Assessment of pertussis vaccination strategies using a mathematical model of disease transmission

Pertussis or whooping cough is a vaccinepreventable respiratory disease that has reemerged in the past decades. A higher morbidity and mortality has been recorded in infants, although cases have also been reported in adolescents and adults. The epidemiological scenario for this condition has urged t...

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Autores principales: Pesco, Pablo Sebastián, Bergero, Paula Elena, Fabricius, Gabriel, Hozbor, Daniela Flavia
Formato: Articulo
Lenguaje:Inglés
Publicado: 2013
Materias:
Acceso en línea:http://sedici.unlp.edu.ar/handle/10915/84945
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id I19-R120-10915-84945
record_format dspace
institution Universidad Nacional de La Plata
institution_str I-19
repository_str R-120
collection SEDICI (UNLP)
language Inglés
topic Biología
Booster
Bordetella pertussis
Immunization
Model
Pertussis
Pertussis vaccine
spellingShingle Biología
Booster
Bordetella pertussis
Immunization
Model
Pertussis
Pertussis vaccine
Pesco, Pablo Sebastián
Bergero, Paula Elena
Fabricius, Gabriel
Hozbor, Daniela Flavia
Assessment of pertussis vaccination strategies using a mathematical model of disease transmission
topic_facet Biología
Booster
Bordetella pertussis
Immunization
Model
Pertussis
Pertussis vaccine
description Pertussis or whooping cough is a vaccinepreventable respiratory disease that has reemerged in the past decades. A higher morbidity and mortality has been recorded in infants, although cases have also been reported in adolescents and adults. The epidemiological scenario for this condition has urged to review and implement new strategies aimed at improving its control. However, many of these strategies have not been investigated in depth so as to be established as universal. In this context, mathematical models of disease transmission are useful decisionmaking tools. Using a mathematical model of pertussis, this study assessed the possible impact of the different control measures on the most vulnerable population (0-1 year old infants). In particular, the analysis focused on the impact of including a booster vaccination at 11 years old, the effect of improving the coverage provided by primary doses, and the reduction of any delay in their administration. The assessment also estimated the effect of immunizing pregnant women. Results show that including a booster dose at 11 years reduces the incidence of pertussis by 3% in infants younger than 1 year old. In addition, administering primary doses in compliance with the schedule (with no delays) reduces pertussis incidence by 16%. Increasing coverage from 80% to 95% results in a significantly decreased incidence in the vulnerable population (38%). If the percentage of immunized pregnant women reaches 50%, the reduction of the most severe infant cases could be more than 43% (0-2 monthold infants).
format Articulo
Articulo
author Pesco, Pablo Sebastián
Bergero, Paula Elena
Fabricius, Gabriel
Hozbor, Daniela Flavia
author_facet Pesco, Pablo Sebastián
Bergero, Paula Elena
Fabricius, Gabriel
Hozbor, Daniela Flavia
author_sort Pesco, Pablo Sebastián
title Assessment of pertussis vaccination strategies using a mathematical model of disease transmission
title_short Assessment of pertussis vaccination strategies using a mathematical model of disease transmission
title_full Assessment of pertussis vaccination strategies using a mathematical model of disease transmission
title_fullStr Assessment of pertussis vaccination strategies using a mathematical model of disease transmission
title_full_unstemmed Assessment of pertussis vaccination strategies using a mathematical model of disease transmission
title_sort assessment of pertussis vaccination strategies using a mathematical model of disease transmission
publishDate 2013
url http://sedici.unlp.edu.ar/handle/10915/84945
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