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Controlling pertussis: how can we do it? A focus on immunization.

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Summary

Pertussis outbreaks are increasing due to lower vaccine uptake and waning immunity. Strategies include broader immunization schedules and public confidence in vaccines to control this contagious respiratory disease.

Keywords:
Acellular pertussis vaccineBordetella pertussisvaccine hesitancyvaccine schedulewhole-cell pertussis vaccine

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Area of Science:

  • Public Health
  • Infectious Diseases
  • Immunology

Background:

  • Pertussis, caused by Bordetella pertussis, is a highly contagious respiratory illness most severe in infants.
  • Vaccination significantly reduced pertussis incidence, but recent outbreaks signal challenges like insufficient uptake, suboptimal vaccine protection, and waning immunity.
  • Control strategies are crucial, especially in Europe, with global relevance.

Purpose of the Study:

  • To review the major challenges in controlling pertussis.
  • To propose optimal strategies for pertussis control, focusing on immunization.

Main Methods:

  • This review discusses challenges and strategies for pertussis control.
  • Recommendations are based on expert commentary regarding immunization schedules and public confidence.

Main Results:

  • A comprehensive immunization schedule is proposed, including infants, preschoolers, adolescents, adults, and pregnant women.
  • Sustaining public and healthcare provider confidence in vaccination is vital to address vaccine hesitancy and improve uptake.
  • Enhanced regional surveillance is necessary to monitor incidence and outbreaks effectively.

Conclusions:

  • Implementing a multi-stage immunization schedule is key to maximizing vaccine coverage.
  • Addressing vaccine hesitancy and regional surveillance variations are critical for pertussis control.
  • Future development of pertussis vaccines with longer-lasting protection is recommended.