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== Epidemiology == [[File:Tetanus world map - DALY - WHO2004.svg|thumb|upright=1.3|[[Disability-adjusted life year]] for tetanus per 100,000 inhabitants in 2004.{{Div col|small=yes|colwidth=10em}} {{legend|#b3b3b3|no data}} {{legend|#ffff65|β€10}} {{legend|#fff200|10β25}} {{legend|#ffdc00|25β50}} {{legend|#ffc600|50β75}} {{legend|#ffb000|75β100}} {{legend|#ff9a00|100β125}} {{legend|#ff8400|125β150}} {{legend|#ff6e00|150β200}} {{legend|#ff5800|200β250}} {{legend|#ff4200|250β500}} {{legend|#ff2c00|500β750}} {{legend|#cb0000|β₯750}} {{div col end}}]] In 2013, it caused about 59,000 deathsβdown from 356,000 in 1990.<ref name=GBD2014/> Tetanus, notably the [[neonatal]] form, remains a significant public health problem in non-industrialized countries, with 59,000 newborns dying worldwide in 2008 as a result of neonatal tetanus.<ref>{{cite journal |title=Maternal and Neonatal Tetanus Elimination Initiative |journal=Pampers UNICEF 2010 Campaign |page=2 |url=http://www.unicef.org/corporate_partners/files/APPROVED_MNT_Report_05.06.10.pdf |url-status=live |archive-url=https://web.archive.org/web/20140201172830/http://www.unicef.org/corporate_partners/files/APPROVED_MNT_Report_05.06.10.pdf |archive-date=2014-02-01 }}</ref><ref>{{cite journal | vauthors = Black RE, Cousens S, Johnson HL, Lawn JE, Rudan I, Bassani DG, Jha P, Campbell H, Walker CF, Cibulskis R, Eisele T, Liu L, Mathers C | display-authors = 6 | title = Global, regional, and national causes of child mortality in 2008: a systematic analysis | journal = Lancet | volume = 375 | issue = 9730 | pages = 1969β87 | date = June 2010 | pmid = 20466419 | doi = 10.1016/S0140-6736(10)60549-1 | author14 = Child Health Epidemiology Reference Group of WHO and UNICEF | s2cid = 27812760 }}</ref> In the United States, from 2000 through 2007, an average of 31 cases were reported per year.<ref name=CDC2012Pink/> Nearly all of the cases in the United States occur in unimmunized individuals, or individuals who have allowed their [[inoculation]]s to lapse.<ref name=CDC2012Pink/> <gallery widths="200" heights="200"> File:Tetanos.png|Tetanus cases reported worldwide (1990β2004). Ranging from some (in dark red), to very few (in light yellow) (grey, no data). File:Tetanus-deaths-by-age-group.png|alt=Tetanus deaths between 1990 and 2017 by age group|Tetanus deaths between 1990 and 2017 by age group.<ref>{{cite web |title=Deaths from tetanus, by age |url=https://ourworldindata.org/grapher/tetanus-deaths-by-age-group |website=[[Our World in Data]] |access-date=13 January 2020}}</ref> </gallery>
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