{"id":31831,"date":"2014-06-25T11:39:22","date_gmt":"2014-06-25T10:39:22","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=31831"},"modified":"2014-06-25T11:39:22","modified_gmt":"2014-06-25T10:39:22","slug":"the-bmj-today-whooping-cough-and-getting-vaccination-right","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2014\/06\/25\/the-bmj-today-whooping-cough-and-getting-vaccination-right\/","title":{"rendered":"The BMJ Today: Whooping cough and getting vaccination right"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/2012\/04\/27\/rebecca-coombes-soaring-rents-but-ghana-gets-it-right-on-vaccinations\/becs_ghana\/\" rel=\"attachment wp-att-16588\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-16588\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2012\/04\/becs_ghana.jpg\" alt=\"\" width=\"160\" height=\"110\" \/><\/a>California is in the grip of a whooping cough epidemic, with 800 cases reported in the first two weeks of June alone. Outbreaks like these are not uncommon in the US.<\/p>\n<p>It\u2019s nothing short of \u201cinsane,\u201d <a href=\"http:\/\/www.vox.com\/2014\/6\/19\/5824836\/it-is-insane-that-california-has-a-whooping-cough-epidemic-in-2014\">fumes political blogger Ezra Klein<\/a>, founder of news site Vox: \u201cThese sentences should only exist in musty newspapers from decades long past. They shouldn\u2019t need to be written in 2014. Whooping cough is a solved problem in medicine.\u201d<\/p>\n<p>Medicine may have \u201csolved\u201d the problem, but\u2014as <a href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g3668\">a prospective cohort study<\/a> just posted on bmj.com confirms\u2014the question of how best to vaccinate communities remains.<!--more--><\/p>\n<p>It\u2019s not just about adherence (although <a href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g1211\">Julie Jacob\u2019s Feature<\/a> on \u201cvaccine hesitant\u201d parents is worth a read). Researchers from the University of Oxford and Public Health England found that a fifth of children who presented to their GP with a persistent cough had whooping cough, even though most had been fully vaccinated.<\/p>\n<p>The pertussis vaccination does not give lifelong immunity, which is why the UK, in common with other countries, introduced a pre-school booster in 2001, on top of the initial schedule at 2, 3, and 4 months.\u00a0But those that had gone more than seven years without the vaccination were three times more likely to develop the infectious disease, <a href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g3668\">the study found<\/a>.<\/p>\n<p>In the US, whooping cough was reported to cause absence from school in 83% of adolescents over a two year period. Given the findings of this new bmj.com study, how long before the UK introduces an adolescent booster to better protect young people?<\/p>\n<p><em><strong>Rebecca Coombes<\/strong>\u00a0is the features editor, The BMJ.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>California is in the grip of a whooping cough epidemic, with 800 cases reported in the first two weeks of June alone. Outbreaks like these are not uncommon in the [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2014\/06\/25\/the-bmj-today-whooping-cough-and-getting-vaccination-right\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5750,1357],"tags":[],"class_list":["post-31831","post","type-post","status-publish","format-standard","hentry","category-the-bmj-today","category-us-health-care"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The BMJ Today: Whooping cough and getting vaccination right - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2014\/06\/25\/the-bmj-today-whooping-cough-and-getting-vaccination-right\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The BMJ Today: Whooping cough and getting vaccination right - The BMJ\" \/>\n<meta property=\"og:description\" content=\"California is in the grip of a whooping cough epidemic, with 800 cases reported in the first two weeks of June alone. Outbreaks like these are not uncommon in the [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2014\/06\/25\/the-bmj-today-whooping-cough-and-getting-vaccination-right\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2014-06-25T10:39:22+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2012\/04\/becs_ghana.jpg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/06\\\/25\\\/the-bmj-today-whooping-cough-and-getting-vaccination-right\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/06\\\/25\\\/the-bmj-today-whooping-cough-and-getting-vaccination-right\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"The BMJ Today: Whooping cough and getting vaccination right\",\"datePublished\":\"2014-06-25T10:39:22+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/06\\\/25\\\/the-bmj-today-whooping-cough-and-getting-vaccination-right\\\/\"},\"wordCount\":272,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/06\\\/25\\\/the-bmj-today-whooping-cough-and-getting-vaccination-right\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2012\\\/04\\\/becs_ghana.jpg\",\"articleSection\":[\"The BMJ today\",\"US healthcare\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/06\\\/25\\\/the-bmj-today-whooping-cough-and-getting-vaccination-right\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/06\\\/25\\\/the-bmj-today-whooping-cough-and-getting-vaccination-right\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/06\\\/25\\\/the-bmj-today-whooping-cough-and-getting-vaccination-right\\\/\",\"name\":\"The BMJ Today: Whooping cough and getting vaccination right - 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