[Time for booster doses against whooping cough for 10-year-old children]

Rose-Marie Carlsson1, Leif Ekholm, Leif Gothefors

  • 1Smittskyddsinstitutet, Stockholm. rose-marie.carlsson@smi.ki.se

Lakartidningen
|September 28, 2005
PubMed

Insights

Sweden reintroduced acellular pertussis vaccination in 1996, significantly reducing cases. An interim recommendation now includes pertussis boosters for 10-year-olds to maintain immunity.

Area of Science:

  • Immunology
  • Vaccinology
  • Public Health

Context:

  • Sweden's 17-year hiatus from pertussis vaccination ended in 1996 with acellular vaccine introduction.
  • The incidence of notified pertussis has declined tenfold over the past decade.
  • Despite reductions, pertussis remains a concern, particularly for infants, with most cases in older individuals.

Purpose:

  • To evaluate the impact of the 1996 acellular pertussis vaccine introduction in Sweden.
  • To address the ongoing circulation of pertussis and protect vulnerable populations.
  • To inform national vaccination program revisions and interim booster recommendations.

Summary:

  • Acellular pertussis vaccination, reintroduced in Sweden in 1996, has led to a substantial decrease in reported cases.
  • Pertussis is not eliminated, with continued infections in older children and adults, while infants remain at high risk for severe disease.
  • An interim recommendation advises including pertussis in the 10-year school booster to enhance immunity.

Impact:

  • Significant reduction in pertussis incidence following vaccine reintroduction.
  • Ongoing need for pertussis control strategies, including booster doses.
  • Interim recommendation to boost immunity in school-aged children pending a revised national program.

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