Case definition
Children-difficulty in sucking, opisthotonus;
Adult-difficulty swallowing, followed by muscle spasm and rigidity
Specimen
Clinical Diagnosis
Laboratory
N/A
Timeline for investigation
48 hours
Source: National Surveillance Manual
How it’s monitored
Notified as it occurs and followed up with an investigation report. The weekly bulletin gives confirmed cases for the year to date, beside last year’s. Tetanus is confirmed on clinical grounds.