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  • Title: [Tetanus in Poland in 2010].
    Author: Zieliński A, Rudowska J.
    Journal: Przegl Epidemiol; 2012; 66(2):293-6. PubMed ID: 23101219.
    Abstract:
    Epidemiological assessment of the incidence of tetanus in Poland in 2010 was based on the analysis of aggregate data provided by the State Sanitary Inspection and published an annual newsletter: Infectious diseases and intoxications in Poland in 2010, compiled by MP Czarkowski, E Cielebak, B Kondej, E Staszewska, Warsaw in 2011 and based on an annual newsletter: Vaccinations in Poland in 2010, compiled by MP Czarkowski, E Cielebak, B Kondej, E Staszewska, Warsaw 2011. A more accurate characterization of disease was based on the individual reports sent to the Department of Epidemiology, NIPH-NIH. In the last decade the incidence of tetanus has remained below 0.08/100 000 inhabitants. The average annual incidence was lower than in the previous decade, but within the last ten years to the annual variation is difficult to assign a distinct incidence tendency. Rather, they correspond to random fluctuations. In 2010, 16 cases were reported, including which occurred in 2009. All cases was reported as probable--diagnosis based on clinical signs and information about injuries. Overall incidence was 0.042/100 000, which was small and not significanty different from incidence in 2009 (0.05/100 000). All cases in 2010, were over 59 years of age, which is a strong expression of the trend observed for years that the disease is present in older age groups where the level of vaccination against tetanus is particularly low. Among people infected, there were three men and 13 women. Four cases ended with deaths. Three of these were women, among whom mortality was 23.1%, and one death occurred in a man, mortality 33.3%. Three deaths occurred among the 6 cases in people over 79 years of age, mortality 50%. The incubation period of the disease in 3 cases was less than 7 days, in 4 cases 8-14 days, in 4 cases 15-21 days, in 2 cases 22 days and more. Portals of entry of infection in 7 cases accounted for abrasion or laceration, in 6 cases the puncture wound in one it was bitten wound, and in 2 cases, the gates of infection remained unknown. In 3 cases involved people getting vaccinated, and 13 were not given information about the vaccination. No case has not occurred in a person with a documented vaccination. High degree of vaccination of children and adolescents against tetanus makes the tetanus, in these age groups almost completely eliminated, and the few cases occured in people in older age groups. But this is not a disease that can be eliminated from the environment and the risk of non-vaccinated people will always be in the case of injury with rupture of skin and contamination of the wound. Therefore it is important to maintain the current level of children and adolescents vaccinated against tetanus and pay attention to vaccination after injuries and adequate supply of injuries. This is particularly true of the elderly population.
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