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a piece of barbed wire next to some skin with a cut
Tetanus is an acute infection which is caused by a bacteria which gets into cuts and grazes. These bacteria are found in earth and dirt and are harmless unless they get into your blood stream through your skin. There they can multiply and produce a nasty poison called a toxin which can cause muscle spasms and can affect your brain and nerves. It is rare in this country because almost all children are immunised against it when they are babies and again when they are 15 and this immunisation provides almost complete protection from getting what can be a very nasty disease.