{"id":777,"date":"2015-06-03T10:51:02","date_gmt":"2015-06-03T10:51:02","guid":{"rendered":"http:\/\/www.dailyrounds.org\/blog\/?p=777"},"modified":"2015-06-09T06:37:34","modified_gmt":"2015-06-09T06:37:34","slug":"another-health-milestone-india-now-free-of-maternal-and-neonatal-tetanus","status":"publish","type":"post","link":"https:\/\/www.dailyrounds.org\/blog\/another-health-milestone-india-now-free-of-maternal-and-neonatal-tetanus\/","title":{"rendered":"Another health milestone: India now free of maternal and neonatal tetanus"},"content":{"rendered":"<p>Another milestone for India, our country has reached its goal of eliminating maternal and neonatal tetanus.<br \/>\n<em>\u201cSignificant public health milestone\u201d,<\/em> the experts said.<br \/>\nThe World Health Organization said that the elimination of neonatal tetanus is defined as \u201cless than one case in 1000 live births\u201d in every district across the country.<\/p>\n<p><strong>Crossover barriers<\/strong><br \/>\nAs part of its nationwide expanded programme on immunization in 1983, the Indian government introduced two doses of tetanus toxoid vaccine to all pregnant women during each pregnancy. But, sadly in 1990, neonatal tetanus still accounted for almost 80\u2009000 deaths, said Unicef\u2014in stark contrast with 2013 and 2014, in which fewer than 500 cases a year were reported, said Poonam Khetrapal Singh, WHO deputy regional director for South East Asia.<\/p>\n<p>The disease is said to take place through infection in newborns because of the unhealed umbilical stump, when the stump is cut with a non-sterile instrument. Once neonatal elimination has been achieved, maternal tetanus is considered eliminated.<\/p>\n<p><strong>Neonatal cases caused 15% of deaths in the country<\/strong><\/p>\n<p>At the All India Institute of Medical Sciences in New Delhi, professor of neonatology, Vinod Paul professed his pride over India for eliminating a disease that was once responsible for 15% of deaths in the country.<\/p>\n<p>\u201cThis is truly a huge goal because at one point in time there were tens of thousands of deaths due to neonatal and maternal tetanus,\u201d he said.<\/p>\n<p><strong>India\u2019s triumph in the battle<\/strong><\/p>\n<p>Dr. Vinod Paul believed India had achieved the goal and mentioned three reasons for it:<\/p>\n<ul>\n<li><em>\u201cFirst and foremost, maternal tetanus immunisation rates have gone up. They are not universal, but they are very high.\u201d<\/em><\/li>\n<li><em>\u201cSecondly, we introduced cash incentives for institutional deliveries.<\/em><\/li>\n<li><em>\u201cLastly, delivery kits that reduce contamination along with safe umbilical cord practices have been important.\u201d<\/em><\/li>\n<\/ul>\n<p><strong>Polio eradication acted as a model to follow.<\/strong><\/p>\n<p>Poonam Singh said that the launch of the National Rural Health Mission in 2005, helped to facilitate safe deliveries by training auxiliary nurse midwives and other trained birth attendants who work at the village level.<\/p>\n<p><strong><em>\u201cSince 2012, the government of India has been applying the best practices of polio eradication for routine immunisation strengthening, focusing on areas with low routine immunisation coverage.\u201d<\/em><\/strong><\/p>\n<p>Polio eradication in India, which was achieved last year, had acted as a model to follow.<\/p>\n<p><strong>Nagaland, last state to achieve maternal and neonatal tetanus<\/strong><\/p>\n<p>World Health Organization (WHO), declared India free of maternal and neonatal tetanus on the 15th of May. Nagaland being the last state to achieve maternal and neonatal tetanus elimination, after a validation survey conducted in April, affirmed Poonam Singh.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Another milestone for India, our country has reached its goal of eliminating maternal and neonatal tetanus. \u201cSignificant public health milestone\u201d, the experts said. The World Health Organization said that the elimination of neonatal tetanus is defined as \u201cless than one case in 1000 live births\u201d in every district across the country. Crossover barriers As part [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":429,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[12],"tags":[],"class_list":["post-777","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Another health milestone: India now free of maternal and neonatal tetanus - DailyRounds<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.dailyrounds.org\/blog\/another-health-milestone-india-now-free-of-maternal-and-neonatal-tetanus\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Another health milestone: India now free of maternal and neonatal tetanus - DailyRounds\" \/>\n<meta property=\"og:description\" content=\"Another milestone for India, our country has reached its goal of eliminating maternal and neonatal tetanus. \u201cSignificant public health milestone\u201d, the experts said. 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