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Brazil-Lack of adult vaccination drives outbreak of Pertussis in SP

Tonka

Well-known member
http://www.jornalfloripa.com.br/cienciaevida/index1.php?pg=verjornalfloripa&id=1612
Portuguese to English translation


22/09/2011 at 05:58 - Updated 22/09/2011 at 05:58

Lack of adult vaccination drives outbreak of Pertussis in SP

The number of pertussis cases in S?o Paulo until July of this year is greater than the total in 2010, according to the Department of Health

Until July 19, 183 cases were registered against 176 in 2010. The worst years of the disease in the last decade was 2008, with 258 cases.

According to SINAN (National System for Notifiable Diseases), until August, Brazil has confirmed 593 cases, 80% were in infants under six months. There were 16 deaths, all among children.

The outbreaks occur at intervals of two to four years. The bacteria act more at higher temperatures.

The main problem is the increase in adult cases. Although the disease is not as severe in this group, he is the main transmitter of infection for babies. The smaller the child, the more dangerous is the disease.

"The problem of adults who do not take the vaccine in Brazil is cultural. She is still linked to childhood, but the behavior has changed with the vaccination for the elderly and travelers," says Renato Kfouri, president of SBIm (Brazilian Society of Immunization).

According to Lily Weckx, a pediatrician and infectious disease UNIFESP, immunization of adults is needed.

"The last dose is given to children in the second booster between 4 and 6 years. After this age, there is no vaccine to the public."

IMMUNIZATION

Pertussis is caused by the bacterium Bordetella pertussis, which produces a toxin that causes coughing, phlegm and wheeze.

The disease is characterized by a continuous cough that can last from two to four weeks.

The effort of the cough can cause bleeding in the eye and even the brain. In newborns, the disease can progress to pneumonia.

Up to one fifth of cases of whooping cough in adults is caused by whooping cough, according to infectious disease.

In Sao Paulo, the polio vaccine is given since 1968. In public, it is available only for children.

In the private network, is found to DPT (diphtheria, tetanus and pertussis). A new quadrivalent vaccine (polio too) has just been launched in the country. The price is around $ 100.

Renato Kfouri of SBIm recommends the vaccine booster for adults every ten years. The vaccine is contraindicated if the person is high fever, has had recent allergic reaction or side effects experienced in the first dose.
 
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