High effectiveness of infant vaccination against pertussis in 1- and 2-year-olds, the Netherlands, 2013-2024

Dimphey L van Meijeren1, Annika M van Roon1, Brechje de Gier1

  • 1Dutch National Institute for Public Health and the Environment (RIVM), P.O. Box 1, 3720, BA, Bilthoven, the Netherlands.

Vaccine
|July 29, 2026
PubMed

Insights

Infant pertussis vaccination is highly effective, showing 98.2% vaccine effectiveness (VE) against pertussis up to 36 months. High vaccination uptake is crucial for protecting young children from this disease.

Area of Science:

  • Pediatric Infectious Diseases
  • Vaccinology
  • Public Health

Background:

  • Pertussis (whooping cough) remains a significant concern for young children, necessitating effective vaccination strategies.
  • Understanding the real-world vaccine effectiveness (VE) of infant immunization is critical for public health policy.
  • Changes in vaccine formulations and schedules (NIP period 1 vs. period 2) in the Netherlands warrant evaluation.

Purpose of the Study:

  • To estimate the vaccine effectiveness (VE) of the full infant pertussis vaccination schedule.
  • To compare VE estimates derived from a case-control study versus the screening method.
  • To assess the impact of different national immunization program (NIP) periods on VE.

Main Methods:

  • A case-control study was conducted with laboratory-confirmed pertussis cases aged 12-35 months (2013-2024) matched to four controls.
  • Conditional logistic regression was used to estimate stratum-specific odds ratios (ORs), with interaction terms for age group and NIP period.
  • Vaccine effectiveness was calculated as (1-OR)*100% and compared with estimates from the screening method.

Main Results:

  • The study included 1156 cases and 4624 controls; 89% of controls were fully vaccinated compared to 27% of cases.
  • The case-control study yielded an overall VE of 98.2% (95% CI: 97.6-98.6), indicating high protection.
  • VE showed a decline with increasing time since vaccination, with slightly greater waning in NIP period 1. Screening method estimates were comparable (96.4% VE).

Conclusions:

  • Full infant pertussis vaccination provides highly effective protection against pertussis up to 36 months of age.
  • Findings were consistent across both case-control and screening methods, reinforcing the reliability of the VE estimates.
  • High uptake of infant pertussis vaccination is essential for disease control and prevention in young children.
Abstract

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