The threat of a new tetanus outbreak due to urban flooding disaster requires vigilance: a narrative review

Vaccines for tetanus prevention have rapidly progressed, and the number of outbreaks, especially the incidence of tetanus in developed countries, has decreased dramatically. However, the mortality rate associated with severe tetanus remains high. Tetanus eradication is difficult owing to the widespr...

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Main Authors: Junko Yamaguchi, Kosaku Kinoshita
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Acute Medicine & Surgery
Subjects:
Online Access:https://doi.org/10.1002/ams2.839
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author Junko Yamaguchi
Kosaku Kinoshita
author_facet Junko Yamaguchi
Kosaku Kinoshita
author_sort Junko Yamaguchi
collection DOAJ
description Vaccines for tetanus prevention have rapidly progressed, and the number of outbreaks, especially the incidence of tetanus in developed countries, has decreased dramatically. However, the mortality rate associated with severe tetanus remains high. Tetanus eradication is difficult owing to the widespread presence of the spores of tetanus bacteria in the environment, but tetanus can be prevented by acquired immunity from vaccines. Older people, intravenous drug users, and migrants are at a high risk of tetanus in developed countries owing to the lack of booster vaccination programs. Natural disasters, especially floods, often cause an increase in the prevalence of tetanus because of the associated injuries. Precautions should be taken to combat the threat of a new tetanus outbreak due to floods in urban areas owing to global warming. In particular, Japan is facing a high risk of urban flooding‐induced tetanus, despite its status as a developed country. This review aims to highlight the data on the epidemiology, causes, treatment, and prevention of tetanus and problems associated with tetanus countermeasures during future floods.
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spelling doaj.art-e8582acf755b44108430c41e3210f4612023-12-28T00:28:39ZengWileyAcute Medicine & Surgery2052-88172023-01-01101n/an/a10.1002/ams2.839The threat of a new tetanus outbreak due to urban flooding disaster requires vigilance: a narrative reviewJunko Yamaguchi0Kosaku Kinoshita1Division of Emergency and Critical Care Medicine, Department of Acute Medicine Nihon University School of Medicine Tokyo JapanDivision of Emergency and Critical Care Medicine, Department of Acute Medicine Nihon University School of Medicine Tokyo JapanVaccines for tetanus prevention have rapidly progressed, and the number of outbreaks, especially the incidence of tetanus in developed countries, has decreased dramatically. However, the mortality rate associated with severe tetanus remains high. Tetanus eradication is difficult owing to the widespread presence of the spores of tetanus bacteria in the environment, but tetanus can be prevented by acquired immunity from vaccines. Older people, intravenous drug users, and migrants are at a high risk of tetanus in developed countries owing to the lack of booster vaccination programs. Natural disasters, especially floods, often cause an increase in the prevalence of tetanus because of the associated injuries. Precautions should be taken to combat the threat of a new tetanus outbreak due to floods in urban areas owing to global warming. In particular, Japan is facing a high risk of urban flooding‐induced tetanus, despite its status as a developed country. This review aims to highlight the data on the epidemiology, causes, treatment, and prevention of tetanus and problems associated with tetanus countermeasures during future floods.https://doi.org/10.1002/ams2.839Disaster medicinefloodinginfection controltetanusurban flood
spellingShingle Junko Yamaguchi
Kosaku Kinoshita
The threat of a new tetanus outbreak due to urban flooding disaster requires vigilance: a narrative review
Acute Medicine & Surgery
Disaster medicine
flooding
infection control
tetanus
urban flood
title The threat of a new tetanus outbreak due to urban flooding disaster requires vigilance: a narrative review
title_full The threat of a new tetanus outbreak due to urban flooding disaster requires vigilance: a narrative review
title_fullStr The threat of a new tetanus outbreak due to urban flooding disaster requires vigilance: a narrative review
title_full_unstemmed The threat of a new tetanus outbreak due to urban flooding disaster requires vigilance: a narrative review
title_short The threat of a new tetanus outbreak due to urban flooding disaster requires vigilance: a narrative review
title_sort threat of a new tetanus outbreak due to urban flooding disaster requires vigilance a narrative review
topic Disaster medicine
flooding
infection control
tetanus
urban flood
url https://doi.org/10.1002/ams2.839
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