JAMA: 2010-08-25, Vol. 304, No. 8, Author in the Room ™ Audio Interview
Interview with Ralph Gonzales, MD, MSPH, author of Does This Coughing Adolescent or Adult Patient Have Pertussis? Summary Points: 1. When evaluating adolescents and adults with persistent cough illness, the presence of classic symptoms of pertussis (paroxysmal cough, whooping cough, post-tussive emesis) modestly increase the likelihood of pertussis, and their absence modestly decreases the likelihood of pertussis; but they are not strong enough to rule-in or rule-out disease. 2. Most patients in whom pertussis is suspected will not derive symptomatic benefit from antibiotic treatment because their illness duration is usually greater than 10 days. 3. Vigilant testing and treatment should be provided to adolescents and adults who have been exposed to a known case of pertussis, or have contact with individuals at high risk for serious complications of pertussis, ie, child care providers and teachers, health care workers, and patients who live or work with infants less than 6 months of age; unvaccinated children; or immunosuppressed individuals.
Humboldt County has a pertussis vaccination rate of more than 90 percent, but health officials are urging anyone who has not received the booster vaccination to get it immediately.
New England Journal of Medicine,Volume 381, Issue 2, July 2019.
[Vaccine rejection and vaccination management: the grey areasRecusa vacinal e gestão da imunização: nuances e contrastes]. Rev Panam Salud Publica. 2019;43:e54 Authors: Hortal M, Di Fabio JL Abstract Vaccinating children has been an unquestioned tradition for many years. However, there is now great concern over the growing rejection of childhood vaccination, as well as other less evident obstacles that affect vaccination coverage.Multiple factors are involved in the rejection of a specific vaccine or vaccination in general, including actions by anti-vaccination groups, as well as d...
Conclusion: Whooping cough is a cause of morbidity and mortality, especially in those younger than 6 months of age and in those who are not immunized or only partially immunized. Vaccination rates should be improved and case confirmation encouraged to prevent the underdiagnosis of this disease.
EXCLUSIVE: Statistics show 1,596 cases of pertussis have been reported so far this year. Just 1,233 cases had been reported at the same time point last year, according to Public Health England.
Legislators trying to curb the numbers of unvaccinated children have been met with vigorous opposition from upset parents.
Christina Hildebrand went down a rabbit hole and emerged at the statehouse in Sacramento. That’s how she describes it–going down a rabbit hole–and in her case it happened 14 years ago, when she was pregnant with her first child. In a world filled with chemicals and toxins, processed foods and GMOs, she decided her baby would be brought up as naturally and chemical-free as possible. It was when she was researching how best to achieve that goal that she bumped into vaccines. That was a bad time to begin thinking about such things. The fraudulent 1998 paper by British physician Andrew Wakefield ostensibly li...
The researchers said that the findings show the importance of keeping up to date on a child's shots, and the critical need to develop new and better vaccines against whooping cough.
The modern vaccine for whooping cough becomes less effective as children age, a new study shows, highlighting the need for new vaccines to protect children against the highly contagious disease.