Rationale for pertussis booster vaccination throughout life in Europe

Fred Zepp1, Ulrich Heininger, Jussi Mertsola

  • 1Department of Paediatrics and Adolescent Medicine, University Medical Centre, Johannes Gutenberg University, Mainz, Germany. zepp@kinder.klinik.uni-mainz.de

Insights

Pertussis (whooping cough) is rising in adolescents and adults due to waning immunity, posing a risk to infants. Booster vaccinations are proposed to reduce disease spread and enhance herd protection.

Area of Science:

  • Epidemiology
  • Immunology
  • Public Health

Background:

  • Universal infant pertussis immunization significantly reduced childhood cases.
  • Recent years show increasing pertussis incidence in adolescents and adults.
  • Waning immunity post-infection or vaccination is a primary driver of this trend.

Purpose of the Study:

  • To review the pertussis epidemiological situation in Europe.
  • To propose strategies for pertussis booster vaccinations in adolescents and adults.
  • To reduce individual morbidity and transmission to infants, enhancing herd immunity.

Main Methods:

  • Review of pertussis epidemiology across European countries.
  • Analysis of factors contributing to the changing disease pattern.
  • Consideration of European vaccination schedules.

Main Results:

  • Pertussis incidence is increasing in adolescents and adults in Europe.
  • Waning immunity is the main cause, alongside other contributing factors.
  • Varied vaccination schedules across Europe impact disease control.

Conclusions:

  • Adolescent and adult pertussis increases individual morbidity and transmission risk to infants.
  • Booster vaccinations are recommended to mitigate disease spread.
  • Strategic booster campaigns can improve individual protection and herd immunity.

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