Tetanus in injecting drug users, United Kingdom.(Letter to the editor)

From: Emerging Infectious Diseases | Date: April 1, 2006| Author: | Copyright information

To the Editor: The epidemiology of tetanus in the United Kingdom changed in 2003 when a cluster of cases in injecting drug users (IDUs) occurred (1,2). Before 2003, the incidence of tetanus was low in the United Kingdom, with occasional cases predominantly in unvaccinated elderly persons (3). The situation contrasted with the United States where injecting drug use is commonly reported among persons with tetanus (4).

We investigated the UK cluster to identify the source of infection and opportunities for prevention. We ascertained cases through statutory and nonstatutory ...

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