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Can Preparedness for Biological Terrorism Save Us From Pertussis?
Arch Pediatr Adolesc Med. 2004;158:106-107.
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After the introduction of pertussis vaccine in the 1940s, pertussis in the United States decreased from approximately 150 cases per 100 000 population and 5000 to 10 000 deaths per year to approximately 1 case per 100 000 population from 1980 to 1990.1 Since then, there has been a gradual but steady resurgence in pertussis cases. Pertussis can cause substantial illness in all age groups, but the burden of disease remains greatest among infants who are at highest risk for severe illness. Management and control of pertussis remains a constant challenge for both clinicians and public health agencies.1-2
In this issue of the ARCHIVES, Wheeler and colleagues3 from the University of Arkansas for Medical Sciences Arkansas Children's Hospital and the Arkansas Department of Health identify deficiencies in the public health response to a large statewide pertussis outbreak in Arkansas. Their descriptive article is based largely on interviews with key participants from the Arkansas . . . [Full Text of this Article]
Jeffrey S. Duchin, MD
Communicable Disease Control, Epidemiology and Immunization Section
Public Health—Seattle and King County
Division of Allergy and Infectious Diseases
University of Washington
9993rd Ave, Suite 900
Seattle, WA 98104
(e-mail: jeff.duchin@metrokc.gov)
RELATED ARTICLE
Barriers to Public Health Management of a Pertussis Outbreak in Arkansas
J. Gary Wheeler, Tracy C. Tran, Paula North, Toni Beavers-May, Gordon E. Schutze, and Sandra L. Snow
Arch Pediatr Adolesc Med. 2004;158(2):146-152.
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