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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 pertussis booster vaccine now. Jeff Gordon Four-Time NASCAR Sprint Cup Series Champion and Dad March of Dimes and sanofi pasteur are working together on Sounds of Pertussis to help protect the health and wellness of adults and infants. You d think the safest place for your baby is in your arms... It can also be one of the most dangerous. Visit SoundsOfPertussis.com. The March of Dimes does not endorse specific products or brands. Brought to you as a public health service by Sanofi Pasteur Inc. MKT20749 9/10 Printed in USA

Don t kiss your baby s good health good-bye. What is tetanus? Tetanus, also known as lockjaw, is not contagious, but it can be extremely dangerous to you. Tetanus bacteria are widely present in soil and people The Pertussis Booster sometimes can get infected through a puncture wound (such as a rusty nail), You may have received pertussiscontaining vaccines Why as all a child, parents but this need to be tattooing. vaccinated. Tetanus toxins can spread skin lacerations, piercing, and even vaccination may lose its ability to protect throughout the body, causing after 5 10 years. That s why the CDC painful muscle spasms sometimes Pertussis, more commonly known as whooping cough, is a recommends a highly pertussis contagious booster, bacterial also strong enough to break bones. Tetanus disease that s is serious, potentially and can fatal even be fatal. called tetanus, to diphtheria, infants. And and babies acellular often catch pertussis from the people pertussis (Tdap) who vaccine, love them for most their everyone own parents. The scary fact is 11 64 years of that age. researchers That s why have it s so found that up to 80% of babies caught What is diphtheria? important that the anyone disease who from is family around members. Unvaccinated adults and adolescents can contract and spread this Diphtheria serious disease, may start out as a sore young infants gets the adult pertussis often without even realizing it. When you throat, get fever, vaccinated, and chills, but as the vaccine right away. not only are you helping to protect your disease own health, progresses you re toxins can cause helping to protect your baby too. serious complications such as heart failure or paralysis. Take the Extra Step You may have thought pertussis was a disease Make of the sure past. all your baby s But it s much more loved common ones are protected against pertussis. than you might think. In fact, there are an estimated 800,000 Grandparents to 3.3 million whooping cough Relatives cases each year in Caregivers the United States. While many Siblings childhood diseases have more been nearly eliminated They all should be common vaccinated. by vaccinations, Spread the than news, pertussis is still you a major problem. not pertussis. In recent years, the disease has made a significant comeback. Pertussis is might think.

Silence the Sounds of Pertussis. What is pertussis? Pertussis is a contagious disease that creates sticky, thick mucus in the airways, which makes it hard to breathe, eat, and drink. Infants with pertussis can Close have trouble the window of vulnerability. breathing and turn blue. Pertussis While most infants are given routine diphtheria, tetanus, and is also known as whooping cough acellular pertussis (DTaP) immunizations, they do not begin this because people with the disease primary series until they are 2 months of age and are probably often make a loud whoop sound not protected until they ve had at least 3 doses. During this time, as they struggle to breathe through they may be vulnerable to pertussis. Even if you ve been their narrowed airways between vaccinated for pertussis when you were younger, your protection coughing spasms. It can sometimes may have worn off, leaving you vulnerable as well. Symptoms present as a mild cough which is in an adult or adolescent can be very mild and may resemble a often misdiagnosed as a common common cold or bronchitis. Many cases often go undiagnosed, cold or bronchitis. increasing the risk that someone even you could unknowingly expose your baby to pertussis. Is your baby this close to catching pertussis? Even if babies have already begun their pertussis vaccine series, they re probably not protected until they ve had at least 3 doses. Reports of pertussis have increased more than 100% during 2004 2007 compared to 2000 2003. The Centers for Disease Control and Prevention (CDC) estimates that only a small percentage of actual cases are reported. It can be easily spread. When you re not protected, your infant s not protected. Pertussis can be spread through a sneeze or a cough and is transmitted through droplets from the nose and throat. Pertussis is highly contagious during the first weeks of infection. So a simple sneeze or cough, or even talking up close, could lead to exposure. This is why, when a source is identified, it is often found that babies have contracted the disease from parents, caregivers, or other loved ones.

The Symptoms: The symptoms of pertussis typically start 7 10 days after exposure. There are 3 stages of the disease in adults and they are contagious during stages 1 and 2. When symptoms are mild, the disease is often misdiagnosed, but it can still be spread to babies. Startling Statistics: Stage 1 Usually lasts 1 2 weeks. When a person first contracts pertussis, symptoms can be very mild and may resemble a common cold or bronchitis. Most people do not even know they have pertussis and usually go undiagnosed. These mild symptoms can include: sneezing runny nose low-grade fever mild, occasional coughing Stage 2 Usually lasts 1 6 weeks. After 1 2 weeks, some people develop a more serious version of pertussis, which can cause severe coughing episodes and even hospitalization. Severe coughing episodes can cause: vomiting cracked ribs a hernia Stage 3 Usually lasts 2 3 weeks. In this stage, coughing spasms gradually decrease in intensity and usually disappear after 2 3 weeks. In 2004 2005, 66 deaths from pertussis were reported. 90% of reported pertussis deaths are among babies under 4 months of age. 72% of babies under 6 months of age reported to have pertussis are hospitalized. One in 10 children reported to have pertussis also has pneumonia. One in 50 children reported to have pertussis will have seizures or convulsions. Pertussis affects the brain in 1 out of 250 reported cases.

Silence the Sounds of Pertussis. What is pertussis? Pertussis is a contagious disease that creates sticky, thick mucus in the airways, which makes it hard to breathe, eat, and drink. Infants with pertussis can Close have trouble the window of vulnerability. breathing and turn blue. Pertussis While most infants are given routine diphtheria, tetanus, and is also known as whooping cough acellular pertussis (DTaP) immunizations, they do not begin this because people with the disease primary series until they are 2 months of age and are probably often make a loud whoop sound not protected until they ve had at least 3 doses. During this time, as they struggle to breathe through they may be vulnerable to pertussis. Even if you ve been their narrowed airways between vaccinated for pertussis when you were younger, your protection coughing spasms. It can sometimes may have worn off, leaving you vulnerable as well. Symptoms present as a mild cough which is in an adult or adolescent can be very mild and may resemble a often misdiagnosed as a common common cold or bronchitis. Many cases often go undiagnosed, cold or bronchitis. increasing the risk that someone even you could unknowingly expose your baby to pertussis. Is your baby this close to catching pertussis? Even if babies have already begun their pertussis vaccine series, they re probably not protected until they ve had at least 3 doses. Reports of pertussis have increased more than 100% during 2004 2007 compared to 2000 2003. The Centers for Disease Control and Prevention (CDC) estimates that only a small percentage of actual cases are reported. It can be easily spread. When you re not protected, Pertussis can be spread through a sneeze or a cough and is transmitted through droplets from the nose and throat. Pertussis is highly contagious your during the first weeks of infection. So a simple sneeze or cough, or even talking up close, could lead to exposure. This is why, when a source is identified, it is often found that babies have contracted the disease from parents, caregivers, or other loved ones. infant s not protected.

Don t kiss your baby s good health good-bye. What is tetanus? Tetanus, also known as lockjaw, is not contagious, but it can be extremely dangerous to you. Tetanus bacteria are widely present in soil and people The Pertussis Booster sometimes can get infected through a puncture wound (such as a rusty nail), You may have received pertussiscontaining vaccines Why as all a child, parents but this need to be tattooing. vaccinated. Tetanus toxins can spread skin lacerations, piercing, and even vaccination may lose its ability to protect throughout the body, causing after 5 10 years. That s why the CDC painful muscle spasms sometimes Pertussis, more commonly known as whooping recommends a pertussis booster, also strong enough cough, to is break a bones. Tetanus highly contagious bacterial disease that s is serious, potentially and can fatal even be fatal. called tetanus, to diphtheria, infants. And and babies acellular often catch pertussis from the people pertussis (Tdap) who vaccine, love them for most their everyone own parents. The scary fact is 11 64 years of that age. researchers That s why have it s so found that up to 80% of babies caught What is diphtheria? important that the anyone disease who from is family around members. Unvaccinated adults and adolescents can contract and spread this Diphtheria serious disease, may start out as a sore young infants gets the adult pertussis often without even realizing it. When you throat, get vaccinated, fever, and chills, but as the vaccine right away. not only are you helping to protect your disease own health, progresses you re toxins can cause helping to protect your baby too. serious complications such as heart failure or paralysis. Take the Extra Step You may have thought pertussis was a disease Make of the sure past. all your baby s But it s much more loved common ones are protected against pertussis. than you might think. In fact, there are an estimated 800,000 Grandparents to 3.3 million whooping cough Relatives cases each year in Caregivers the United States. While many Siblings childhood diseases have been nearly eliminated They all should be vaccinated. by vaccinations, Spread the news, pertussis is still a major problem. not pertussis. In recent years, the disease has made a significant comeback. Pertussis is more common than you might think.

The Pertussis Vaccine Discuss these questions with your health-care provider and use this reminder for your next vaccination appointment. Do I need the adult pertussis booster? If I was vaccinated as a child, why is it important to be vaccinated as an adult? Who else should get vaccinated to help protect my baby from pertussis? Are there any other steps I should take to protect my baby from pertussis?

Researchers have found that up to 80% of babies caught pertussis (whooping cough) from family members. Make an appointment with your health-care provider to get yourself a pertussis vaccination. Appointment Date: Time: Visit SoundsOfPertussis.com for more information MKT20750 9/10 Printed in USA

Hey, Hey, Hey, Can you help protect me from whooping cough by helping to protect yourself? Ask your health-care provider about the adult pertussis vaccine. Can you help protect me from whooping cough by helping to protect yourself? Ask your health-care provider about the adult pertussis vaccine. Can you help protect me from whooping cough by helping to protect yourself? Ask your health-care provider about the adult pertussis vaccine. Love, Love, Love,

Pertussis (whooping cough) is often spread to babies by the adults who are closest to them. Even though symptoms can be mild in adults, this disease can be potentially fatal to infants. Help protect the babies you care about by helping to protect yourself. Appointment Date: Time: Visit SoundsOfPertussis.com for more information. Brought to you as a public health service by Sanofi Pasteur Inc. MKT20749-1 9/10 Printed in USA Pertussis (whooping cough) is often spread to babies by the adults who are closest to them. Even though symptoms can be mild in adults, this disease can be potentially fatal to infants. Help protect the babies you care about by helping to protect yourself. Appointment Date: Time: Visit SoundsOfPertussis.com for more information. Brought to you as a public health service by Sanofi Pasteur Inc. MKT20749-1 9/10 Printed in USA Pertussis (whooping cough) is often spread to babies by the adults who are closest to them. Even though symptoms can be mild in adults, this disease can be potentially fatal to infants. Help protect the babies you care about by helping to protect yourself. Appointment Date: Time: Visit SoundsOfPertussis.com for more information. Brought to you as a public health service by Sanofi Pasteur Inc. MKT20749-1 9/10 Printed in USA