All females are advised, additionally, to maintain their immunity to rubella . A hepatitis-B vaccine is available for people who wish it. In addition to the general recommendations, members of certain occupations are strongly advised to maintain immunity to the agents listed below. An acute, often-fatal disease caused by the toxin produced by Clostridium tetani which grows anaerobically at an injury site. Penetrating wounds containing foreign bodies, wounds associated with soil, dirt or manure, and burns are the greatest risk, but tetanus can follow trivial, even unnoticed wounds.
Active immunisation is the only certain protection against tetanus.
A completed course of vaccinations provides total protection for many years. Booster doses are recommended every 10 years. An acute, infectious disease caused by toxigenic Corynebacterium diphtheriae which primarily affects the upper respiratory tract. A completed course of vaccination providing total protection for many years. Booster doses are recommended every 10-15 years.