Infection can enter the body via cuts after which bacteria produce a toxin affecting the motor nerve cells in the spinal cord. This is followed by convulsions and muscle spasms. The vaccine is effective and the disease can also be treated by an antitoxin and penicillin. The infection is passed from infected water, milk or food or by people preparing food or drinks. Symptoms are a rapidly fluctuating temperature, drowsiness, diarrhoea, abdominal rash, delirium and coma.
Immunization is effective.
The disease is treatable with antibiotics. Take - Extra salt if in hot climates. Purify water or make sure it is clean. If you are not sure avoid it. Street crime in Dar es Salaam can be a problem.