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Effectiveness of pertussis vaccination in New South Wales, Australia, 1996-1998
Siranda Torvaldsen1, Judy M Simpson, Peter B McIntyre
1National Centre for Immunisation Research and Surveillance, The Children's Hospital at Westmead, NSW, Australia. sirandat@chw.edu.au
Insights
Pertussis vaccination is highly effective in preventing whooping cough in children under 14 in New South Wales, Australia. Vaccine effectiveness (VE) was highest in younger children, highlighting the importance of immunization programs.
Area of Science:
- Public Health
- Epidemiology
- Vaccinology
Background:
- Pertussis (whooping cough) notifications have risen globally over the last decade.
- This trend necessitates evaluating the effectiveness of existing pertussis vaccination strategies.
Purpose of the Study:
- To estimate the vaccine effectiveness (VE) of the Australian whole-cell pertussis vaccine.
- To assess VE in children under 14 years in New South Wales (NSW) between 1996 and 1998.
Main Methods:
- Utilized notified pertussis cases and Australian Childhood Immunisation Register data.
- Employed the screening method for VE calculation, adjusting for age, year of disease onset, and residence.
- Analyzed data from children aged 8 months to 13 years.
Main Results:
- Pertussis vaccination demonstrated high effectiveness in preventing notified cases.
- VE was highest in the 8-23 month age group (91%) and lowest in the 9-13 year age group (78%).
Conclusions:
- Pertussis vaccination is a highly effective public health intervention for preventing whooping cough in NSW children.
- Continuous monitoring of VE is crucial, especially following the transition to acellular pertussis vaccines.
Abstract:
Pertussis notifications have increased over the past decade in Australia and other industrialised countries. This study estimates the effectiveness of pertussis vaccination in one Australian State (New South Wales, NSW) among children aged less than 14 years, during a period when an Australian whole-cell pertussis vaccine was in routine use. Cases notified with pertussis between 1996 and 1998 and pertussis vaccine coverage estimates from the Australian Childhood Immunisation Register were used. Vaccine effectiveness (VE) was calculated using the screening method, with adjustment for age group, year of disease onset and area of residence. VE was highest (91%) in the youngest age group (8-23 months) and lowest (78%) in the oldest age group (9-13 years). Pertussis vaccination is highly effective at preventing pertussis in NSW children, as measured by notified cases. Ongoing monitoring will be important to evaluate VE following Australia's change to an acellular vaccine based program.
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