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Pertussis in India: Past, Present, and Future.
A J Chitkara1, S Balasubramanian2, Jaydeep Choudhury3
1Department of Pediatrics, Max Super Specialty Hospital, Shalimar Bagh, 118, Vaishali, Pitampura, Delhi, 110088, India. drajchitkara@outlook.com.
Pertussis, or whooping cough, is resurging globally. In India, underestimation of pertussis cases and inconsistent vaccine coverage hinder control efforts, necessitating improved surveillance and vaccination strategies.
Area of Science:
- Immunology
- Epidemiology
- Public Health
Background:
- Pertussis (whooping cough) incidence has decreased due to vaccines but is resurging globally.
- India, despite a successful infant immunization program, faces challenges in pertussis control, with underreporting and inconsistent vaccine coverage.
- Renewed interest in pertussis in India is driven by global trends and concerns for neonatal cases.
Purpose of the Study:
- To understand pertussis epidemiology and disease burden in India.
- To explore opportunities for improving pertussis prevention and control in India.
- To address challenges in pertussis surveillance and vaccination strategies.
Main Methods:
- Virtual Global Pertussis Initiative (GPI) Annual Meeting in October 2020.
- Consensus discussion on underestimation of pertussis cases due to passive surveillance and diagnostic difficulties.
- Review of India's vaccine landscape, including whole-cell pertussis (wP) and acellular pertussis (aP) vaccines, and coverage inconsistencies.
Main Results:
- Pertussis cases are significantly underestimated in India.
- Inconsistent vaccine coverage is linked to availability, healthcare access, and administrative issues.
- Active surveillance and serosurveillance among reproductive-age women are recommended.
Conclusions:
- Active surveillance is optimal for pertussis in India.
- Serosurveillance can inform policy changes for rational vaccine use (wP and aP).
- Increased vaccination coverage across multiple age groups and engagement with NGOs for antenatal immunization are crucial for pertussis control.
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