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Pertussis is a highly contagious bacterial infection that causes
coughing and gagging with little or no fever. An infected person has cough episodes that
may end in vomiting or cause a "whoop" sound when the person tries to breathe
in.
(INFANT WITH PERSUSSIS, COURTESY
OF THE CALIF. DEPT. OF HEALTH SERVICES and DR. J. CHERRY, UCLA) Children
under one year of age are the most vulnerable to the ravages of this disease which causes
the death of over 300,000 children worldwide each year.
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- Symptoms appear between 6 to 21 days (average 7-10)
after exposure to the bacteria.
- The disease starts with cold symptoms: runny nose and
cough. Sometime in the first 2 weeks, episodes of severe cough develop and that can last 1
to 2 months. The person may look and feel fairly healthy between these episodes.
- During bouts of cough, the lips and nails may turn blue
for lack of air. Vomiting may occur after severe coughing spells.
- During the severe coughing stage, seizures or even
death can occur, particularly in an infant.
- Immunized school children and adults have milder
symptoms than young children.
- Pertussis is most dangerous to children less than 1
year old. Complications for infants include pneumonia, convulsions, and in rare cases
brain damage or death.
- Serious complications are less likely in older children
and
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- Pertussis is spread through respiratory droplets when
an infected person coughs, sneezes or talks.
- The greatest risk of spread is during the early stage
when it appears to be a cold.
- Those treated with antibiotics are contagious until the
first 5 days of appropriate antibiotic treatment have been
completed.
- Anyone who is exposed
can get Pertussis.
- Unimmunized or inadequately immunized people are at
higher risk for severe disease.
- Many cases occur in adults because protection from the
vaccine lasts only 5 to 10 years after the last
dose.
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- Who should be treated
/ given prophylaxis:
- Persons with Pertussis should avoid contact with others
until no longer contagious.
- Take your full course of antibiotic treatment.
- If you live with someone who has Pertussis or are in
the same child care classroom with someone who has had Pertussis, you should take
preventive antibiotics.
- The vaccine against Pertussis is included in the DTaP
vaccine. Before age 7 children should get 5 doses of the this vaccine. These are usually
given at 2, 4, 6, and 15-18 months* of age and 4 - 6 years of
age. (*The 4th dose may be given as early as 12
months of age. A 6th vaccination is now being required at age 12 and is the combination
vaccine Tdap.
- A vaccine containing Tetanus, Diphtheria and acellular
Pertussis antigens (Tdap) is now recommended for adolescents (=12 yrs.) and
adults to age 65, as a booster vaccine every 10 years.
CDC - Pertussis
info Pertussis.com
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