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Diphtheria and Tetanus Toxoids and Pertussis Vaccine: Recommendations of the Public Health Service Advisory Committee on Immunization Practices

Ann Intern Med. 1972;76(2):289-291. doi:10.7326/0003-4819-76-2-289
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Routine immunization against diphtheria, tetanus, and pertussis in infancy or childhood has been widely advocated and generally practiced in the United States for the past 25 years. Its effectiveness is reflected in the marked decrease in cases of and deaths from these three diseases.

Diphtheria: The reported annual incidence of diphtheria in the United States has remained relatively constant since 1962, although there was an increase (to 435 cases) in 1970 because of a few focal epidemics. Whereas diphtheria is generally uncommon, localized outbreaks continue to occur in many parts of the United States. Many of the reported cases are


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