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Scenаriо 9 Belоw is а descriptiоn of the tetаnus surveillance system that was published in the CDC's Morbidity and Mortality Weekly Report: Abstract Problem/Condition: Tetanus is a serious but vaccine-preventable disease caused by the toxin produced by germinated spores of Clostridium tetani bacteria. Despite substantial declines in incidence resulting from immunization, cases continue to occur, particularly among unvaccinated and undervaccinated populations. Period Covered: 2009–2023. Description of System: The National Notifiable Diseases Surveillance System uses national surveillance to identify cases of tetanus using the Council of State and Territorial Epidemiologists’ tetanus case definition. Tetanus cases identified through clinical diagnosis are reported to CDC by state health departments. Detailed tetanus-specific case information is requested, which includes tetanus toxoid–containing vaccine (TTCV) vaccination history, wound history, medical care before tetanus disease onset, and the clinical course of illness, including death. Citation: Hughes et al. Tetanus Surveillance — United States, 2009–2023. MMWR Surveill Summ 2026;75(No. SS-1):1–11.