No abstract
MBEDICAs 707 trauma which never find their way to a casualty department for treatment. We are not protecting those who are going to get the disease. Other reasons, such as cost and delay in treatment (half an hour between test and immunizing doses, consent for minors where parents cannot be contacted, etc.) are valid in busy centres to a lesser extent. Tetanus is not a common disease, and it has been suggested that this is because passive immunization with antitoxin, while not preventing infection, may suppress signs and symptoms, leading to a subclinical attack and active natural immunity. This is difficult to prove. On the other hand, for reasons above, the use of antiserum does not lower the incidence of tetanus in a community.2 How prevalent must a disease be to justify measures taken against it on the scale of those taken against tetanus, in terms of cost, inconvenience to the patient, and
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