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October 8, 1973

Tetanus Immune Globulin

Author Affiliations

Massachusetts Department of Public Health Boston

JAMA. 1973;226(2):201. doi:10.1001/jama.1973.03230020047031

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To the Editor.—  In his LETTER TO THE EDITOR (225:179, 1973), Dr. Milton H. Stern points to the recommendations indicating the use of tetanus immune globulin (human) in individuals not previously immunized against tetanus. An editorial reply states that "Tetanus immune globulin is not always readily available...." Dr. Stern's position is the more appropriate. Tetanus immune globulin is in adequate supply in the United States, at reasonable cost. It should be as available to physicians as is any other emergency medication that they might expect to use. Justification for the use of equine tetanus antitoxin must be rare, indeed, in the United States at the present.