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Treatment of unvaccinated Oregon boy with tetanus costs almost $ 1m, CDC says | American news

An unvaccinated six-year-old Oregon boy was hospitalized for two months for stubble and almost died of the bacterial disease after having received a deep laceration on his forehead while playing on a farm, according to a case study published by the US Centers for Disease Control and Prevention (CDC). The 2017 case is the first case of pediatric tetanus in Oregon for more than 30 years and revered infectious disease experts, who said that tetanus is almost immense in the United States since extensive immunization began in the 1 940s. The child received an emergency dose of the tetanus vaccine at the hospital, but his parents refused to give him a second dose – or any other childhood shot – after he recovered, the newspaper said. "When I read it, my jaw released," said Dr. William Schaffner, an infectious disease expert and chair of the Prevention Medicine Department at Vanderbilt University School of Medicine in Nashville, Tennessee. "I couldn't believe it. It's a tragedy and a misunderstanding and I'm just flabbergasted. " This is a terrible disease, but … we have had a mechanism to completely prevent it and the reason we hardly any cases have any more in the United States. Because we vaccinate, literally everyone. " The CDC paper did not give details of the child, his family, or where they live in Oregon, and attempts to get that information from the paper's writers failed. Lawmakers in Oregon and Washington are considering bills that would cease non-medical Exceptions…

An unvaccinated six-year-old Oregon boy was hospitalized for two months for stubble and almost died of the bacterial disease after having received a deep laceration on his forehead while playing on a farm, according to a case study published by the US Centers for Disease Control and Prevention (CDC).

The 2017 case is the first case of pediatric tetanus in Oregon for more than 30 years and revered infectious disease experts, who said that tetanus is almost immense in the United States since extensive immunization began in the 1

940s.

The child received an emergency dose of the tetanus vaccine at the hospital, but his parents refused to give him a second dose – or any other childhood shot – after he recovered, the newspaper said.

“When I read it, my jaw released,” said Dr. William Schaffner, an infectious disease expert and chair of the Prevention Medicine Department at Vanderbilt University School of Medicine in Nashville, Tennessee. “I couldn’t believe it. It’s a tragedy and a misunderstanding and I’m just flabbergasted.

” This is a terrible disease, but … we have had a mechanism to completely prevent it and the reason we hardly any cases have any more in the United States. Because we vaccinate, literally everyone. “

The CDC paper did not give details of the child, his family, or where they live in Oregon, and attempts to get that information from the paper’s writers failed.

Lawmakers in Oregon and Washington are considering bills that would cease non-medical Exceptions for routine childhood vaccines, since the Pacific Northwest weather its third month of a measles outbreak, seventy people in southwest Washington, most unvaccinated children, have been diagnosed with the highly contagious viral disease since January 1, as well as a handful of people in Portland, Oregon.

Unlike measles, which is a virus, someone who has survived a case of tetanus is not immune and can get the disease again if they remain unvaccinated. Tetanus is not transmitted personally to kidneys by sneezing or coughing as measles, but comes from bacterial spores present in the environment

Tetanus spores are everywhere, especially in the earth An unvaccinated person gets a deep penetrating wound, these spores can invade the incision and start producing the bacteria that cause the disease. The tetanus bacterium secretes a toxin that enters the bloodstream and is trapped in the nervous system.

Everywhere from three to 21 days after infection, symptoms occur: muscle spasms, lockjaw, difficulty swallowing and breathing and seizures. The disease can cause death or severe disability in survivors, Schaffner says.

About 30 people contract tetanus each year nationwide, according to the CDC, and 16 died of it between 2009 and 2015. It is rare in children; those over 65 are the most vulnerable.

In Oregon, the boy dropped his forehead while he was playing and his family stitched up the wound itself. Six days later he began to tie his jaw, bent his neck and back, and had uncontrolled muscle spasms. When he began to have trouble breathing, his parents called paramedical and he was transported by plane to Oregon Health & Science University in Portland. When he arrived he asked for water but could not open his mouth.

The child was sedated, put on a ventilator and cared about in a dark room while you had earplugs because some stimulation made the aches and muscle spasms worse. His fever nailed to nearly 105F (40.5C) and he developed high blood pressure and a heartbeat.

Forty-four days after he was in hospital, the boy could seep clear liquids. Six days later he was able to walk a short distance with help. After another three weeks of outpatient rehabilitation and one month at home, he was able to cycle and run – a remarkable recovery said experts.

Child care, not including air ambulance and patient rehabilitation costs almost $ 1m, about $ 1m 72 times the average for a pediatric hospital stay in the United States, noted the note.

“The way to treat tetanus is that you have to overload it. You have to support the patient because this poison chemically connects and then it must slowly be metabolized,” Schaffner said. and adult booster shots were routinely nearly 80 years ago; the death rate dropped 99%.

The CDC recommends a five-dose series of tetanus shots for children between two months and six years and a booster shot every ten years for adults.

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