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[Tetanus illnesses and mortality 1977-1983].

F Oberdoerster, W Thilo, S Dittmann

    Zentralblatt Fur Chirurgie
    |January 1, 1985
    PubMed
    Summary

    Tetanus (lockjaw) cases and deaths decreased in the GDR from 1977-1983. However, fatality rates rose due to delayed or omitted immunizations in injured individuals.

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    [Not Available].

    Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·2014

    Area of Science:

    • Epidemiology
    • Infectious Diseases
    • Public Health

    Background:

    • Tetanus incidence and mortality in the German Democratic Republic (GDR) were analyzed for the period 1977-1983.
    • This period was compared with earlier data from 1957-1975 to assess trends in tetanus epidemiology.

    Observation:

    • A significant reduction in tetanus morbidity and mortality was observed between 1977-1983 compared to 1957-1975.
    • Despite the decrease in overall cases and deaths, a concerning increase in the case fatality rate of tetanus was noted.

    Findings:

    • The rising fatality rate was linked to the advanced age of patients and, critically, to the delayed or missed administration of simultaneous active and passive immunization for injured, unvaccinated individuals.
    • A contributing factor to these immunization failures was the lack of awareness or inadequate understanding of established tetanus prevention guidelines among healthcare providers responsible for initial treatment.

    Implications:

    • This highlights the critical need for consistent adherence to and dissemination of tetanus prophylaxis guidelines among all medical professionals.
    • Improved physician education and timely immunization protocols are essential to reduce tetanus-related mortality, even as overall incidence declines.

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