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MDHHS and partners support a continuum of prevention services. The continuum is inclusive of primary, secondary, and tertiary prevention activities. Visit this page to learn more.
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The Michigan Department of Health and Human Services' (MDHHS) Environmental Health Bureau (EHB) uses the best available science to reduce, eliminate, or prevent harm from environmental, chemical, and physical hazards.
Resources and information to assist in assuring firearm safety for families in the state of Michigan.
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Serves as liaison and provides funding to Michigan’s 45 local health departments.
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June 13, 2001
Michigan Department of Community Health Chief Medical Executive, Dr. David Johnson, today announced that the U.S. Centers for Disease Control and Prevention (CDC) is recommending that routine booster doses of tetanus and diphtheria vaccines (Td) for adolescents and adults be delayed until at least the beginning of the year 2002. This vaccine is only licensed for those seven years of age and older and is not used for immunization of infants and younger children.
Due to the withdrawal of one of two pharmaceutical companies who previously produced the vaccine in the United States, the nation is now experiencing a severe shortage of tetanus and diphtheria vaccine. Health care professionals are being asked to stretch limited supplies of the vaccine by limiting the administration of the vaccine to those individuals at greatest risk.
"Last September, we communicated to health care providers about the national shortage of the tetanus-diphtheria vaccine and urged them to prioritize the use of the vaccine," said Johnson. "Now that the CDC has issued the guidelines on usage, we will continue to work closely with health care providers throughout the state to ensure vaccine is available to those who need it most."
Individuals that should have priority for vaccination include:
** persons traveling to a country where the risk for diphtheria is high;
** persons requiring tetanus vaccination for wound management;
** persons who have received less than three doses of any vaccine containing tetanus and diphtheria components;
** pregnant women who have not been vaccinated with Td within the past 10 years.
As a result of the deferral of routine booster doses, schools are being asked to suspend the requirement that children and adolescents between the age of 7 and 18 have a booster dose prior to entering a new school. For more information on these recommendations, individuals and health care professionals are encouraged to contact their local health departments.
"Health care providers should record the names of patients whose booster doses are delayed during the shortage so that these patients can be notified to return to for a shot when supplies return to normal," said Johnson.
The Michigan Department of Community Health is distributing limited numbers of doses to be administered across the state at local health departments and in hospital emergency rooms.
"Private physicians who are unable to obtain the vaccine, should refer patients that match the CDC recommended priority groups to local health departments and hospital emergency rooms for vaccination because every effort is being made to keep these organizations appropriately stocked," said Johnson.