Abstract
Background:Despite an effective tetanus vaccine, tetanus continues to claim lives worldwide. The very young and the elderly are at highest risk for the disease. Farmers are at high risk for injury, the leading factor associated with tetanus.Methods:As part of a larger study of older members of farm households in the southern United States, 595 participants provided data on health, injuries, work, socioeconomic status, and healthcare.Results:69% reported receiving a tetanus booster in the past ten years, 24% had not, and 7% did not know. Females were less likely to be currently immunized. There was no association between immunization status and age, income, or race. There were associations between farm tasks, farm work-related injury, and immunization.Conclusions:Older farmers are at risk for tetanus by virtue of their age and work environment. Health care providers should explore strategies to improve immunization status among this work group.
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References
References1. Bardenheier B, Prevots DR, Khetsuriani N, et al. Tetanus surveillance—United States, 1995–1997. MMWR CDC Surveill Summ 1998;47:1–13.BardenheierB]]PrevotsDR]]KhetsurianiN&etal;Tetanus surveillance—United States, 1995–1997.MMWR CDC Surveill Summ1998471-132. Bleck TP, Brauner JS. Tetanus, in Scheld WM, Whitely RJ, Durack DT (eds): Infections of the Central Nervous System. Philadelphia, Lippincott-Raven, 1997, ed 2, pp 629–653.3. McNabb SJ, Jajosky RA, Hall-Baker PA, et al; Centers for Disease Control and Prevention (CDC). Summary of notifiable diseases—United States, 2005. MMWR Morb Mortal Wkly Rep 2007;54:2–92.McNabbSJ]]JajoskyRA]]Hall-BakerPA&etal;Centers for Disease Control and Prevention (CDC)Summary of notifiable diseases—United States, 2005.MMWR Morb Mortal Wkly Rep2007542-924. Hsu SS, Groleau G. Tetanus in the emergency department: a current review. J Emerg Med 2001;20:357–365.HsuSS]]GroleauGTetanus in the emergency department: a current review.J Emerg Med200120357-3655. Fedson DS. Adult immunization. Summary of the National Vaccine Advisory Committee Report. JAMA 1994;272:1133–1137.FedsonDSAdult immunization. Summary of the National Vaccine Advisory Committee Report.JAMA19942721133-11376. Donham KJ, Thelin A. Agricultural Medicine Occupational and Environmental Health for the Health Professions. Ames, IA, Blackwell Publishing, 2006.DonhamKJ]]ThelinAAgricultural Medicine Occupational and Environmental Health for the Health Professions.Ames, IABlackwell Publishing20067. Werner MA, Olson DK. Identifying sources of disease in agriculture: a role for the occupational health nurse. AAOHN J 1993;41:481–490.WernerMA]]OlsonDKIdentifying sources of disease in agriculture: a role for the occupational health nurse.AAOHN J199341481-4908. Gergen PJ, McQuillan GM, Kiely M, et al. A population-based serologic survey of immunity to tetanus in the United States. N Engl J Med 1995;332:761–766.GergenPJ]]McQuillanGM]]KielyM&etal;A population-based serologic survey of immunity to tetanus in the United States.N Engl J Med1995332761-7669. Sanford JP. Tetanus-forgotten but not gone. N Engl J Med 1995;332:812–813.SanfordJPTetanus-forgotten but not gone.N Engl J Med1995332812-81310. Hayney MS, Love GD, Carlberg BM, et al. Tetanus seroprevalence among farmers: a preliminary study. J Rural Health 2003;19:109–112.HayneyMS]]LoveGD]]CarlbergBM&etal;Tetanus seroprevalence among farmers: a preliminary study.J Rural Health200319109-11211. Shin DH, Yu HS, Park JH, et al. Recently occurring adult Tetanus in Korea: emphasis on immunization and awareness of tetanus. J Korean Med Sci 2003;18:11–16.ShinDH]]YuHS]]ParkJH&etal;Recently occurring adult Tetanus in Korea: emphasis on immunization and awareness of tetanus.J Korean Med Sci20031811-1612. Quinn HE, McIntyre PB. Tetanus in the elderly—an important preventable disease in Australia. Vaccine 2007;25:1304–1309.QuinnHE]]McIntyrePBTetanus in the elderly—an important preventable disease in Australia.Vaccine2007251304-130913. U.S. Preventive Services Task Force. Guide to Clinical Preventive Services. Baltimore, MD, Williams & Wilkins,1996, ed 2.14. Centers for Disease Control and Prevention (CDC). Recommended adult immunization schedule—United States, October 2007–September 2008. MMWR Morb Mortal Wkly Rep 2007;56:Q1–Q4.Centers for Disease Control and Prevention (CDC)Recommended adult immunization schedule—United States, October 2007–September 2008.MMWR Morb Mortal Wkly Rep200756Q1-Q415. Holland C, Carruth AK. Exposure risks and tetanus immunization in women of family owned farms. Implications for occupational and environmental health nursing. AAOHN J 2001;49:130–136.HollandC]]CarruthAKExposure risks and tetanus immunization in women of family owned farms. Implications for occupational and environmental health nursing.AAOHN J200149130-13616. Stallones L, Beseler C. Farm work practices and farm injuries in Colorado. Inj Prev 2003;9:241–244.StallonesL]]BeselerCFarm work practices and farm injuries in Colorado.Inj Prev20039241-24417. McCurdy SA, Farrar JA, Beaumont JJ, et al. Nonfatal occupational injury among California farm operators. J Agric Saf Health 2004;10:103–119.McCurdySA]]FarrarJA]]BeaumontJJ&etal;Nonfatal occupational injury among California farm operators.J Agric Saf Health200410103-11918. Browning SR, Trusczynska H, Reed D, et al. Agricultural injuries among older Kentucky farmers: the Farm Family Health and Hazard Surveillance Study. Am J Ind Med 1998;33:341–353.BrowningSR]]TrusczynskaH]]ReedD&etal;Agricultural injuries among older Kentucky farmers: the Farm Family Health and Hazard Surveillance Study.Am J Ind Med199833341-35319. Crossley K, Irvine P, Warren JB, et al. Tetanus and diphtheria immunity in urban Minnesota adults. JAMA 1979;242:2298–2300.CrossleyK]]IrvineP]]WarrenJB&etal;Tetanus and diphtheria immunity in urban Minnesota adults.JAMA19792422298-230020. deMelker HE, van den Hoff S, Berbers GA, et al. A population-based study on tetanus antitoxin levels in the Netherlands. Vaccine 1999;18:100–108.deMelkerHE]]van den HoffS]]BerbersGA&etal;A population-based study on tetanus antitoxin levels in the Netherlands.Vaccine199918100-10821. Alagappan K, Rennie W, Kwiatkowski T, et al. Seroprevalence of tetanus antibodies among adults older than 65 years. Ann Emerg Med 1996;28:18–21.AlagappanK]]RennieW]]KwiatkowskiT&etal;Seroprevalence of tetanus antibodies among adults older than 65 years.Ann Emerg Med19962818-2122. Stair TO, Lippe MA, Russell H, et al. Tetanus immunity in emergency department patients. Am J Emerg Med 1989;7:563–566.StairTO]]LippeMA]]RussellH&etal;Tetanus immunity in emergency department patients.Am J Emerg Med19897563-56623. Reed DB, Claunch DT. Farm safety and family practice: an uncommon partnership for a common goal. Am J Nurse Pract 2007;11:23–31.ReedDB]]ClaunchDTFarm safety and family practice: an uncommon partnership for a common goal.Am J Nurse Pract20071123-31
