In a house-to-house survey in Kilifi District, Kenya, mothers of 2556 liveborn children were interviewed about neonatal mortality, especially from neonatal tetanus (NNT). The crude birth rate was 60.5 per 1000 population, the neonatal mortality rate 21.1 and the NNT mortality rate 3.1 per 1000 livebirths. The neonatal and NNT mortality rates were higher in boys than in girls. Neonatal tetanus w...

Despite the availability of effective tetanus prevention strategies, as of 2016, Maternal and Neonatal Tetanus Elimination (MNTE) has not yet been achieved in 18 countries globally. In this paper, we review the status of MNTE in the World Health Organization African Region (AFR),and provide recommendations for achieving and maintaining MNTE in AFR. As of November 2016, 37 (79%) AFR countries ha...

World Health Organization (WHO) Expanded Program on Immunization (EPI). The overall annual incidence worldwide is 0.5-1 million cases. It is estimated that there are 140,000 fatal neonatal cases per annum. The disease is more common in tropical and developing countries, where immunization is deficient and opportunities for penetrating contaminated wounds is higher.3 In Oman, tetanus Objectives:...

Most cases of neonatal sepsis and meningitis caused by group B streptococci (GBS) are attributable to one of four major capsular serotypes: Ia, Ib, II, or III. Because resistance to infection with GBS has been correlated with the presence of serum antibodies to the type-specific capsular polysaccharides in both experimental animals and human neonates, efforts have been made to elicit protective...

This paper is based upon part of a thesis accepted by the University of London for the M.D. degree in 1957, but it now includes the experience of the Children's Department of University College Hospital, Ibadan, Nigeria, in treating 79 children with tetanus between April, 1953, and August, 1958. Patients with neonatal tetanus are not included as they were the subject of a previous paper (Tompki...

BackgroundEven though there have been tremendous strides globally in reducing the burden of tetanus, neonatal deaths due to tetanus reported annually, and most occur sub-Saharan Africa which accounts for nearly half global mortality by tetanus. Immunization pregnant women or childbearing age with at least two doses toxoid is estimated reduce from 94%. Despite its importance, immunization progra...

INTRODUCTION Tetanus is a severe and potentially fatal infection caused by the bacterium Clostridium tetani. Of all the cases described in literature, generalized tetanus is by far the most common presentation, but it may also present as neonatal tetanus, cephalic tetanus, and localized tetanus, the latter two being much rarer. In this case report, we present the rare form of this disease, i.e....

Neonatalis is birth before 28 days of a baby. Factors that are considered to affect neonatal mortality include the number visits in 1st and 3 rd trimester, pregnant women receiving Tetanus Diptheria Immunization, estimated infants with complications, Hepatitis B Immunization for less than 24 hours, BCG 1 visits. Neonatal still very rare so right analysis used, namely Negative Binomial Regressio...

BACKGROUND With tetanus being a leading cause of maternal and neonatal morbidity and mortality in low and middle income countries, ensuring that pregnant women have geographic access to tetanus toxoid (TT) immunization can be important. However, immunization locations in many systems may not be placed to optimize access across the population. Issues of access must be addressed for vaccines such...