To the Editor.— Prevention of Neonatal Tetanus Through Immunization of Mother ( 217 :1558, 1971) prompts the following comment. Tetanus neonatorum had been a problem in Alabama for many years. In 1969, we inaugurated an immunization program for the mother during her prenatal course in an effort to offer a temporary passive immunity to her infant to be born. Since the directive was sent to all county health departments and practicing physicians, the incidence of tetanus neonatorum has declined to zero. We feel that this program has saved the lives of several babies each year. The directive, distributed statewide, reads as follows: In view of the fact that the State of Alabama, Bureau of Vital Statistics, records an average of about 10 cases of tetanus neonatorum each year and since this is a preventable disease and it is felt there are few complications involved in an immunization program against tetanus, it
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Harold Klingler (1971) studied this question.