Whooping Cough Advisory Information

Embed Size (px)

Citation preview

  • 7/31/2019 Whooping Cough Advisory Information

    1/1

    TTTooowwwnnnooofffDDDaaarrriiieeennn David Knauf, MPH, MS, RSDirector of Health

    e-mail:[email protected]

    Barrington Bogle, MPH, RS, CHES

    Assistant Director of Health

    e-mail:[email protected] 17, 2012

    From: Caleb Moore, MD,Medical Advisor, Darien Health Department

    Pertussis in Darien

    In reviewing collected data from the Darien Department of Health, we find that there have been20 reported cases of pertussis (Whooping Cough) in town since 2008. Officially, that is 4 casesper 21,000 people. At first glance that may not seem to be a high number of cases; however,according to the Centers for Disease Control (CDC), data from 2009 reports that the nationalincidence of pertussis is 1.1 per 21,000 people.

    So what does that mean to us? Can we conclude that there is a pertussis outbreak in Darien?Maybe, maybe not. There are many potential explanations for the increase in reported casessuch as better diagnosis and reporting, and greater access to health care. What we can concludehowever is that pertussis is very much present here in town.

    A little history regarding Pertussis:Pre-1940, there were approximately 200,000 cases diagnosed in the United States per year.However, with the advent of the pertussis vaccine, that number dropped to approximately 1000cases per year by 1970. Given the morbidity and mortality of whooping cough, the vaccine wasa significant break though. However, in 2005, the Center for Disease Control shows that there

    were approximately 25,000 cases in the United States, which clearly indicates a resurgence ofthis disease.

    Why would that be?There are several theories as to why. The primary concern is that the antibodies derived from thechildhood vaccination disappear as patients mature into adulthood. If so, the solution to theproblem is quite easy. Adults need boosters. Another variable is the drop in childhood vaccinationrates due to concerns regarding vaccines and a lack of awareness about the implications of thedisease itself.

    What should we do?

    Per the CDC, it is recommended that adults receive one pertussis booster during their lifetime.This is particularly important for adults in families where there are babies and infants who areparticularly susceptible to the disease. They also recommend that children receive their vaccinesvia the DTAP series.

    By receiving your booster shot, not only will you protect yourself, you protect those around youwho might be more susceptible.

    To update your pertussis vaccines and to learn more, speak with your local physician.

    TOWN HALL, 2 RENSHAW ROAD DARIEN, CONNECTICUT 06820-5397 FAX: 203-656-7486 PHONE: 203-656-7320

    mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]