Factors contributing to pertussis resurgence

Qiushui He1, Jussi Mertsola

  • 1Pertussis Reference Laboratory, National Public Health Institute, Kiinamyllynkatu 13, 20520 Turku, Finland. qiushui.he@ktl.fi

Future Microbiology
|May 29, 2008
PubMed

Insights

Pertussis, a vaccine-preventable illness, is resurging globally despite widespread immunization. This resurgence is linked to waning immunity and changes in the pertussis bacteria, posing risks to infants.

Area of Science:

  • Immunology
  • Infectious Diseases
  • Vaccinology

Background:

  • Pertussis (whooping cough) remains a significant global health threat, causing substantial mortality and morbidity despite extensive vaccination efforts.
  • A concerning resurgence of pertussis is evident even in populations with high immunization rates, particularly affecting adolescents and adults who can transmit the disease to vulnerable infants.

Purpose of the Study:

  • To summarize recent findings on the factors contributing to the resurgence of pertussis in highly immunized populations.
  • To discuss the implications of antigenic divergence between vaccine strains and circulating pertussis bacteria.

Main Methods:

  • Review of existing literature and surveillance data on pertussis epidemiology.
  • Analysis of studies investigating vaccine-induced immunity duration and bacterial evolution.

Main Results:

  • Multiple factors contribute to pertussis resurgence, including increased disease awareness, improved diagnostics, enhanced surveillance, and waning vaccine immunity.
  • Antigenic divergence between pertussis vaccine strains and contemporary clinical isolates has been identified in numerous countries with high vaccination coverage.

Conclusions:

  • The resurgence of pertussis is a complex issue driven by immunological and microbiological factors.
  • Understanding these factors, including antigenic drift, is crucial for developing effective strategies to control pertussis in vaccinated populations and protect infants.

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