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VIII.139 - Tetanus, Neonatal

from Part VIII - Major Human Diseases Past and Present

Published online by Cambridge University Press:  28 March 2008

Kenneth F. Kiple
Affiliation:
Bowling Green State University, Ohio
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Summary

Neonatal tetanus is a form of tetanus, an acute toxic illness confined to the newborn. It is characterized as a neurological disease resulting in severe muscle spasms, which can persist for at least a week and commonly results in death. The agent is Clostridium tetani, which usually enters the bloodstream or motor nerves through an infected umbilicus. C. tetani produces two toxins, including tetanospasmin, the extremely potent neurotoxic component causing spasms. This toxin reaches the nervous system and eventually becomes fixed in the ganglion cells of the spinal cord or cranial nerves. Neonatal tetanus differs from numerous other bacterial diseases in that it is not transferred from person to person; instead, C. tetani is found in soil and is introduced into the body through an exposed area. The disease has been known by various names, including tetani neonatoria, trismus nascentium, lockjaw, and the “9-day illness” or “fits” because it normally occurs during the first 9 days of life. Its association with filth and rural conditions means that neonatal tetanus is still common in Third World nations and is one of their greatest public health problems. Mortality rates are high, even with modern treatment, and preventive measures are essential to avoid the disease.

Distribution and Incidence

Neonatal tetanus today is a problem confined primarily to Africa, Asia, and the West Indies, although before the twentieth century, it was global in occurrence. The bacillus, found in soil, water, intestines, and the feces of animals and humans (where it can survive for years if not exposed to sunlight) is ubiquitous.

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Publisher: Cambridge University Press
Print publication year: 1993

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References

Bytchenko, B. 1964. Geographical distribution of tetanus in the world: A review of the problem. Bulletin of the World Health Organization 34.Google Scholar
Hartigan, J. F. 1884. The lock-jaw of infants (trismus nascentium) or nine day fits, crying spasms, etc. New York.Google Scholar
Hirsch, August. 1883–6. Handbook of geographical and historical pathology, Vol. 3:. London.Google Scholar
,International Conference on Tetanus. 1967. Principles on tetanus: Proceedings of the International Conference on Tetanus, ed. Eckmann, Leo, sponsored by the Swiss Academy of Medical Sciences with support of the World Health Organization. Bern.Google Scholar
Islam, M. Shafiquel, et al. 1980. Birth care practice and neonatal tetanus in a rural area of Bangladesh. Dacca.Google Scholar
Nathan-Larrier, L., Ramon, G., and Giasset, E.. 1927. Contribution à l’étude du passage des antégenes et des anticorps à travers le placenta. Annales de I’Institut Pasteur 41.Google Scholar
Schofield, F. D., Westbrook, G. R., and Tucker, V. M.. 1961. Neonatal tetanus in New Guinea. Effect of active immunization in pregnancy. British Medical Journal No. 5255.Google Scholar
Senecal, J., 1978. Tetanus. In Diseases of children in the subtropics and tropics, 3d edition, ed. Jelliffee, Errick R. and Stanfield, J. P.. London.Google Scholar
Varela, Luis R., et al. 1985. Tetanus antitoxin titers in women of childbearing age from nine diverse populations. Journal of Infectious Diseases 151.CrossRefGoogle ScholarPubMed
Watson, John McClaran. 1859. A treatise on the history, etiology and prophylaxis of trismus nascentium, 3d edition. Nashville, Tenn.Google Scholar
,World Health Organization. Regional Office for the Eastern Mediterranean. 1982. Prevention of neonatal tetanus: Report of a meeting: February 22–25, 1982.

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  • Tetanus, Neonatal
  • Edited by Kenneth F. Kiple, Bowling Green State University, Ohio
  • Book: The Cambridge World History of Human Disease
  • Online publication: 28 March 2008
  • Chapter DOI: https://doi.org/10.1017/CHOL9780521332866.201
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  • Tetanus, Neonatal
  • Edited by Kenneth F. Kiple, Bowling Green State University, Ohio
  • Book: The Cambridge World History of Human Disease
  • Online publication: 28 March 2008
  • Chapter DOI: https://doi.org/10.1017/CHOL9780521332866.201
Available formats
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Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Tetanus, Neonatal
  • Edited by Kenneth F. Kiple, Bowling Green State University, Ohio
  • Book: The Cambridge World History of Human Disease
  • Online publication: 28 March 2008
  • Chapter DOI: https://doi.org/10.1017/CHOL9780521332866.201
Available formats
×