Welcome to the California Immunization Coalition Education Hour
|
|
- Aubrey Haynes
- 8 years ago
- Views:
Transcription
1 Welcome to the California Immunization Coalition Education Hour 1
2 Pertussis Update: Where Are We and Where Are We Going? 2
3 . Webinar Objectives Learn about the current epidemiology and trends regarding pertussis in CA. Find out which strategies are the most effective in preventing disease and protecting infants. Learn about what experts see as a way to control the disease in the future. Learn what resources are available to conduct outreach and education to key populations. 3
4 Welcome to the Webcast! We Will Be Starting Momentarily. 4
5 TITLE of PRESENATION Pertussis in California Kathleen T. Winter, MPH Epidemiologist, Supervisor Vaccine-Preventable Disease Epidemiology and Surveillance Section California Department of Public Health 5
6 Chasing Pertussis in California: Update on disease activity, vaccine effectiveness and current prevention and control recommendations Kathleen Winter, MPH California Department of Public Health
7 Pertussis (whooping cough) Caused by Bordetella pertusssis Primarily a toxin-mediated disease; bacteria attach to cilia of respiratory epithelial cells Most severe disease and death occurs in infants <4 months of age Highly infectious; R0 estimated to be Has been described in writings as early as 14 th century and first isolated by Bordet and Gengou in 1906
8 Pertussis Epidemiology Cyclical peaks (every 2-5 years) have been increasing nationwide since 1990s 2010 pertussis epidemic in CA with >9,000 cases Many other states observed peaks in 2012 highest disease incidence since mid-1950s Incidence among children and adolescents has been increasing nationwide In 2010 in CA, peak incidence among older children/adolescents was 10 years of age Increased incidence among older children/adolescents, especially 7-10 year-olds, was seen in 2012 in most other states
9
10
11
12 Current Status of Pertussis in CA 1,456 cases with onset in 2013 have been reported This is nearly twice as many cases reported during the same time period in 2012 Most (82%) have been children <18 years of age Half of reported cases have been in older children/adolescents 7-16 years of age, many of whom received pertussis vaccine (DTaP or Tdap) in the prior 1-4 years Many health jurisdictions are reporting substantial increases in incidence over hospitalized infants <3 months have been reported Several critically ill infants requiring extensive medical care No deaths
13 Why have the numbers of pertussis cases been increasing? Use of less effective acellular vaccines more rapid waning of immunity General availability of more sensitive laboratory tests (PCR) since the 1990s Predominant testing method in California since 2002 More clinician and public awareness of pertussis Many vaccine studies published in the 1980s and 1990s Genetic changes in B. pertussis?
14 Pertussis Vaccines - Background Whole-cell pertussis vaccine (DTP) is composed of a suspension of formalin-inactivated B. pertussis cells Developed in 1930s; in wide use by 1940s 70% 90% effective in preventing serious pertussis disease after primary series of 4 doses Protection decreased with time Little or no protection 5 to 10 years following last dose DTP not licensed for anyone older than 6 years of age Acellular pertussis vaccines are subunit vaccines that contain purified, inactivated components of B. pertussis Less reactogenic, but less effective than whole cell vaccines DTaP recommended in 1992 for the 4 th /5 th doses of childhood series and for entire series in 1997 Tdap licensed in 2005 for adolescents and adults
15 New Data on DTaP Duration of Protection Recent studies conducted during and after the 2010 pertussis epidemic indicate that immunity from DTaP vaccine is high immediately following receipt but quickly wanes within a few years 1-3 Three studies also suggest that immunity wanes faster in children and adolescents born in 1998 and later who have only received acellular pertussis vaccines (DTaP and Tdap) 4-6 (i.e., no doses of whole cell vaccine) 1. Klein et al. Waning protection after fifth dose of acellular pertussis vaccine in children. N Engl J Med Sep 13;367(11): Misegades et al. Association of childhood pertussis with receipt of 5 doses of pertussis vaccine by time since last vaccine dose, California, JAMA Nov 28;308(20): Tartof et al. Waning immunity to pertussis following 5 doses of DTaP. Pediatrics Apr;131(4):e Klein et al. Comparative effectiveness of aceullular versus whole-cell pertussis vaccines in teenagers. Pediatrics. 2013;131:1716-e Sheridan et al. Number and order of whole cell pertussis vaccines in infancy and disease protection. JAMA Witt et all. Reduced risk of pertussis among persons ever vaccinated with whole cell pertussis vaccine compared to recipients of acellular pertussis vaccines in a large US cohort. CID. 2013:56.
16 New Data on Tdap Duration of Protection Preliminary data on Tdap effectiveness and duration of protection was presented at ACIP in June which similarly shows moderate short-term protection (75%) and rapid waning of immunity 2-4 years after receipt 1 N. California Kaiser study estimated Tdap to be 53% (41.9%-62.0%) and 64.0% (55.5%- 70.9%) effective among adolescents and adults 2 1. Liang. Tdap Revaccination: Antibody persistence and second Tdap safety and immunogenicity. June 2013 ACIP meeting. 2. Baxter et al. Effectiveness of pertussis vaccines for adolescents and adults: case-control study. BMJ
17
18
19 National Changes in Pertussis Vaccine Recommendations March 2006 Tdap for adolescents December 2006 Tdap in place of one Td booster for adults and for cocooning October 2010 removed restrictions around use of Tdap off-label and intervals between Td and Tdap October 2011 Tdap for pregnant women (preferred over postpartum) February 2013 Tdap recommended for pregnant women during every pregnancy (27-36 wks) June 2013 The ACIP pertussis working group voted not to recommend Tdap booster doses for the general population
20 Tdap in Pregnancy ACIP and ACOG recommend that all pregnant women receive Tdap vaccine during each pregnancy, preferably in the third trimester, regardless of their Tdap vaccination history Antibodies to pertussis (PT, FHA, PRN, FIM) are actively transported across the placenta to the baby 1,2 CDC feels this is the most important strategy to prevent infection in infants who are too young to be vaccinated 1. de Voer RM, et al. Seroprevalence and placental transportation of maternal antibodies specific for Neisseria meningitidis serogroup C, Haemophilus influenzae type B, diphtheria, tetanus, and pertussis. Clin Infect Dis Jul 1;49(1): Gall SA, et al. Maternal immunization with tetanus-diphtheria-pertussis vaccine: effect on maternal and neonatal serum antibody levels. Am J Obstet Gynecol 2011;204
21 Tdap in Pregnancy Safe and Effective Data from Australia indicate that infants born to women who received Tdap either during or after pregnancy had reduced risk of disease (OR 0.60) 1 Data from UK s recently implemented Tdap program for pregnant women 2 VE ~90% in preventing disease in infants up to 2 months of age Vaccine coverage among pregnant women now ~60% No increase in pregnancy adverse events 1. McIntyre. The cocoon strategy to prevent early pertussis Australian experience. June 2013 ACIP meeting. 2. Salisbury. Pertussis vaccination programme for pregnant women in the UK. June 2013 ACIP meeting.
22 Tdap in pregnancy uptake in CA? Recent unpublished data from Northern CA Kaiser indicate that ~50% of pregnant women in their system received Tdap during pregnancy Preliminary data from an ongoing survey of labor and delivery hospitals led by CDPH estimates Tdap coverage among pregnant women at 20-25% An additional ~50% of women were vaccinated postpartum and ~20% refused Tdap entirely
23 Tdap in adults uptake? Group Rate y.o. 13% Living with an infant aged <1 yr 21% Hispanic 8% Health Care Workers 37% Source CDC. Noninfluenza Vaccination Coverage Among Adults United States, 2011 MMWR February 1, 2013 / 62(04);66-72
24 Tdap booster At this time, ACIP is only recommending Tdap boosters for pregnant women The ACIP Pertussis Working Group will consider adding recommendations for Tdap boosters for those who live or work with infants <1 year of age, including healthcare workers Additional studies to examine effectiveness of cocooning are ongoing
25 Pertussis Deaths Of note, there have been no pertussis deaths reported in California since October 2010, despite data from indicating ~2-3 deaths/year even in years of low incidence This may reflect more prompt diagnosis and better treatment of infant cases. Several critically ill infants requiring ECMO treatment that have survived have been reported Alternatively or additionally, this may indicate that efforts to vaccinate pregnant women and household contacts of young infants could be reducing the incidence of severe disease in young infants
26 B. pertussis bacteria mutations? Recently, strains of B. pertussis that do not express the outer protein pertactin have been identified 1 Pertactin is one of the antigens included in the current acellular pertussis vaccines, however it is not known if acellular or whole cell vaccines are less effective against these variant strains To better understand the circulating strains, CDPH is collaborating with CDC and local health departments to solicit B. pertussis isolates for further characterization 1. Queenan AM, et al. Pertactin-Negative Variants of Bordetella pertussis in the United States. NEJM Feb 7.
27 What has been learned Primary goal of pertussis vaccination program is to prevent severe disease and death Acellular pertussis vaccines are protective, but duration of protection is suboptimal Resurgence of pertussis expected to continue No evidence of a herd effect from vaccination Cocooning feasibility problematic continue to recommend, but pursue other strategies that more directly protect infants Strategies to directly protect infants are likely to be most effective in preventing infant deaths Vaccination of pregnant women to protect infants via placental transfer of maternal antibodies
28 CDPH Conclusions Pertussis disease cannot be controlled on a population level with current vaccines Prevention efforts should be targeted at preventing infection, severe disease, and death in young infants Vaccination efforts should be focused on vaccination of pregnant women Clinicians need to be educated about: Vaccinating pregnant women Promptly diagnosing and treating pertussis in infants Waning acellular vaccine protection and the fact that pertussis can occur in recently vaccinated persons
29 Questions?
30 Supplemental Background Slides
31
32 Pediatric pertussis cases by age - California 2010 and 2013*
33
34 Current U.S. Pertussis Vaccine Recommendations DTaP Five doses recommended at age 2, 4, and 6 months, months, and 4-6 years) Tdap Currently only one dose recommended for adolescents (11-12 years of age) and older adolescents and adults who have not yet been vaccinated Exception is pregnant women; Tdap now recommended during every pregnancy
35 Q & A Session 35
36 TITLE of PRESENATION Strategies and Resources Andrew J. Resignato, MS Director, San Francisco Immunization Coalition 36
37 Pertussis Update 2013 Where We Are and Where We Are Going
38 Strategies and Resources for Prevention
39 Why?
40 Pertussi$ Costs The average infant hospital stay for complications from pertussis infection is six days and costs $9,580 but can range from $515 to as much as $496,712. Source: Hospitalization for pertussis: profiles and case costs by age Judith A O'Brien and J Jaime Caro, BMC Infectious Diseases 2005, 5:57
41 Tdap During Every Pregnancy (between 27 and 36 weeks gestation) Working with Ob/Gyns Working with Maternal & Child Health, WIC, Vital Records Social Media Mom s Groups Practice Surveys / Metrics Marry to Flu Activities
42 Educating Providers About Clinical Symptoms of Pertussis Catarrhal stage: Onset of cold-like symptoms (coryza, sneezing, occasional cough). Fever is absent or minimal. This stage lasts approximately 1-2 weeks with cough gradually becoming more severe. Paroxysmal stage: Spasms of severe coughing are followed by a sudden deep inspiration, often resulting in a characteristic whooping noise. Post-tussive vomiting is common in all ages. Illness may be milder in previously vaccinated people. Infants <6 months of age may present differently: may have a shorter catarrhal stage may gag, gasp or stop breathing (apnea) facial color changes (may turn blue, purple or red) may not have noticeable cough or whoop likely to have leukocytosis (high white blood cell count) with an increased absolute lymphocyte count
43 ShotbyShot.org
44 EZ IZ.org (for patients)
45 EZ IZ.org (for providers)
46 EZ IZ.org (for providers)
47 CDC Infographic Post a web button linking to this infographic. Print infographic as a re-formatted (letter, legal or tabloid-sized) poster [9MB, 1 page]. See a version in Spanish.
48 Giants Pertussis PSAs Sergio Panda
49 Looking Towards the Future
50 New ACIP Recs? The ACIP will look to the idea of reimmunizing subgroups with Tdap Cocooning Health Care Workers
51 Affordable Care Act Under the ACA, Tdap & DTaP need to be provided with no-cost sharing (i.e. no co-pay) for children, adolescents, and adults. As part of the Affordable Care Act (ACA) immunizations including human papillomavirus (HPV), influenza (flu), and tetanus, diphtheria, and pertussis (Tdap) are required to be covered at no charge for women, including those who are pregnant or nursing. SOURCE:
52 Update: A Better Pertussis Vaccine More research into pertussis immunity (NIH, private researchers,?) Better Vaccine Possibilities - Change acellular formulation/add new circulating strain antigens - Whole-cell vaccine with reactogenic components (lipopolysacharides or endotoxins) removed. Sources: Why Do Pertussis Vaccines Fail? James D. Cherry, MD, MSc, IDSA Conference 2013 Session: Pertussis Vaccine Problems: What s to be Done?
53 Update: A Better Pertussis Vaccine (cont.) Better Vaccine Possibilities - Single Component Vaccine without Td - Use genetically detoxified or H202 inactivated pertussis toxoid instead of formaldehyde inactivated toxoid At least 4 years away / YOU CAN ADVOCATE! Change.org - petition for pertussis research Sources: Why Do Pertussis Vaccines Fail? James D. Cherry, MD, MSc, IDSA Conference 2013 Session: Pertussis Vaccine Problems: What s to be Done?
54 Thank You For Your Hard Work
55 Q & A Session 55
56 Please Complete Online Evaluation 56
57 Thank you for your support and your participation! California Immunization Coalition 57
58 Tweet and 58
Prevention of Pertussis Among Pregnant & Post Partum Women and Their Infants. Marilyn Michels RN MSN CIC Kathleen Curtis MS RN
Prevention of Pertussis Among Pregnant & Post Partum Women and Their Infants Marilyn Michels RN MSN CIC Kathleen Curtis MS RN Pertussis and Adults Pertussis (whooping cough) a poorly controlled vaccine-preventable
More informationWhy Pertussis matters..
Why Pertussis matters.. Pertussis (Whooping cough) outbreaks continue to impact children & adults, both locally and across the US. Cases have been on the rise since the 1980 s. However, recent data on
More informationVaccines in Pregnancy MARK H. SAWYER, MD UCSD SCHOOL OF MEDICINE RADY CHILDREN S HOSPITAL SAN DIEGO
Vaccines in Pregnancy MARK H. SAWYER, MD UCSD SCHOOL OF MEDICINE RADY CHILDREN S HOSPITAL SAN DIEGO 1 Objectives List vaccines that should be given either during pregnancy or immediately post-partum in
More informationFREQUENTLY ASKED QUESTIONS ABOUT PERTUSSIS (WHOOPING COUGH)
FREQUENTLY ASKED QUESTIONS ABOUT PERTUSSIS (WHOOPING COUGH) What is pertussis? General Questions About Pertussis Pertussis, or whooping cough, is a contagious illness that is spread when an infected person
More informationUpdated Recommendations for Use of Tdap in Pregnant Women
From the Texas Department of State Health Services Immunization Branch The goal of the Vaccine Advisory is to disseminate, in a timely manner, practical information related to vaccines, vaccine-preventable
More informationRemove this cover sheet before redistributing and replace it with your own. Please ensure that DPHHS is included on your HAN distribution list.
State of Montana Health Alert Network DPHHS HAN ADVISORY Cover Sheet DATE: May 15, 2012 SUBJECT: Pertussis INSTRUCTIONS: DISTRIBUTE to your local HAN contacts. This HAN is intended for general sharing
More informationPertussis: Resurgence, Prevention and Role of the Ob/Gyn
Pertussis: Resurgence, Prevention and Role of the Ob/Gyn Kimberly B. Fortner, MD Vanderbilt University Department OB/Gyn Division Maternal-Fetal Medicine Vanderbilt Vaccine Research Program Learning Objectives
More informationFrequently asked questions about whooping cough (pertussis)
Frequently asked questions about whooping cough (pertussis) About whooping cough What is whooping cough? Whooping cough is a highly contagious illness caused by bacteria. It mainly affects the respiratory
More informationCommunity Health Administration
Community Health Administration 300 North San Antonio Road Santa Barbara, CA 93110-1332 805/681-5439 FAX 805/681-5200 Takashi M. Wada, MD, MPH Director/Health Officer Anne M. Fearon Deputy Director Suzanne
More informationVaccination against pertussis (whooping cough) - the replacement of Repevax with Boostrix -IPV an update for registered healthcare practitioners
Vaccination against pertussis (whooping cough) - the replacement of Repevax with Boostrix -IPV an update for registered healthcare practitioners Questions and Answers May 2014 Health Protection Scotland
More informationWhooping Cough Vaccine for Pregnant Women
Whooping Cough Vaccine for Pregnant Women What is whooping cough (pertussis)? Whooping cough (also known as pertussis) is a highly contagious illness that can be life threatening. The disease is most serious
More informationNew Jersey Department of Health Vaccine Preventable Disease Program Pertussis FAQs. Date: January 10, 2013
New Jersey Department of Health Vaccine Preventable Disease Program Pertussis FAQs Date: January 10, 2013 KEY MESSAGES: 1. Pertussis is a very contagious vaccine-preventable disease that can cause serious
More informationWhat is whooping cough. (pertussis)? Information and Prevention. Ocument dn
What is whooping cough Ocument dn (pertussis)? Information and Prevention IMPORTANT Pertussis (or whooping cough) is a highly contagious infection that can cause uncontrollable, violent coughing. If you
More informationHow Many Tdap Vaccines Are Given to San Diego County People?
Immunizations and Pregnancy Mark H. Sawyer, MD San Diego Immunization Partnership San Diego County Immunization Branch Objectives List vaccines that should be given either during pregnancy or immediately
More informationPENNSYLVANIA DEPARTMENT OF HEALTH 2015 PAHAN 307 04-02-ADV Pertussis in Centre County
PENNSYLVANIA DEPARTMENT OF HEALTH 2015 PAHAN 307 04-02-ADV Pertussis in Centre County DATE: 04/02/2015 TO: Health Alert Network FROM: Karen M. Murphy, PhD, RN, Acting Secretary of Health SUBJECT: DISTRIBUTION:
More informationThe Reality Pertussis can be a serious illness, part icularly for babies and young children.
Sounds of Pertussis Pertussis, also known as whooping cough, is a poten tially deadly infection that can strike at any age, but is particularly dangerous for babies. The sounds of pertussis are like no
More informationClinical Infectious Diseases Advance Access published October 19, 2014
Clinical Infectious Diseases Advance Access published October 19, 2014 1 Tdap Immunization in Pregnant Women and the Prevention of Pertussis in Young Infants James D. Cherry Department of Pediatrics, David
More informationThis article is a CME/CE certified activity. To earn credit for this activity visit: http://www.medscape.org/viewarticle/750546
1 of 6 10/10/2011 7:17 PM This article is a CME/CE certified activity. To earn credit for this activity visit: http://www.medscape.org/viewarticle/750546 CME/CE Information CME/CE Released: 09/28/2011;
More informationTEMPORARY PROGRAMME PERTUSSIS VACCINATION FOR PREGNANT WOMEN
TEMPORARY PROGRAMME PERTUSSIS VACCINATION FOR PREGNANT WOMEN Richard Smithson Neil Irvine Maureen McCartney Consultant Health Protection October 2012 Pertussis/whooping cough The disease Whooping Cough
More informationLaboratory confirmation requires isolation of Bordetella pertussis or detection of B. pertussis nucleic acid, preferably from a nasopharyngeal swab.
Pertussis Epidemiology in New Zealand New Zealand has continued to experience outbreaks of pertussis in recent decades. This is in part due to historically low immunisation rates and in part because immunity
More informationParents and Grandparents
Parents and Grandparents Vaccination for parents and grandparents is vital to help protect newborn babies against whooping cough. Protect your baby by being immunised too. To find out more about Boostrix
More informationTdap booster vaccine for Health Care Workers Frequently Asked Questions for Health Professionals
Tdap booster vaccine for Health Care Workers Frequently Asked Questions for Health Professionals NEW items in 2013 Immunisation Guidelines for Ireland are in RED What is Tdap booster vaccine? Tdap is a
More informationPertussis and Pregnancy
Pertussis and Pregnancy Protect Your Patients From Pertussis (Whooping Cough) 1 Pertussis Video https://www.youtube.com/watch?v=f1g5woy5qce#a ction=share 2 1 Class Objectives By the end of this class the
More informationPertussis. Chapter 15 Pertussis. August 2015. Pertussis. Vaccine introduced in 1952/53 (DTP) and 1996 (DTaP) NOTIFIABLE
Chapter 15 15 Vaccine introduced in 1952/53 (DTP) and 1996 (DTaP) NOTIFIABLE In some circumstances, advice in these guidelines may differ from that in the Summary of Product Characteristics of the vaccines.
More informationPertussis vaccine in both children and adults. Gaston De Serres. MD, PhD Institut national de santé publique du Québec, and Université Laval, Quebec
Pertussis vaccine in both children and adults Gaston De Serres. MD, PhD Institut national de santé publique du Québec, and Université Laval, Quebec Disclosure I received research grants from GSK (hepatitis
More informationPertussis: halting the epidemic by protecting infants. 34 BPJ Issue 51
Pertussis: halting the epidemic by protecting infants 34 BPJ Issue 51 Infants who have not yet completed the National Immunisation Schedule and children who are not immunised, or only partially immunised
More informationUsing the Wisconsin Immunization Registry to Estimate Tdap Effectiveness for Preventing Pertussis
Using the Wisconsin Immunization Registry to Estimate Tdap Effectiveness for Preventing Pertussis Ashley Petit, MPH Wisconsin Department of Health Services AIRA Discovery Series October 27, 2014 1 Co-authors
More informationAPIC Practice Guidance Committee: Implementation Insights Prevention & Control of Pertussis
1275 K Street, NW, Suite 1000 Washington, DC 20005-4006 Phone: 202/789-1890 Fax: 202/789-1899 apicinfo@apic.org www.apic.org APIC Practice Guidance Committee: Implementation Insights Prevention & Control
More informationI am reaching out to you with some preventative information that you might be interested in sharing with your school community.
Reported cases of pertussis (whooping cough) are on the rise in Colorado and El Paso County. As of October 23, more than 1,000 cases of pertussis have been reported across the state. El Paso County cases
More informationVaccination for Pregnant Women
Vaccination for Pregnant Women Richard H. Beigi, MD, MS Associate Professor of Reproductive Sciences Department of OB/GYN/RS Magee-Women s Hospital of the University of Pittsburgh Medical Center No Conflicts
More informationIs your family at risk for pertussis?
Is your family at risk for pertussis? Help protect your family against a serious disease and talk to your health-care professional about adult and adolescent immunization with Adacel vaccine. Please click
More informationPertussis (Whooping Cough) http://www.cdc.gov/pertussis/index.html. Causes and Transmission. Causes. Transmission
Pertussis (Whooping Cough) http://www.cdc.gov/pertussis/index.html Pertussis, also known as whooping cough, is a highly contagious respiratory disease. It is caused by the bacterium Bordetella pertussis.
More informationCocooning Strategies
Cocooning Strategies Preventing Pertussis Infection in Infants Elizabeth Rosenblum, MD Department of Family & Preventive Medicine UCSD Medical Center COCOON noun \kə-kün\ 1 a : an envelope often largely
More informationHealth Professionals Advice: Azithromycin now fully funded 3 December 2012
Health Professionals Advice: Azithromycin now fully funded 3 December 2012 SITUATION UPDATE The Pertussis epidemic has continued all year, and is expected to continue throughout 2013. Between 1 January
More informationImmunization Safety Office. Updates
Immunization Safety Office Updates Centers for Disease Control and Prevention Tom Shimabukuro, MD, MPH, MBA Immunization Safety Office Division of Healthcare Quality Promotion National Center for Emerging
More informationPertussis Whooping Cough Update
May 3, 1 Dear Kitsap County Providers, This is an update about our current status of pertussis cases here in Kitsap County. We currently have 35 cases as outlined below. See the epidemiology curve (Figure
More informationInformation on Measles and Whooping Cough: Vaccination and Disease
Information on Measles and Whooping Cough: Vaccination and Disease Vaccine s Mechanism of Action Vaccines expose the recipient to a small amount of an weakened organism. Through this exposure, the body
More informationFactsheet September 2012. Pertussis immunisation for pregnant women. Introduction
Factsheet September 2012 Pertussis immunisation for pregnant women Introduction The routine childhood immunisation programme has been very effective in reducing the overall numbers of cases of pertussis.
More information2 P age. Babies from Birth to Age 2
Contents Babies from Birth to Age 2... 2 Vaccines give parents the power... 2 Vaccines are recommended throughout our lives... 3 Talk to your doctor... 3 Vaccines are very safe... 3 Whooping Cough (Pertussis)...
More informationPertussis (whooping cough) immunisation for pregnant women the safest way to protect yourself and your baby
Factsheet September 2012 Pertussis (whooping cough) immunisation for pregnant women the safest way to protect yourself and your baby The routine childhood immunisation programme has been very effective
More informationPERTUSSIS SURVEILLANCE AND RESPONSE PROTOCOL
PERTUSSIS SURVEILLANCE AND RESPONSE PROTOCOL Public Health Action 1. Educate the public, particularly parents of infants, about the dangers of whooping cough and the advantages of initiating immunization
More informationNSW Pertussis Control Program 2015
NSW Pertussis Control Program 2015 Pertussis Disease Pertussis ( whooping cough ) is a bacterial infection affecting the respiratory system, caused by the organism Bordetella pertussis It affects individuals
More informationPertussis Cocooning: The Concept, Experiences and Lessons Learned
Pertussis Cocooning: The Concept, Experiences and Lessons Learned February 2013 Barbara J. LaClair, M.H.A. Kansas Health Institute 212 SW Eighth Avenue, Suite 300 Topeka, Kansas 66603-3936 (785) 233-5443
More informationAdult Vaccination Frequently Asked Questions: The Basics
The Basics Why should I get vaccinated? Vaccination is the best way to protect against infections that can make you sick and be passed on to those around you. 1 What kinds of side effects will I get from
More informationhttp://www.ilga.gov/commission/jcar/admincode/077/077006650b0240...
1 of 5 7/30/2014 9:47 AM TITLE 77: PUBLIC HEALTH CHAPTER I: DEPARTMENT OF PUBLIC HEALTH SUBCHAPTER i: MATERNAL AND CHILD HEALTH PART 665 CHILD HEALTH EXAMINATION CODE SECTION 665.240 BASIC IMMUNIZATION
More informationKnow the Symptoms. Call Your Doctor, Treat Whooping Gough Early. Whooping Cough Signs and Symptoms. Whooping Cough Shots Prevent the Disease
What ls Whooping Cough? Whooping cough disease (also called pertussis) causes coughing fits that make it hard to breathe. It spreads easily when someone with the disease coughs or sneezes. It can kill
More informationAlberta Health and Wellness Public Health Notifiable Disease Management Guidelines August 2011
August 2011 Pertussis Revision Dates Case Definition Reporting Requirements Remainder of the Guideline (i.e., Etiology to References sections inclusive) August 2011 August 2011 December 2005 Case Definition
More informationWhooping cough and pregnancy
Whooping cough and pregnancy Your questions answered on how to help protect your baby 2014 edition the safest way to protect yourself and your baby 1 There is a lot of whooping cough around at the moment
More informationTo access the evaluation and post-test, visit: http://questionpro.com/t/abznyzq6je
Changing Pertussis Epidemiology: Everything Old is New Again Thomas A. Clark, MD, MPH Centers for Disease Control and Prevention, Atlanta, GA Target Audience Physicians and other healthcare professionals
More informationVaccination against pertussis (Whooping cough) for pregnant women- 2014. Information for healthcare professionals
Vaccination against pertussis (Whooping cough) for pregnant women- 2014 Information for healthcare professionals About Public Health England Public Health England s mission is to protect and improve the
More informationPROTOCOL FOR THE MANAGEMENT OF CLOSE CONTACTS OF PERTUSSIS INFECTION
PROTOCOL FOR THE MANAGEMENT OF CLOSE CONTACTS OF PERTUSSIS INFECTION Printed copies must not be considered the definitive version DOCUMENT CONTROL PROTOCOL NO. 1.03 Policy Group Infection Control Committee
More informationPertussis. Bordetella pertussis. Pathogenesis. Clinical Features
Pertussis, or whooping cough, is an acute infectious disease caused by the bacterium Bordetella pertussis. Outbreaks of pertussis were first described in the th century, and the organism was first isolated
More informationImmunization Infrastructure: The Role of Section 317
Immunization Infrastructure: The Role of Section 317 Immunization plays a vital role in the control and prevention of infectious disease. Current immunization recommendations target 17 vaccine-preventable
More informationPertussis (whooping cough) immunisation for pregnant women
Factsheet September 2012 Pertussis (whooping cough) immunisation for pregnant women Immunisation DEPARTMENT OF HEALTH Rheynn Slaynt The routine childhood immunisation programme has been very effective
More informationThe Immunization Office, located in the Student Health Center, is open year round to administer needed immunizations at a nominal fee.
Student Health Services 2815 Cates Avenue Raleigh, NC 27695-7304 919-515-2563 healthcenter.ncsu.edu The Immunization Record Form is designed to collect information about your current immunization status.
More informationWhooping Cough. The Lungs Whooping cough is an infection of the lungs and breathing tubes, both of which are parts of the respiratory system.
Whooping Cough Introduction Whooping cough is a serious bacterial infection of the lungs and breathing tubes. It is also called pertussis. About 16 million cases of whooping cough happen worldwide each
More informationCurrent Trends in Immunization
Current Trends in Immunization Christian Lease Director, Immunization Policy, Novartis Vaccines 2011 NCSL Meeting Objectives Review the benefits of immunization Discuss where the immunization enterprise
More informationPertussis Update 2013
2103 Kansas Immunization Conference Let s Get the Word Out about Pertussis! Pertussis Update 2013 Mary Anne Jackson, MD Division Chief, ID, Children s Mercy Hospital & Clinics Professor of Pediatrics,
More informationPertussis: Whooping Cough
Pertussis: Whooping Cough By: David Stamps Disease Etiology: Pertussis is caused by the bacteria Bordetella pertussis and Bordetella parapertussis, the latter often resulting in milder symptoms due to
More informationTdap and MenC booster vaccines. Information for parents of children in First Year of second level school
Tdap and MenC booster vaccines Information for parents of children in First Year of second level school Tdap and MenC booster vaccines Information for parents of children in First Year of second level
More informationPertussis BORDETELLA PERTUSSIS PATHOGENESIS CLINICAL FEATURES
Pertussis, or whooping cough, is an acute infectious disease caused by the bacterium Bordetella pertussis. Outbreaks of pertussis were first described in the 16th century, and the organism was first isolated
More informationThe Challenge of Whooping Cough:
The Challenge of Whooping Cough: Canada s Role in the Development of Pertussis Vaccines AUTHORS: Luis Barreto, M.B.B.S., M.D., M.H.Sc. Rob Van Exan, Ph.D. Christopher Rutty, Ph.D. CREATED THROUGH AN EDUCATIONAL
More informationsafest place for your baby is in your arms...
Help protect your baby by helping to protect yourself. Photo: John Bentham Imagine a cough barreling through your infant s body at up to 100 mph. Help protect yourself and your family by getting an adult
More informationGuidelines for Vaccinating Pregnant Women
Guidelines for Vaccinating Pregnant Women U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Disease Control & Prevention Guidelines for Vaccinating Pregnant Women from Recommendations of the Advisory
More informationPertussis Information for GPs and other Health Care Providers on Clinical and Public Health Management. March 2010
Pertussis Information for GPs and other Health Care Providers on Clinical and Public Health Management March 2010 Infectious Agent Bordetella pertussis (a bacterium) Clinical Features Infants and Young
More informationChapter 3. Immunity and how vaccines work
Chapter 3 Immunity and how vaccines work 3.1 Objectives: To understand and describe the immune system and how vaccines produce immunity To understand the differences between Passive and Active immunity
More informationImmunity and how vaccines work
1 Introduction Immunity is the ability of the human body to protect itself from infectious disease. The defence mechanisms of the body are complex and include innate (non-specific, non-adaptive) mechanisms
More informationVaccination: It s what your child would choose. Your guide to childhood vaccinations.
Vaccination: It s what your child would choose No-one likes an injection, but your child would never choose to suffer from serious conditions like measles, mumps or whooping cough. Your guide to childhood
More informationVaccination Requirements for U.S. Immigration: Technical Instructions for Panel Physicians. December 14, 2009
Vaccination Requirements for U.S. Immigration: Technical Instructions for Panel Physicians December 14, 2009 Table of Contents Preface... iii Significant Changes in the Vaccination Requirements... 1 Procedure
More informationWhooping cough. If you are pregnant you should get vaccinated to protect your baby
Whooping cough If you are pregnant you should get vaccinated to protect your baby Cases of whooping cough are on the increase by getting the vaccine while pregnant you can protect your baby In the last
More informationPertussis vaccination in pregnancy: from research to practice
Pertussis vaccination in pregnancy: from research to practice Prof Dr Elke Leuridan Center for the Evaluation of Vaccination Vaccine & Infectious Diseases Institute No conflict of interest to declare Outlineof
More informationImmunization Information for Blinn College Students
1 Immunization Information for Blinn College Students *Important Information Regarding the Bacterial Meningitis Vaccine* The State passed Senate Bill 1107 in 2011 and recently Senate Bill 62 in 2013, which
More informationINCREASED INCIDENCE OF PERTUSSIS (WHOOPING COUGH) IN MARATHON COUNTY
November 25, 2013 INCREASED INCIDENCE OF PERTUSSIS (WHOOPING COUGH) IN MARATHON COUNTY Since November 1, 2013, Marathon County Health Department has investigated 20 cases of laboratory confirmed pertussis
More informationVaccines for a Healthy Pregnancy
Vaccines for a Healthy Pregnancy Vaccines for a Healthy Pregnancy G ALLERY I.1 Healthy Mother and Baby I II Introduction to Tutorial About Flu and Whooping Cough III Getting Vaccinated During Pregnancy:
More informationHPA Guidelines for the Public Health Management of Pertussis
HPA Guidelines for the Public Health Management of Pertussis Author Gayatri Amirthalingam and the Pertussis Guidelines Group Pertussis Guidelines Group Gayatri Amirthalingam Consultant Epidemiologist,
More informationCALIFORNIA CODE OF REGULATIONS TITLE 17, DIVISION 1, CHAPTER 4
CALIFORNIA CODE OF REGULATIONS TITLE 17, DIVISION 1, CHAPTER 4 Subchapter 8. Immunization Against Poliomyelitis, Diphtheria, Pertussis, Tetanus, Measles (Rubeola), Article 1. Definitions Haemophilus influenzae
More informationCATHOLIC CHARITIES MAINE FAMILY CHILD CARE
CATHOLIC CHARITIES MAINE FAMILY CHILD CARE October 2012 In accordance with Federal law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race,
More informationBE SURE. BE SAFE. VACCINATE.
DON T GET OR GIVE THE FLU THIS YEAR THANK YOU Vaccination is the only protection. www.immunisation.ie BE SURE. BE SAFE. VACCINATE. FLU VACCINE 2013-2014 Healthcare workers prevent the spread of flu and
More informationPertussis has re-emerged as a
Continuing Nursing Education Objectives and posttest can be found on page 244. Pertussis: An Overview of the Disease, Immunization, and Trends for Nurses Regena Spratling, Myra Carmon Pertussis has re-emerged
More informationEpidemiology and Burden of Pertussis: Focus on Adolescent and Adult
Epidemiology and Burden of Pertussis: Focus on Adolescent and Adult Terapong Tantawichien Division of Infectious Diseases Department of Medicine, Chulalongkorn University And Queen Saovabha Memorial Institute
More informationExplanation of Immunization Requirements
Explanation of Immunization Requirements CONTENTS Hepatitis A... 2 Hepatitis B... 3 Influenza... 4 Measles (Rubella), Mumps, and Rubella (MMR)... 5 Pertussis (Tdap)... 6 Tuberculosis (TB) Test... 7 Varicella/Chicken
More informationThe views expressed in this publication do not necessarily reflect the views of the European Centre for Disease Prevention and Control (ECDC).
Barcelona, 20 November 2012 1 Background Pertussis is a bacterial respiratory infection caused by Bordetella pertussis. Pertussis is a highly contagious disease with a reproductive number (R 0 ) of 15
More informationKansas School Immunization Requirements FAQ
Kansas Statute Q: Why do some school boards not exclude students who are not compliant with the required school immunizations? A: Kansas statute 72-5211a.states: School boards may exclude students who
More informationWhooping cough and pregnancy
Whooping cough and pregnancy Your questions answered on how to help protect your baby the safest way to protect yourself and your baby There is a lot of whooping cough around at the moment and babies who
More informationPertussis antibodies in postpartum women and their newborns
(2010) 30, 93 97 r 2010 Nature Publishing Group All rights reserved. 0743-8346/10 $32 www.nature.com/jp ORIGINAL ARTICLE Pertussis antibodies in postpartum women and their newborns JH Shakib 1, S Ralston
More informationNew Jersey Immunization Requirements
New Jersey Immunization Requirements Jenish Sudhakaran, MPH Jennifer Smith, MPH, CHES Vaccine Preventable Disease Program NJ Department of Health & Senior Services March 2012 Purpose of N.J.A.C. 8:57-4
More informationImmunisation schedule of the Spanish Association of Paediatrics: 2014 recommendations
VACCINE Table 1. Spanish Association of Paediatrics Immunisation Schedule. Recommendations of the Advisory Committee on Vaccines Age in months Age in years 0 2 4 6 12-15 15-18 2-3 4-6 11-12 Hepatitis B
More informationPertussis. 1. DISEASE REPORTING A. Purpose of Reporting and Surveillance
1. DISEASE REPORTING A. Purpose of Reporting and Surveillance Pertussis 1. To prevent illness and death, particularly among infants younger than 1 year, and among persons who may transmit pertussis to
More informationSan Mateo County CHDP Provider Newsletter
San Mateo County CHDP Provider Newsletter In This Issue: From the CHDP Medical Consultant Protect Vulnerable Infants from Pertussis New VFC Requirements for Thermometers and Temperature Logs Hearing Screening
More informationEffectiveness of adolescent and adult pertussis (Tdap) vaccine. Roger Baxter, Joan Bartlett, Ali Rowhani-Rahbar, Bruce Fireman, Nicola Klein
Effectiveness of adolescent and adult pertussis (Tdap) vaccine Roger Baxter, Joan Bartlett, Ali Rowhani-Rahbar, Bruce Fireman, Nicola Klein Disclosures I receive research grants from Sanofi Pasteur and
More informationKey Facts about Influenza (Flu) & Flu Vaccine
Key Facts about Influenza (Flu) & Flu Vaccine mouths or noses of people who are nearby. Less often, a person might also get flu by touching a surface or object that has flu virus on it and then touching
More informationLinda C. Lambert, PhD Division of Microbiology and Infectious Diseases, National Institute of Allergy and Infectious Diseases, Bethesda, Maryland
Pertussis Vaccine Trials in the 1990s Linda C. Lambert, PhD Division of Microbiology and Infectious Diseases, National Institute of Allergy and Infectious Diseases, Bethesda, Maryland Target Audience Physicians
More informationChapter 20: Analysis of Surveillance Data
Analysis of Surveillance Data: Chapter 20-1 Chapter 20: Analysis of Surveillance Data Sandra W. Roush, MT, MPH I. Background Ongoing analysis of surveillance data is important for detecting outbreaks and
More informationAn Advisory Committee Statement (ACS) National Advisory Committee on Immunization (NACI) Update on Pertussis Vaccination in Pregnancy
An Advisory Committee Statement (ACS) National Advisory Committee on Immunization (NACI) Update on Pertussis Vaccination in Pregnancy TO PROMOTE AND PROTECT THE HEALTH OF CANADIANS THROUGH LEADERSHIP,
More informationTEXAS ADMINISTRATIVE CODE
TEXAS ADMINISTRATIVE CODE TITLE 25 PART 1 CHAPTER 97 SUBCHAPTER B HEALTH SERVICES DEPARTMENT OF STATE HEALTH SERVICES COMMUNICABLE DISEASES IMMUNIZATION REQUIREMENTS IN TEXAS ELEMENTARY AND SECONDARY SCHOOLS
More informationTdap Vaccine Now Recommended for Every Pregnancy 1) Clinical Guidance 2) MDPH-Supplied Tdap Availability February 2013
The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health 250 Washington Street, Boston, MA 02108-4619 DEVAL L. PATRICK GOVERNOR TIMOTHY P. MURRAY LIEUTENANT
More information4/30/2013 HPV VACCINE AND NORTH DAKOTA HPV IMMUNIZATION RATES HUMAN PAPILLOMAVIRUS (HPV) HUMAN PAPILLOMAVIRUS HPV CONTINUED
HPV VACCINE AND NORTH DAKOTA HPV IMMUNIZATION RATES HUMAN PAPILLOMAVIRUS (HPV) HUMAN PAPILLOMAVIRUS What is human papillomavirus (HPV)? HPV is the most common sexually transmitted infection. There are
More informationPrinciples of Vaccination
Immunology and Vaccine-Preventable Diseases Immunology is a complicated subject, and a detailed discussion of it is beyond the scope of this text. However, an understanding of the basic function of the
More informationWaning Protection after Fifth Dose of Acellular Pertussis Vaccine in Children
T h e n e w e ngl a nd j o u r na l o f m e dic i n e original article Waning Protection after Fifth Dose of Acellular Pertussis Vaccine in Children Nicola P. Klein, M.D., Ph.D., Joan Bartlett, M.P.H.,
More informationPregnancy Dose Tdap and Postpartum Cocooning to Prevent Infant Pertussis: A Decision Analysis
Pregnancy Dose Tdap and Postpartum Cocooning to Prevent Infant Pertussis: A Decision Analysis WHAT S KNOWN ON THIS SUBJECT: Infants aged,2 months are at highest risk for pertussis morbidity and mortality
More information