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September 1984, Vol 138, No. 9 >
Article | September 1984

Pertussis Vaccine-Reply FREE

VINCENT A. FULGINITI, MD
Am J Dis Child. 1984;138(9):890-892. doi:10.1001/archpedi.1984.02140470088033.
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In Reply.—Dr Stewart's letter affords me an opportunity to elaborate on his role in the pertussis controversy in England and on the validity and sensational quality of his opinions, as he has expressed them in print over the years. Although I have performed my own analysis, as I was composing this reply a definitive work authored by James Cherry, professor of pediatrics at UCLA, was received.1 For those who wish a detailed analysis and scientific rebuttal of Dr Stewart's role and claims, I encourage reference to this thoughtful work of Cherry's.

There is no question in my mind that Dr Stewart has been a major force in the outbreak of pertussis in England, as he correctly cites my inference to his role in his letter. Furthermore, he does ignore facts, he does overemphasize adverse effects of vaccine, he does minimize both the incidence and severity of whooping cough,

REFERENCES

1 +
Cherry J:  The epidemiology of pertussis and pertussis immunization in the United Kingdom and in the United States: A comparative study . Curr Probl Pediatr 1984;;9:1-56.
2 +
Bassili WR, Stewart GT:  Epidemiological evaluation of immunization and other factors in the control of whooping cough . Lancet 1976;;1:471.
3 +
Stewart GT:  Vaccination against whooping cough efficacy v risks . Lancet 1977;;1:234.
4 +
Stewart GT:  Pertussis vaccine: The United Kingdom's experience , in International Symposium on Pertussis. US Dept of Health, Education, and Welfare, 1979;, p 262.
5 +
Stewart GT:  Infection and immunization . Scott Med J 1979;;24:47.
6 +
Stewart GT:  Whooping cough in relation to other childhood infections in 1977-79 in the United Kingdom . J Epidemiol Community Health 1981;;35:139.
7 +
Stewart GT:  Toxicity of pertussis vaccine: Frequency and probability of reactions . J Epidemiol Career Health 1979;;33:150.
8 +
Report of the Committee on Infectious Diseases , ed 19. Evanston, Ill, American Academy of Pediatrics, 1982;.
9 +
 Pertussis, Maryland 1982 . MMWR 1983;;32: 298.
10 +
Anderson RM, May RM:  Directly transmitted infectious diseases: Contact by vaccination . Science 1982;;215:1053.
11 +
Broome CV, Fraser DW:  Pertussis in the United States 1979: A look at vaccine efficacy . J Infect Dis 1981;;144:187.
12 +
 Pertussis surveillance 1979-1981. MMWR 1982;;31:333.
13 +
Foege WH: Statement read before the Subcommittee on Investigations and General Oversight Committee on Labor and Human Resources, US Senate, Washington DC, May 7, 1982.
14 +
Barrie H, Fulginiti VA:  Campaign of terror:  Letter from the editor. AJDC 1983;;137: 922-923.
15 +
Koplan JP, Schoenbaum SC, Weinstein MC, et al:  Pertussis vaccine: An analysis of benefits, risks and costs . N Engl J Med 1979;; 301:906.
16 +
Mortimer EA Jr:  An evaluation of pertussis vaccine . Rev Infect Dis 1979;;1:927.
17 +
Joint Committee on Vaccination and Immunization: Whooping Cough Vaccination: Review of the Evidence on Whooping Cough Vaccination. London, Department of Health and Social Security, 1977;.
18 +
Miller CL, Fletcher WB:  Severity of notified whooping cough . Br Med J 1976;;1:117.
19 +
Miller DL, Ross EM:  Whooping cough: A shot in the dark . Br Med J 1983;;286:1817.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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References

1 +
Cherry J:  The epidemiology of pertussis and pertussis immunization in the United Kingdom and in the United States: A comparative study . Curr Probl Pediatr 1984;;9:1-56.
2 +
Bassili WR, Stewart GT:  Epidemiological evaluation of immunization and other factors in the control of whooping cough . Lancet 1976;;1:471.
3 +
Stewart GT:  Vaccination against whooping cough efficacy v risks . Lancet 1977;;1:234.
4 +
Stewart GT:  Pertussis vaccine: The United Kingdom's experience , in International Symposium on Pertussis. US Dept of Health, Education, and Welfare, 1979;, p 262.
5 +
Stewart GT:  Infection and immunization . Scott Med J 1979;;24:47.
6 +
Stewart GT:  Whooping cough in relation to other childhood infections in 1977-79 in the United Kingdom . J Epidemiol Community Health 1981;;35:139.
7 +
Stewart GT:  Toxicity of pertussis vaccine: Frequency and probability of reactions . J Epidemiol Career Health 1979;;33:150.
8 +
Report of the Committee on Infectious Diseases , ed 19. Evanston, Ill, American Academy of Pediatrics, 1982;.
9 +
 Pertussis, Maryland 1982 . MMWR 1983;;32: 298.
10 +
Anderson RM, May RM:  Directly transmitted infectious diseases: Contact by vaccination . Science 1982;;215:1053.
11 +
Broome CV, Fraser DW:  Pertussis in the United States 1979: A look at vaccine efficacy . J Infect Dis 1981;;144:187.
12 +
 Pertussis surveillance 1979-1981. MMWR 1982;;31:333.
13 +
Foege WH: Statement read before the Subcommittee on Investigations and General Oversight Committee on Labor and Human Resources, US Senate, Washington DC, May 7, 1982.
14 +
Barrie H, Fulginiti VA:  Campaign of terror:  Letter from the editor. AJDC 1983;;137: 922-923.
15 +
Koplan JP, Schoenbaum SC, Weinstein MC, et al:  Pertussis vaccine: An analysis of benefits, risks and costs . N Engl J Med 1979;; 301:906.
16 +
Mortimer EA Jr:  An evaluation of pertussis vaccine . Rev Infect Dis 1979;;1:927.
17 +
Joint Committee on Vaccination and Immunization: Whooping Cough Vaccination: Review of the Evidence on Whooping Cough Vaccination. London, Department of Health and Social Security, 1977;.
18 +
Miller CL, Fletcher WB:  Severity of notified whooping cough . Br Med J 1976;;1:117.
19 +
Miller DL, Ross EM:  Whooping cough: A shot in the dark . Br Med J 1983;;286:1817.

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