Current Neurology and Neuroscience Reports

, Volume 12, Issue 6, pp 655–665 | Cite as

Tetanus in Ethiopia: Unveiling the Blight of an Entirely Vaccine-Preventable Disease

Infection (B Jubelt, Section Editor)

Abstract

Today, tetanus exacts its toll only in resource-poor countries like Ethiopia. Agrarian rural life with limited vaccine typifies tetanus risk in Ethiopia where current tetanus control trends on expanding infant immunization and eliminating highly prevalent maternal and neonatal tetanus (MNT). Protection by infant tetanus immunization primers disappears within an average of 3 years, if not followed by boosters. Second-year of life, school-based, and universal 10-yearly tetanus immunizations need to be supplemented. Facility-based reviews in Ethiopia reveal a continued burden of tetanus at tertiary-level hospitals where ICU care is suboptimal. Quality of medical care for tetanus is low - reflected by high case-fatality-rates. Opportunities at primary-health-care-units (antenatal-care, family planning, abortion, wound-care, tetanus-survivors) need to be fully-utilized to expand tetanus immunization. Prompt wound-care with post-exposure prophylaxis and proper footwear must be promoted. Standard ICU care needs to exist. Realization of cold-chain-flexible, needle-less and mono-dose vaccine programs allow avoiding boosters, vaccine-refrigeration, and improve compliance.

Keywords

Tetanus Ethiopia Tetanus vaccination Maternal and neonatal tetanus 

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© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Anaesthetics, Pain Medicine and Intensive CareChelsea and Westminster Hospital, Imperial College LondonLondonUK
  2. 2.Department of NeurologyAddis Ababa UniversityAddis AbabaEthiopia

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