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Pertussis re-emergence in the post-vaccination era
Elena Chiappini1, Alessia Stival, Luisa Galli
1Anna Meyer University Hospital, Department of Health Sciences, University of Florence, Florence, Italy.
BMC Infectious Diseases
|March 28, 2013
Summary
Pertussis (whooping cough) is resurging, shifting to older age groups. Combining vaccination strategies, like cocooning and adolescent/adult immunization, offers the most effective control for pertussis (whooping cough).
Area of Science:
- Immunology
- Public Health
- Vaccinology
Background:
- Pertussis (whooping cough) incidence is increasing in Western countries.
- Cases are shifting from children to adolescents, adults, and infants, with sustained infant mortality.
- Current vaccination strategies require review to improve pertussis control.
Purpose of the Study:
- To review and discuss potential vaccination strategies for improved pertussis control.
- To analyze the effectiveness and cost-effectiveness of various pertussis immunization programs.
Main Methods:
- Searches of PubMed and CDC websites (US and European) were conducted.
- Data were collected between January 1, 2002, and March 1, 2013.
- Retrieved vaccination strategies were analyzed for their impact on pertussis control.
Main Results:
- Cocooning and maternal vaccination strategies show cost-effectiveness.
- Adolescent and adult vaccination is cost-effective but may not reduce infant pertussis incidence.
- Logistical and economic challenges exist for widespread adult vaccination.
Conclusions:
- A combined approach, including cocooning and adolescent/adult vaccination, is the most reasonable preventive measure.
- Developing new, highly immunogenic pertussis vaccines remains a key objective.
- Improving pertussis control requires a multi-faceted vaccination strategy.
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