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TRANSCRIPT
Child Care Provider
Parents
Siblings
GrandparentsHealthcare Worker
PERTUSSIS IS ONE OF THE FEW REMAINING POORLY CONTROLLED INFECTIOUS DISEASES FOR WHICH CHILDREN ARE ROUTINELY
IMMUNIZED.
PertussisPertussis(AKA: Whooping Cough)
DiseaseHighest Case Count during 20th Century
2008*Percent
Decrease
Measles 88,000 (1958) 0 100%
Rubella 8,408 (1970) 0 100%
CRS 12 (1974) 0 100%
Mumps 32,939 (1950) 23 99.9%
Pertussis 21,588 (1947) 1882 91.2%
Diphtheria 1,544 (1946) 0 100%
Tetanus 55 (1954) 0 100%
Polio (paralytic) 2,778 (1950) 0 100%
Increasing nationwide since 1980
More significant in Texas in the past decade
Particularly evident in adolescent and adult populations
0
500
1000
1500
2000
2500
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008*
* Provisional as of March 27, 2009
0
2
4
6
8
10
12
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
Rat
e p
er 1
00,0
00
Waning immunity in adolescent and adult populations
Waning expected 5-10 years after administration of childhood vaccine shots
Percentage of Texas Pertussis Cases by Age Group
05
101520253035404550
<1 year 1-4years
5-9years
10-14years
15-19years
20+years
1998 2007
Pertussis is on the rise due to waning immunity in the adult and adolescent populations Nearly 75% of the time, a
family member is the source of pertussis disease in infants.
It is crucial that adolescents and adults follow the CDC recommendations to receive a Tdap booster shot to prevent pertussis. These recommendations can be found at: http://www.cdc.gov/vaccines/vpd-vac/combo-vaccines/DTaP-Td-DT/Tdap.htm
• In adults, symptoms often resemble a cold
• Pertussis is most contagious BEFORE coughing begins
• Parents may not be aware that they have pertussis or are spreading this disease to their babies.
• Disease is more severe for infants
65% of cases in kids under 1 year of age result in hospitalization.
Nationally, there are 10-20 deaths from pertussis reported each year.
In 2008, there were 4 deaths in Texas.
Duration of cough as a result of this disease averages 36 days, but can last up to 60 days.
Pertussis can cause apnea, malnutrition, and seizures in infants.
VIDEO: What Every Parent Needs to Know -- Protecting Your Baby from Pertussis at http://www.texmed.org/Template.aspx?id=2656
A single dose of Tdap for adults 19-64 years of age to replace the next booster dose of tetanus and diphtheria toxoids vaccine (Td).
Adolescents should receive their first Tdap shot after their 11th birthday.
Tdap is recommended for all adolescents and adults. It is particularly important to ensure that close contacts and caregivers of infants receive a Tdap booster.
Adults who have or who anticipate having close contact with an infant aged <12 months (e.g., parents, grandparents aged <65 years, child-care providers, and healthcare personnel) should receive a single dose of Tdap to reduce the risk for transmitting pertussis. An interval of 2 years from the last Td is
suggested; but shorter intervals can be used.
When possible, women should receive Tdap before becoming pregnant.
Women who have not previously received Tdap should receive a dose of Tdap in the immediate postpartum period.
ACIP recommendations are recent Pertussis is a relatively unknown disease, not
considered a significant health threat Competing interests
• New child with significant needs Lack of access
Federal Stimulus Funding Efforts by NICUs to offer mothers, and in some
cases fathers Tdap in the post-partum period Increase tetanus (Td) requirements in ERs to Tdap,
using Tdap for wound prophylaxis Make sure healthcare workers are vaccinated New School Recommendations in Texas Educate parents or adult caregivers at prenatal
visits or newborn appointment with pediatricians on the importance for all close contacts of the baby to be vaccinated
