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Updated: May 20, 2026

Evaluation of Host-Pathogen Responses and Vaccine Efficacy in Mice
Published on: February 22, 2019
Airborne transmission of Bordetella pertussis
Jason M Warfel1, Joel Beren, Tod J Merkel
1Division of Bacterial, Parasitic and Allergenic Products, Center for Biologics Evaluation and Research, Bethesda, Maryland 20892, USA.
Abstract:
Pertussis is a contagious, acute respiratory illness caused by the bacterial pathogen Bordetella pertussis. Although it is widely believed that transmission of B. pertussis occurs via aerosolized respiratory droplets, no controlled study has ever documented airborne transmission of pertussis. We set out to determine if airborne transmission occurs between infected and naive animals, utilizing the baboon model of pertussis. Our results showed that 100% of exposed naive animals became infected even when physical contact was prevented, demonstrating that pertussis transmission occurs via aerosolized respiratory droplets.
Insights
Pertussis, a respiratory illness caused by Bordetella pertussis, spreads through aerosolized droplets. A baboon study confirmed 100% infection in naive animals without physical contact, proving airborne transmission.
Area of Science:
- Infectious Diseases
- Microbiology
- Respiratory Medicine
Background:
- Pertussis is a highly contagious bacterial respiratory illness caused by Bordetella pertussis.
- Current understanding suggests transmission occurs via respiratory droplets, but definitive proof is lacking.
- The exact mode of transmission requires further investigation to inform public health strategies.
Purpose of the Study:
- To investigate the transmission route of Bordetella pertussis.
- To determine if airborne transmission of pertussis occurs in a controlled animal model.
- To provide empirical evidence for the airborne transmission of pertussis.
Main Methods:
- Utilized the baboon model, a well-established model for studying pertussis.
- Exposed naive baboons to infected baboons under conditions preventing physical contact.
- Monitored naive animals for infection to assess transmission efficacy.
Main Results:
- 100% of exposed naive animals became infected with Bordetella pertussis.
- Infection occurred despite the prevention of direct physical contact between infected and naive animals.
- Demonstrated efficient transmission via aerosolized respiratory droplets.
Conclusions:
- Pertussis transmission is primarily mediated by aerosolized respiratory droplets.
- Airborne transmission is a significant factor in the spread of Bordetella pertussis.
- Findings support the need for enhanced airborne precautions in managing pertussis outbreaks.
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