Tetanus shots?

PrinceMax

Is everyone in Ireland vaccinated against Tetanus at school? When did vaccinations start? When is it normally given? At primary or secondary?

Victor

I've never heard of it being given at school, although I may be wrong.

It is usually given to people who have open wounds that might have been dirty / infected or are at risk of such wounds. 10 year repeat cycle if required.

tallaght01

It's given as part of the childhood immunisation schedule. But boosters are needed as we get older.

Quiet Lurker

PrinceMax wrote: »

Is everyone in Ireland vaccinated against Tetanus at school? When did vaccinations start? When is it normally given? At primary or secondary?

Children get teatnus shots as part of their normal childhood immunisation schedule at 2, 4 and 6 months. They then get a booster usually when they are in first class (about 7 years). This gives protection for 10 years so after the age of 16/17 we need to get boosters if we have an accident or if travelling abroad to at risk locations

DrIndy

in general in ED (A&E) - we give boosters for wounds if the patient cannot remember when they had their last one or if it has been more than three years. This is due to the minimal harm an injection causes versus the very low but real risk of dying a dreadful death from tetanus.

But if you have had a full course (which few people have) and can be definite about it - every 10 years is sufficient.

You can also risk stratify wounds from a very clean wound from a sharp, clean kitchen knife versus being dragged through the dirt and having a big open soil filled wound. There are varying protocols on this - but in general we give it if in any doubt.

drzhivago

DrIndy wrote: »

in general in ED (A&E) - we give boosters for wounds if the patient cannot remember when they had their last one or if it has been more than three years. This is due to the minimal harm an injection causes versus the very low but real risk of dying a dreadful death from tetanus.

But if you have had a full course (which few people have) and can be definite about it - every 10 years is sufficient.

You can also risk stratify wounds from a very clean wound from a sharp, clean kitchen knife versus being dragged through the dirt and having a big open soil filled wound. There are varying protocols on this - but in general we give it if in any doubt.

need to be careful nowadays indy as hard to get tetanus vaccine anymore

its usually in combination which is important when consenting patients for immunisation/treatment

tallaght01

drzhivago wrote: »

need to be careful nowadays indy as hard to get tetanus vaccine anymore

its usually in combination which is important when consenting patients for immunisation/treatment

That's dead useful, though. As many countries are in the midst of a major pertussis outbreak, and most of the teatanus vaccines also vaccinate against pertussis.

littlebug

Quiet Lurker wrote: »

Children get teatnus shots as part of their normal childhood immunisation schedule at 2, 4 and 6 months. They then get a booster usually when they are in first class (about 7 years). This gives protection for 10 years so after the age of 16/17 we need to get boosters if we have an accident or if travelling abroad to at risk locations

Really There's been no mention of it so far this school year in my kids' school. I'm pretty sure the second classes haven't had it either.

littlebug

From
http://www.immunisation.ie/en/ChildhoodImmunisation/PrimaryChildhoodImmunisationSchedule/#d.en.15392

At 4 - 5 years
Free in school or from your GP 4 in 1
Diphtheria
Tetanus
Whooping cough (Pertussis)
Polio (Inactivated poliomyelitis)

MMR
Measles
Mumps
Rubella

At 11 - 14 years
Free in school Td
Diphtheria
Tetanus

My 5 year old had the MMR a few weeks ago but no mention of the 4 in one. Nor did my daughter have it. Does this tend to vary in different parts of the country or something?

charlieroot

FYI,

This is the current immunisation schedule. This is for children born after 1/7/2008:
http://www.immunisation.ie/en/EXTRADOWNLOADS/Text_15414_en.html

This is for children born before 1/7/2008:
http://www.immunisation.ie/en/EXTRADOWNLOADS/Text_15413_en.html

In summary tetanus vaccine is included in the 4'n'1 / 5'n'1 / 6'n'1 so on the old schedule you should receive it (in combo) @ 2/12, 4/12, 6/12 and 4-5 years (x/12 denotes x months).

Under the new schedule you receive all of the above plus a booster (combo with diphtheria) at age 11-14.

littlebug

Charlieroot when you say "in combo" do you mean all in one vaccination (ie one injection). Scuse my ignorance
In my mind all the documentation and permission slip was with regard to the MMR and not the others. Don't get me wrong.... it's great if it was included. The only thing I have to worry about then is my ailing memory!

charlieroot

4'n'1/5'n'1/6'n'1 are all single injections, containing 4,5 and 6 different vaccines in 1.
Not sure about the tetanus/diphtheria injection as I've never seen it done.

littlebug

What I mean is when it says 4 in 1 + MMR which is what my child should have received according to the schedule (age 5). Are the 4 in 1 and MMR combined (surely that would make it 7 in 1!).

charlieroot

No two separate injections.

littlebug

Thanks Charlie Root. I was right then... my child recieved one injection, MMR. This was the same when my daughter was 5. So neither have had the 4 in 1 since they were 6 months.

Once they go through the schools system you assume they're getting everything up to date. Honestly only for spotting this thread I wouldn't have noticed or known that they were missing anything

I will double check this with the schools public health nurse before proceeding.

ZYX

DrIndy wrote: »

in general in ED (A&E) - we give boosters for wounds if the patient cannot remember when they had their last one or if it has been more than three years. This is due to the minimal harm an injection causes versus the very low but real risk of dying a dreadful death from tetanus.

But if you have had a full course (which few people have) and can be definite about it - every 10 years is sufficient.

You can also risk stratify wounds from a very clean wound from a sharp, clean kitchen knife versus being dragged through the dirt and having a big open soil filled wound. There are varying protocols on this - but in general we give it if in any doubt.

5 vaccinations is enough though. So if you had your 3 infant vaccinations, then a booster at 5yrs and another booster at 12-14yrs then that is you finished for life

RobFowl

My understanding is that ZXY is correct. If you have had 5 doses at "timely intervals" then you are protected for life.

AFAIK if there is doubt how many doses someone has had or if there is an especially high risk injury then a booster dose can be appropriate.

Here's the link to the HSE policy and guidelines.

http://www.immunisation.ie/en/Downloads/PDFFile_15184_en.pdf

ZYX

RobFowl wrote: »

My understanding is that ZXY is correct. If you have had 5 doses at "timely intervals" then you are protected for life.

AFAIK if there is doubt how many doses someone has had or if there is an especially high risk injury then a booster dose can be appropriate.

Here's the link to the HSE policy and guidelines.

http://www.immunisation.ie/en/Downloads/PDFFile_15184_en.pdf

Thanks RobFowl. I should have made clear I meant you are finished with regular vaccinations. If I had a deep cut that was covered in horse faeces I would still want a tetanus shot no matter how many vaccinations I already had.

RobFowl

I think a point implied by ZXY and DrIndy is record keeping of vaccines given. There is a central register from 1983(I think) of all childhood vaccines given but before that time records are very patchy.
I was a child of the 70's and my mother is not sure what vaccines I had. The only one I recall is the polio (because it was in a sugar lump then).
These days we get a list of vaccines due and given from the primary care centre and can check childrens status with a phone call (9-5 of course).

drzhivago

tallaght01 wrote: »

That's dead useful, though. As many countries are in the midst of a major pertussis outbreak, and most of the teatanus vaccines also vaccinate against pertussis.

True but look at the contents of the combined vaccination

I am NOT an anti vaccination person but you need to be sure you know what you are giving as there is small amount of antibiotic in this as well which can be an issue

drzhivago

ZYX wrote: »

Thanks RobFowl. I should have made clear I meant you are finished with regular vaccinations. If I had a deep cut that was covered in horse faeces I would still want a tetanus shot no matter how many vaccinations I already had.

This is the crux of the matter

the vaccination is not the important part in this very case

It doesnt treat the acute issue

This needs very thorough wound cleaning and irrigation

If there is a very strong risk of tetanus you should be considering immunoglobulin however the booster will not be useful for this particular wound but it will be useful for the next wound

There is a massive educational deficit in this area, people present all the time for this exact reason without ever having cleaned their wound themselves thinking a 'tetanus jab' is the cure when it is not and mostly not required at all

Alliandre

Sorry for bringing up an old(ish) thread, but I'm confused about the tetanus shots. I was born in the 1980's and never had a tetanus vaccine and never even knew it was available until recently. Was it even available for children back then? Or was the immunisation programme in place but just not publicised?

EthicRanger

i refused this weekend Tetanus in hospital after came to glue wound in car accident. Doctor offered 4 times. i clearly refused.
I first time here about such vaccine.
i think it's another scam. Offer to bombard immune system, so you definately must be client for next ones. Nah

i prefer clearly to stop drink, smoke, junk food, do eat as much as possible non processed ( raw ) food (join irish raw food meetup.com group), wild, organic, green juice, get sun and well hydration, minimise stressed activities, sport, good rest and sleep plus maybe 1 deep fasting every few years to clear toxins/vaccines from decades ago (not a joke). If you do all this, There is no better multiple prevention that.

sam34

EthicRanger wrote: »

i refused this weekend Tetanus in hospital after came to glue wound in car accident. Doctor offered 4 times. i clearly refused.
I first time here about such vaccine.
i think it's another scam. Offer to bombard immune system, so you definately must be client for next ones. Nah

i prefer clearly to stop drink, smoke, junk food, do eat as much as possible non processed ( raw ) food (join irish raw food meetup.com group), wild, organic, green juice, get sun and well hydration, minimise stressed activities, sport, good rest and sleep plus maybe 1 deep fasting every few years to clear toxins/vaccines from decades ago (not a joke). If you do all this, There is no better multiple prevention that.

mod note: if you want to make statements like that in this science forum you need to provide sound, valid, scientific evidence to back them up.

EthicRanger

(To Moderator, who asked for some research as well )
http://www.naturalnews.com/035787_vaccines_autism_monkeys.html

Delancey

EthicRanger wrote: »

(To Moderator, who asked for some research as well )
http://www.naturalnews.com/035787_vaccines_autism_monkeys.html[/QUOTE]


Please tell me that you don't consider naturalnews.com to be an unbiased scientific source ?
Disappointing to see the old vaccination = autism argument still lives on.

GradMed

EthicRanger wrote: »

(To Moderator, who asked for some research as well )
http://www.naturalnews.com/035787_vaccines_autism_monkeys.html

Sound, valid scientific evidence, I do not think that means what you think it means.

anyhoo, the study mentioned in this article has already been investigated all the way back in 2008

http://www.sciencebasedmedicine.org/index.php/monkey-business-in-autism-research/

EthicRanger

Delancey wrote: »

EthicRanger wrote: »

(

Please tell me that you don't consider naturalnews.com to be an unbiased scientific source ?
Disappointing to see the old vaccination = autism argument still lives on.

I Agree, that naturalnews is biased towards explaining scam, when science fund researches and then use results, if it satysfy them. In this case we get results, when to drink wine is good, because it has resveratrol in it P.S. it's hard to recognise then to most people, that we can use resveratrol separately without damaging alcohol and other stuff factors

Also What you will say about this science, which is so close to kill us ( seriously ... 1 earthquake and humanity gone... have a look why)
http://www.naturalnews.com/035790_scientific_suicide_humans.html

Biologic

EthicRanger wrote: »

I Agree, that naturalnews is biased towards explaining scam, when science fund researches and then use results, if it satysfy them. In this case we get results, when to drink wine is good, because it has resveratrol in it P.S. it's hard to recognise then to most people, that we can use resveratrol separately without damaging alcohol and other stuff factors

Sorry but I really can't understand that.

The following quote was taken from that link though. It's genuinely depressing that people believe this sort of stuff. But in all honesty, I think this level of scientific ignorance is about the only form of natural selection we have left.

Mammograms and other medical imaging devices that actually cause cancer? "Scientific!"

• Chemotherapy poisons, "preventive" mastectomies, cancer radiation treatments? It's all "scientific" of course.

• The mass mercury poisoning of children through dental amalgams? They call it "science-based dentistry!"

I suppose the appropriate response to NaturalNews would be:

• Micro organisms which ruin and end lives? Nature
• Genetic flaws resulting in horrible deformities? Nature
• Catastrophic natural disasters which wipe out cities? Nature

opinion guy

EthicRanger wrote: »

other stuff factors

Is that a technical term ?
I like it. I'm going to start using it

RobFowl

opinion guy wrote: »

Is that a technical term ?
I like it. I'm going to start using it

No point asking any questions , prob in the midst of lock jaw just now

opinion guy

RobFowl wrote: »

No point asking any questions , prob in the midst of lock jaw just now

I was presuming his typing fingers weren't affected yet :P