Countywide Pertussis Outbreak in 2003 and 2004 Mostly Affected Adolescents

[Guest guest]

The plan is to push vaccination for pertussis of adolescents and adults

Sheri

" In most cases, vaccination histories were up to date with the standard at

that time, 84% having received at least five doses ...

" This labor- and resource-intensive outbreak highlights potential benefits

of pertussis booster vaccination among adolescent and adult populations, "

the authors conclude. "

http://www.medscape.com/viewarticle/568368

Countywide Pertussis Outbreak in 2003 and 2004 Primarily Affected Adolescents

NEW YORK (Reuters Health) Jan 07 - In a 2003-2004 outbreak of whooping

cough in Fond du Lac County, Wisconsin, most cases were diagnosed in

adolescents, although adults had more severe disease, public health

officials report in the Archives of Pediatric and Adolescent Medicine for

January.

After the first cases were reported to the Fond du Lac Health Department in

late July 2003, the origin of the outbreak was traced to use of a

high-school weight room prior to the start of the school year.

" Enhanced surveillance for pertussis, contact identification, diagnostic

testing, treatment, and antibiotic prophylaxis were initiated in the

community, " Dr. P. , of the Wisconsin Division of Public

Health in Madison, and colleagues report. Cases were requested to stay home

during the first 5 days of antibiotic treatment.

The first phase of the outbreak peaked during mid-June to mid-August, but

between October and early December, the number of cases again rose sharply,

with substantial transmission to adults and children in the community.

Overall, 71% of cases involved patients ages 10 to 19 years of age.

Fourteen percent of cases occurred in patients 2 months to 9 years of age,

and 15% occurred in adults. The two infants with pertussis required

hospitalization. Adults reported higher frequencies of paroxysms and

posttussive vomiting than adolescents.

Dr. and colleagues note that patients were diagnosed with pertussis

at all 20 public schools in the county.

In most cases, vaccination histories were up to date with the standard at

that time, 84% having received at least five doses. It wasn't until 2005

that pertussis booster vaccines were licensed for use in teenagers and adults.

" This labor- and resource-intensive outbreak highlights potential benefits

of pertussis booster vaccination among adolescent and adult populations, "

the authors conclude.

Arch Pediatr Adolesc Med 2008;162:79-85.

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Sheri Nakken, former R.N., MA, Hahnemannian Homeopath

Vaccination Information & Choice Network, Nevada City CA & Wales UK

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