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Strategies to decrease pertussis transmission to infants.

Kevin Forsyth1, Stanley Plotkin2, Tina Tan3

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Vaccinating pregnant women is the top strategy to protect infants from pertussis (whooping cough). Cocooning contacts is an alternative if maternal vaccination isn't possible, reducing infant disease risk.

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Area of Science:

  • Public Health
  • Infectious Diseases
  • Vaccinology

Background:

  • Pertussis (whooping cough) remains a significant global health threat, particularly for infants.
  • Infants under six months are highly vulnerable due to their inability to be vaccinated or incomplete vaccination schedules.
  • Infants face the highest risk of severe complications and mortality from pertussis.

Purpose of the Study:

  • To review and discuss evidence for two primary infant pertussis vaccination strategies.
  • To compare the efficacy, safety, and logistical feasibility of maternal vaccination versus cocooning.
  • To provide recommendations for protecting vulnerable infants from pertussis.

Main Methods:

  • Systematic review and evidence synthesis of pertussis vaccination strategies.
  • Analysis of data on maternal immunization and cocooning approaches.
  • Expert consensus from the Global Pertussis Initiative (GPI).

Main Results:

  • Vaccination during pregnancy offers direct protection to infants via antibody transfer.
  • Cocooning involves vaccinating close contacts to prevent transmission.
  • Maternal vaccination is recommended as the primary strategy due to superior efficacy, safety, and logistics.

Conclusions:

  • The Global Pertussis Initiative recommends maternal vaccination as the preferred method for infant pertussis protection.
  • Cocooning is a viable alternative if maternal vaccination is not feasible.
  • Implementing these strategies requires enhanced surveillance and community education to minimize pertussis transmission to infants.