pertussis

Medical Monday: Two newer vaccines in the spotlight

It's November, when rates of upper respiratory infection tends to rise. Everyone is tuned into the idea of getting a flu shot. Most people know that it's especially important for pregnant women. But did you know that the TDAP is now given in the latter part of pregnancy ?

TDAP vaccination has been proven safe and effective for prevention of pertussis. TDAP stands for tetanus diphtheria and PERTUSSIS, otherwise known as whooping cough. A relatively recent recommendation is to give it between 27 and 36 weeks of gestation. We don't wait until the end of pregnancy since we want there to be enough time for mom to create protective antibodies to pass to baby. That way, baby is protected against pertussis from the moment of birth. 

In other vaccine related news, the HPV vaccine rates are still lower than they should be. HPV stands for human papilloma virus, and it is cause of genital warts and cervical cancer. HPV vaccination should be given to both boys and girls around age 11-12. It is given in three doses over 6 months, and is very well tolerated. It can be given until 26 years of age. A recent report indicated that states with high vaccination rates have low cervical cancer rates, and visa versa. This is some of the first longer term data emerging from the HPV vaccine experience. Happily it is preventing disease as well as expected. We have just got to do more to promote its adoption. 

 

Source: Medline Plus from the National Library of Medicine

Medical Monday: Infections by the numbers

Ebola is on everyone's mind. Worldwide the death toll is approximately 2000 people most of whom were in West Africa. People are not aware that it is not easily spread. The odds of getting it in United States are vanishingly small. Sadly there is not yet any vaccine for Ebola. 

To put the death toll from Ebola into perspective consider these numbers: 

9,700,000 children under five per year die from  preventable disease.

250,000 per year,  probably more from flu or flu related complications. 

100,000 per year die of measles of cholera 

1,500,000 per year die of diarrheal disease

Now let's consider our little corner of the world, Montana. Flu season officially started at the end of September. This year Montana has had 5 confirmed cases so far. However, in the previous reporting year we had a total of 3192 cases, 313 hospitalizations and eight deaths that attributed to influenza, with the bulk of cases being in December and January. 

What about Montana's other common preventable infectious disease ? It's Pertussis of course. It is also known as whooping cough. However in the previous reporting year we had a total of 661 conference cases. There were 361 hospitalizations and 15 deaths, mostly of people over 65.

Our scourges, flu and pertussis,  are vaccine preventable diseases. What about theGuillain-Barr syndrome (GBS) , or temporary paralysis ? It too has been studied and it's incidence in the US is around 3000-6000 cases per year whether or not a vaccine was or was not received. It has been determined that one is much more likely to get GBS after flu than after a flu vaccine.

 As I look at the disease rate time charts for prior seasons of each of these vaccine- preventable diseases, I see that we are right ahead of the big bumps in numbers of cases. I hope we get ahead of the curves this year. Pertussis and flu vaccines are available everywhere now.