2. Note to presenters: Images of vaccine-preventable diseases are available from the Immunization Action Coalition website at http://www.vaccineinformation.org/photos/index.asp

9. 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

11. Tetanus—United States, 1947-2002

12. Tetanus—United States, 1980-2002

13. Tetanus—United States, 1980-2002 Age Distribution

14. Age Distribution of Reported Tetanus Cases, 1991-1995 and 1996-2000

15. Tetanus—1998-2000 Injuries and Conditions Data available for 129 of 130 reported cases. Source: MMWR 2003;52(SS-3):1-12

16. 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.

18. Routine DTaP Primary Vaccination Schedule Dose Primary 1 Primary 2 Primary 3 Primary 4 Age 2 months 4 months 6 months 15-18 months Interval --- 4 wks 4 wks 6 mos

21. Routine Td Schedule Unvaccinated Persons > 7 Years of Age Booster dose every 10 years Dose Primary 1 Primary 2 Primary 3 Interval --- 4 wks 6-12 mos