Abstract

DURING the winter of 1946-1947, United States troops in Europe who were under 35 years of age were immunized against diphtheria. This report deals with certain features of this large diphtheria immunization experience with adults. The program was undertaken because of the high diphtheria rates prevailing in the command during the first half of 1946. During this six month period the diphtheria rate averaged 6 per 1,000 per year. Diphtheria immunization had not been carried out prior to that time, presumably because it was feared that a considerable disability would result from toxoid reaction. In determihing how the program was to be carried out, the following factors were considered paramount:

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