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© 1978 Oxford University Press

research-article

A Comparative Study of Urban and Rural Tetanus in Adults

RAVINDER MAMTANI, Senior Resident1, PRABHA MALHOTRA, Professor and Head of the Department of Preventive and Social Medicine2, P S GUPTA, Professor and Head of the Department of Medicine3 and B K JAIN, Assistant Professor (Statistics)4

1 Department of Preventive and Social Medicine, Maulana Azad Medical College New Delhi—110002, India.
2 Maulana Azad Medical College New Delhi
3 Maulana Azad Medical College New Delhi
4 Maulana Azad Medical College New Delhi

An analysis of 240 patients, aged 15+, admitted to the tetanus ward of Irwin Hospital, New Delhi, with clinically diagnosed tetanus is reported. 134 patients (55.8%) came from rural areas and 106 (44.2%) from urban areas. The male—female ratio for both groups was approximately 2: 1. Rural patients were younger, showed a longer incubation period and experienced a lower crude case fatality rate. Traditional practices like the application of cow dung to wounds, ear piercing and tatooing, and chronic ear infections were important factors in developing tetanus, demonstrating a need for health education in rural communities.

Received 20 September 1977


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