1887

Abstract

In Taiwan, routine pertussis immunization has been implemented for more than 40 years and a low incidence of pertussis was maintained until an 80-fold increase in cases occurred in 1992. The unexpected increase emphasized the significance of pertussis. This study evaluated a total of 2452 reported cases of pertussis during 1993–2004 and surveillance data on incidence, age distribution and seasonality. The highest morbidity was in infants aged <1 year, and upward trends in the incidence of pertussis were significant for infants aged <1 year and adolescents aged 10–14 years. The highest mean number of cases was observed in August and upward trends were in colder months. This study indicates that the epidemiology of pertussis may have been changed by waning immunity in Taiwan. Increased surveillance activities, especially in older age groups, and additional booster doses of acellular pertussis vaccine for children aged 6–8 years and adolescents/young adults aged 15–20 years are necessary to control and prevent pertussis.

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2007-04-01
2019-10-23
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References

  1. Baron, S., Njamkepo, E., Grimprel, E., Begue, P., Desenclos, J. C., Drucker, J. & Guiso, N. ( 1998; ). Epidemiology of pertussis in French hospitals in 1993 and 1994: thirty years after a routine use of vaccination. Pediatr Infect Dis J 17, 412–418.[CrossRef]
    [Google Scholar]
  2. Bass, J. W. & Zacher, L. L. ( 1989; ). Do newborn infants have passive immunity to pertussis? Pediatr Infect Dis J 8, 352–353.[CrossRef]
    [Google Scholar]
  3. Bisgard, K. M., Christie, C. D., Reising, S. F., Sanden, G. N., Cassiday, P. K., Gomersall, C., Wattigney, W. A., Roberts, N. E. & Strebel, P. M. ( 2001; ). Molecular epidemiology of Bordetella pertussis by pulsed-field gel electrophoresis profile: Cincinnati, 1989–1996. J Infect Dis 183, 1360–1367.[CrossRef]
    [Google Scholar]
  4. Celentano, L. P., Massari, M., Paramatti, D., Salmaso, S., Tozzi, A. E. & the EUVAC-NET Group ( 2005; ). Resurgence of pertussis in Europe. Pediatr Infect Dis J 24, 761–765.[CrossRef]
    [Google Scholar]
  5. Centers for Disease Control and Prevention ( 1993; ). Resurgence of pertussis – United States, 1993. MMWR Morb Mortal Wkly Rep 42, 952–953, 959–960.
    [Google Scholar]
  6. Centers for Disease Control and Prevention ( 1997; ). Case definitions for infectious conditions under public health surveillance. Centers for Disease Control and Prevention. MMWR Recomm Rep 46, 1–55.
    [Google Scholar]
  7. Centers for Disease Control and Prevention ( 2002; ). Pertussis – United States, 1997–2000. MMWR Morb Mortal Wkly Rep 51, 73–76.
    [Google Scholar]
  8. Deeks, S., De Serres, G., Boulianne, N., Duval, B., Rochette, L., Dery, P. & Halperin, S. ( 1999; ). Failure of physicians to consider the diagnosis of pertussis in children. Clin Infect Dis 28, 840–846.[CrossRef]
    [Google Scholar]
  9. Edwards, K. M. ( 2005; ). Overview of pertussis: focus on epidemiology, sources of infection, and long term protection after infant vaccination. Pediatr Infect Dis J 24, S104–S108.[CrossRef]
    [Google Scholar]
  10. Guris, D., Strebel, P. M., Bardenheier, B., Brennan, M., Tachdjian, R., Finch, E., Wharton, M. & Livengood, J. R. ( 1999; ). Changing epidemiology of pertussis in the United States: increasing reported incidence among adolescents and adults, 1990–1996. Clin Infect Dis 28, 1230–1237.[CrossRef]
    [Google Scholar]
  11. Gzyl, A., Augustynowicz, E., Rabczenko, D., Gniadek, G. & Slusarczyk, J. ( 2004; ). Pertussis in Poland. Int J Epidemiol 33, 358–365.[CrossRef]
    [Google Scholar]
  12. Halperin, S. A. ( 2005; ). Pertussis – a disease and vaccine for all ages. N Engl J Med 353, 1615–1617.[CrossRef]
    [Google Scholar]
  13. He, Q., Viljanen, M. K., Nikkari, S., Lyytikainen, R. & Mertsola, J. ( 1994; ). Outcomes of Bordetella pertussis infection in different age groups of an immunized population. J Infect Dis 170, 873–877.[CrossRef]
    [Google Scholar]
  14. Hewlett, E. L. & Edwards, K. M. ( 2005; ). Clinical practice. Pertussis – not just for kids. N Engl J Med 352, 1215–1222.[CrossRef]
    [Google Scholar]
  15. Hsieh, Y.-C., Chen, H.-Y., Yen, J.-J., Liu, D.-P., Chang, L.-Y., Lu, C.-Y., Shao, P.-L., Lee, C.-Y. & Huang, L.-M. ( 2005; ). Influenza in Taiwan: seasonality and vaccine strain match. J Microbiol Immunol Infect 38, 238–243.
    [Google Scholar]
  16. Hu, J.-J., Lu, C.-Y., Chang, L.-Y., Huang, C.-H., Chou, C.-C., Huang, F.-Y., Lee, C.-Y. & Huang, L.-M. ( 2006; ). Survey of pertussis in patients with prolonged cough. J Microbiol Immunol Infect 39, 54–58.
    [Google Scholar]
  17. Huang, L.-M., Chang, L.-Y., Tang, H., Bock, H. L., Lu, C.-Y., Huang, F.-Y., Lin, T.-Y. & Lee, C.-Y. ( 2005; ). Immunogenicity and reactogenicity of a reduced-antigen-content diphtheria-tetanus-acellular pertussis vaccine in healthy Taiwanese children and adolescents. J Adolesc Health 37, 517.
    [Google Scholar]
  18. Jenkinson, D. ( 1988; ). Duration of effectiveness of pertussis vaccine: evidence from a 10 year community study. Br Med J (Clin Res Ed) 296, 612–614.[CrossRef]
    [Google Scholar]
  19. Kuno-Sakai, H. & Kimura, M. ( 2004; ). Safety and efficacy of acellular pertussis vaccine in Japan, evaluated by 23 years of its use for routine immunization. Pediatr Int 46, 650–655.[CrossRef]
    [Google Scholar]
  20. Lin, Y.-C., Yao, S.-M., Yan, J.-J., Chen, Y.-Y., Hsiao, M.-J., Chou, C.-Y., Su, H.-P., Wu, H.-S. & Li, S.-Y. ( 2006; ). Molecular epidemiology of Bordetella pertussis in Taiwan, 1993–2004: suggests one possible explanation for the outbreak of pertussis in 1997. Microbes Infect 8, 2082–2087.[CrossRef]
    [Google Scholar]
  21. Linnemann, C. C., Jr, Ramundo, N., Perlstein, P. H., Minton, S. D. & Englender, G. S. ( 1975; ). Use of pertussis vaccine in an epidemic involving hospital staff. Lancet 2, 540–543.
    [Google Scholar]
  22. Mooi, F. R., van Oirschot, H., Heuvelman, K., van der Heide, H. G., Gaastra, W. & Willems, R. J. ( 1998; ). Polymorphism in the Bordetella pertussis virulence factors P.69/pertactin and pertussis toxin in The Netherlands: temporal trends and evidence for vaccine-driven evolution. Infect Immun 66, 670–675.
    [Google Scholar]
  23. Mooi, F. R., van Loo, I. H. & King, A. J. ( 2001; ). Adaptation of Bordetella pertussis to vaccination: a cause for its reemergence? Emerg Infect Dis 7, 526–528.[CrossRef]
    [Google Scholar]
  24. Orenstein, W. A. ( 1999; ). Pertussis in adults: epidemiology, signs, symptoms, and implications for vaccination. Clin Infect Dis 28 (Suppl. 2), S147–S150.[CrossRef]
    [Google Scholar]
  25. Rothstein, E. & Edwards, K. ( 2005; ). Health burden of pertussis in adolescents and adults. Pediatr Infect Dis J 24, S44–S47.[CrossRef]
    [Google Scholar]
  26. Skowronski, D. M., De Serres, G., MacDonald, D., Wu, W., Shaw, C., Macnabb, J., Champagne, S., Patrick, D. M. & Halperin, S. A. ( 2002; ). The changing age and seasonal profile of pertussis in Canada. J Infect Dis 185, 1448–1453.[CrossRef]
    [Google Scholar]
  27. Tan, T., Trindade, E. & Skowronski, D. ( 2005; ). Epidemiology of pertussis. Pediatr Infect Dis J 24, S10–S18.[CrossRef]
    [Google Scholar]
  28. von Konig, C. H., Halperin, S., Riffelmann, M. & Guiso, N. ( 2002; ). Pertussis of adults and infants. Lancet Infect Dis 2, 744–750.[CrossRef]
    [Google Scholar]
  29. Yao, S.-M., Lin, Y.-C., Chou, C.-Y., Chen, Y.-Y., Hsiao, M.-J., Chen, H.-Y., Yan, J.-J., Su, H.-P. & Li, S.-Y. ( 2005; ). Antigenic divergence of Bordetella pertussis isolates in Taiwan. J Clin Microbiol 43, 5457–5461.[CrossRef]
    [Google Scholar]
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