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Persons using assistive technology might not be able to fully access information in this file. For assistance, please send e-mail to: mmwrq@cdc.gov. Type 508 Accommodation and the title of the report in the subject line of e-mail. Notice to Readers: Resumption of Routine Schedule for Tetanus and Diphtheria ToxoidsThe supply of adult tetanus and diphtheria toxoids (Td) in the United States has become sufficient to permit the resumption of the routine schedule for Td use as recommended by the Advisory Committee on Immunization Practices (1,2). Adolescents and adults for whom routine Td booster doses were deferred should be recalled by their health-care providers to receive the delayed dose. School attendance provisions requiring students to have received a Td booster at age >11 years can be reinstituted. The Td shortage began in the last quarter of 2000 and resulted from 1) decreased production in 2000 by both U.S. manufacturers (Wyeth Lederle [Pearl River, New York] and Aventis Pasteur [Swiftwater, Pennsylvania]), 2) the decision by Wyeth Lederle to cease Td production in 2001, and 3) the 11-month period required for vaccine production, which led to a lag before increased Td supplies were available from the remaining manufacturer distributing vaccine nationally (Aventis Pasteur) (3--5). The amount of Td distributed nationally decreased 40% during 2001--2002, compared with preshortage distribution levels (Biological Surveillance System, unpublished data, 2002). To ensure vaccine availability for priority indications (3), CDC recommended in May 2001 that all routine Td boosters in adolescents and adults be deferred and that health-care providers record the names of patients whose booster doses were delayed for call-back once Td supplies are restored (5). Health-care providers should review the vaccination status of their patients and administer Td and other indicated vaccines as appropriate. References
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This page last reviewed 6/20/2002
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