﻿WEBVTT

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[HF3387, A 50-50 Chance, 1967, Length: 00:27:50, Color, Sound, This Beta SP was duplicated from a 16mm answer print by Bono Film and Video, Inc. for the National Library of Medicine, February 2009]

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[Screen goes dark]

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[Numbers count down]

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[The U.S. Department of Health, Education, and Welfare Public Health Service Presents M-1415]

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[A Public Health Service Audiovisual Facility Production]

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[A 50-50 Chance]

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[Woman writhes uncomfortably in hospital bed.]

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[Carol Winney:] Jerry. Don't worry, dear. I'll be all right.

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What about the kids? Who's with them?

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[Jerry Winney:] They're okay, honey. Sally's taking care of them.

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[Carol Winney:] You should be with them, dear. They're so young, and they'll imagine all sorts of...

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Why don't you go home for dinner? They'll take good care of me here.

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[Dr. Simmons:] Carol's right, Jerry. The children need some reassurance now.

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There'll be a nurse on duty in this room around the clock. Myself or another doctor within call. You better go home.

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[Jerry Winney:] All right, but I'll be back first thing in the morning.

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I love you, honey. Bye.

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[Music]

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[Jerry and Dr. Simmons leave the hospital room as a nurse walks in.]

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Dr. Simmons, what is this with Carol? How bad is she?

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You've known us for years. I want you to give it to me straight. What's happening to her?

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[Dr. Simmons:] I'll be frank with you, Jerry. She has tetanus, a highly dangerous disease. She's going to be a very sick girl.

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Right now, I can't honestly tell you how sick, but be prepared for this. She's going to have a rough time.

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At the very best, she'll be in the hospital for weeks and weeks. Now you take good care of the youngsters, and we'll let you know if there's any change here.

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[Jerry Winney:] Well, thank you, doctor. I'll be back in the morning.

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I know you'll do everything, I mean...

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[Dr. Simmons:] Of course, we will, Jerry. Everything possible.

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[Jerry Winney:] Well, what I can't figure, doctor, why Carol wasn't immunized for this thing?

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[Dr. Simmons:] Jerry, I don't know how many times I've urged her to be immunized. She always put it off.

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"No time this week." That sort of thing. And now.

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[Jerry Winney:] Now is the payoff.

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See you tomorrow, doctor.

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[Music]

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[Jerry is seated with his children at home.]

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You see, the hospital's the best place. Mom will have everything she needs there.

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Special nurses and all. And we'll make out until she feels better.

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[Mike Winney:] But, Dad, Mom must feel real sick because she never gives in.

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[Jerry Winney:] Yes, Mike. She is sick. And you're right, she has courage.

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That's why I know she'll be home again in a few weeks. Until then, we'll just have to run the house.

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[Mike Winney:] We'll do all we can to help, Dad, won't we, Jenny.

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[Jenny Winney:] Sure, Dad. I'll do the dishes every night. You'll see.

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[Jerry Winney:] I know you will. Well, give me a kiss and get to bed. Tomorrow's a school day, you know.

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[Music]

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[Mike Winney:] Dad? Mom will come home, won't she?

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[Jerry Winney:] She has to, son. She just has to.

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[Mike Winney:] We'll say our prayers for her tonight, Dad. She'll be all right.

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[Music]

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[Jerry Winney:] If she'd just gotten her shots. When I think back on how it happened, it just doesn't seem possible.

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[Carol is gardening.]

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[She seems to injure her finger.]

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[She goes inside and bandages the finger.]

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How could a little scratch like that cause so much trouble? She didn't even say anything about it that day.

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Everything went along the same as usual.

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[Carol Winney:] Jerry, how are the hamburgers coming? The kids will be here any minute.

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[Jerry Winney:] Coming up. I got the onions, pickle relish, chili sauce, the works.

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I estimated six for Mike. Do you think that'll hold him? Ah, here come the troops now.

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[Mike Winney:] Hey, Dad. You should have seen the scrimmage. I completed four passes. The last one was about fifty yards.

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Well, thirty anyway.

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[Jerry Winney:] Well, now that's great, champ. I'm sorry I got home too late to be there. Sit down. Dinner's ready.

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[Mike Winney:] Hey, Mom. Could you wash my uniform so it will be clean for the game tomorrow?

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[Carol Winney:] Sure, Mike. I'll do it.

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[Jerry Winney:] I don't know what we'd do without her. She holds the whole family together.

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You never think about something you have until you don't have it anymore.

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How long was it before she started feeling bad?

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It all happened so fast.

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[Carol Winney:] Jerry?

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[Jerry Winney:] Hi, Carol. What are you doing? I thought you were playing bridge.

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[Carol Winney:] Well, I'm not feeling so good. That's why I called.

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[Jerry Winney:] Well, what's wrong?

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[Carol Winney:] Oh, I feel kind of feverish and have this stiffness in all my muscles, and then, well, I'm weak all over, and I have a splitting headache.

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Another thing, I don't exactly know how to explain it, but, well, I'm so restless or something.

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Well, I bawled the kids out this morning, and they really didn't do anything wrong.

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[Jerry Winney:] Well, maybe you ought to give the doctor a call.

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[Carol Winney:] You think so, too? Well, then I'll call Dr. Simmons.

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It's probably nothing serious, but, well, I'd feel better anyway.

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[Jerry Winney:] Listen, let me know as soon as you find out something, will you?

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[Carol Winney:] OK. I'll call and let you know. Bye, sweetie.

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[Music]

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[Dr. Simmons:] Carol, you know I'm not disposed to be an alarmist. Quite the contrary.

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But after what you told me on the phone, I felt it my duty to order you down here on the double.

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Some things you can't let go.

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Now, try and remember just when it was that you got this scratch, and how.

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[Carol Winney:] Let's see. It must have been, yes, Tuesday, in the middle of the morning.

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I was gardening, and something in the mulch,

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I don't know what it was, nicked my finger a little, and that's all.

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[Dr. Simmons:] In the mulch? So your hands were dirty?

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[Carol Winney:] Well, you can't garden and keep snow-white hands, you know.

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[Dr. Simmons:] Yes, I know. My wife has a green thumb, too.

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Carol, you never got those tetanus immunizations we talked about, did you?

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[Carol Winney:] No, I just never did get around to it.

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Do you suppose that might be what's wrong?

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[Dr. Simmons:] Well, I don't say that it is, but it could very well be.

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We're going to admit you to the hospital for observation and further testing right now.

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[Music]

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[Jerry Winney:] What a shock it was when the doctor told me.

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Tetanus. Lockjaw.

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Something you never even think about.

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[Phone rings.]

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Hello. Oh, yes, Sally. Thanks so much for staying with the kids today.

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No, I don't know yet. But I'm going over first thing in the morning.

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Oh, I surely will, and thanks for calling. Bye.

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[Jerry Winney is at the hospital.]

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Good morning. Is Dr. Simmons in?

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[Nurse:] Dr. Simmons is in with your wife now, Mr. Winney.

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Well, why don't you step down the hall and wait for him?

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[Jerry Winney:] Thank you.

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[Nurse:] Oh, here he comes now.

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[Jerry Winney:] Morning, doctor. How's Carol this morning?

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[Dr. Simmons:] About as expected. Jerry, I told you it was going to be a long, tough fight.

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She's going to get worse before she gets better.

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We have to face that.

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We've had one good break, though. She's shown no adverse reaction to tetanus anti-toxins.

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So we've been able to give her large doses of that. It should help.

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[Jerry Winney:] Can I see her?

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[Dr. Simmons:] Well, yes, but, Jerry.

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[Jerry Winney:] Yes?

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[Dr. Simmons:] It's not pretty, and be very quiet. Any little noise or vibration could cause a spasm.

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[Jerry Winney:] Oh. Will she know who I am?

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[Dr. Simmons:] Oh, yes. She's conscious. Sedated, but she'll know you.

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[Music]

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[Carol is moaning in her hospital bed.]

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[She grimaces in pain, her jaw locked.]

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[Jerry Winney:] Doctor, can't you do anything?

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[Dr. Simmons:] Jerry, we're doing everything we can. She's trying to get your attention.

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[Carol tries to speak.]

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[Music]

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[Jerry and the doctor leave the room.]

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[Jerry Winney:] Lockjaw. Why does she have to suffer?

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[Dr. Simmons:] Well, you have every right to be upset, Jerry, but this can happen to anybody who isn't protected, and the suffering goes with it.

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Let's find a seat, and I'll give you some background so you'll have a better picture of what's going on.

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Jerry, tetanus bacteria grow in the intestines of grass-eating animals such as horses or cows.

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So, as you may guess, they're frequently found around barnyards and fields used for grazing,

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but this doesn't mean they're just way out in the country far from city life.

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There are dairies in and around every city in the United States, and that means cows.

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There are riding stables, park areas, zoos, many different activities involving grass-eating animals wherever you are.

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Further, and this is even more significant, when the bacteria in the soil dry up,

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tiny spores are formed, each one as deadly as the bacteria.

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And they live almost indefinitely.

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These spores can go anywhere, carried by the wind, and lie in wait for a victim,

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and they're not just outdoors.

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They're brought in to homes, churches, schools, everywhere. On shoes, clothing.

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It's safe to say that tetanus spores may be found in any room you enter.

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Of course, the spores may be concentrated wherever manure is used to fertilize trees, shrubs, and flowers.

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That's probably the source of Carol's infection.

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We fear the spores or bacteria most in dirty wounds, such as punctures from nails, gunshots, wounds from automobile accidents,

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but they can enter the body through any break in the skin, no matter how superficial.

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Over fifty percent of all cases come from wounds so trivial that people don't even seek medical attention,

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and usually involve an abrasion which is contaminated with soil, such as the scratch on Carol's finger.

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Although everybody's exposed to tetanus because everybody gets a scratch occasionally,

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certain types of occupations are more frequently exposed.

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For example, construction workers and field hands,

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outdoor laborers, industrial workers in plants and factories who work with their hands.

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And then there are children. You know how active they are.

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Always falling down, scraping a knee or a hand.

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Recently, women have become more and more exposed, too.

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You see, more than ever, they're participating in sports, going camping, working in gardens.

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They need protection just as much as men do.

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Once inside the body, the germs produce a powerful nerve toxin or poison

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that causes painful convulsions or spasms of the voluntary muscles.

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One of the most frequently affected muscles is the jaw muscle,

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causing the patient's jaw to close tightly.

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This characteristic symptom gave rise to the common or slang name for tetanus, lockjaw.

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Over half the infected people die from the disease unless treated quickly.

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I hope we've caught Carol's in time.

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The terrible thing about tetanus is that it's absolutely unnecessary.

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It should never happen. Yet we have hundreds of cases each year in this country.

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Remember when you were in the service, and you got your tetanus immunization.

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Well, tetanus vaccine is, for all practical purposes, one hundred percent effective,

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and there's virtually no serious reaction.

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Of course, you should have booster immunizations at regular intervals.

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There are no documented cases of immunized persons dying from tetanus.

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Most men get their immunization in the service.

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So a big problem is with women. They should be immunized, too.

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For the past thirty years or so, immunizations have been given to infants in combination with diphtheria and whooping cough.

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But don't worry, Mike and Jenny have had theirs.

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But there are millions of children under five who have never had this protection.

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They need immunization.

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Another thing, tetanus is no respecter of age either.

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It strikes anytime from birth to old age.

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There are millions of elderly people in the United States who've never been immunized and should be.

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There would be no tetanus in the United States at all

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if everyone would get their immunizations.

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But that's water over the dam for Carol. If she pulls through this time, we'll make sure she's immunized.

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[Jerry Winney:] You mean she could get it again?

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[Dr. Simmons:] Oh, yes. Having this disease does not confer immunity. You must have the toxoid.

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[Jerry Winney:] You just said over half of the people die. What are Carol's chances?

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[Dr. Simmons:] That's the truth, Jerry. Carol has a 50/50 chance. Maybe a little better.

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Her symptoms have progressed rather slowly. That's on the good side.

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Let's just say she's holding her own right now. So if there's no change tonight, there's no use you sitting around here.

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Much better you be home with the kids.

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If you are needed, I'll call you.

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[Music]

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[Jerry looks around the house at things that remind him of Carol--a sewing machine, flowers, a photograph.]

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[He sits down and throws his head back.]

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[Jerry Winney:] What would I do without her? What would the children do?

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But she just can't. She just can't.

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[Jenny Winney:] Dad. Dad.

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[Jerry Winney:] Oh. Oh, yes. What do you want, honey?

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[Jenny Winney:] Well, Mom always reads my spelling words to me before a test.

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Could you do it for me, Dad?

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[Jerry Winney:] Why certainly. Let me see the book.

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You ready? Necessary.

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[Jenny Winney:] N-E-C-E-S-S-A-R-Y.

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[Jerry Winney:] Right. Habitation.

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[Jenny Winney:] H-A-B-I-T-A-T-I-O-N.

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[Phone ringing]

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[Jerry Winney:] Hello. Yes.

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Yes, of course. I'll be there right away.

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Mike, I've got to go to the hospital for a little while.

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You go next door and tell Mrs. Barnes, will you?

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She'll come over and stay with you, and I'll see you in the morning.

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[Mike Winney:] What's the matter, Dad?

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[Jerry Winney:] They just want to talk to me, son. You mind Mrs. Barnes now.

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[Mike Winney:] OK, Dad.

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[Music]

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[Dr. Simmons:] You got here in a hurry, Jerry. Sit down for a moment, go ahead.

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[Jerry Winney:] Oh, I'm all right. Well, what's wrong? Is she worse?

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[Dr. Simmons:] Well, she's had laryngeal spasms.

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That means closing off her windpipe, which could stop her breathing.

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We've had to insert a tube in her windpipe.

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This is one of the hazards of tetanus.

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[Jerry Winney:] What are her chances now?

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[Dr. Simmons:] Well, the odds have certainly gotten worse. It's not hopeless,

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but it's not a good situation.

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If we can pull her through tonight, I'd say she has a good chance then.

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[Jerry Winney:] Can I see her?

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[Dr. Simmons:] If you make it brief. She's heavily sedated.

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She may not know you this time.

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[Music]

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[Carol Winney is unconscious in bed, breathing through a tube.]

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[Jerry stands next to her bed. Carol's eyes are covered and a tube extends from her throat.]

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[Labored breathing sounds]

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[Moments pass, Jerry appearing deeply worried.]

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[Breathing sounds]

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[Jerry sits in a chair, considering.]

00:22:34.680 --> 00:22:38.330
[Jerry Winney:] She'll get through the night.

00:22:38.330 --> 00:22:43.940
She'll make it all right. Things will be like they always were.

00:22:43.940 --> 00:22:55.830
[Carol, Mike, and Jenny Winney:] Happy birthday to you, happy birthday to you. Happy birthday, dear Daddy.

00:22:55.830 --> 00:23:01.590
[Winney family:] Happy birthday to you, me.

00:23:01.590 --> 00:23:05.910
[Carol puts drops in Mike's nose.]

00:23:05.910 --> 00:23:11.430
[Carol trims Jenny's hair.]

00:23:11.430 --> 00:23:17.280
[Carol reads with Mike.]

00:23:17.280 --> 00:23:25.220
[Carol is shown lying in bed with her eye bandages.]

00:23:25.220 --> 00:23:29.980
[Jerry Winney:] She's not going to make it.

00:23:29.980 --> 00:23:38.950
There's no sense in kidding myself. She's not going to make it.

00:23:38.950 --> 00:23:44.960
[Music]

00:23:44.960 --> 00:24:04.950
[Jerry is dreaming, seeing filmy images of nurses and brightly lit hospital rooms.]

00:24:04.950 --> 00:24:34.540
[He imagines nurses and other medical staff, beckoning him down corridors and towards Carol's room.]

00:24:34.540 --> 00:24:44.480
[Carol's hospital bed is empty, neatly made up.]

00:24:44.480 --> 00:24:49.980
[Menacing music.]

00:24:49.980 --> 00:24:54.560
[A hand comes toward Jerry's face.]

00:24:54.560 --> 00:24:56.200
[Dr. Simmons:] Jerry, come out of it.

00:24:56.200 --> 00:25:04.100
[Jerry Winney:] She's gone.

00:25:04.100 --> 00:25:06.430
What's the matter?

00:25:06.430 --> 00:25:08.040
[Dr. Simmons:] You're exhausted.

00:25:08.040 --> 00:25:09.470
That's what's the matter.

00:25:09.470 --> 00:25:16.770
Three days with no sleep finally caught up with you. It's morning.

00:25:16.770 --> 00:25:21.110
[Jerry Winney:] Morning? How's Carol?

00:25:21.110 --> 00:25:24.380
[Dr. Simmons:] Good news. Her condition improved during the night.

00:25:24.380 --> 00:25:27.700
She's going to pull through. We feel sure.

00:25:27.700 --> 00:25:28.750
Why don't you go call the kids?

00:25:28.750 --> 00:25:33.930
They're scared, too, and then come on back here.

00:25:33.930 --> 00:25:37.110
[Jerry Winney:] OK. I'll call. She's going to be all right?

00:25:37.110 --> 00:25:46.540
Oh, man. What a dream. And she's coming home.

00:25:46.540 --> 00:25:49.400
[Phone ringing]

00:25:49.400 --> 00:25:53.210
[Mike Winney:] Hello. Hi, Dad.

00:25:53.210 --> 00:26:00.120
She is? Sure. Sure. Bye.

00:26:00.120 --> 00:26:08.160
Mom's going to be all right. Dad just said so. She'll come home.

00:26:08.160 --> 00:26:11.240
[Dr. Simmons:] Well, what did the kids think about the good news?

00:26:11.240 --> 00:26:14.120
[Jerry Winney:] I talked to Mike, and he was really pleased.

00:26:14.120 --> 00:26:15.570
[Dr. Simmons:] Good, good.

00:26:15.570 --> 00:26:18.190
[Jerry Winney:] Can I see Carol now?

00:26:18.190 --> 00:26:21.300
[Dr. Simmons:] Well, it would be best if you can wait until this afternoon to see her, Jerry.

00:26:21.300 --> 00:26:25.870
She's still a mighty sick girl and will be for several days.

00:26:25.870 --> 00:26:28.940
She'll stay here in the hospital for quite a while.

00:26:28.940 --> 00:26:33.480
Those stiff, rigid muscles and spasms will persist,

00:26:33.480 --> 00:26:38.150
but they'll gradually get fewer and further apart until she's completely recovered.

00:26:38.150 --> 00:26:42.330
I can tell you this. We were lucky, mighty lucky.

00:26:42.330 --> 00:26:45.600
Tetanus is something doctors dread.

00:26:45.600 --> 00:26:49.150
As I told you before, even with prompt round-the-clock treatment,

00:26:49.150 --> 00:26:52.920
we still lose about fifty percent of the cases.

00:26:52.920 --> 00:26:58.380
And without treatment, death is virtually certain.

00:26:58.380 --> 00:27:03.380
[Jerry Winney:] I just never knew. If people only realized, this sort of thing wouldn't happen.

00:27:03.380 --> 00:27:05.510
[Dr. Simmons:] Right.

00:27:05.510 --> 00:27:09.310
[Jerry Winney:] I won't keep you anymore.

00:27:09.310 --> 00:27:11.030
Maybe I ought to get some breakfast in me.

00:27:11.030 --> 00:27:13.520
[Dr. Simmons:] That's a good idea. I'm going back to Carol.

00:27:13.520 --> 00:27:21.930
I'll see you this afternoon.

00:27:21.930 --> 00:27:28.130
[The doctor stands over Carol's bed.]

00:27:28.130 --> 00:27:33.030
So unnecessary.

00:27:33.030 --> 00:27:42.030
There wouldn't be a case of tetanus in this country ever if people would just get immunized.

00:27:42.030 --> 00:27:50.920
[Music]

00:27:50.920 --> 00:27:55.480
[THE END M-1415 MCMLXVII]

00:27:55.480 --> 00:28:20.000
[Produced for the National Communicable Disease Center]