Eradicating diseases like tetanus remains a complex challenge, despite advancements in public health. Unlike eradication, which signifies permanent global elimination with no further interventions, elimination reduces a disease to zero cases in a specific area, requiring ongoing efforts. For eradication, a disease must be infectious, have a stable causative organism, an effective intervention like a vaccine, and ideally provide lifelong immunity. Tetanus, along with many other diseases, evades complete eradication due to biological complexities and transmission modes, making elimination a more achievable, albeit still challenging, public health goal.