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May 15, 2003
Contact: Bonnie Widerburg (503) 731-4180
Technical contact: Ann Thomas, M.D. (503) 731-4023
Oregon infants pertussis death a reminder to parents
The death of an 11-week-old Oregon child due to pertussis, or
whooping cough, is a sober reminder of why children should be immunized, according
to public health officials in the state Department of Human Services (DHS).
"Pertussis is common, and it causes a nagging cough that can last for
weeks in adults," said Ann Thomas, M.D., public health physician in DHS.
"This tragic death is a reminder that the whooping cough can be very severe
and even kill infants."
Vaccination against pertussis is recommended at 2, 4 and 6 months of age, with
additional doses at 15 months and at school entry, Thomas said.
"The vaccine wont eradicate the bacterium, but it does prevent whooping
cough," said Thomas. "Thats why we urge parents to be diligent
about getting their children immunized on time."
Pertussis can occur at any age, but most reported cases are in children under
five and, of those, 50 percent are under one year old, according to Thomas.
Whooping cough is caused by the bacterium Bordetella pertussis and is
found in the mouth, nose and throat of an infected person. It begins as a mild
infection with symptoms that resemble the common cold. Within two weeks, the
cough becomes more severe with episodes of numerous coughs followed by a high-pitched
whoop. A thick, clear mucous may be discharged.
"During the last century, pertussis was a major cause of childhood death,"
said Thomas. "But widespread vaccination made a dramatic difference. In
1940, over 200,000 pertussis cases were reported nationally. Since 1980, that
has dropped to 4,400 cases per year, a decrease of more than 98 percent.
"Because of this success, people tend to think these old diseases were
vanquished," Thomas said. "But they are still a threat, which is why
childhood immunization is so important."
Pertussis has increased recently in Oregon and in other parts of the country.
Oregon averaged 70 cases per year during 1992-2001 but the count rose to 193
cases in 2002. To date this year, 100 cases have already been reported in the
state.
Additional information about pertussis can be found on the Web.
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