Vaccination is required every ten years with one being recommended during pregnancy if the mother has had only one inoculation or has never received the vaccine. Health care personnel are also vaccinated in many settings though cost is sometimes too prohibitive for this. Hospital infrastructure not only administers the Tdap they also track and analyze local area data. Educational programs are also important.
The World Health Organization reports 4,797 cases of tetanus in 2010 globally. Neonatal tetanus is much more common in developing countries where women give birth at home and in rural areas. This is a direct result from non-sterile equipment that the mother would receive were she in an up to date facility using precautions. This disease is targeted by WHO, UNICEF and UNFPA for elimination. Because this disease has a working vaccination education, tracking and vaccination is the key to eradication.
It is recommended by Who that any new cases should be reported and neonatal cases should be reported separately than all other cases of tetanus (. Also recommended is that reporting sites meet once weekly/yearly or at a specified time even if there are no new cases and also active surveillance is recommended, suggesting that hospitals should be visited regularly to be investigated for new cases.
Reporting and tracking for neonatal tetanus seems efficient and adequate. The suggestion of meetings at specific time periods also confirms that communication has been taken into consideration and is also effective. Workforce training and screening is common, though in some areas prohibitively expensive for the hospitals economy. I think these are the most important needs, with education being primary. The possibility of education being offered in other areas as well such as in classroom setting in order to better screen and further eliminate tetanus by reaching individuals who may not be seen in the ...