A short review of the symptoms, transmission and incidence of neonatal tetanus is presented. Tetanus is 1 of the 6 diseases listed by WHO as preventable by vaccination. It is caused by a common bacterium and transmitted to newborn babies by unsterile methods of cord care, such as use of unsterilized blades, and dressing with ash, dung or mud. It is 100% fatal if untreated, and even if aggressively treated by expert care, kills 50-70%. Tetanus 1st shows up as inability to suck, followed by facial and mouth spasms, with a typical facial grimace. Whole body stiffness, spasms and convulsions eventually cause death in 2-4 days. Tetanus cannot spread from 1 person to another: it is spread by wound infection from soil contamination. The incidence of neonatal tetanus in 9 selected developing countries is given, ranging from 7% of neonatal deaths in Sri Lanka to 70% in Kenya.