• Murad Qadir
  • Rafat Murad
  • Seema Mumtaz
  • Abdul Azim Azmi
  • Rehana Rehman
  • Omm -E- Hani
  • Nasir Aziz


Background: 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

Pak 2005;15:391–5.

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.



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