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To the Editor:—
I should like to sound a note of warning to physicians supervising the care of children in summer camps. Many medical blanks filled out by parents prior to the camp season contain a question as to whether the child has been immunized against tetanus. If it hasn't, attempts often are made to do so before the child leaves for camp. If so, it should be remembered that, even if the full number of recommended injections are given, the interval between them is not likely to be as satisfactory as if there were more time. What is more important, however, is the fact that the antitoxin titer probably will not have reached its maximum until after the summer is over, since it has been shown that it requires about four to five months to secure the full antigenic effect of the toxoid. If the child is injured during
Tuft L. IMMUNIZATION AGAINST TETANUS. JAMA. 1943;122(14):966. doi:10.1001/jama.1943.02840310058023