Tetanus is an infection caused by bacteria called Clostridium tetani. Tetanus bacteria are everywhere in the environment, including soil, dust and manure.ertain breaks in the skin that are more likely to get infected with tetanus bacteria. These include: 1  Wounds contaminated with dirt, poop (feces), or spit (saliva). 2  Wounds caused by an object puncturing the skin, like a nail or needle (puncture wounds). 3  Burns. 4  Crush injuries. 5  Injuries with dead tissue.
Photo: Alsolâs Jewels at Cap Cana resort is one of many Dominican Republic resorts to open in recent years. (Photo by Brian Major) After a record-setting 2014, the Dominican Republic is halfway to the goal of 10 million annual visitors set last year by Danilo Medina, the countryâs president. Dominican Republic airports recorded a record 5,141,377 non-resident arrivals in 2014, according to the Central Bank of the Dominican Republic.
Both by area and population the Dominican Republic is the second-largest Caribbean nation (after Cuba), with 48,445 square kilometres (18,705 sq mi) and nearly 10 million people, one million of whom live in the capital city Santo Domingo.he Dominican Republic is the largest economy (according to the U.S. State Department) in the Caribbean and Central American region. It is an upper middle-income developing country, with a 2014 GDP per capita of $12,803, in PPP terms.