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Pertussis in adolescents and its prevention using Tdap vaccination
ChrisAnna Marie Mink1, Sylvia Hsin-Hue Yeh
1Department of Pediatrics, Harbor-UCLA Medical Center, 1124 W. Carson Street, Torrance, CA 90502, USA. cmink@labiomed.org
Insights
Reduced-dose pertussis vaccines (Tdap) protect adolescents and adults, reducing disease spread. This strategy aims to shield vulnerable infants from pertussis by lowering infection reservoirs in older populations.
Area of Science:
- Immunology
- Vaccinology
- Public Health
Background:
- Routine pertussis vaccination has shifted disease incidence to infants, adolescents, and adults.
- Adolescents and adults, while experiencing less severe pertussis, act as reservoirs for infant infections.
- Increasing pertussis incidence in older individuals necessitates targeted interventions.
Purpose of the Study:
- To introduce reduced-dose acellular pertussis vaccines combined with diphtheria and tetanus toxoids (Tdap) for adolescents and adults.
- To protect adolescents and adults from pertussis.
- To reduce pertussis circulation and protect vulnerable infants.
Main Methods:
- Development of reduced-dose acellular pertussis vaccines (Tdap).
- Administration of Tdap boosters to adolescents and adults.
- Monitoring of pertussis incidence and disease burden shifts.
Main Results:
- Tdap boosters aim to protect vaccinated adolescents and adults.
- The strategy seeks to decrease the overall circulation of pertussis.
- The ultimate goal is to enhance protection for young infants.
Conclusions:
- Tdap boosters are a key strategy in managing pertussis in industrialized nations.
- Protecting adolescents and adults indirectly safeguards infants from pertussis.
- Vaccination of older age groups is crucial for controlling infectious disease reservoirs.
Abstract:
In industrialized nations, routine use of pertussis vaccines has shifted the burden of pertussis disease from middle childhood to one primarily affecting young infants, adolescents, and adults. Although generally not as severe as observed in infants, pertussis in adolescents and adults can be serious, and these older age groups are often the reservoir of infection for infants. With recognition of the increasing incidence of pertussis in older individuals, reduced-dose acellular pertussis vaccines combined with diphtheria and tetanus toxoids (Tdap) were developed for use in adolescents and adults. The goals of Tdap booster are to protect older vaccinees, reduce circulating disease, and thereby protect young infants.
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