Details:

Alternative Title:
MMWR Morb Mortal Wkly Rep
Publisher's site:
http://dx.doi.org/10.15585/mmwr.mm7111a2
Personal Author:
Kanu, Florence A. ; Yusuf, Nasir ; Kassogue, Modibo ; Ahmed, Bilal ; Tohme, Rania A.
Kanu, Florence A. ; Yusuf, Nasir ; Kassogue, Modibo ; Ahmed, Bilal ; Tohme, Rania A. Less -
Description:
Maternal and neonatal tetanus (MNT)* remains a major cause of neonatal mortality with an 80%-100% case-fatality rate among insufficiently vaccinated mothers after unhygienic deliveries, especially in low-income countries (1). In 1989, the World Health Assembly endorsed elimination| of neonatal tetanus; the activity was relaunched in 1999 as the MNT elimination (MNTE)| initiative, targeting 59| priority countries. MNTE strategies include 1) achieving ≥80% coverage with ≥2 doses of tetanus toxoid-containing vaccine (TTCV2+)** among women of reproductive age through routine and supplementary immunization activities (SIAs)| in high-risk districts,| 2) achieving ≥70% of deliveries by a skilled birth attendant,| and 3) implementing neonatal tetanus case-based surveillance (2). This report summarizes progress toward achieving and sustaining MNTE during 2000-2020 and updates a previous report (3). By December 2020, 52 (88%) of 59 priority countries had conducted TTCV SIAs. Globally, infants protected at birth*** against tetanus increased from 74% (2000) to 86% (2020), and deliveries assisted by a skilled birth attendant increased from 64% (2000-2006) to 83% (2014-2020). Reported neonatal tetanus cases worldwide decreased by 88%, from 17,935 (2000) to 2,229 (2020), and estimated deaths decreased by 92%, from 170,829 (2000) to 14,230 (2019).| By December 2020, 47 (80%) of 59 priority countries were validated to have achieved MNTE, five of which conducted postvalidation assessments.| To achieve elimination in the 12 remaining countries and sustain elimination, innovation is needed, including integrating SIAs to cover multiple vaccine preventable diseases and implementing TTCV life course vaccination.
Subject:
[+]
Adult Developing Countries Disease Eradication Female Health Priorities Humans Immunization Programs Infant, Newborn Infant Health Maternal Health Middle Aged Tetanus Tetanus Toxoid Vaccination Coverage
Source:
MMWR Morb Mortal Wkly Rep. 71(11):406-411
Pubmed ID:
35298457
Pubmed Central ID:
PMC8942310
Document Type:
Journal Article
Collection(s):
Morbidity and Mortality Weekly Report (MMWR)
Main Document Checksum:
[+]
urn:sha256:ef25f44648cd375f38a533a278dc15bcce9d4c0a62fddb93e7aeb655a978790b
Download URL:
https://stacks.cdc.gov/view/cdc/115840/cdc_115840_DS1.pdf
File Type:

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