Although unrestricted by age group, tetanus has historically been particularly fatal for neonates andpostnatal mothers. Before the introduction of clean delivery practices and antenatal immunization, tetanuswas a major cause of mortality within 1 month of life worldwide. India was declared free of maternal andneonatal tetanus (MNT) on May 15, 2015, by the WHO.[1] It was achieved through increased coverage ofantenatal tetanus immunization, promotion of institutional deliveries, availability of delivery kit for safeumbilical cord practices, and a high political commitment. However, these services have not beencompletely utilized by the nomadic communities in India. The nomadic population of India stood at anestimated one million in 1982.[2] They continue to be a neglected population with limited access toeducation, mainstream opportunities, and health care. Only in the recent times have policy makers startedfocusing on the erstwhile invisible population with the Renke and Idate commissions releasing reports ontheir statistics and addressing their problems.[3] An infant death review was conducted to assess theclinical, social, and epidemiological details of the case.
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