[Reported cases of tetanus in the North of Portugal (1993-2002). Missed opportunities for vaccination].

The aim of this study was to motivate health professionals to avoid missed opportunities of vaccination against tetanus. In the North of Portugal, 210 cases of tetanus were reported between 1993 and 2002. Data for this study was collected from the computerised records of statutory reportable diseases (1993-2002) and written reports from local health authorities (2000-2002). Most cases occurred between 55 and 84 years of age. Above the age of 65, females were the most affected (73.7%). All 17 cases (2000-2002) received hospital care. Two deaths were reported. Type and site of injuries were analogous to those already described in the literature. None of the patients had been adequately vaccinated. Almost all cases had attended health services in the 10 previous years. In order to eliminate tetanus, all contacts with health professionals should be an opportunity to check vaccination status and immunise against tetanus as recommended.