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The Changing Age and Seasonal Profile of Pertussis in Canada
Abstract
During the postvaccine era in Canada, most cases of pertussis have been reported in children <5 years of age, with the highest incidence, morbidity, and mortality in infants <1 year old. Population-based data, with very high laboratory confirmation rates and hospital separation and mortality statistics, chronicle the changing age and seasonal profile associated with pertussis over recent successive outbreaks in British Columbia, Canada. A large outbreak during 2000 highlights 2 important changes to the postvaccine profile. For the first time in Canada, the incidence of pertussis among preteens and teens surpassed that of all other age groups. At the same time, a decreasing incidence of pertussis among infants and preschool children highlights reduced susceptibility in the very young. Recent changes in the childhood immunization program (including introduction of an acellular pertussis vaccine), waning immunity, and changes in laboratory methods are considered in explaining these 2 simultaneous but divergent trends in the pertussis profile.
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Citations
Cited by
Pertussis of adults and infants
von König, C. W., Halperin, S., Riffelmann, M., & Guiso, N. (2002) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(02)00452-8 · Cited by 458
Self-citationPertussis: Microbiology, Disease, Treatment, and Prevention
Kilgore, P. E., Salim, A. M., Zervos, M. J., & Schmitt, H.-J. (2016) · Clinical Microbiology Reviews · doi:10.1128/cmr.00083-15 · Cited by 434
Resurgence of Pertussis in Europe
Celentano, L. P., Massari, M., Paramatti, D., Salmaso, S., & Tozzi, A. E. (2005) · The Pediatric Infectious Disease Journal · doi:10.1097/01.inf.0000177282.53500.77 · Cited by 260
Recent developments in pertussis
Crowcroft, N. S., & Pebody, R. G. (2006) · The Lancet · doi:10.1016/s0140-6736(06)68848-x · Cited by 256
Greenberg, D. P., Doemland, M., Bettinger, J. A., Scheifele, D. W., Halperin, S. A., Waters, V., & Kandola, K. (2009) · Pediatric Infectious Disease Journal · doi:10.1097/inf.0b013e318199d2fc · Cited by 40
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Metadata
- Authors
- Skowronski, D. M., De Serres, G., MacDonald, D., Wu, W., Shaw, C., Macnabb, J., Champagne, S., Patrick, D. M., & Halperin, S. A.
- Venue
- The Journal of Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 2002-05-15
- Volume
- 185
- Issue
- 10
- Pages
- 1448-1453
- ISSN
- 0022-1899 (ISSN-L)
- 1537-6613
- OpenAlex
- W2149027553
- Cited by
- 231
- References
- 0
- FWCI
- 15.21
- Type
- journal article
- Language
- en
- Open access
- closed
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- 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. The Journal of Infectious Diseases. https://doi.org/10.1086/340280
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