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J Emerg Med 2011;40(5):548-549
To the Editor:
In 2007, the American Council of Immunization Practice (ACIP) revised its recommendation for booster immunizations against tetanus-diptheria (Td) for adults to incorporate the growing evidence of pertussis cases among adults secondary to waning immunity with age (1). The new recommendations call for one booster dose of the tetanus-diptheria-acellular pertussis (Tdap) to be administered to an adult as the next administered “tetanus shot” (1). As a substantial proportion of people receive their Td at emergency departments (EDs), it is vital that EDs transition from ordinary Td to the Tdap to protect patients from pertussis infection and foster the herd immunity necessary for disease control.