Who is most likely to get Clostridium tetani?
“Tetanus is a global health problem since C. tetani spores are ubiquitous. The disease occurs almost exclusively in persons who are unvaccinated or inadequately immunized. Tetanus occurs worldwide but is more common in hot, damp climates with soil rich in organic matter. This is particularly true with manure-treated soils, the spores are widely distributed in the intestines and feces of many non-human animals such as horses, sheep, cattle, dogs, cats, rats, guinea pigs, and chickens. In agricultural areas, a significant number of human adults may harbor the organism. The spores can also be found on skin surfaces and in contaminated heroin. Tetanus, particularly the neonatal form, remains a significant public health problem in non-industrialized countries. There are about one million cases of tetanus reported worldwide, causing an estimated 300,000 to 500,000 deaths each year. In the United States, approximately 100 people become infected with tetanus each year, and there are about five