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Journal of Tropical Pediatrics 1984 30(3):145-149; doi:10.1093/tropej/30.3.145
© 1984 by Oxford University Press
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Strategies for the Control of Neonatal Tetanus

Elton Kessel, MD, MPH, Consultant

International Federation for Family Health Jalan Pasirkaliki 186, Bandung, Indonesia

Correspondence and reprints: Dr. Elton Kessel, 520 Morgan Creek Road, Chapel Hill, NC 27514, USA.

This paper describes strategies for the control of neonatal tetanus. The natural history of the disease, the immunological effects of tetanus toxoid immunization and programmatic opportunities for providing these immunizations are considered. A formula for calculating the cost per prevented neonatal tetanus death is suggested and its use illustrated for preschool, school age and antenatal immunization programs in communities with high and intermediate levels of neonatal tetanus. While antenatal tetanus immunization can give early reduction in the incidence of neonatal tetanus, preschool and school age immunizations appear to be an economical long-run strategy to complement antenatal and infant immunizations for control of neonatal tetanus.


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