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Epidemiological Insight of Pertussis in Bosnia and Herzegovina
Elma Rustempasic-Haskovic1, Mirela Lisicic-Konakovic2, Belma Karadza1
1Pediatrics Department, Health Center Bugojno, Bugojno, Bosnia and Herzegovina.
Insights
Pertussis, a serious respiratory illness caused by Bordetella pertussis, remains a global concern. Vaccination is key to reducing pertussis (whooping cough) cases and preventing severe complications, especially in infants.
Area of Science:
- Epidemiology
- Infectious Diseases
- Public Health
Background:
- Pertussis, or whooping cough, is a highly contagious respiratory infection caused by Bordetella pertussis.
- The bacterium releases toxins that can cause severe respiratory and neurological complications, and can be fatal, particularly in children under five.
Purpose of the Study:
- To document and analyze pertussis (whooping cough) epidemiological data in the Federation of Bosnia and Herzegovina (FB&H) between 2018 and 2022.
- To present specific pertussis (whooping cough) epidemiological data for Central Bosnia Canton (CBC) from February to June 2018.
Main Methods:
- A descriptive epidemiological study was conducted.
- Data were collected from the Institute of Hygiene and Epidemiology of the CBC and the Institute for Public Health of FB&H.
Main Results:
- A total of 93 pertussis (whooping cough) cases were confirmed in FB&H from 2018-2022.
- In CBC, 61 cases were reported between February and June 2018, with 9 cases in Bugojno city, including unvaccinated infants and young children.
- Of the 9 confirmed cases in Bugojno, 3 were newborns, 3 were infants, 2 were three-year-olds, and one was a 12-year-old; 5 were male and 4 were female. Three children had received their first DTaP-Hib vaccine dose, while six were unvaccinated. All children recovered without serious complications.
Conclusions:
- Pertussis (whooping cough) remains a significant public health issue globally, despite reduced morbidity and mortality due to vaccination.
- Vaccination, including immunization of pregnant women, is crucial for preventing pertussis (whooping cough) and achieving herd immunity, thereby aiding in its potential eradication.
- Continued public education on the importance of vaccination is essential to control the spread of pertussis (whooping cough).
Background:
Pertussis is an infectious respiratory disease caused by the bacterium Bordetella pertussis. The bacterium releases toxins that can lead to complications on the respiratory and nervous systems and even death. The disease occurs in people of all ages, but it is most severe in children under the age of five.
Objective:
To present epidemiological data on this disease in the Federation of Bosnia and Herzegovina (FB&H) from 2018 to 2022, and from Central Bosnia Canton (CBC) for the period February-June 2018.
Methods:
This descriptive epidemiological study collected data from the Institute of Hygiene and Epidemiology of the CBC and the Institute for Public Health of FB&H.
Results:
In the specified period in the FB&H was confirmed 93 cases of Pertussis, 61 cases were reported from CBC, a total of 9 in Bugojno city. Confirmed cases from Bugojno were: 3 newborns, 3 infants, 2 three-year-old children and one 12-year-old child, 5 males and 4 females. Three children received first dose of Diphtheria-Tetanus-Pertussis-Hemophilus influenza type B vaccine, six children were not vaccinated. Children were under the supervision of pediatricians and infectious disease specialists, the disease passed without serious complications.
Conclusions:
Pertussis is a highly contagious respiratory disease that lasts for weeks. Recovery can be complete, but more serious complications are possible, especially in young children. With the discovery of the vaccine, morbidity and mortality from this disease has been significantly reduced. However, the disease is still present worldwide, especially in underdeveloped and developing countries. By educating parents and educating the population on the importance of vaccination and achieving herd immunity, this disease can be completely eradicated in the near future. In recent years, many American and European countries recommend the immunization of pregnant women in the second half of pregnancy, which provides significant protection to newborns.
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