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Mass hysteria among high school girls following tetanus toxoid immunisation

Published online by Cambridge University Press:  13 June 2014

Rajiv Gupta ,
Adarsh K Vohra ,
Vishal Madaan  and
Devinder R Gaur
Vishal Madaan
Affiliation:
Department of Psychiatry
Devinder R Gaur
Affiliation:
Department of Social and Preventive Medicine, 36/9-J, Medical Enclave, Post Graduate Institute of Medical Sciences, Rohtak-124001, Haryana, India
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Abstract

Objectives: This report describes an epidemic outbreak of mass hysteria in secondary school girls in a North Indian village following tetanus toxoid injection. It also attempts to identify the aetiological roles of the immunisation programme and the adverse media reports.

Method: The socio-demographic, clinical, and school environment variables of the 58 symptomatic students were evaluated. Interviews with health staff, parents and school teachers were conducted.

Results: Fifty-eight out of 200 immunised students reported giddiness, headache, vomiting and restlessness. This initiated an exaggerated socio-political response. The majority of the students responded to counselling and reassurance.

Conclusions: This outbreak fulfils the criteria of epidemic or communicable hysteria with mass presentations of unusual behaviour and spread of somatic symptoms without any organic basis. The episode exposed flaws in the immunisation programme and suggests the need to formulate clear guidelines for vaccination, including pre-vaccination counselling.

Keywords

HysteriaMass hysteriaImmunisation
Type
Brief Reports
Information
Irish Journal of Psychological Medicine , Volume 18 , Issue 3 , September 2001 , pp. 90 - 92
Copyright
Copyright © Cambridge University Press 2001

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References

1.Brabant, C, Mergler, D, Messing, K. Go take care of yourself, your factory is sick: the place of mass hysteria in the problem of women's health at work. Sante Ment Que 1990; 15: 181–204.CrossRefGoogle ScholarPubMed
2.Wessely, S. Mass hysteria: two syndromes? Psychol Med 1987; 17: 109–20.CrossRefGoogle ScholarPubMed
3.Wessely, S, Wardle, CJ. Mass Sociogenic Illness by Proxy: Parentally reported epidemic in an elementary school. Br J Psychiatry 1990; 157: 421–4.CrossRefGoogle Scholar
4.Jones, TF, Craig, AS, Hoy, Det al.Mass psychogenic illness attributed to toxic exposure at a high school. N Engl J Med 2000; 342: 96–100.CrossRefGoogle ScholarPubMed
5.Bartholomew, RE. Redefining epidemic hysteria: an example from Sweden. Acta Psychiatr Scand 1993; 88: 178–82.CrossRefGoogle ScholarPubMed
6.Krug, SE. Mass illness at an intermediate school: toxic fumes or epidemic hysteria? Pediatr Emerg Care 1992; 8: 280–2.CrossRefGoogle ScholarPubMed
7.Basu, B. Anatomy of a miracle. Science Reporter 1995; 32 (11): 9–11.Google Scholar
8.Hocking, B. An epidemic of illness in an Indian telephone exchange. J Indian Med Assoc 1990; 8: 281–5.Google Scholar
9.Bartholomew, RE. Tarantism, dancing mania and demonopathy: the anthro-political aspects of ‘mass psychogenic illness.’ Psychol Med 1994; 24: 281–306.CrossRefGoogle ScholarPubMed
10.Small, GW, Propper, MW, Randolph, ET, Eth, S. Mass hysteria among student performers: social relationship as a symptom predictor. Am J Psychiatry 1991; 148: 1200–5.Google ScholarPubMed
11.Ali-Gombe, A, Guthrie, E, Mcdermott, N. Mass hysteria: one syndrome or two? Br J Psychiatry 1996; 168: 633–5.CrossRefGoogle ScholarPubMed