDENTS OF KARACHI
AbstractBackground: Tetanus is a deadly infectious disease for which immunisation is available in EPI at bothinfant level and for females of reproductive age. More than 95% of patients who develop tetanus havenot been previously immunised. Objectives of the study were to determine the frequency of tetanusvaccination and to access the awareness of immunisation among females studying in 11 girls’ collegesof Karachi and University of Karachi. Method: A cross sectional study was conducted among 1,407females studying in colleges and University of Karachi from April to August 2007 using a prescribedquestionnaire. Result: Among 1,407 female students who were interviewed for the study, 232(16.48%) were not aware about tetanus immunisation program for females of reproductive age. Only560 students (39.80%) received at least 1 of 5 recommended doses. Only 41 female students (2.91%)received complete course of 5 doses. Conclusion: Coverage of tetanus immunisation among literatefemales in most populous city of the country is far behind satisfactory. There is need for awareness andcrash programs of tetanus immunisation.Keywords: Tetanus, Immunisation, Vaccination, Toxoid
Allen CMC, Lueck CJ, Dennis M. Neurological diseases. In:
Boon NA, College NR, Walker B R, Hunter JAA, eds.
Davidson’s Principles and Practice of Medicine.20th ed. New
Delhi: Churchill Livingstone; 2002.p. 1232–3.
Chambers H F, Infectious Diseases: Bacterial and Chlamydial.
In: McPhee SJ, Papadakis MA, Tierney LM Jr, eds. Currant
Medical Diagnosis & Treatmet.46th ed. McGraw Hill;
Afridi NK, Hatcher J, Mahmud S, Nanan D. Coverage and
factors associated with Tetanus Toxoid Vaccination status among
females of reproductive age in Peshawar. J Coll Physicians Surg
Thwnites CL, Farrar JJ. Preventing and treating tetanus (editorial)
Br Med J 2003;326:117–8.
Park K. Epidemiology of communicable diseases. Park’s text
book of preventive and social medicine 27thed. Jabalpur:
Banarsidas Bhanot; 2007.p. 260–4.
WHO 2006 Weekly Epidemiological Record No. 20, 19th May
Bardenheier B, Prevots R, Khetsuriani N, Wharton M. Tetanus
Surveillance United States. Morb Mortal Wkly Rep CDC
Surveill Summ 1998:47(SS-2):1–13.
Ahmed SI, Baig L, Thaver IH, Sidiqui MI, Jafery SIA, Javed A,
Knowledge, Attitudes and practices of General Practitioners in
Karachi District Central about Tetanus Immunization in adults. J
Coll Physicians Surg Pak 2001;51:367–9.
Ali M, Mazhar AU, Haq MIU, Tetanus Neonatorun. Pak Peads J
Zeb A, Zaidi SAH, Jehan I. Knowledge, Attitude and Practices of
reproductive age females about tetanus toxoid vaccine: A pilot
study. J Coll Physicians Surg Pak 2006;16:791–3.
Talati N, Salahuddin N, Factors affecting tetanus mortality in
a tertiary care hospital in Pakistan. Infect Dis J Pakistan
Anuradha S. Tetanus in adults-A continuing problem: An
analysis of 217 patients over 3 years from Delhi, India, with
special emphasis on predictors of mortality, Med J Malaysia
Berman P, Quinley J, Yusuf B, Anwar S, Mustaini U, Azof A, et
al. Maternal tetanus immunization in Aceh Province, Sumatra,
The cost effectiveness of alternative strategies. Soc Sci Med
Streatfield K, Singarirnbun M, Diamond I. Maternal education
and child immunization. Demography 1990;27:447–55.
Cates CJ.A handout about tetanus immunization.Influence on
immunization rate in general practice, Herdfordshire;Bushey
Health Center, Br Med J 1990;300:789–90.
Rosser WW. Hutchison BJ, McDowell I. Use of reminders to
increase compliance with tetanus booster vaccination. Can Med
Assoc J 1992;146:911–7.
Omstein S,Garr D, Jenkins RG. Computer generated physicians
and patients reminders tools to improve population adherence to
selected preventive services. Fam Pract J 1991;32:2–89.