Sunday, October 12, 2014

ELIMINATE


                Every nine minutes a newborn dies of tetanus. Neonatal tetanus is an extremely painful disease that causes the child to have extremely painful spasms. The spasms may be heart-wrenching, but the worst part of the disease is that the child has an extreme sensitivity to noise, light, and touch, making exposure painful. This means that mothers cannot hold their child to comfort the baby for fear of increasing the agonizing pain.

                Maternal and neonatal tetanus are forms of generalized tetanus. Generalized tetanus results in autonomic over activity, leading to a slew of increasingly painful symptoms that can lead to death. Even the babies that do not die are still subject to severe and unnecessary pain.  Maternal neonatal tetanus reaches newborns (and in some cases, mothers) through the umbilical cord or other wounds during birth. Unhygienic birthing practices have the most effect. Clostridium tetani (the bacterium that causes MNT) can be found anywhere in soil and dust. So when a woman goes into childbirth on a dirt floor in a country with little medical assistance, it’s more likely that she or the child could be exposed to tetanus. Neonatal tetanus has a 10-60% mortality rate especially without proper medical attention.

In 1988, 787,000 newborns per year died of neonatal tetanus. This sparked outrage in health organizations worldwide and began the ELIMINATE project which aims to eliminate (˂1 cases per 1000 live births) maternal/ neonatal tetanus worldwide. As of 2010, only 58,000 deaths due to maternal/ neonatal tetanus were reported, but UNICEF (United Nations Children’s Fund) and Kiwanis International are intent on finishing the job. They find it unacceptable that this tragedy is occurring in 24 third world countries and, what’s worse, the disease is easily treatable with only three shots. This series of shots costs only $1.80 and will vaccinate a mother and her future children from being affected by maternal/ neonatal tetanus.

Kiwanis has enlisted all of the younger volunteer branches also (which is where I first heard about this project). Even with UNICEF and Kiwanis working together, they still require funds for the actual outreach. Donating will allow volunteers and medical professionals to vaccinate women of child-bearing age, educate local midwives, and provide medical supplies in high risk areas. Since the goal has been set at 2015, ELIMINATE needs as much help as it can get to be successful on time. With this in mind, I’ve added a link below that you can donate towards the fund.

Sources:
http://www.unicefusa.org/mission/survival/immunization/tetanus
http://web.uconn.edu/mcbstaff/graf/Student%20presentations/C%20tetani/Ctetani.html
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3594855/

3 comments:

  1. I heard about this project through my high school's Key Club, too (I'm guessing that's where you did). It's amazing that $2 can save two, or more, lives. That said, it's also troubling that basic healthcare like a series of tetanus shots is otherwise inaccessible to so many people, but that's a different discussion. In any case, I'm glad to see you promoting ELIMINATE!

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  2. Wow. 787,000 is a ton of newborns. The success of ELIMINATE is absolutely phenomenal, but there is still work to be done. Hopefully we will see the day when neonatal tetanus is no longer widespread.

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  3. What an absolutely horrible illness. To imagine that an infant's first few moments in life are spent in agonizing pain is absolutely gut wrenching. I can barely see babies cry without wanting to help much less see an infant spasm in pain. The opening paragraph was an excellent opener and the subsequent paragraphs held my attention. This was a good post.

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