Low but persistent tetanus risk in the US despite vaccination gains (2009–2023)
TL;DR Summary
US tetanus surveillance from 2009–2023 recorded 402 cases and 37 deaths (mean incidence 0.08 per million). Most cases occurred in adults (median age 40; 86% ≥18), with higher incidence in males; deaths declined by over 99%. The burden persists especially among unvaccinated/undervaccinated individuals, reflecting suboptimal adult tetanus vaccination coverage (Tdap/TTCV ~57–70%). The National Notifiable Diseases Surveillance System monitors trends, wound management, and vaccine use to guide prevention efforts.
Tetanus Surveillance — United States, 2009–2023 Centers for Disease Control and Prevention | CDC (.gov)
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Read on Centers for Disease Control and Prevention | CDC (.gov)