Preventing Illness and Injury
Tetanus

Background

The bacteria that cause tetanus enter the body through any wound or break in the skin, often in a foot. The bacteria live in soil, dust and animal droppings. (Contrary to rumor, they do not live on rusty nails. Nails, rusty or not, can inflict the requisite skin puncture for the bacteria to invade.) The disease causes extreme pain and rigidity of muscles (thus the old name of "lockjaw"). Death occurs in about one out of three non-immunized victims.

Prevention

Immunization with tetanus toxoid provides complete protection. This was undoubtedly given to you as an infant, along with diphtheria toxoid and pertussis (whooping cough). Additionally, you should have a "booster shot" every ten years. Be sure you have had this. If you have been treated for a tetanus-potential wound the physician probably gave you a toxoid shot as part of the treatment.

Even so, why get a tetanus-potential wound? Wear shoes or sandals at all times.