Tetanus has become rare in countries with high levels of vaccination coverage and hygiene but may still occur in adults without booster vaccination. In addition to the expanded program on immunization for children and maternal immunization against neonatal tetanus, a systematic vaccination of the population, including boosters, is recommended.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5930233PMC
http://dx.doi.org/10.1002/ccr3.1470DOI Listing

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