Whooping Cough Prevented If Kids' Caretakers Are Vaccinated: Report

Whooping cough outbreaks in kids could be prevented by encouraging the vaccination of the people who care for them, a new report finds.

The team of researchers conducted a study of Seattle babies who were infected with whooping cough.

They found that nearly half the people who lived or worked with the babies were eligible to receive a vaccine that would have protected them -- and possibly the babies, too -- from the illness.

In the Seattle area – where there is a high incidence of the disease - between 2002 and 2007, 136 out of every 100,000 infants developed whooping cough each year, on average.

Among every 100,000 U.S. infants overall, however, only 97 developed whooping cough in 2005.

Whooping cough causes uncontrollable, violent coughing, infects 30 to 50 million people a year globally and kills about 300,000, mostly children in developing countries.

Regular outbreaks in developed countries may be due to some parents’ reluctance to vaccinate their children.

The more unimmunized people there are in a community, the more likely there are to be outbreaks.

One recent whooping cough outbreak in California has affected more than 6,400 people and killed at least 10 infants.

None of the infants in Seattle died from whooping cough, but nearly half were hospitalized. Among those hospitalized, 1 in 5 needed to be in an intensive care unit.

Seventy-seven percent of infected infants in Seattle had already been partly vaccinated. However, children need to receive a series of shots to be completely vaccinated. Most babies who become ill with whooping cough aren't old enough to have completed the entire series of injections. Consequently, in 2008, health officials, including the American College of Obstetricians and Gynecologists, recommended that new mothers receive a new "Tdap" vaccine. The vaccine encompassed tetanus, diphtheria and pertussis designed for older children and adults. Protecting the mothers would keep the germs away from children, too. Approximately 50 percent of household members and people in regular contact with the infants who developed whooping cough would have been eligible for the Tdap vaccine. The authors argue that receiving it may have prevented the infants from developing the infection in the first place. The Tdap vaccine costs about $30. Insurance plans generally cover it for new mothers, and Medicare covers it for grandparents and other older adults. The report is published in the Archives of Pediatrics and Adolescent Medicine.
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