
Tetanus is still a major global public health problem in developing countries. An estimated 500,000 cases still occur every year, killing approximately 200,000 young babies and 30,000 mothers per year.
The true extent of the tetanus death toll is not known since populations at highest risk of tetanus tend to live in rural areas and have little access to health care and birth registration. Many newborns and mothers die at home and neither the birth nor the death is reported. For this reason, tetanus is often called the "silent killer." Following administration of tetanus vaccine to the mother, antibodies pass to the foetus across the placenta to provide protection against maternal and neonatal tetanus for both mother and baby. To protect the newborn, women should receive at least two doses of tetanus vaccine at least four weeks apart, with the last dose at least two weeks before delivery.
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