21. Advanced Search pertussis An Update on Primary Prevention and Outbreak Control PAUL T. SCOTT, CPT,MC, USA, JEFFREY B. CLARK, LTC, MC, USA, and WILLIAM F. MISER, LTC, MC USA http://www.aafp.org/afp/970915ap/pertussis.html

Advanced Search Articles Departments Patient Information ... Special Medical Reports Pertussis: An Update on Primary Prevention and Outbreak Control PAUL T. SCOTT, CPT, MC, USA, JEFFREY B. CLARK, LTC, MC, USA, and WILLIAM F. MISER, LTC, MC USA Madigan Army Medical Center Ft. Lewis, Washington Pertussis, or whooping cough, is a highly contagious respiratory illness caused by Bordetella pertussis . Outbreaks of the disease are now occurring every three to four years in highly immunized populations throughout the United States and are a significant health threat despite widespread vaccination and effective therapy. Unfortunately, pertussis vaccine provides only transient protection. Infected adults and adolescents with mild disease are the reservoir for more severe infection in infants and young children. Family physicians can reduce the morbidity and mortality of pertussis and help to control outbreaks through primary vaccination, early diagnosis, antibiotic therapy and prophylaxis, and case reporting to public health authorities. The Advisory Committee on Immunization Practices has recently changed its recommendations to include use of acellular pertussis preparations in children as part of the primary vaccination series against diphtheria, pertussis and tetanus (DPT). The revised recommendations are included in this review of the epidemiology, clinical characteristics, laboratory diagnosis, therapy and outbreak control strategies for pertussis.

22. Pertussis Information From IAC Home page. pertussis Information. Photos of Children with pertussis. 2002, Imageof child with pertussis http//www.immunize.org/images/ca.d/ipcd1861/img0007.htm. http://www.immunize.org/pertussis/

Home page Pertussis Information Journal articles Recommendations State laws Case histories ... Resources Journal Articles "Pertussis Outbreak Among Adults at an Oil RefineryIllinois, August-October 2002" Source: MMWR, January 10, 2003, Vol. 52(1):1-4 www.cdc.gov/mmwr/preview/mmwrhtml/mm5201a1.htm "Pertussis Resurgence in Canada Largely Caused by a Cohort Effect" Authors: Ntezayabo B, De Serres G, Duval B Source: Pediatr Infect Dis J, January 2003, Vol. 22(1):22-27 Click here for abstract "Timeliness of Childhood Immunizations" Authors: Luman ET, McCauley MM, Stokley S, Chu SY, Pickering LK Source: Pediatrics, November 2002, Vol. 110(5):935-9 www.pediatrics.org/cgi/content/abstract/110/5/935 "Patterns of Susceptibility in an Outbreak of Bordetella Pertussis: Evidence from a Community-Based Study" Authors: Moore DM, Mathias RG Source: The Canadian Journal of Infectious Diseases, September/October 2002, Vol. 13(5):305-10 www.pulsus.com/Infdis/13_05/moor_ed.htm

23. Medicine-Worldwide: Keuchhusten (Pertussis) Translate this page Keuchhusten. pertussis. Zusammenfassung - Definition Erreger. Ausgelöst wirdder Keuchhusten durch das Bakterium Bordetella pertussis . Das Bakterium http://www.m-ww.de/krankheiten/infektionskrankheiten/keuchhusten.html

Sie befinden sich hier: startseite krankheiten infektionskrankheiten Infektionskrankheiten ... Über uns Keuchhusten Pertussis Zusammenfassung Definition Erreger Symptome ... Prophylaxe Zusammenfassung Definition Erreger Bordetella pertussis . Das Bakterium setzt ein spezifisches Gift, das Pertussis-Toxin, frei und bedingt dadurch die Krankheitssymptome. Bordetella pertussis Symptome Stadium catarrhale Niesen, Schnupfen, manchmal Heiserkeit. Zu Beginn kaum Fieber. Uncharakteristischer Husten Stadium convulsivum Rekonvalenzstadium Komplikationen Aussackungen in der Lungenstruktur Reaktivierung einer vorher bestandenen Tuberkulose und Verschlimmerung des Befundes Diagnose Therapie Impfung Die Keuchhustenimpfung ist ein Teil der ab dem Alter von 3 Monaten verabreichten DTP-Impfung (D = Diphterie, T= Tetanus, P = Pertussis). Prophylaxe besonders empfohlen: Impfung. Isolieren Sie Ihr Kind, damit sich andere nicht anstecken. Wird Ihr Kind mit Antibiotika behandelt, gilt die Ansteckungsgefahr bis 5 Tage nach Beginn der Einnahmen. Kommentare zum Thema startseite krankheiten infektionskrankheiten Weitere Infos finden Sie hier: Impfkalender Weitere Kinderkrankheiten Diskussionsforen In unserem Forum Allergie/Kinderkrankheiten Impressum genannten Bitte beachten Sie auch unseren Haftungsausschluss Druckversion Bookmark setzen Diese Seite empfehlen ... NEWSLETTER

24. Pertussis In The Child Care Setting Buy toys at ToysRUs today KS Logo, pertussis in the Child Care Setting. advertisement.Source. pertussis is spread from person to person through the air. http://www.kidsource.com/health/pertussis.html

Pertussis in the Child Care Setting advertisement Source Centers for Disease Control Related Articles The ABC's of Safe and Healthy Child Care Too Sick for School or Daycare Forums Health, Safety, Nutrition and Kids KidSource Store Mayo Clinic Family Health Book by American Academy of Pediatrics Advertisement Pertussis (whooping cough) is a very contagious and dangerous infection of the respiratory tract caused by the bacterium Bordetella pertussis. Whooping cough gets its name from the whooping sound the child makes when trying to draw breath after a coughing spell. Not all children with whooping cough make this sound; very young children may not be strong enough. Symptoms generally include those of a cold, such as runny nose and a cough that gradually worsens. Violent coughing spells frequently end with vomiting. Once the whooping stage begins, antibiotics are of no use. Pertussis is spread from person to person through the air. A person who is not immune to pertussis becomes infected by inhaling air that has been contaminated with the respiratory secretions of an infected person who has coughed. Before vaccines and antibiotics were developed, pertussis was a common cause of death in young children. Today, it is vaccine preventable. Children in the United States are now immunized with the pertussis vaccine beginning at 2 months of age and again at 4 months, 6 months, 15 months, and 4 to 6 years. All children attending a child care facility should be up to date on vaccinations.

25. Texas Department Of Health, Immunization Division - Pertussis Information text version, pertussis Information Immunization Division.This javascript shows the day of week and date. http://www.tdh.state.tx.us/immunize/pertussis.htm

text version Pertussis Information Immunization Division This javascript shows the day of week and date.

26. Texas Department Of Health, Immunization Division - Pertussis (Whooping Cough) F Texas Department of Health Immunization Division, pertussis Fact Sheet (Englishversion). pertussis (Whooping Cough) Fact Sheet Immunization Division. http://www.tdh.state.tx.us/immunize/pert_facts.htm

text version Pertussis (Whooping Cough) Fact Sheet Immunization Division This javascript shows the day of week and date. Programs Immunization Division ImmTrac-Immunization Registry Vaccine Management Texas Vaccines For Children ... Immunization Coalitions Immunization Info Information for Public Information for Providers Adult/Adolescent Immunization Vaccine Information Statements ... Immunization Rates by Region Resources General Recommendations on Immunization VPD Surveillance Guidelines Rev 04/02 (177KB) Dictionary The Upshot Online Immunization Links Search Website PDF Information Links marked by this symbol require that you have Adobe Acrobat Reader in order to view the file. Access.adobe.com provides a free plug-in that may allow visually impaired users to read documents in Adobe PDF format. Contact Info Texas Department of Health Immunization Division 1100 W. 49th St., Austin, TX 78756 Phone: 512.458.7284 Toll-Free: 800.252.9152 Email: Immunize@imm.tdh.state.tx.us

27. Immunisation Against Pertussis DH Home, You are here Public Health and Clinical Quality Immunisationagainst pertussis, Previous page. Guidance for immunisation http://www.doh.gov.uk/pertussis.htm

A-Z site index Search Links Contact DH ... DH Home You are here: Public Health and Clinical Quality Immunisation against pertussis Guidance for immunisation against pertussis in the absence of single antigen pertussis vaccine (assuming no contraindication – see Green Book) Download the advice in Portable Document Format Download Adobe Acrobat reader for PDF files Help with Portable Document Format (PDF) Age group Scenario Advice DTaP = diphtheria, tetanus, acellular pertussis vaccine (Infanrix) DTwP= diphtheria, tetanus, wholecell pertussis vaccine DT immunisation history (DTaP, DTwP or DT) P immunisation history (DTaP, DTwP or aP) Infants and children to 3.5 years of 3 doses of DT primary course No immunisation against pertussis DTwP at around 1st birthday or at least 6 months after the third dose of DT DTaP as a pre-school booster, at least 1 year after the 3 rd dose of DT of 3 doses of DT primary course One dose of pertussis vaccine of 3 doses of DT primary course 2 doses of a pertussis vaccine of 3 doses of DT primary course No immunisation against pertussis DTwP one month after previous dose of DT.

28. Word Pertussis Reference to Word 'pertussis'. Uptake of immunisation against pertussis andof immunisation against haemophilus influenzae b was 94% in 2000 01 . . http://www.doh.gov.uk/HPSSS/W_1143.HTM

Contents Index A B ... Z Reference to Word 'pertussis' Uptake of immunisation against pertussis and of immunisation against haemophilus influenzae b was in (B9) Community Health and Prevention: Vaccination and immunisation Pertussis whooping cough ... Index

29. Nat'l Academies Press, Adverse Effects Of Pertussis And Rubella Vaccines (1991), Adverse Effects of pertussis and Rubella Vaccines (1991) Institute ofMedicine (IOM) Related Books, Buy from Catalog or View Catalog Entry. http://www.nap.edu/books/0309044995/html/

Adverse Effects of Pertussis and Rubella Vaccines Institute of Medicine ( IOM Related Books Openbook Linked Table of Contents Front Matter, pp. i-x Contents, pp. xi-xiv 1 Executive Summary, pp. 1-8 2 Histories of Pertussis and Rube..., pp. 9-31 3 Methodologic Considerations in ..., pp. 32-64 4 Evidence Concerning Pertussis V..., pp. 65-124 5 Evidence Concerning Pertussis V..., pp. 125-143 6 Evidence Concerning Pertussis V..., pp. 144-186 7 Evidence Concerning Rubella Vac..., pp. 187-205 Afterword on Research Needs, pp. 206-207 Bibliography, pp. 208-282 Glossary of Terms, pp. 283-292 Appendix A: Strategies for Gatheri..., pp. 293-319 Appendix B: Pertussis and Rubella ..., pp. 320-332 Appendix C: Animal Models for the ..., pp. 333-336 Appendix D: Technical Details of P..., pp. 337-346 Appendix E: Possible Involvement o..., pp. 347-348 Appendix F: Committee and Staff Bi..., pp. 349-354 Index, pp. 355-367 Front Matter i-x Contents xi-xiv 1 Executive Summary 2 Histories of Pertussis and Rubella Vaccines 3 Methodologic Considerations in Evaluating the Evidence 4 Evidence Concerning Pertussis Vaccines and Central Nervous System Disorders, Including Infantile Spasms, Hypsarrhythmia, Aseptic Meningitis, and Encephalopathy ... Index The Open Book page image presentation framework is not designed to replace printed books. Rather, it is a free, browsable, nonproprietary, fully and deeply searchable version of the publication which we can inexpensively and quickly produce to make the material available worldwide.

30. Nat'l Acad Press Catalog: Adverse Effects Of Pertussis And Rubella Vaccines Adverse Effects of pertussis and Rubella Vaccines Christopher P. Howson,Cynthia J. Howe, and Harvey V. Fineberg, Editors;Committee http://www.nap.edu/catalog/1815.html

Read it Online - FREE! SEARCH THIS BOOK Adverse Effects of Pertussis and Rubella Vaccines Christopher P. Howson, Cynthia J. Howe, and Harvey V. Fineberg, Editors;Committee to Review the Adverse Consequences of Pertussis and RubellaVaccines, Institute of Medicine 382 pages, 6 x 9, 1991. Institute of Medicine (IOM) More Titles from IOM Related Titles ISBN Binding List Price Web Discount Price Add to Shopping Cart hardcover International Price Parents have come to depend on vaccines to protect their children from a variety of diseases. Some evidence suggests, however, that vaccination against pertussis (whooping cough) and rubella (German measles) is, in a small number of cases, associated with increased risk of serious illness. This book examines the controversy over the evidence and offers a comprehensively documented assessment of the risk of illness following immunization with vaccines against pertussis and rubella. Based on extensive review of the evidence from epidemiologic studies, case histories, studies in animals, and other sources of information, the book examines: The relation of pertussis vaccines to a number of serious adverse events, including encephalopathy and other central nervous system disorders, sudden infant death syndrome, autism, Guillain-Barre syndrome, learning disabilities, and Reye syndrome.

31. Www.webpoint.com/health/pertussi.htm Similar pages eMedicine Pediatrics, pertussis Article by Joseph Bocka, MDPediatrics, pertussis - In the prevaccination era, pertussis (ie, whoopingcough) was a leading cause of infant death. Pediatrics, pertussis. http://www.webpoint.com/health/pertussi.htm

32. EMedicine - Pertussis : Article By Bryon K McNeil, MD pertussis Despite considerable advances in the control of infectious diseasesin children through global immunization programs, pertussis remains a disease http://www.emedicine.com/PED/topic1778.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Pediatrics Infectious Diseases Pertussis Last Updated: April 10, 2002 Rate this Article Email to a Colleague Synonyms and related keywords: whooping cough, coughing, infectious diseases, respiratory tract infection, Bordetella pertussis infection, Bordetella parapertussis infection AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Clinical Differentials ... Bibliography Author: Bryon K McNeil, MD , Staff Physician, Department of Emergency Medicine, Temple University Coauthor(s): Hazel Guinto-Ocampo, MD , Assistant Professor, Department of Pediatrics, Temple University; Stephen C Aronoff, MD , Director, Pediatric Delegated Utilization Management, Temple University Children’s Medical Center; Professor, Chairman, Department of Pediatrics, Temple University School of Medicine Bryon K McNeil, MD, is a member of the following medical societies: American Academy of Emergency Medicine , and Pennsylvania Medical Society Editor(s): Gary J Noel, MD

33. Medic-Planet Pertussis pertussis See also Bacteria and disease, Coughs, Infants and disease,Pneumonia, Vaccination and disease, Back to the Index page http://www.medic-planet.com/MP_article/internal_reference/pertussis

34. Medic-Planet Pertussis pertussis See also Bacteria and disease, Coughs, Infants and disease,Pneumonia, Vaccination and disease, Back to the Index page http://www.medic-planet.com/MP_article/internal_reference/Pertussis

35. Pertussis Fact Sheet Who gets pertussis? pertussis can occur at any age. Severe illness is more commonin young children who have not been immunized. How is pertussis spread? http://www.doh.wa.gov/topics/pertussis.htm

You are here: DOH Home Topics A-Z » Pertussis Search Employees Pertussis What is pertussis? Pertussis, or whooping cough, is a highly contagious disease involving the respiratory tract. It is caused by a bacterium that is found in the mouth, nose and throat of an infected person. Approximately 100 to 500 cases are typically reported annually in Washington. The 826 cases in 1996 gave the highest incidence recently. Who gets pertussis? Pertussis can occur at any age. Severe illness is more common in young children who have not been immunized. Older immunized children or adults with pertussis have milder symptoms. The diagnosis of pertussis should be considered for older children or adults with persistent coughs to ensure they do not pass the infection on to young children. How is pertussis spread? Pertussis is primarily spread when infected people cough or sneeze, expelling droplets that contain Bordetella pertussis bacteria. Older siblings or adults who may be harboring the bacteria in their nose and throat can infect an infant. What are the symptoms of pertussis?

36. Pertussis pertussis (Whooping Cough). The Disease. pertussis, more commonly knownas whooping cough, is a very contagious disease. pertussis http://www.ecbt.org/pertussi.htm

Pertussis (Whooping Cough) The Disease Pertussis, more commonly known as whooping cough, is a very contagious disease. Pertussis is caused by a germ that lives in the mouth, nose, and throat. It is spread to others through coughing or sneezing. Pertussis causes violent spells of coughing which can make it hard for a child to eat, drink, or even breathe. The disease is hardest on infants under 1 year old, and half of the cases reported in the United States occur in that age group. More than half of these infants must be hospitalized. Doctors report about 3,500 cases of pertussis each year in the United States. Pertussis can have serious complications. About 1 child in 10 with pertussis also gets pneumonia. About 20 in every 1,000 will have convulsions and in 4 out of every 1,000 the brain will be affected (this is called encephalopathy). Pertussis causes about 9 deaths a year. Immunization Pertussis vaccine is usually given together with diphtheria and tetanus vaccines in a shot called DTaP. You can read about DTaP vaccine here.

37. Vaccine Information About Pertussis From the Immunization Action Coalition Vaccine Information for the public andhealth professionals. pertussis. Questions and answers about pertussis. http://www.vaccineinformation.org/pertuss/index.asp

From the Immunization Action Coalition Vaccine Information for the public and health professionals Pertussis Home Search Diseases / Vaccines Anthrax Chickenpox Diphtheria Hepatitis A ... "Unprotected People" Photos Online Slide Set Photo Notebook Video Clips ... Visit IAC Coming soon! Questions and answers about pertussis Coming soon! Questions and answers pertussis vaccine Photos Photographs of persons with pertussis Videos Videos of persons with pertussis Case Histories Stories about people who have suffered or died from pertussis Recommendations Official recommendations, schedules, and state mandates References Additional information about pertussis, including links to journal article abstracts and many other resources Links Organizations with pertussis information and resources Immunization Action Coalition http://www.immunize.org admin@immunize.org Vaccine Information for the Public and Health Professionals http://www.vaccineinformation.org

38. WHO Logo pertussis vaccine. tract. Significant antigenic variation has notbeen demonstrated. B. pertussis is a pathogen for humans only. http://www.who.int/vaccines/en/pertussis.shtml

World Health Organization [English] Text only About Us News ... Vaccines Home Pertussis vaccine Summary and conclusions Public health impact The pathogen Immune response ... Other useful links Summary and conclusions Pertussis (whooping cough) is a highly contagious disease caused by Bordetella pertussis. Worldwide B. pertussis, have proved to be efficacious, although more expensive, and to compare favourably with wP vaccines in terms of common adverse effects. They are now licensed in several countries. At their most effective, aP and wP vaccines share similar efficacies. Both wP and aP are usually administered in combination with diphtheria and tetanus toxoids (DTwP or DTaP). For more than four decades, use of wP of documented quality in infant immunization programmes has been highly effective in preventing pertussis all over the world. wP vaccines are considerably less costly than the aP vaccines. Therefore, in most countries, wP vaccines remain the appropriate choice for public health immunization programmes. While in terms of severe adverse effects aP and wP vaccines appear to have the same high level of safety, mild to moderate adverse reactions are less commonly associated with the aP vaccines.

39. WHO/OMS: Pertussis (whooping Cough) World Health Organization, World Health Organization. Vaccines and ImmunizationBackground information on pertussis control. Newsletter. http://www.who.int/health-topics/pertussis.htm

Vaccines and Immunization Background information on Pertussis control Newsletter Global defence against the infectious disease threat Catalogue Disease Outbreak News Weekly Epidemiological Record WHO Home Search ... (c) WHO/OMS 2001

40. Pertussis - DrGreene.com - Caring For The Next Generation With pertussis, or whooping cough,spasms or attacks of coughing may comeup to 15 times per day. What is pertussis? What is pertussis? http://www.drgreene.com/21_52.html

QUICK SEARCH A - Z Guide Allergies Allergy Care Guide Asthma Care Guide Bedwetting Breastfeeding Childhood Obesity Diabetes Care Guide Ear Infections Genetics Immunizations Infectious Diseases Parenting Potty Training Rashes Safety Sleep DrGreene.com Topic Centers Mission Reviews Awards Readers Comments Press Room Partners and Supporters Contact Us Pediatric Information A-Z Guide Allergy Care Guide Asthma Care Guide Diabetes Care Guide DrGreene´s Chats FAQ Fast Facts Feature Articles Guidelines Pediatric Updates Special Feature Top Tips Community Activty Guide Advanced Search Community Central Chat Chat Schedule Cute Faces Family Friendly Recipes Parent-to-Parent Resources The DrGreene Team Newsletter Prenatal Newborn Infants Toddlers Pre-Schoolers School Age Teens / Adolescents Multimedia Library Children's Health Fertility What is Pertussis? What is pertussis? Pertussis , or whooping cough, which once ravaged children around the world, is again on the rise. In recent years, about 300,000 children worldwide died from pertussis- per year. Global travel can result in outbreaks anywhere. Pertussis is caused by bacteria that attach themselves to the cilia (little hairs) that line the respiratory tract. These bacteria produce a potent toxin that inflames the respiratory tract and that prevents the cilia from functioning properly. The disease can be serious or fatal in infants and unimmunized children. It is much milder in teens, adults, and in immunized children - but still can be a real nuisance. It can be far worse in people with

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